| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,871 |
17,718 |
$883K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,488 |
13,045 |
$451K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,095 |
589 |
$86K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
634 |
600 |
$35K |
| 99215 |
Prolong outpt/office vis |
497 |
432 |
$25K |
| 11721 |
|
1,435 |
1,313 |
$15K |
| 95811 |
|
250 |
232 |
$14K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
119 |
58 |
$14K |
| 0001A |
|
372 |
356 |
$14K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
860 |
447 |
$11K |
| 0002A |
|
330 |
321 |
$11K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
457 |
226 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
210 |
198 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
455 |
165 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
4,269 |
3,981 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
111 |
$7K |
| 96367 |
|
242 |
110 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
77 |
70 |
$5K |
| 0064A |
|
90 |
87 |
$5K |
| 0003A |
|
76 |
73 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
564 |
538 |
$4K |
| 99385 |
|
50 |
48 |
$3K |
| 90674 |
|
169 |
161 |
$3K |
| 90686 |
|
161 |
150 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
125 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
154 |
109 |
$2K |
| 0124A |
|
51 |
49 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
26 |
25 |
$1K |
| 82962 |
|
728 |
671 |
$1K |
| 0011A |
|
39 |
39 |
$837.69 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$724.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
26 |
$586.67 |
| 0012A |
|
21 |
20 |
$556.42 |
| 51798 |
|
62 |
54 |
$475.67 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$454.05 |
| 81003 |
|
289 |
270 |
$442.71 |
| 99442 |
|
23 |
18 |
$437.14 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$300.86 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
44 |
14 |
$298.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
277 |
121 |
$222.70 |
| G0008 |
Administration of influenza virus vaccine |
44 |
41 |
$165.31 |
| 96127 |
|
18 |
13 |
$52.22 |
| 91300 |
|
870 |
748 |
$0.02 |
| 91301 |
|
89 |
86 |
$0.01 |
| 3079F |
|
1,250 |
1,148 |
$0.00 |
| 3008F |
|
7,743 |
6,795 |
$0.00 |
| 1036F |
|
5,272 |
4,645 |
$0.00 |
| 3074F |
|
3,195 |
2,849 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,872 |
1,641 |
$0.00 |
| 4000F |
|
861 |
812 |
$0.00 |
| 1034F |
|
688 |
627 |
$0.00 |
| 3044F |
|
52 |
52 |
$0.00 |
| 91306 |
|
90 |
87 |
$0.00 |
| 99024 |
|
842 |
532 |
$0.00 |
| 3075F |
|
256 |
239 |
$0.00 |
| 1126F |
|
63 |
57 |
$0.00 |
| 2028F |
|
65 |
64 |
$0.00 |
| 3078F |
|
2,052 |
1,821 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
563 |
522 |
$0.00 |
| 1160F |
|
463 |
337 |
$0.00 |
| 3288F |
|
174 |
156 |
$0.00 |
| 1159F |
|
463 |
336 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
134 |
127 |
$0.00 |
| 91312 |
|
51 |
49 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
19 |
17 |
$0.00 |