| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,840 |
3,485 |
$310K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,024 |
995 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
377 |
377 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
233 |
233 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
231 |
231 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
110 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
379 |
350 |
$12K |
| 31231 |
|
64 |
57 |
$10K |
| 93000 |
|
507 |
504 |
$10K |
| 99442 |
|
86 |
77 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
27 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$5K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
426 |
416 |
$4K |
| 17110 |
|
29 |
26 |
$3K |
| 99441 |
|
61 |
56 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
397 |
296 |
$3K |
| 20610 |
|
30 |
26 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
50 |
42 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
38 |
24 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
40 |
40 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
746 |
716 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
76 |
$1K |
| 90686 |
|
58 |
58 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
13 |
$269.34 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
21 |
17 |
$237.91 |
| 96127 |
|
26 |
26 |
$155.78 |