| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,276 |
14,318 |
$1.07M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,344 |
4,218 |
$308K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,711 |
3,688 |
$298K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,187 |
2,121 |
$220K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,251 |
2,241 |
$187K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,685 |
1,684 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,094 |
2,887 |
$135K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,870 |
1,172 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,347 |
8,286 |
$71K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,448 |
1,282 |
$68K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
769 |
286 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,651 |
3,608 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
420 |
417 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
252 |
252 |
$28K |
| 76818 |
|
424 |
230 |
$22K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
105 |
105 |
$21K |
| 99443 |
|
156 |
146 |
$20K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
157 |
157 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
134 |
128 |
$19K |
| 99460 |
|
175 |
172 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
1,426 |
1,401 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
212 |
212 |
$17K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
144 |
144 |
$15K |
| 99442 |
|
156 |
156 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
273 |
272 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
91 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
363 |
363 |
$9K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
37 |
37 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
149 |
147 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
656 |
570 |
$6K |
| 59025 |
Fetal non-stress test |
167 |
137 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
288 |
282 |
$5K |
| 99462 |
|
84 |
78 |
$4K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
26 |
25 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
349 |
348 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
44 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
125 |
123 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
146 |
$2K |
| 76641 |
|
25 |
25 |
$2K |
| 97803 |
|
126 |
118 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
18 |
12 |
$1K |
| 99173 |
|
1,821 |
1,816 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
12 |
$1K |
| 76813 |
|
14 |
14 |
$925.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
58 |
$778.39 |
| 76801 |
|
13 |
13 |
$614.81 |
| 87660 |
|
29 |
29 |
$609.57 |
| 99441 |
|
14 |
13 |
$441.53 |
| 90474 |
|
58 |
58 |
$395.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
51 |
51 |
$221.41 |
| 90670 |
|
70 |
67 |
$196.35 |
| 86580 |
|
14 |
14 |
$97.56 |
| 90698 |
|
32 |
29 |
$89.25 |
| 92551 |
|
12 |
12 |
$85.41 |
| 81002 |
|
13 |
12 |
$42.79 |
| 90686 |
|
325 |
322 |
$40.00 |
| 90656 |
|
316 |
316 |
$40.00 |
| 99000 |
|
783 |
757 |
$35.00 |
| 96127 |
|
55 |
55 |
$14.08 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$12.15 |
| 94760 |
|
473 |
460 |
$7.83 |
| 90657 |
|
52 |
52 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |