| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,340 |
7,583 |
$346K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,135 |
2,901 |
$210K |
| 20610 |
|
1,086 |
1,021 |
$36K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
482 |
459 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
300 |
296 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
739 |
639 |
$16K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,131 |
1,054 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
87 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
673 |
646 |
$4K |
| 97597 |
|
268 |
135 |
$4K |
| 90686 |
|
284 |
281 |
$4K |
| 81003 |
|
1,514 |
1,091 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
226 |
213 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
593 |
579 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
65 |
64 |
$3K |
| 81025 |
|
343 |
339 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
81 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
26 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
30 |
29 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
129 |
125 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90715 |
|
25 |
24 |
$643.32 |
| 81002 |
|
265 |
248 |
$420.78 |
| 93018 |
|
56 |
53 |
$416.42 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21 |
14 |
$394.98 |
| 73562 |
|
24 |
24 |
$388.35 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
77 |
76 |
$339.36 |
| 73140 |
|
13 |
12 |
$168.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
21 |
$161.00 |
| 73610 |
|
14 |
12 |
$150.38 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
12 |
$128.99 |
| 99070 |
|
41 |
38 |
$0.00 |
| 90670 |
|
24 |
15 |
$0.00 |