| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,616 |
29,618 |
$2.73M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,287 |
32,128 |
$2.12M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,548 |
1,409 |
$135K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,534 |
1,371 |
$116K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,141 |
992 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,080 |
926 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,665 |
6,690 |
$89K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,590 |
2,132 |
$53K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,317 |
666 |
$53K |
| 96127 |
|
9,231 |
8,191 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
461 |
391 |
$38K |
| 90686 |
|
4,952 |
4,534 |
$31K |
| 92551 |
|
3,536 |
3,022 |
$29K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,134 |
2,914 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
126 |
116 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
226 |
210 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
383 |
329 |
$12K |
| 92587 |
|
725 |
621 |
$10K |
| 81003 |
|
4,989 |
3,981 |
$9K |
| 99177 |
|
1,661 |
1,409 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
475 |
217 |
$8K |
| 99460 |
|
113 |
101 |
$8K |
| 90682 |
|
153 |
122 |
$7K |
| 90688 |
|
410 |
385 |
$6K |
| 99173 |
|
2,994 |
2,561 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
63 |
55 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
121 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
108 |
87 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
93 |
82 |
$3K |
| 0513F |
|
608 |
554 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
198 |
190 |
$3K |
| 81025 |
|
566 |
490 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
161 |
147 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
305 |
261 |
$2K |
| 99307 |
|
542 |
403 |
$2K |
| 96160 |
|
557 |
478 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
175 |
162 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
15 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
113 |
97 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
209 |
153 |
$1K |
| 80061 |
Lipid panel |
229 |
209 |
$690.02 |
| 90651 |
|
132 |
105 |
$512.00 |
| 99462 |
|
13 |
13 |
$375.84 |
| 96161 |
|
25 |
24 |
$65.21 |
| 90715 |
|
84 |
76 |
$40.88 |
| 1159F |
|
13,866 |
12,548 |
$0.00 |
| 1160F |
|
13,845 |
12,532 |
$0.00 |
| 3078F |
|
85 |
79 |
$0.00 |
| 90648 |
|
89 |
85 |
$0.00 |
| 90670 |
|
269 |
209 |
$0.00 |
| 3077F |
|
335 |
313 |
$0.00 |
| 90734 |
|
70 |
57 |
$0.00 |
| 90756 |
|
28 |
24 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 59425 |
|
55 |
46 |
$0.00 |
| 90685 |
|
39 |
38 |
$0.00 |
| 90633 |
|
51 |
46 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 3074F |
|
178 |
171 |
$0.00 |
| 3079F |
|
186 |
181 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25 |
20 |
$0.00 |
| 3080F |
|
200 |
186 |
$0.00 |
| 90620 |
|
54 |
36 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 90723 |
|
38 |
36 |
$0.00 |