| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,141 |
11,228 |
$465K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,799 |
11,318 |
$361K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,959 |
3,279 |
$240K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,623 |
1,171 |
$103K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
829 |
550 |
$65K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
647 |
412 |
$59K |
| 99215 |
Prolong outpt/office vis |
1,115 |
828 |
$50K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,124 |
1,676 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
760 |
657 |
$38K |
| 52000 |
|
344 |
254 |
$21K |
| 20610 |
|
714 |
381 |
$13K |
| 99205 |
Prolong outpt/office vis |
141 |
108 |
$11K |
| 93000 |
|
1,354 |
1,107 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
209 |
151 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
284 |
229 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
480 |
417 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
609 |
448 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
329 |
242 |
$3K |
| 51798 |
|
404 |
332 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
26 |
$2K |
| 93971 |
|
182 |
148 |
$1K |
| 3074F |
|
10,466 |
8,317 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
37 |
$1K |
| 3078F |
|
9,222 |
7,271 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
86 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
59 |
40 |
$786.81 |
| 1160F |
|
7,070 |
5,532 |
$602.87 |
| 1159F |
|
5,925 |
4,667 |
$602.86 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
18 |
14 |
$557.15 |
| 93016 |
|
60 |
51 |
$497.88 |
| 3079F |
|
1,622 |
1,304 |
$476.76 |
| 90686 |
|
67 |
59 |
$399.36 |
| 93018 |
|
60 |
51 |
$360.60 |
| 36415 |
Collection of venous blood by venipuncture |
380 |
334 |
$350.31 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
58 |
49 |
$346.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
39 |
$320.34 |
| 99443 |
|
14 |
13 |
$196.88 |
| 99441 |
|
25 |
13 |
$129.83 |
| 87210 |
|
54 |
45 |
$127.25 |
| 90688 |
|
28 |
16 |
$122.07 |
| 3075F |
|
277 |
210 |
$100.00 |
| 99406 |
|
21 |
13 |
$99.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
41 |
$80.54 |
| 3077F |
|
185 |
143 |
$80.00 |
| 96127 |
|
13 |
13 |
$39.03 |
| 81003 |
|
29 |
27 |
$33.18 |
| 3080F |
|
15 |
12 |
$20.00 |
| 82962 |
|
15 |
12 |
$9.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
13 |
$7.68 |
| 3008F |
|
18,457 |
14,561 |
$0.06 |
| 1036F |
|
15,699 |
12,214 |
$0.06 |
| 1126F |
|
2,678 |
2,230 |
$0.04 |
| 3725F |
|
445 |
361 |
$0.02 |
| 1090F |
|
54 |
45 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
54 |
45 |
$0.00 |
| 3288F |
|
54 |
46 |
$0.00 |
| 99499 |
|
16 |
15 |
$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) |
14 |
13 |
$0.00 |
| 1034F |
|
749 |
582 |
$0.00 |
| 1125F |
|
1,595 |
1,269 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
24 |
$0.00 |
| 1170F |
|
54 |
45 |
$0.00 |