| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,557 |
18,009 |
$697K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,889 |
7,857 |
$430K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,064 |
3,646 |
$321K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,704 |
1,577 |
$78K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,370 |
1,315 |
$58K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,070 |
1,327 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
945 |
735 |
$37K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
261 |
245 |
$31K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
601 |
561 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
337 |
236 |
$22K |
| 99215 |
Prolong outpt/office vis |
205 |
189 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
389 |
360 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
951 |
906 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
397 |
339 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
212 |
207 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
152 |
84 |
$12K |
| 98940 |
|
817 |
527 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
321 |
298 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
69 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
335 |
313 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
105 |
$5K |
| V2020 |
Frames, purchases |
141 |
116 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
63 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
47 |
40 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
444 |
411 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
52 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
82 |
72 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
55 |
51 |
$2K |
| 59025 |
Fetal non-stress test |
57 |
27 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$921.62 |
| 99307 |
|
13 |
13 |
$543.04 |
| 92551 |
|
37 |
37 |
$327.21 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
24 |
24 |
$222.04 |
| 99188 |
|
12 |
12 |
$176.16 |
| 71046 |
Radiologic examination, chest; 2 views |
106 |
95 |
$163.02 |
| 90461 |
|
75 |
70 |
$40.93 |
| 90670 |
|
57 |
49 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
28 |
$0.00 |
| X5622 |
|
107 |
98 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90698 |
|
49 |
40 |
$0.00 |
| 90686 |
|
91 |
88 |
$0.00 |