| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,773 |
6,995 |
$540K |
| 99199 |
Unlisted special service, procedure or report |
49,989 |
29,819 |
$303K |
| 94010 |
|
6,443 |
4,719 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,133 |
1,482 |
$87K |
| 80305 |
|
7,806 |
5,822 |
$64K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
156 |
150 |
$50K |
| 99406 |
|
4,006 |
3,095 |
$33K |
| 95923 |
|
657 |
507 |
$33K |
| 99215 |
Prolong outpt/office vis |
351 |
256 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
1,675 |
1,220 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
167 |
121 |
$15K |
| 99457 |
|
1,162 |
750 |
$9K |
| 95922 |
|
99 |
90 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
61 |
50 |
$6K |
| 78268 |
|
128 |
111 |
$6K |
| 99454 |
|
970 |
636 |
$5K |
| 99205 |
Prolong outpt/office vis |
52 |
41 |
$5K |
| 93000 |
|
603 |
440 |
$5K |
| 99401 |
|
215 |
142 |
$3K |
| 70210 |
|
197 |
141 |
$2K |
| 82962 |
|
2,256 |
1,418 |
$2K |
| 99458 |
|
61 |
51 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
204 |
153 |
$2K |
| 81002 |
|
1,794 |
1,276 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
15 |
$1K |
| 99443 |
|
18 |
17 |
$1K |
| 92567 |
|
131 |
91 |
$928.63 |
| 0011A |
|
19 |
14 |
$910.00 |
| 92552 |
|
107 |
81 |
$743.02 |
| 72100 |
|
44 |
33 |
$725.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
242 |
161 |
$675.32 |
| 78267 |
|
129 |
112 |
$650.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
94 |
62 |
$521.58 |
| 20610 |
|
23 |
13 |
$490.49 |
| 81003 |
|
403 |
297 |
$479.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$280.85 |
| 99453 |
|
52 |
27 |
$91.71 |
| 99490 |
Ccm add 20min |
23 |
16 |
$69.40 |
| 99173 |
|
94 |
69 |
$45.35 |
| 99439 |
|
23 |
16 |
$27.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
77 |
58 |
$3.04 |
| 3074F |
|
66 |
58 |
$0.00 |
| 91301 |
|
19 |
14 |
$0.00 |
| 1170F |
|
14 |
12 |
$0.00 |