| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,478 |
5,191 |
$290K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,045 |
4,656 |
$243K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,230 |
1,224 |
$155K |
| 99243 |
|
1,219 |
1,196 |
$121K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
353 |
353 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,754 |
1,397 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
496 |
495 |
$42K |
| 93000 |
|
1,398 |
1,381 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,129 |
928 |
$36K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
536 |
509 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
267 |
267 |
$21K |
| 93325 |
|
275 |
269 |
$11K |
| 92567 |
|
660 |
652 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
194 |
188 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
402 |
328 |
$6K |
| 99242 |
|
48 |
48 |
$5K |
| 92557 |
|
116 |
116 |
$5K |
| 99215 |
Prolong outpt/office vis |
75 |
72 |
$4K |
| 88304 |
|
56 |
56 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 90686 |
|
118 |
112 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
178 |
169 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
61 |
56 |
$3K |
| 95812 |
|
41 |
41 |
$2K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
13 |
13 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$2K |
| 99354 |
|
17 |
17 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$2K |
| 99173 |
|
181 |
168 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
199 |
172 |
$1K |
| 92579 |
|
95 |
95 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
145 |
76 |
$1K |
| 90688 |
|
241 |
41 |
$638.25 |
| 99174 |
|
236 |
235 |
$623.90 |
| 93320 |
|
12 |
12 |
$578.71 |
| 71046 |
Radiologic examination, chest; 2 views |
57 |
55 |
$512.85 |
| 92587 |
|
12 |
12 |
$435.25 |
| 93321 |
|
14 |
13 |
$323.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$314.20 |
| 92551 |
|
25 |
25 |
$276.16 |
| 94664 |
|
12 |
12 |
$166.98 |
| 92015 |
Determination of refractive state |
1,038 |
876 |
$62.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$31.60 |
| 81002 |
|
24 |
24 |
$4.05 |
| 94760 |
|
578 |
567 |
$0.00 |