| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,428 |
2,074 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,946 |
2,934 |
$268K |
| 59425 |
|
2,541 |
1,583 |
$231K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,970 |
2,944 |
$226K |
| 92552 |
|
7,361 |
7,339 |
$208K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,701 |
1,699 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,159 |
2,102 |
$153K |
| 99462 |
|
3,495 |
2,541 |
$130K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,605 |
1,728 |
$125K |
| 99460 |
|
1,669 |
1,654 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,461 |
27,690 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,351 |
17,642 |
$107K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,547 |
1,476 |
$96K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,389 |
4,192 |
$92K |
| 90686 |
|
4,011 |
3,998 |
$74K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,796 |
1,747 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,061 |
1,061 |
$43K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
50 |
50 |
$38K |
| 90651 |
|
517 |
517 |
$36K |
| 99173 |
|
5,648 |
5,629 |
$36K |
| G9920 |
Screening performed and negative |
865 |
865 |
$34K |
| 99233 |
Prolong inpt eval add15 m |
780 |
265 |
$29K |
| 90670 |
|
1,412 |
1,403 |
$25K |
| 96127 |
|
2,961 |
2,918 |
$20K |
| 85018 |
|
11,433 |
11,345 |
$20K |
| 90648 |
|
1,109 |
1,103 |
$19K |
| 99305 |
|
757 |
751 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
629 |
237 |
$14K |
| 90723 |
|
719 |
717 |
$12K |
| 90680 |
|
679 |
677 |
$12K |
| 90633 |
|
533 |
529 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,482 |
3,372 |
$9K |
| 90715 |
|
282 |
281 |
$9K |
| 90671 |
|
418 |
418 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
108 |
106 |
$8K |
| 99188 |
|
257 |
255 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
142 |
137 |
$6K |
| 90710 |
|
348 |
348 |
$6K |
| 90656 |
|
216 |
216 |
$5K |
| 59025 |
Fetal non-stress test |
179 |
79 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
40 |
15 |
$4K |
| 0012A |
|
89 |
89 |
$4K |
| 90734 |
|
169 |
169 |
$3K |
| 99348 |
|
171 |
168 |
$3K |
| 99385 |
|
65 |
65 |
$3K |
| 90698 |
|
191 |
191 |
$3K |
| 99221 |
|
84 |
83 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
516 |
516 |
$3K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$3K |
| 0011A |
|
96 |
96 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
330 |
330 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
156 |
156 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
147 |
136 |
$2K |
| 99490 |
Ccm add 20min |
154 |
154 |
$2K |
| 83655 |
|
218 |
218 |
$2K |
| 81002 |
|
1,035 |
1,017 |
$2K |
| 81025 |
|
376 |
368 |
$1K |
| 0071A |
|
29 |
29 |
$1K |
| 0002A |
|
29 |
29 |
$1K |
| 0001A |
|
26 |
26 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
56 |
$997.13 |
| 90700 |
|
49 |
49 |
$855.00 |
| 0072A |
|
19 |
19 |
$760.00 |
| 99335 |
|
45 |
44 |
$692.25 |
| 90696 |
|
28 |
27 |
$504.00 |
| 99406 |
|
28 |
28 |
$406.12 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
56 |
56 |
$288.34 |
| 86580 |
|
39 |
38 |
$175.76 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$88.66 |
| 90694 |
|
13 |
13 |
$76.14 |
| 90653 |
|
34 |
34 |
$63.99 |
| 90662 |
|
15 |
15 |
$53.52 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
266 |
266 |
$2.66 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.12 |
| 3078F |
|
862 |
846 |
$0.00 |
| 99499 |
|
57 |
57 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
98 |
98 |
$0.00 |
| 3079F |
|
48 |
45 |
$0.00 |
| 1036F |
|
1,402 |
1,380 |
$0.00 |
| 3074F |
|
861 |
842 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
191 |
191 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
70 |
70 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |
| 3075F |
|
43 |
43 |
$0.00 |