| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19,768 |
18,200 |
$1.77M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25,575 |
23,731 |
$1.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,022 |
20,783 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,186 |
29,058 |
$1.19M |
| 90791 |
Psychiatric diagnostic evaluation |
6,519 |
5,048 |
$405K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,477 |
6,436 |
$401K |
| 64642 |
|
4,066 |
3,621 |
$359K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,615 |
4,831 |
$261K |
| 64643 |
|
3,188 |
2,901 |
$248K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,338 |
4,045 |
$181K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
675 |
591 |
$170K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,859 |
3,921 |
$152K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,262 |
3,658 |
$149K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
780 |
691 |
$143K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,255 |
5,740 |
$139K |
| 99215 |
Prolong outpt/office vis |
1,869 |
1,657 |
$126K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,545 |
922 |
$105K |
| 99233 |
Prolong inpt eval add15 m |
1,829 |
916 |
$97K |
| 96131 |
|
1,680 |
1,173 |
$87K |
| 96132 |
|
2,766 |
1,628 |
$82K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,952 |
1,049 |
$80K |
| 90863 |
|
3,470 |
2,717 |
$80K |
| 96130 |
|
3,044 |
2,203 |
$79K |
| 17110 |
|
1,153 |
1,049 |
$76K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,389 |
1,060 |
$72K |
| 92060 |
|
4,013 |
3,413 |
$66K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,475 |
7,185 |
$56K |
| J0586 |
Injection, abobotulinumtoxina, 5 units |
304 |
196 |
$51K |
| 99205 |
Prolong outpt/office vis |
398 |
381 |
$48K |
| 96101 |
|
547 |
355 |
$43K |
| 96138 |
|
4,179 |
2,642 |
$37K |
| 96139 |
|
1,045 |
783 |
$28K |
| 96102 |
|
486 |
328 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,810 |
1,786 |
$26K |
| 96137 |
|
1,020 |
755 |
$25K |
| 94060 |
|
1,977 |
1,682 |
$24K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
448 |
421 |
$21K |
| 29705 |
|
992 |
858 |
$20K |
| 99464 |
|
471 |
433 |
$20K |
| 96136 |
|
1,152 |
859 |
$19K |
| 96156 |
|
1,488 |
1,014 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,129 |
1,110 |
$18K |
| 96118 |
|
323 |
215 |
$17K |
| 92201 |
|
1,257 |
567 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
193 |
171 |
$15K |
| 99170 |
|
164 |
152 |
$13K |
| 92285 |
|
1,106 |
863 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
144 |
92 |
$10K |
| 96119 |
|
290 |
183 |
$9K |
| 93227 |
|
560 |
475 |
$9K |
| 90785 |
|
2,962 |
2,138 |
$7K |
| 92015 |
Determination of refractive state |
7,801 |
6,377 |
$6K |
| 93224 |
|
160 |
124 |
$6K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
72 |
12 |
$5K |
| 94010 |
|
619 |
512 |
$5K |
| 54150 |
|
45 |
42 |
$5K |
| 11900 |
|
110 |
103 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
52 |
44 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
65 |
54 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
382 |
334 |
$3K |
| 25600 |
|
13 |
12 |
$2K |
| 25560 |
|
16 |
13 |
$2K |
| 99221 |
|
27 |
26 |
$2K |
| 92587 |
|
162 |
145 |
$2K |
| 29075 |
|
34 |
29 |
$1K |
| 96103 |
|
40 |
39 |
$1K |
| 96150 |
|
136 |
104 |
$1K |
| 26720 |
|
18 |
15 |
$1K |
| 93000 |
|
105 |
92 |
$854.22 |
| 93244 |
|
45 |
39 |
$684.20 |
| 92567 |
|
186 |
162 |
$674.01 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
40 |
24 |
$599.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
52 |
$540.75 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
16 |
13 |
$501.00 |
| 99201 |
|
16 |
16 |
$472.32 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
54 |
16 |
$364.84 |
| 92557 |
|
13 |
12 |
$285.05 |
| 96116 |
|
38 |
12 |
$198.72 |
| 92226 |
|
22 |
12 |
$184.69 |
| 95012 |
|
33 |
31 |
$161.00 |
| 94690 |
|
23 |
12 |
$127.20 |
| 94729 |
|
13 |
13 |
$124.64 |
| 92133 |
|
12 |
12 |
$102.18 |
| 81003 |
|
27 |
25 |
$49.70 |
| 94760 |
|
44 |
38 |
$4.96 |
| 3008F |
|
16,040 |
14,699 |
$0.00 |
| 1031F |
|
13,356 |
12,075 |
$0.00 |
| 1126F |
|
13,216 |
11,964 |
$0.00 |
| 90698 |
|
91 |
89 |
$0.00 |
| 1125F |
|
4,266 |
3,734 |
$0.00 |
| 3074F |
|
5,340 |
4,791 |
$0.00 |
| 90651 |
|
813 |
791 |
$0.00 |
| 1036F |
|
24 |
24 |
$0.00 |
| 90744 |
|
56 |
56 |
$0.00 |
| 90696 |
|
110 |
109 |
$0.00 |
| 4000F |
|
31 |
27 |
$0.00 |
| 3044F |
|
44 |
34 |
$0.00 |
| 3075F |
|
19 |
17 |
$0.00 |
| 90686 |
|
208 |
206 |
$0.00 |
| 90620 |
|
28 |
28 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99080 |
|
2,279 |
1,971 |
$0.00 |
| 1159F |
|
29,928 |
26,856 |
$0.00 |
| 1160F |
|
30,621 |
27,459 |
$0.00 |
| 3078F |
|
5,644 |
5,063 |
$0.00 |
| 1033F |
|
18,452 |
16,417 |
$0.00 |
| 90710 |
|
138 |
137 |
$0.00 |
| 90633 |
|
625 |
607 |
$0.00 |
| 90670 |
|
148 |
142 |
$0.00 |
| 90734 |
|
613 |
598 |
$0.00 |
| 1032F |
|
214 |
199 |
$0.00 |
| 90715 |
|
400 |
392 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90648 |
|
16 |
15 |
$0.00 |