| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,762 |
14,039 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,433 |
18,802 |
$941K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,231 |
3,210 |
$309K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,456 |
2,428 |
$214K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,718 |
2,703 |
$164K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,321 |
1,298 |
$102K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,121 |
1,093 |
$82K |
| 99223 |
Prolong inpt eval add15 m |
785 |
756 |
$81K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,983 |
1,127 |
$79K |
| 99215 |
Prolong outpt/office vis |
526 |
520 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,439 |
1,365 |
$42K |
| 99233 |
Prolong inpt eval add15 m |
600 |
320 |
$33K |
| 99205 |
Prolong outpt/office vis |
260 |
254 |
$29K |
| 93000 |
|
3,240 |
3,171 |
$27K |
| 99385 |
|
245 |
238 |
$23K |
| 20610 |
|
717 |
664 |
$22K |
| 99406 |
|
2,955 |
2,765 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,789 |
2,527 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
905 |
560 |
$20K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
176 |
172 |
$17K |
| 90688 |
|
865 |
843 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,523 |
1,512 |
$13K |
| 80305 |
|
1,504 |
1,427 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,402 |
3,233 |
$7K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,188 |
1,102 |
$7K |
| 99442 |
|
273 |
263 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
55 |
43 |
$6K |
| 90715 |
|
157 |
157 |
$5K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
57 |
44 |
$5K |
| 73564 |
|
173 |
156 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
668 |
649 |
$4K |
| 99386 |
|
38 |
37 |
$4K |
| J2785 |
Injection, regadenoson, 0.1 mg |
30 |
26 |
$4K |
| 92557 |
|
153 |
151 |
$3K |
| 20611 |
|
53 |
43 |
$3K |
| 90674 |
|
106 |
106 |
$3K |
| 99221 |
|
55 |
52 |
$3K |
| 99441 |
|
361 |
317 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
45 |
41 |
$2K |
| 81002 |
|
1,061 |
999 |
$2K |
| 92567 |
|
246 |
235 |
$2K |
| 99497 |
|
63 |
62 |
$2K |
| 31575 |
|
28 |
26 |
$2K |
| 93458 |
|
13 |
12 |
$2K |
| 90686 |
|
84 |
84 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
139 |
132 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
363 |
323 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
28 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
293 |
265 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
69 |
$1K |
| 94010 |
|
72 |
67 |
$1K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
91 |
82 |
$1K |
| 81003 |
|
827 |
807 |
$1K |
| 93015 |
|
71 |
56 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
25 |
15 |
$998.96 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$928.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
914 |
853 |
$697.69 |
| 96127 |
|
241 |
238 |
$658.73 |
| 73030 |
|
39 |
37 |
$648.81 |
| 81025 |
|
108 |
108 |
$648.19 |
| 90656 |
|
19 |
19 |
$388.50 |
| 90661 |
|
13 |
12 |
$360.32 |
| 69210 |
|
13 |
12 |
$352.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
26 |
$349.31 |
| 99152 |
|
50 |
46 |
$341.35 |
| 99443 |
|
12 |
12 |
$264.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
27 |
$231.32 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
50 |
45 |
$209.05 |
| 73610 |
|
12 |
12 |
$192.80 |
| 69209 |
|
13 |
13 |
$119.17 |
| 85610 |
|
34 |
26 |
$96.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
652 |
599 |
$94.34 |
| 80047 |
|
13 |
13 |
$92.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$73.47 |
| 99453 |
|
12 |
12 |
$68.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
14 |
$67.84 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$63.72 |
| 99000 |
|
22 |
22 |
$35.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
63 |
58 |
$19.50 |
| 99499 |
|
74 |
72 |
$0.22 |
| 1160F |
|
9,122 |
8,482 |
$0.01 |
| 1126F |
|
1,747 |
1,713 |
$0.01 |
| 3078F |
|
7,909 |
7,532 |
$0.00 |
| 4004F |
|
1,597 |
1,426 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
55 |
54 |
$0.00 |
| 3725F |
|
5,490 |
5,269 |
$0.00 |
| 99401 |
|
195 |
179 |
$0.00 |
| 3077F |
|
1,238 |
1,203 |
$0.00 |
| 1159F |
|
7,373 |
6,869 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
955 |
925 |
$0.00 |
| 2028F |
|
101 |
101 |
$0.00 |
| 3288F |
|
37 |
36 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
221 |
197 |
$0.00 |
| 3046F |
|
118 |
117 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
27 |
27 |
$0.00 |
| 3051F |
|
39 |
38 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
134 |
127 |
$0.00 |
| 1125F |
|
1,653 |
1,579 |
$0.00 |
| 3075F |
|
2,815 |
2,756 |
$0.00 |
| 1036F |
|
8,681 |
8,100 |
$0.00 |
| 3079F |
|
5,413 |
5,219 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,221 |
1,062 |
$0.00 |
| 3008F |
|
13,046 |
12,213 |
$0.00 |
| 3044F |
|
1,068 |
1,062 |
$0.00 |
| 3052F |
|
18 |
18 |
$0.00 |
| 99024 |
|
376 |
352 |
$0.00 |
| 3080F |
|
996 |
971 |
$0.00 |
| 94760 |
|
103 |
88 |
$0.00 |
| 3074F |
|
10,265 |
9,686 |
$0.00 |
| 1034F |
|
2,566 |
2,373 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
4,147 |
3,605 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,248 |
5,013 |
$0.00 |
| 1035F |
|
156 |
143 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 4010F |
|
39 |
36 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
16 |
13 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |