| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,593 |
23,610 |
$1.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,291 |
16,397 |
$726K |
| 99215 |
Prolong outpt/office vis |
4,162 |
3,746 |
$241K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,492 |
3,154 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
429 |
417 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,318 |
8,822 |
$37K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
483 |
444 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
23,936 |
22,162 |
$30K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,790 |
7,484 |
$26K |
| 93925 |
|
455 |
392 |
$22K |
| 82948 |
|
12,953 |
11,876 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,322 |
1,268 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
191 |
$18K |
| 93880 |
|
356 |
290 |
$17K |
| 93000 |
|
2,611 |
2,385 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,583 |
2,319 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,221 |
1,065 |
$14K |
| 92551 |
|
1,601 |
1,552 |
$14K |
| 80305 |
|
2,918 |
2,798 |
$13K |
| 90686 |
|
1,191 |
1,146 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
478 |
401 |
$9K |
| 0012A |
|
258 |
258 |
$9K |
| 81003 |
|
5,052 |
4,812 |
$7K |
| 0011A |
|
285 |
284 |
$6K |
| 0002A |
|
176 |
174 |
$6K |
| 0001A |
|
169 |
167 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,213 |
1,060 |
$5K |
| 99307 |
|
510 |
348 |
$4K |
| 82044 |
|
1,656 |
1,594 |
$4K |
| 82570 |
|
1,638 |
1,574 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
163 |
153 |
$3K |
| 99173 |
|
1,476 |
1,432 |
$3K |
| 0013A |
|
97 |
97 |
$3K |
| 0295T |
|
66 |
52 |
$2K |
| 85610 |
|
1,406 |
1,246 |
$2K |
| 99401 |
|
111 |
104 |
$2K |
| 87428 |
|
32 |
32 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
67 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
40 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 91322 |
|
85 |
80 |
$1K |
| 93228 |
|
25 |
25 |
$1K |
| 90670 |
|
14 |
12 |
$861.32 |
| 94060 |
|
30 |
28 |
$788.64 |
| 91301 |
|
578 |
547 |
$630.87 |
| 0134A |
|
134 |
112 |
$606.99 |
| 20610 |
|
36 |
28 |
$576.63 |
| 87510 |
|
37 |
32 |
$527.36 |
| 87480 |
|
37 |
32 |
$527.36 |
| 87660 |
|
37 |
32 |
$527.36 |
| 76770 |
|
31 |
27 |
$462.84 |
| 0124A |
|
53 |
44 |
$392.09 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
20 |
15 |
$377.05 |
| 90662 |
|
544 |
527 |
$359.57 |
| 96127 |
|
127 |
121 |
$337.20 |
| 90480 |
|
86 |
80 |
$309.06 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
86 |
68 |
$297.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
13 |
$225.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,220 |
1,061 |
$171.17 |
| 96160 |
|
127 |
120 |
$153.08 |
| 93229 |
|
25 |
25 |
$152.22 |
| 85018 |
|
43 |
43 |
$108.24 |
| 82962 |
|
71 |
67 |
$92.48 |
| 84703 |
|
17 |
13 |
$83.60 |
| 90656 |
|
15 |
15 |
$50.16 |
| 3044F |
|
1,373 |
1,110 |
$30.56 |
| G0008 |
Administration of influenza virus vaccine |
1,197 |
1,148 |
$17.11 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
7,623 |
5,469 |
$15.04 |
| 87210 |
|
13 |
12 |
$10.54 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
9,422 |
6,747 |
$2.69 |
| 3079F |
|
975 |
943 |
$0.00 |
| 90651 |
|
118 |
113 |
$0.00 |
| 3080F |
|
685 |
661 |
$0.00 |
| 3074F |
|
2,552 |
2,440 |
$0.00 |
| 3075F |
|
548 |
528 |
$0.00 |
| 4037F |
|
333 |
326 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,016 |
676 |
$0.00 |
| 3017F |
|
182 |
103 |
$0.00 |
| 3061F |
|
504 |
400 |
$0.00 |
| 3060F |
|
49 |
45 |
$0.00 |
| 3008F |
|
139 |
138 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
14 |
$0.00 |
| 3078F |
|
2,657 |
2,488 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
2,862 |
1,986 |
$0.00 |
| 90734 |
|
55 |
52 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
199 |
97 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,059 |
797 |
$0.00 |
| 3046F |
|
283 |
227 |
$0.00 |
| 3077F |
|
1,227 |
1,193 |
$0.00 |
| 91313 |
|
108 |
76 |
$0.00 |
| 3045F |
|
461 |
323 |
$0.00 |
| 91300 |
|
322 |
280 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 91312 |
|
45 |
37 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |