| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,581 |
11,232 |
$887K |
| 99199 |
Unlisted special service, procedure or report |
99,902 |
62,140 |
$588K |
| 86003 |
|
3,375 |
2,287 |
$491K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,668 |
2,407 |
$129K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
907 |
582 |
$67K |
| 93923 |
|
1,117 |
640 |
$48K |
| 95923 |
|
1,024 |
610 |
$36K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
236 |
44 |
$32K |
| 93880 |
|
536 |
325 |
$27K |
| 99205 |
Prolong outpt/office vis |
267 |
166 |
$26K |
| 99401 |
|
1,197 |
698 |
$20K |
| 95921 |
|
535 |
316 |
$16K |
| 99407 |
|
906 |
619 |
$16K |
| 92546 |
|
533 |
199 |
$13K |
| 99215 |
Prolong outpt/office vis |
216 |
144 |
$12K |
| 93970 |
|
155 |
110 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
973 |
537 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
460 |
249 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
111 |
$9K |
| 93000 |
|
1,055 |
728 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
4,761 |
3,228 |
$7K |
| 92540 |
|
310 |
195 |
$7K |
| 87800 |
|
195 |
143 |
$7K |
| 82947 |
|
2,471 |
1,584 |
$6K |
| 78268 |
|
117 |
94 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
15 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
451 |
359 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
62 |
$4K |
| 92567 |
|
468 |
349 |
$4K |
| 93978 |
|
136 |
84 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
405 |
297 |
$4K |
| 70210 |
|
273 |
199 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
304 |
122 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
24 |
$3K |
| 93925 |
|
64 |
39 |
$3K |
| 81003 |
|
1,529 |
1,050 |
$2K |
| 95943 |
|
210 |
147 |
$2K |
| 72050 |
|
106 |
66 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
352 |
263 |
$2K |
| 93930 |
|
18 |
15 |
$2K |
| 80305 |
|
253 |
163 |
$2K |
| 95117 |
|
204 |
98 |
$1K |
| 81025 |
|
240 |
166 |
$1K |
| 99490 |
Ccm add 20min |
259 |
158 |
$1K |
| 92551 |
|
1,307 |
811 |
$1K |
| 99442 |
|
65 |
30 |
$882.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
135 |
59 |
$814.10 |
| 81002 |
|
419 |
290 |
$705.08 |
| 92082 |
|
90 |
37 |
$683.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
205 |
113 |
$639.81 |
| 99406 |
|
82 |
55 |
$605.42 |
| 78267 |
|
105 |
83 |
$574.67 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
115 |
85 |
$392.75 |
| 99173 |
|
1,369 |
843 |
$302.66 |
| 92547 |
|
281 |
172 |
$301.50 |
| 72100 |
|
15 |
12 |
$297.10 |
| 95115 |
|
88 |
13 |
$289.48 |
| 92250 |
|
78 |
31 |
$283.73 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
53 |
31 |
$185.07 |
| 90734 |
|
104 |
50 |
$145.21 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
133 |
57 |
$86.32 |
| 3074F |
|
957 |
690 |
$0.16 |
| 3079F |
|
890 |
644 |
$0.15 |
| 3078F |
|
368 |
275 |
$0.13 |
| 3077F |
|
223 |
167 |
$0.07 |
| 3075F |
|
163 |
135 |
$0.06 |
| 3080F |
|
74 |
53 |
$0.05 |
| 90707 |
|
44 |
15 |
$0.01 |
| 90713 |
|
38 |
12 |
$0.01 |
| 90649 |
|
29 |
24 |
$0.00 |
| 1160F |
|
337 |
247 |
$0.00 |
| 90700 |
|
23 |
14 |
$0.00 |
| 90658 |
|
43 |
26 |
$0.00 |
| 4145F |
|
17 |
16 |
$0.00 |
| 3008F |
|
636 |
485 |
$0.00 |
| 90674 |
|
56 |
12 |
$0.00 |
| 90716 |
|
33 |
14 |
$0.00 |
| 90686 |
|
36 |
16 |
$0.00 |
| 90651 |
|
18 |
12 |
$0.00 |