| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95,335 |
89,606 |
$5.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,179 |
29,262 |
$1.31M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12,152 |
11,641 |
$751K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
6,169 |
5,762 |
$518K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,979 |
4,787 |
$459K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,821 |
1,713 |
$248K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,385 |
4,192 |
$215K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,155 |
1,096 |
$197K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,440 |
1,323 |
$179K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
669 |
658 |
$91K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,811 |
905 |
$70K |
| 99215 |
Prolong outpt/office vis |
485 |
442 |
$39K |
| 99222 |
Initial hospital care, per day, moderate complexity |
427 |
404 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,019 |
970 |
$37K |
| 43775 |
|
115 |
107 |
$35K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,643 |
610 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
403 |
374 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
258 |
252 |
$20K |
| 93000 |
|
1,793 |
1,693 |
$19K |
| 97803 |
|
517 |
501 |
$18K |
| 99221 |
|
328 |
308 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
442 |
420 |
$17K |
| 20610 |
|
364 |
337 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
548 |
535 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
350 |
330 |
$16K |
| 73630 |
|
542 |
503 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
123 |
117 |
$13K |
| 97802 |
|
164 |
162 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
521 |
510 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
250 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
79 |
69 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
287 |
262 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
84 |
76 |
$5K |
| 76641 |
|
104 |
103 |
$4K |
| 62323 |
|
57 |
55 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 81003 |
|
2,123 |
1,544 |
$3K |
| 92551 |
|
369 |
358 |
$3K |
| 99243 |
|
40 |
39 |
$3K |
| 81025 |
|
460 |
435 |
$3K |
| 90688 |
|
190 |
124 |
$3K |
| 76830 |
Ultrasound, transvaginal |
27 |
25 |
$3K |
| 68761 |
|
38 |
19 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$2K |
| 43249 |
|
34 |
27 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
32 |
28 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
30 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
196 |
170 |
$2K |
| 99442 |
|
35 |
31 |
$2K |
| 95811 |
|
27 |
27 |
$2K |
| 51701 |
|
56 |
56 |
$2K |
| 99205 |
Prolong outpt/office vis |
19 |
17 |
$2K |
| 99152 |
|
206 |
199 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
27 |
13 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29 |
21 |
$2K |
| 20553 |
|
47 |
46 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
161 |
138 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
381 |
347 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
27 |
27 |
$1K |
| 81001 |
|
404 |
318 |
$1K |
| 73610 |
|
42 |
38 |
$1K |
| 96127 |
|
326 |
248 |
$1K |
| 46600 |
|
12 |
12 |
$1K |
| 99443 |
|
17 |
17 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 43235 |
|
17 |
15 |
$888.58 |
| 99441 |
|
29 |
25 |
$880.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
31 |
$730.72 |
| 76642 |
|
29 |
25 |
$650.27 |
| 99242 |
|
13 |
12 |
$443.24 |
| 95816 |
|
16 |
13 |
$395.48 |
| 93018 |
|
30 |
30 |
$277.06 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$254.55 |
| 90662 |
|
15 |
12 |
$238.54 |
| 81002 |
|
408 |
343 |
$238.07 |
| 31645 |
|
13 |
12 |
$230.65 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
69 |
$166.31 |
| 90686 |
|
140 |
126 |
$159.71 |
| 31624 |
|
14 |
12 |
$158.29 |
| 77080 |
|
14 |
14 |
$92.73 |
| 96160 |
|
51 |
43 |
$83.42 |
| 51798 |
|
12 |
12 |
$76.57 |
| 99000 |
|
31 |
31 |
$53.55 |
| 1160F |
|
29,307 |
26,140 |
$37.22 |
| 99499 |
|
1,091 |
905 |
$2.97 |
| 1159F |
|
23,788 |
21,305 |
$0.00 |
| 3725F |
|
833 |
763 |
$0.00 |
| 3078F |
|
13,089 |
11,559 |
$0.00 |
| 3077F |
|
464 |
447 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
582 |
490 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
390 |
328 |
$0.00 |
| 0502F |
|
1,491 |
1,037 |
$0.00 |
| 90670 |
|
99 |
97 |
$0.00 |
| 90633 |
|
19 |
15 |
$0.00 |
| 4004F |
|
16 |
12 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 1036F |
|
33,226 |
29,628 |
$0.00 |
| 3074F |
|
16,733 |
14,796 |
$0.00 |
| 3008F |
|
39,993 |
35,868 |
$0.00 |
| 3079F |
|
4,772 |
4,431 |
$0.00 |
| 1034F |
|
528 |
507 |
$0.00 |
| 3075F |
|
830 |
800 |
$0.00 |
| 90680 |
|
40 |
39 |
$0.00 |
| 99024 |
|
525 |
448 |
$0.00 |
| 1126F |
|
2,275 |
2,151 |
$0.00 |
| 1125F |
|
1,209 |
1,101 |
$0.00 |
| 3080F |
|
222 |
210 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 2010F |
|
14 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
21 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |