| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,114 |
10,348 |
$643K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,183 |
15,197 |
$630K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,999 |
5,680 |
$66K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,500 |
1,005 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
772 |
723 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
337 |
324 |
$17K |
| 99050 |
|
498 |
481 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
154 |
151 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
227 |
208 |
$6K |
| 99220 |
|
79 |
69 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
181 |
103 |
$3K |
| 99215 |
Prolong outpt/office vis |
45 |
38 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
37 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
62 |
61 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
338 |
305 |
$2K |
| 99217 |
|
50 |
43 |
$957.91 |
| 99443 |
|
30 |
30 |
$901.91 |
| 90756 |
|
47 |
46 |
$890.82 |
| 99236 |
Prolong inpt eval add15 m |
14 |
12 |
$861.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$590.84 |
| 81003 |
|
311 |
287 |
$581.45 |
| 99235 |
|
14 |
12 |
$560.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
38 |
$557.32 |
| 87503 |
|
54 |
48 |
$440.59 |
| 99406 |
|
46 |
44 |
$382.54 |
| 93018 |
|
45 |
41 |
$373.72 |
| 99219 |
|
17 |
14 |
$339.20 |
| 99442 |
|
15 |
14 |
$311.59 |
| 90674 |
|
15 |
13 |
$278.96 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$219.35 |
| 99441 |
|
18 |
18 |
$202.84 |
| 99173 |
|
15 |
14 |
$34.32 |
| 3008F |
|
5,258 |
4,843 |
$0.17 |
| 3078F |
|
1,846 |
1,716 |
$0.07 |
| 3074F |
|
1,449 |
1,336 |
$0.03 |
| 1000F |
|
18,260 |
16,772 |
$0.00 |
| 3079F |
|
221 |
209 |
$0.00 |
| 3075F |
|
243 |
228 |
$0.00 |
| 1036F |
|
78 |
67 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
33 |
33 |
$0.00 |
| 1101F |
|
39 |
34 |
$0.00 |
| 3288F |
|
2,183 |
2,003 |
$0.00 |
| 3077F |
|
108 |
87 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
76 |
71 |
$0.00 |
| 87400 |
|
18 |
18 |
$0.00 |