| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,721 |
13,072 |
$614K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,051 |
5,671 |
$364K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,195 |
1,194 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,332 |
1,307 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,158 |
1,148 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
543 |
543 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
389 |
388 |
$33K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
718 |
670 |
$32K |
| 99215 |
Prolong outpt/office vis |
365 |
352 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,201 |
1,103 |
$29K |
| 99460 |
|
461 |
456 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,110 |
1,107 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,067 |
2,059 |
$16K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
303 |
287 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,402 |
1,242 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
340 |
333 |
$14K |
| T1015 |
Clinic visit/encounter, all-inclusive |
299 |
276 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
160 |
159 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
742 |
719 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
199 |
194 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
466 |
276 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
406 |
392 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
113 |
109 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
52 |
50 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$3K |
| 90686 |
|
498 |
497 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
52 |
$2K |
| 99000 |
|
299 |
291 |
$2K |
| 81002 |
|
700 |
664 |
$2K |
| 81025 |
|
193 |
191 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 90670 |
|
706 |
704 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
125 |
123 |
$1K |
| 11721 |
|
38 |
38 |
$740.95 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
29 |
29 |
$532.04 |
| 90715 |
|
24 |
24 |
$475.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
247 |
231 |
$445.96 |
| 92567 |
|
27 |
26 |
$211.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
208 |
201 |
$209.22 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
19 |
19 |
$203.65 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
20 |
$184.86 |
| 90656 |
|
25 |
25 |
$131.86 |
| 94760 |
|
1,434 |
1,355 |
$122.45 |
| 99406 |
|
12 |
12 |
$89.32 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
29 |
$57.01 |
| 0502F |
|
1,420 |
791 |
$0.71 |
| 97802 |
|
220 |
220 |
$0.49 |
| 3008F |
|
777 |
739 |
$0.19 |
| 0501F |
|
16 |
16 |
$0.06 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.05 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
497 |
471 |
$0.03 |
| 0503F |
|
45 |
39 |
$0.03 |
| 3078F |
|
12 |
12 |
$0.00 |
| 90648 |
|
174 |
173 |
$0.00 |
| 90681 |
|
79 |
79 |
$0.00 |
| 90633 |
|
89 |
88 |
$0.00 |
| 90685 |
|
30 |
30 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |
| 90723 |
|
267 |
266 |
$0.00 |
| 90698 |
|
44 |
44 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
12 |
12 |
$0.00 |
| 90647 |
|
108 |
108 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
45 |
44 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |