| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,590 |
29,468 |
$1.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,961 |
7,761 |
$615K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,494 |
3,069 |
$281K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,110 |
1,946 |
$184K |
| 59426 |
|
1,894 |
843 |
$117K |
| 59425 |
|
1,605 |
1,115 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,587 |
2,103 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
529 |
478 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
961 |
850 |
$46K |
| 99233 |
Prolong inpt eval add15 m |
1,238 |
445 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
346 |
327 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
335 |
305 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,218 |
1,743 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
432 |
338 |
$27K |
| 99307 |
|
919 |
869 |
$24K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
869 |
738 |
$23K |
| 99215 |
Prolong outpt/office vis |
224 |
192 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
601 |
468 |
$19K |
| 76830 |
Ultrasound, transvaginal |
240 |
221 |
$19K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
428 |
398 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,001 |
419 |
$14K |
| 93793 |
|
3,781 |
2,001 |
$12K |
| 11721 |
|
587 |
518 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
84 |
63 |
$8K |
| 93000 |
|
965 |
769 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
51 |
$4K |
| 85610 |
|
3,683 |
1,960 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
902 |
615 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
68 |
52 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
32 |
25 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 93307 |
|
60 |
53 |
$1K |
| 92567 |
|
212 |
151 |
$1K |
| 81025 |
|
146 |
123 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
99 |
$945.25 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
14 |
$814.59 |
| 99406 |
|
191 |
162 |
$785.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
67 |
$779.52 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
12 |
$502.14 |
| 11056 |
|
17 |
15 |
$463.28 |
| 87428 |
|
15 |
12 |
$381.19 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
89 |
$187.47 |
| 93018 |
|
13 |
12 |
$93.78 |
| 96127 |
|
13 |
13 |
$51.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
43 |
$0.00 |
| 99024 |
|
64 |
41 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
70 |
65 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| 1101F |
|
55 |
50 |
$0.00 |
| 1022F |
|
15 |
15 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
38 |
35 |
$0.00 |
| 0500F |
|
12 |
12 |
$0.00 |
| 1030F |
|
13 |
13 |
$0.00 |
| 0502F |
|
883 |
629 |
$0.00 |