| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,106 |
24,781 |
$1.86M |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,888 |
3,848 |
$491K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,914 |
2,149 |
$252K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,427 |
3,354 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,981 |
1,634 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
1,965 |
1,481 |
$44K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,606 |
1,624 |
$31K |
| 99310 |
Prolong nursin fac eval 15m |
1,140 |
692 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
180 |
151 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
38 |
38 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
89 |
85 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
469 |
264 |
$6K |
| 99460 |
|
55 |
53 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$4K |
| 11721 |
|
661 |
387 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
27 |
$3K |
| 76536 |
|
29 |
25 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
49 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,056 |
951 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
24 |
12 |
$1K |
| 90474 |
|
80 |
80 |
$1K |
| 90670 |
|
357 |
355 |
$1K |
| 92567 |
|
132 |
112 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
14 |
$1K |
| 73630 |
|
40 |
25 |
$978.40 |
| 95251 |
|
75 |
54 |
$973.08 |
| 90686 |
|
576 |
554 |
$859.23 |
| 74018 |
|
29 |
26 |
$670.26 |
| 74019 |
|
13 |
12 |
$347.32 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
25 |
25 |
$281.41 |
| 71045 |
Radiologic examination, chest; single view |
15 |
13 |
$226.20 |
| 99307 |
|
64 |
33 |
$215.26 |
| 90688 |
|
70 |
69 |
$17.84 |
| 90672 |
|
25 |
25 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 99072 |
|
133 |
130 |
$0.00 |
| 84439 |
|
64 |
60 |
$0.00 |
| 90680 |
|
51 |
51 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |