| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,542 |
25,237 |
$1.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,084 |
9,902 |
$974K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,203 |
4,154 |
$409K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,102 |
3,077 |
$272K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,274 |
3,776 |
$173K |
| 99385 |
|
701 |
699 |
$70K |
| 71046 |
Radiologic examination, chest; 2 views |
1,560 |
1,536 |
$30K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
387 |
387 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,622 |
2,600 |
$28K |
| 90688 |
|
1,248 |
1,238 |
$24K |
| 90686 |
|
1,097 |
1,088 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
409 |
393 |
$20K |
| 96127 |
|
6,805 |
6,759 |
$20K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
768 |
761 |
$19K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
973 |
238 |
$16K |
| 99386 |
|
118 |
116 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,159 |
1,770 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,538 |
1,430 |
$12K |
| 94060 |
|
414 |
410 |
$12K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
844 |
194 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
734 |
161 |
$10K |
| 99397 |
|
107 |
86 |
$10K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
407 |
404 |
$9K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
600 |
568 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
515 |
113 |
$7K |
| 93000 |
|
793 |
774 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
292 |
258 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
361 |
360 |
$5K |
| 72100 |
|
183 |
181 |
$4K |
| 97802 |
|
9,031 |
8,892 |
$3K |
| 90658 |
|
151 |
150 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99000 |
|
1,381 |
1,348 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$1K |
| 97163 |
|
33 |
33 |
$1K |
| 90662 |
|
22 |
22 |
$957.63 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
463 |
462 |
$570.85 |
| 99442 |
|
57 |
51 |
$570.43 |
| 72040 |
|
25 |
24 |
$549.52 |
| 99497 |
|
13 |
13 |
$503.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
34 |
$471.66 |
| 76857 |
|
12 |
12 |
$339.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
147 |
136 |
$273.59 |
| 99072 |
|
3,307 |
2,435 |
$265.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
180 |
173 |
$260.38 |
| 86580 |
|
33 |
29 |
$158.30 |
| 99422 |
|
52 |
50 |
$32.14 |
| 3074F |
|
16,448 |
13,636 |
$29.22 |
| 3008F |
|
13,484 |
11,723 |
$27.70 |
| 3078F |
|
13,711 |
11,647 |
$24.69 |
| 3079F |
|
6,628 |
5,894 |
$11.89 |
| 94760 |
|
6,733 |
6,231 |
$7.11 |
| 3075F |
|
3,190 |
2,982 |
$5.55 |
| 3077F |
|
2,151 |
1,849 |
$4.36 |
| 1170F |
|
5,794 |
4,972 |
$3.33 |
| 4013F |
|
1,433 |
1,411 |
$3.23 |
| 3080F |
|
1,436 |
1,284 |
$2.57 |
| 1159F |
|
337 |
328 |
$0.63 |
| 1101F |
|
1,020 |
937 |
$0.29 |
| 3288F |
|
1,113 |
1,093 |
$0.18 |
| 1158F |
|
1,162 |
1,153 |
$0.12 |
| 3046F |
|
1,297 |
1,249 |
$0.03 |
| 3044F |
|
494 |
493 |
$0.00 |
| 1123F |
|
1,219 |
1,210 |
$0.00 |
| 1111F |
|
112 |
112 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,644 |
1,620 |
$0.00 |
| 0518F |
|
36 |
33 |
$0.00 |