| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,717 |
54,051 |
$3.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,286 |
10,704 |
$848K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,529 |
3,533 |
$640K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,331 |
15,279 |
$523K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,231 |
5,222 |
$267K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,791 |
4,593 |
$234K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
23,752 |
20,805 |
$158K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,551 |
1,328 |
$154K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,843 |
2,813 |
$137K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,673 |
1,661 |
$124K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
656 |
642 |
$90K |
| 99221 |
|
1,496 |
1,464 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,645 |
2,538 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,888 |
1,884 |
$84K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,007 |
932 |
$64K |
| 99222 |
Initial hospital care, per day, moderate complexity |
630 |
601 |
$62K |
| 10040 |
|
473 |
439 |
$48K |
| 99188 |
|
2,499 |
2,496 |
$46K |
| 99233 |
Prolong inpt eval add15 m |
538 |
115 |
$44K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
504 |
499 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
549 |
549 |
$27K |
| 99442 |
|
487 |
468 |
$25K |
| 92551 |
|
2,802 |
2,798 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
394 |
364 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
403 |
403 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
133 |
$19K |
| 99443 |
|
252 |
241 |
$19K |
| 97124 |
|
510 |
251 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
172 |
172 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
96 |
92 |
$10K |
| 99173 |
|
1,881 |
1,881 |
$5K |
| 97035 |
|
472 |
213 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,604 |
1,580 |
$5K |
| 11900 |
|
178 |
141 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
6,852 |
6,728 |
$4K |
| 94060 |
|
426 |
405 |
$4K |
| 92550 |
|
199 |
199 |
$4K |
| 99460 |
|
46 |
46 |
$4K |
| 90671 |
|
624 |
624 |
$4K |
| 96127 |
|
2,910 |
2,893 |
$3K |
| 99441 |
|
115 |
105 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
440 |
422 |
$3K |
| 90686 |
|
3,924 |
3,915 |
$2K |
| 95819 |
|
50 |
49 |
$2K |
| 97014 |
|
185 |
93 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
28 |
26 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
35 |
24 |
$2K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
234 |
106 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$1K |
| 99381 |
|
26 |
26 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15 |
13 |
$666.03 |
| 99384 |
|
14 |
14 |
$664.65 |
| 99401 |
|
35 |
33 |
$639.89 |
| 69210 |
|
26 |
26 |
$621.25 |
| 0001A |
|
13 |
13 |
$548.46 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
420 |
385 |
$525.87 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
140 |
140 |
$523.62 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
13 |
$514.79 |
| 99383 |
|
17 |
17 |
$511.03 |
| 11721 |
|
27 |
27 |
$477.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
54 |
$421.16 |
| 92557 |
|
12 |
12 |
$361.54 |
| 90656 |
|
716 |
716 |
$325.86 |
| 91320 |
|
14 |
14 |
$276.00 |
| 94664 |
|
49 |
48 |
$214.02 |
| 92568 |
|
14 |
14 |
$192.38 |
| 90688 |
|
673 |
673 |
$187.23 |
| 90461 |
|
13 |
13 |
$160.55 |
| 94667 |
|
47 |
47 |
$150.30 |
| 92567 |
|
12 |
12 |
$122.28 |
| 36400 |
|
15 |
15 |
$109.74 |
| 83655 |
|
51 |
51 |
$107.75 |
| 3074F |
|
10,060 |
9,537 |
$106.01 |
| 3078F |
|
9,334 |
8,876 |
$92.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
27 |
$62.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$48.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37 |
37 |
$41.13 |
| 80061 |
Lipid panel |
14 |
14 |
$40.18 |
| 99490 |
Ccm add 20min |
186 |
186 |
$33.15 |
| 3079F |
|
1,378 |
1,302 |
$24.23 |
| 1126F |
|
6,815 |
6,505 |
$4.79 |
| 3008F |
|
18,203 |
17,260 |
$4.79 |
| 1036F |
|
8,161 |
7,382 |
$2.70 |
| 90647 |
|
449 |
449 |
$0.26 |
| 90723 |
|
530 |
530 |
$0.15 |
| 90680 |
|
817 |
816 |
$0.12 |
| 1160F |
|
15,678 |
14,806 |
$0.09 |
| 90716 |
|
97 |
97 |
$0.07 |
| 90677 |
|
56 |
56 |
$0.07 |
| 90707 |
|
84 |
84 |
$0.07 |
| 90697 |
|
88 |
88 |
$0.06 |
| 90633 |
|
326 |
326 |
$0.04 |
| 90696 |
|
12 |
12 |
$0.03 |
| 3075F |
|
355 |
337 |
$0.03 |
| 91300 |
|
17 |
17 |
$0.02 |
| 90648 |
|
500 |
500 |
$0.01 |
| 1125F |
|
136 |
132 |
$0.00 |
| 3044F |
|
1,043 |
1,003 |
$0.00 |
| 3080F |
|
84 |
77 |
$0.00 |
| 86580 |
|
82 |
82 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
34 |
$0.00 |
| 90670 |
|
1,180 |
1,179 |
$0.00 |
| 1159F |
|
14,394 |
13,637 |
$0.00 |
| 3077F |
|
486 |
452 |
$0.00 |
| 90672 |
|
201 |
201 |
$0.00 |
| 3725F |
|
178 |
174 |
$0.00 |
| 90685 |
|
156 |
156 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |