| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72,467 |
70,065 |
$6.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,985 |
95,472 |
$5.84M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15,319 |
15,287 |
$1.87M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19,447 |
19,007 |
$1.18M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,806 |
15,794 |
$1.04M |
| 99215 |
Prolong outpt/office vis |
5,609 |
5,453 |
$721K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,013 |
10,010 |
$608K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
6,547 |
6,544 |
$344K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,090 |
4,072 |
$320K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,031 |
4,031 |
$261K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,928 |
1,525 |
$258K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,976 |
1,968 |
$194K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,696 |
5,226 |
$183K |
| 99205 |
Prolong outpt/office vis |
1,055 |
1,054 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,773 |
3,765 |
$125K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,002 |
16,728 |
$101K |
| 93320 |
|
6,531 |
6,528 |
$100K |
| 94010 |
|
10,351 |
10,236 |
$88K |
| 93000 |
|
8,547 |
8,332 |
$85K |
| 90461 |
|
1,443 |
1,442 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,156 |
543 |
$55K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
546 |
546 |
$45K |
| 93304 |
|
1,169 |
1,088 |
$36K |
| G0008 |
Administration of influenza virus vaccine |
2,366 |
2,365 |
$36K |
| 93325 |
|
12,133 |
11,785 |
$34K |
| 92551 |
|
2,376 |
2,376 |
$28K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
283 |
279 |
$26K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
281 |
266 |
$25K |
| 93224 |
|
510 |
497 |
$22K |
| 76825 |
|
316 |
305 |
$18K |
| 94729 |
|
657 |
657 |
$17K |
| 94726 |
|
643 |
643 |
$16K |
| 94060 |
|
483 |
463 |
$12K |
| 93321 |
|
1,710 |
1,611 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
949 |
946 |
$10K |
| 99442 |
|
527 |
511 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
198 |
195 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
88 |
87 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,634 |
3,477 |
$7K |
| 76827 |
|
315 |
304 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
128 |
128 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
43 |
43 |
$5K |
| 93880 |
|
81 |
81 |
$5K |
| 94728 |
|
495 |
494 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
138 |
136 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
170 |
170 |
$4K |
| G0009 |
Administration of pneumococcal vaccine |
611 |
611 |
$4K |
| 99417 |
Prolong home eval add 15m |
110 |
110 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
602 |
473 |
$3K |
| 96161 |
|
7,076 |
7,075 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
170 |
170 |
$3K |
| 59430 |
|
15 |
13 |
$3K |
| 76641 |
|
118 |
61 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
37 |
36 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
348 |
335 |
$2K |
| 99441 |
|
214 |
208 |
$2K |
| 99443 |
|
92 |
90 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
14 |
$2K |
| 93015 |
|
28 |
28 |
$2K |
| 31231 |
|
13 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
642 |
352 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
155 |
149 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 99460 |
|
30 |
29 |
$934.30 |
| 99173 |
|
252 |
252 |
$879.57 |
| 92567 |
|
88 |
88 |
$687.69 |
| 99381 |
|
12 |
12 |
$651.12 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
30 |
28 |
$551.16 |
| 3078F |
|
88,190 |
86,103 |
$448.75 |
| 99462 |
|
28 |
27 |
$427.24 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
14 |
13 |
$321.44 |
| 93244 |
|
16 |
16 |
$294.43 |
| 3074F |
|
87,572 |
85,474 |
$257.02 |
| 74018 |
|
43 |
24 |
$243.28 |
| 94760 |
|
697 |
679 |
$188.68 |
| 1160F |
|
112,987 |
109,183 |
$137.23 |
| 1126F |
|
130,486 |
126,898 |
$128.19 |
| 1159F |
|
113,033 |
109,277 |
$112.07 |
| 93288 |
|
13 |
13 |
$96.09 |
| 3075F |
|
1,945 |
1,924 |
$72.50 |
| 90688 |
|
13 |
13 |
$27.36 |
| 3079F |
|
3,884 |
3,799 |
$20.00 |
| 1125F |
|
3,324 |
3,222 |
$5.99 |
| 81025 |
|
12 |
12 |
$3.87 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,922 |
3,804 |
$0.00 |
| 3077F |
|
904 |
881 |
$0.00 |
| 90670 |
|
806 |
806 |
$0.00 |
| 3288F |
|
906 |
905 |
$0.00 |
| 90681 |
|
108 |
108 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
155 |
155 |
$0.00 |
| 90707 |
|
137 |
137 |
$0.00 |
| 90671 |
|
65 |
65 |
$0.00 |
| 90685 |
|
159 |
159 |
$0.00 |
| 90633 |
|
39 |
39 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
54 |
53 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
116 |
115 |
$0.00 |
| 1036F |
|
1,186 |
1,183 |
$0.00 |
| 90647 |
|
440 |
440 |
$0.00 |
| 1157F |
|
50 |
50 |
$0.00 |
| 90656 |
|
194 |
194 |
$0.00 |
| 90686 |
|
1,517 |
1,517 |
$0.00 |
| 90723 |
|
477 |
477 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
196 |
196 |
$0.00 |
| 3080F |
|
28 |
25 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 1170F |
|
14 |
13 |
$0.00 |