| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,981 |
14,177 |
$859K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,484 |
18,743 |
$815K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
655 |
615 |
$29K |
| 90682 |
|
618 |
611 |
$22K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,749 |
1,410 |
$15K |
| 90715 |
|
750 |
742 |
$13K |
| 90651 |
|
242 |
239 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
856 |
776 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
135 |
$8K |
| 90670 |
|
377 |
373 |
$7K |
| 90674 |
|
878 |
860 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$7K |
| 80305 |
|
435 |
359 |
$5K |
| 20610 |
|
194 |
144 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
27 |
27 |
$4K |
| 90686 |
|
296 |
296 |
$4K |
| 11721 |
|
187 |
183 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
615 |
591 |
$2K |
| 81003 |
|
627 |
589 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
53 |
$2K |
| 90732 |
|
14 |
14 |
$1K |
| 81025 |
|
285 |
275 |
$1K |
| 90734 |
|
195 |
192 |
$994.00 |
| 90698 |
|
182 |
182 |
$921.00 |
| 90633 |
|
101 |
96 |
$844.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$660.64 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
18 |
17 |
$628.00 |
| 36415 |
Collection of venous blood by venipuncture |
462 |
433 |
$623.20 |
| 86580 |
|
189 |
163 |
$468.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
28 |
$465.07 |
| 93000 |
|
24 |
24 |
$418.58 |
| 92551 |
|
52 |
51 |
$409.60 |
| 90680 |
|
53 |
52 |
$389.00 |
| 99173 |
|
66 |
65 |
$373.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$372.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$337.22 |
| 99499 |
|
17 |
16 |
$299.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
57 |
$168.05 |
| 90744 |
|
41 |
41 |
$150.00 |
| 90710 |
|
13 |
13 |
$148.00 |
| 90688 |
|
13 |
13 |
$142.60 |
| 96127 |
|
12 |
12 |
$49.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
57 |
51 |
$0.96 |