| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,882 |
10,276 |
$1.02M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
10,641 |
6,795 |
$549K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
4,906 |
4,886 |
$520K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,509 |
2,506 |
$345K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,447 |
1,106 |
$235K |
| 99215 |
Prolong outpt/office vis |
1,893 |
1,835 |
$186K |
| 94010 |
|
7,468 |
7,307 |
$180K |
| 93320 |
|
4,811 |
4,793 |
$149K |
| 93325 |
|
8,159 |
7,783 |
$91K |
| 95117 |
|
7,224 |
4,330 |
$88K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
810 |
810 |
$86K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,015 |
9,544 |
$75K |
| 99205 |
Prolong outpt/office vis |
330 |
330 |
$49K |
| 95115 |
|
3,631 |
2,572 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
425 |
422 |
$32K |
| 95782 |
|
336 |
336 |
$31K |
| 99222 |
Initial hospital care, per day, moderate complexity |
245 |
242 |
$28K |
| 93304 |
|
651 |
588 |
$28K |
| 93000 |
|
1,773 |
1,752 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
144 |
142 |
$23K |
| 93321 |
|
986 |
891 |
$10K |
| 99442 |
|
147 |
147 |
$7K |
| 76825 |
|
115 |
115 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
26 |
$3K |
| 76827 |
|
115 |
115 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$1K |
| 99221 |
|
13 |
13 |
$1K |
| 95807 |
|
15 |
15 |
$749.94 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
26 |
26 |
$559.24 |
| 94060 |
|
26 |
26 |
$256.82 |
| 94726 |
|
26 |
26 |
$251.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$107.05 |
| 94729 |
|
14 |
14 |
$95.12 |
| 1159F |
|
7,555 |
7,125 |
$60.35 |
| 1126F |
|
7,127 |
7,064 |
$0.00 |
| 3074F |
|
1,583 |
1,548 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 1160F |
|
7,791 |
7,347 |
$0.00 |
| 3078F |
|
1,739 |
1,702 |
$0.00 |