| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,575 |
7,099 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,804 |
3,663 |
$152K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
210 |
201 |
$35K |
| 20610 |
|
1,137 |
1,031 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
277 |
271 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,521 |
1,493 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
310 |
306 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
538 |
502 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
255 |
248 |
$8K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
80 |
79 |
$8K |
| 99243 |
|
64 |
64 |
$5K |
| 99460 |
|
133 |
128 |
$5K |
| 95886 |
|
62 |
58 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
119 |
119 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
108 |
105 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
24 |
24 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
119 |
119 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
473 |
439 |
$3K |
| 99307 |
|
375 |
374 |
$2K |
| 90682 |
|
66 |
51 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
337 |
319 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
102 |
96 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 3074F |
|
5,710 |
5,371 |
$1K |
| 3078F |
|
4,498 |
4,226 |
$1K |
| 93000 |
|
95 |
93 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
66 |
66 |
$1K |
| 54150 |
|
13 |
12 |
$999.35 |
| 73560 |
|
44 |
42 |
$904.89 |
| 95251 |
|
25 |
25 |
$679.00 |
| 20526 |
|
13 |
12 |
$502.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$454.00 |
| 93971 |
|
20 |
17 |
$397.23 |
| 93970 |
|
12 |
12 |
$357.07 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$297.00 |
| 3079F |
|
715 |
685 |
$285.00 |
| 71046 |
Radiologic examination, chest; 2 views |
39 |
39 |
$271.63 |
| 51798 |
|
13 |
13 |
$152.69 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
599 |
548 |
$143.82 |
| 3075F |
|
132 |
127 |
$95.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,047 |
948 |
$31.32 |
| 3725F |
|
179 |
159 |
$30.00 |
| 81000 |
|
12 |
12 |
$21.05 |
| 1159F |
|
2,423 |
2,218 |
$0.00 |
| 1160F |
|
2,926 |
2,677 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
104 |
100 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| 1036F |
|
10,244 |
9,401 |
$0.00 |
| 3008F |
|
10,270 |
9,621 |
$0.00 |
| 1125F |
|
3,299 |
3,039 |
$0.00 |
| 1034F |
|
1,247 |
1,143 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
310 |
303 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
183 |
155 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
109 |
104 |
$0.00 |
| 1126F |
|
44 |
43 |
$0.00 |
| 99024 |
|
17 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |