| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,818 |
44,538 |
$1.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,496 |
38,759 |
$1.15M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,584 |
2,045 |
$244K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,670 |
5,548 |
$222K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,101 |
1,975 |
$211K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,728 |
1,698 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,575 |
1,543 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,699 |
1,574 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,169 |
1,143 |
$86K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,117 |
993 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
907 |
871 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
618 |
589 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
582 |
552 |
$41K |
| 80050 |
General health panel |
933 |
895 |
$38K |
| 99215 |
Prolong outpt/office vis |
667 |
626 |
$32K |
| 80061 |
Lipid panel |
1,116 |
1,076 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
966 |
897 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,605 |
1,554 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
860 |
824 |
$11K |
| 99188 |
|
1,053 |
1,031 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
328 |
316 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,324 |
1,280 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
120 |
115 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
263 |
251 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,554 |
3,347 |
$8K |
| 90686 |
|
2,618 |
2,559 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
255 |
250 |
$4K |
| 99205 |
Prolong outpt/office vis |
71 |
64 |
$3K |
| 80053 |
Comprehensive metabolic panel |
309 |
303 |
$3K |
| 96127 |
|
139 |
134 |
$2K |
| 99219 |
|
26 |
25 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
65 |
62 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
618 |
585 |
$2K |
| 81001 |
|
467 |
447 |
$2K |
| 20553 |
|
60 |
38 |
$2K |
| 99224 |
|
71 |
36 |
$2K |
| 99217 |
|
32 |
31 |
$2K |
| 90651 |
|
341 |
338 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
125 |
123 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
193 |
178 |
$900.88 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$897.81 |
| 99233 |
Prolong inpt eval add15 m |
41 |
14 |
$863.71 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
65 |
$857.81 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$831.38 |
| 0001A |
|
23 |
23 |
$805.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
184 |
169 |
$723.73 |
| 90734 |
|
139 |
137 |
$714.62 |
| 99443 |
|
17 |
17 |
$600.18 |
| 87210 |
|
91 |
88 |
$438.63 |
| 81025 |
|
59 |
52 |
$415.56 |
| 99442 |
|
13 |
13 |
$280.38 |
| 96380 |
|
21 |
20 |
$226.30 |
| 84439 |
|
13 |
13 |
$103.78 |
| 90633 |
|
372 |
367 |
$31.95 |
| 81003 |
|
14 |
12 |
$22.00 |
| 90680 |
|
659 |
651 |
$0.00 |
| 90656 |
|
342 |
339 |
$0.00 |
| 90723 |
|
373 |
366 |
$0.00 |
| 90677 |
|
58 |
58 |
$0.00 |
| 90620 |
|
39 |
39 |
$0.00 |
| 90698 |
|
27 |
27 |
$0.00 |
| 90619 |
|
90 |
89 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |
| 90461 |
|
2,303 |
2,274 |
$0.00 |
| 90670 |
|
590 |
583 |
$0.00 |
| 90648 |
|
700 |
687 |
$0.00 |
| 0502F |
|
650 |
565 |
$0.00 |
| 90710 |
|
113 |
111 |
$0.00 |
| 90671 |
|
457 |
448 |
$0.00 |
| 90715 |
|
73 |
72 |
$0.00 |
| 91300 |
|
94 |
91 |
$0.00 |
| 90380 |
|
15 |
14 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |