| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,407 |
58,277 |
$3.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,727 |
21,163 |
$1.53M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,751 |
7,391 |
$567K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,993 |
6,886 |
$545K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,176 |
4,129 |
$319K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,475 |
1,448 |
$120K |
| 99381 |
|
1,972 |
1,528 |
$113K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,271 |
3,127 |
$110K |
| 90670 |
|
5,963 |
5,865 |
$109K |
| 90686 |
|
8,564 |
8,327 |
$107K |
| 0002A |
|
2,726 |
2,716 |
$104K |
| 0001A |
|
2,817 |
2,801 |
$95K |
| 92551 |
|
7,837 |
7,701 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
946 |
901 |
$64K |
| 36415 |
Collection of venous blood by venipuncture |
30,655 |
28,668 |
$61K |
| 90698 |
|
3,995 |
3,934 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,427 |
6,340 |
$53K |
| 90681 |
|
2,663 |
2,579 |
$42K |
| 81025 |
|
6,471 |
6,054 |
$41K |
| 90633 |
|
2,829 |
2,783 |
$34K |
| 90651 |
|
1,131 |
1,109 |
$31K |
| 99174 |
|
4,959 |
4,885 |
$25K |
| 0004A |
|
653 |
648 |
$24K |
| 99188 |
|
1,029 |
1,022 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,445 |
1,358 |
$19K |
| 90710 |
|
827 |
806 |
$18K |
| 90648 |
|
1,645 |
1,582 |
$18K |
| 90723 |
|
1,225 |
1,167 |
$18K |
| 90744 |
|
1,513 |
1,475 |
$18K |
| 90677 |
|
476 |
452 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,276 |
3,111 |
$15K |
| 0054A |
|
405 |
396 |
$13K |
| 99173 |
|
5,376 |
5,281 |
$13K |
| 90734 |
|
634 |
632 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
146 |
$12K |
| 81003 |
|
5,423 |
4,609 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
704 |
685 |
$9K |
| 59025 |
Fetal non-stress test |
348 |
294 |
$9K |
| 0071A |
|
211 |
211 |
$8K |
| 85018 |
|
3,352 |
3,283 |
$8K |
| 0124A |
|
240 |
236 |
$8K |
| 0072A |
|
167 |
167 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,049 |
965 |
$6K |
| 99442 |
|
238 |
229 |
$6K |
| 99383 |
|
73 |
72 |
$6K |
| 0031A |
|
152 |
152 |
$5K |
| 0501F |
|
3,605 |
2,995 |
$5K |
| 76830 |
Ultrasound, transvaginal |
52 |
51 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
62 |
56 |
$5K |
| 90661 |
|
260 |
258 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
231 |
212 |
$5K |
| 0003A |
|
129 |
129 |
$5K |
| 90716 |
|
281 |
276 |
$5K |
| 90696 |
|
338 |
331 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
94 |
40 |
$4K |
| 90715 |
|
221 |
213 |
$4K |
| 90707 |
|
280 |
276 |
$4K |
| 0052A |
|
121 |
121 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
232 |
226 |
$4K |
| 0051A |
|
114 |
109 |
$4K |
| 90671 |
|
304 |
282 |
$3K |
| 99441 |
|
238 |
228 |
$3K |
| 96127 |
|
657 |
634 |
$3K |
| 91320 |
|
28 |
28 |
$3K |
| 0053A |
|
114 |
114 |
$3K |
| 99234 |
|
27 |
24 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 54150 |
|
13 |
12 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
13 |
$848.28 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$547.19 |
| 0082A |
|
13 |
13 |
$526.00 |
| 99443 |
|
14 |
14 |
$509.17 |
| 90480 |
|
28 |
28 |
$498.63 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
28 |
$480.81 |
| 36416 |
|
3,254 |
3,184 |
$435.62 |
| 90700 |
|
36 |
36 |
$427.70 |
| 99459 |
|
42 |
42 |
$400.76 |
| 96160 |
|
197 |
196 |
$354.06 |
| 88720 |
|
158 |
105 |
$285.87 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
117 |
113 |
$258.21 |
| 86318 |
|
40 |
40 |
$251.54 |
| 99401 |
|
14 |
14 |
$220.00 |
| 87210 |
|
42 |
36 |
$141.19 |
| G0008 |
Administration of influenza virus vaccine |
51 |
43 |
$31.22 |
| A7015 |
Aerosol mask, used with dme nebulizer |
27 |
26 |
$27.63 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
29 |
28 |
$26.30 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
29 |
28 |
$3.61 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
12 |
12 |
$2.32 |
| 91303 |
|
151 |
151 |
$1.38 |
| 91312 |
|
39 |
39 |
$0.26 |
| 91305 |
|
42 |
42 |
$0.12 |
| 3078F |
|
21 |
21 |
$0.00 |
| 3077F |
|
16 |
16 |
$0.00 |
| 0503F |
|
13 |
13 |
$0.00 |
| 0500F |
|
18 |
12 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |
| 3074F |
|
22 |
22 |
$0.00 |