| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
13,844 |
12,801 |
$983K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,361 |
18,722 |
$941K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,460 |
23,465 |
$791K |
| 99233 |
Prolong inpt eval add15 m |
4,424 |
992 |
$285K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,458 |
5,313 |
$241K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,419 |
1,114 |
$202K |
| 64642 |
|
4,869 |
4,671 |
$191K |
| 64643 |
|
3,729 |
3,553 |
$172K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,264 |
9,525 |
$169K |
| 99205 |
Prolong outpt/office vis |
1,367 |
1,312 |
$142K |
| 99417 |
Prolong home eval add 15m |
2,515 |
2,356 |
$110K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,643 |
3,551 |
$101K |
| J0475 |
Injection, baclofen, 10 mg |
172 |
168 |
$92K |
| 95951 |
|
467 |
304 |
$91K |
| D1110 |
Prophylaxis - adult |
2,159 |
2,049 |
$74K |
| D0120 |
Periodic oral evaluation - established patient |
3,353 |
3,232 |
$73K |
| 64640 |
|
985 |
905 |
$73K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,860 |
678 |
$70K |
| D1206 |
Topical application of fluoride varnish |
3,231 |
3,083 |
$60K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
2,814 |
2,784 |
$54K |
| 99243 |
|
1,120 |
1,104 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
657 |
642 |
$53K |
| 62369 |
|
2,078 |
2,000 |
$40K |
| 99242 |
|
879 |
853 |
$35K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
338 |
326 |
$31K |
| 95873 |
|
2,862 |
2,743 |
$30K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
400 |
379 |
$27K |
| 97803 |
|
760 |
723 |
$26K |
| 99354 |
|
338 |
326 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
354 |
204 |
$22K |
| D1120 |
Prophylaxis - child |
699 |
684 |
$18K |
| 62370 |
|
563 |
546 |
$14K |
| 95874 |
|
1,891 |
1,797 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
135 |
129 |
$11K |
| D0274 |
Bitewings - four radiographic images |
340 |
331 |
$9K |
| 99221 |
|
135 |
125 |
$9K |
| 95720 |
|
63 |
43 |
$8K |
| 96156 |
|
197 |
190 |
$8K |
| D0272 |
Bitewings - two radiographic images |
276 |
271 |
$6K |
| 99245 |
|
53 |
53 |
$6K |
| D8670 |
Periodic orthodontic treatment visit |
108 |
89 |
$4K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
165 |
164 |
$3K |
| 01922 |
|
12 |
12 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
46 |
45 |
$2K |
| 99356 |
|
23 |
12 |
$1K |
| 62368 |
|
75 |
55 |
$1K |
| 99443 |
|
29 |
29 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
49 |
49 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
276 |
265 |
$1K |
| 51726 |
|
28 |
28 |
$966.94 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$897.55 |
| 76942 |
|
47 |
47 |
$863.19 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
12 |
$671.47 |
| D1208 |
Topical application of fluoride, excluding varnish |
37 |
35 |
$603.16 |
| 99442 |
|
14 |
14 |
$462.51 |
| 96150 |
|
28 |
28 |
$209.70 |
| 96136 |
|
14 |
14 |
$165.86 |
| 96132 |
|
14 |
13 |
$90.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$78.48 |
| 99072 |
|
12 |
12 |
$25.95 |
| D9920 |
|
14 |
12 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
149 |
148 |
$0.00 |