| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,556 |
60,802 |
$528K |
| S9083 |
Global fee urgent care centers |
8,254 |
7,559 |
$485K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,709 |
4,677 |
$400K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,885 |
4,856 |
$266K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,778 |
21,427 |
$111K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,229 |
3,189 |
$100K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
756 |
753 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,055 |
4,764 |
$34K |
| 99223 |
Prolong inpt eval add15 m |
467 |
462 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
729 |
366 |
$22K |
| 93015 |
|
152 |
152 |
$12K |
| 93000 |
|
547 |
534 |
$8K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
41 |
41 |
$7K |
| 99215 |
Prolong outpt/office vis |
298 |
281 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,438 |
1,415 |
$6K |
| 99442 |
|
967 |
908 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
14 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,851 |
4,498 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$818.70 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$612.69 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
12 |
$539.19 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
7,288 |
6,875 |
$503.48 |
| G9920 |
Screening performed and negative |
7,950 |
7,805 |
$494.06 |
| 96160 |
|
8,313 |
8,170 |
$301.97 |
| 99441 |
|
1,052 |
991 |
$249.87 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
499 |
489 |
$217.40 |
| 99000 |
|
3,915 |
3,796 |
$124.25 |
| 99443 |
|
96 |
86 |
$122.43 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
707 |
659 |
$108.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
286 |
286 |
$101.87 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
378 |
371 |
$74.04 |
| 94760 |
|
1,954 |
1,900 |
$72.89 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,524 |
6,422 |
$64.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
878 |
844 |
$61.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,610 |
1,512 |
$59.56 |
| 81003 |
|
4,568 |
4,414 |
$47.71 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
764 |
746 |
$43.41 |
| 90674 |
|
104 |
104 |
$32.62 |
| G9919 |
Screening performed and positive and provision of recommendations |
251 |
245 |
$28.71 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,115 |
2,090 |
$22.78 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
114 |
111 |
$18.67 |
| H0049 |
Alcohol and/or drug screening |
7,876 |
7,783 |
$14.40 |
| 88141 |
|
121 |
120 |
$10.42 |
| 3008F |
|
58,932 |
53,968 |
$2.00 |
| 3074F |
|
43,169 |
40,445 |
$1.00 |
| 3079F |
|
18,199 |
17,239 |
$1.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
713 |
711 |
$0.00 |
| 3078F |
|
36,874 |
34,662 |
$0.00 |
| 3077F |
|
4,326 |
4,009 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
585 |
579 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
199 |
196 |
$0.00 |
| 3050F |
|
1,679 |
1,554 |
$0.00 |
| 90461 |
|
123 |
122 |
$0.00 |
| 99051 |
|
54 |
54 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
26 |
26 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90715 |
|
74 |
74 |
$0.00 |
| 1158F |
|
26 |
26 |
$0.00 |
| 90734 |
|
59 |
58 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
280 |
278 |
$0.00 |
| 81025 |
|
43 |
43 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
31 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
28 |
27 |
$0.00 |
| 83655 |
|
28 |
28 |
$0.00 |
| 99497 |
|
30 |
30 |
$0.00 |
| 99173 |
|
87 |
87 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 1159F |
|
26 |
26 |
$0.00 |
| 92552 |
|
26 |
26 |
$0.00 |
| 90662 |
|
20 |
20 |
$0.00 |
| 3075F |
|
9,445 |
9,078 |
$0.00 |
| 3080F |
|
2,019 |
1,875 |
$0.00 |
| 3049F |
|
5,053 |
4,658 |
$0.00 |
| 1036F |
|
2,196 |
2,133 |
$0.00 |
| 3048F |
|
8,130 |
7,570 |
$0.00 |
| 90688 |
|
143 |
141 |
$0.00 |
| 92551 |
|
83 |
83 |
$0.00 |
| 82962 |
|
106 |
105 |
$0.00 |
| 85018 |
|
76 |
73 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 1111F |
|
2,065 |
1,876 |
$0.00 |
| 3353F |
|
105 |
105 |
$0.00 |
| 3351F |
|
312 |
311 |
$0.00 |
| 3044F |
|
82 |
82 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
228 |
227 |
$0.00 |
| 99406 |
|
13 |
13 |
$0.00 |
| 90651 |
|
45 |
45 |
$0.00 |
| 4037F |
|
12 |
12 |
$0.00 |
| 1220F |
|
14 |
14 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |