| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,115 |
34,668 |
$1.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,667 |
31,951 |
$1.27M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,026 |
3,676 |
$261K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,016 |
3,783 |
$257K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,547 |
3,238 |
$228K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,105 |
1,979 |
$134K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,551 |
15,845 |
$96K |
| 99243 |
|
664 |
629 |
$47K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,559 |
6,213 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
797 |
662 |
$32K |
| 90834 |
Psychotherapy, 45 minutes with patient |
460 |
307 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
550 |
451 |
$16K |
| 99215 |
Prolong outpt/office vis |
278 |
215 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,275 |
2,694 |
$13K |
| 90686 |
|
7,891 |
7,638 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
770 |
725 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
377 |
351 |
$10K |
| 92015 |
Determination of refractive state |
861 |
722 |
$9K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,933 |
1,624 |
$8K |
| 11721 |
|
1,241 |
801 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
126 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
167 |
151 |
$8K |
| 92551 |
|
1,676 |
1,538 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
136 |
122 |
$7K |
| 0071A |
|
235 |
226 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
678 |
514 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
77 |
67 |
$5K |
| 99173 |
|
1,289 |
1,142 |
$5K |
| 0072A |
|
155 |
153 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
599 |
551 |
$3K |
| 96127 |
|
677 |
627 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
74 |
44 |
$2K |
| 90474 |
|
547 |
519 |
$2K |
| 99205 |
Prolong outpt/office vis |
30 |
24 |
$2K |
| 0004A |
|
49 |
48 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
43 |
29 |
$1K |
| 95251 |
|
128 |
106 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
210 |
180 |
$1K |
| 0124A |
|
37 |
37 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
55 |
24 |
$946.64 |
| 90670 |
|
1,427 |
1,314 |
$841.97 |
| 31575 |
|
17 |
13 |
$792.72 |
| 11720 |
|
147 |
92 |
$787.64 |
| 93000 |
|
47 |
46 |
$691.30 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$677.62 |
| 90651 |
|
218 |
197 |
$617.31 |
| 90480 |
|
29 |
29 |
$601.16 |
| 0064A |
|
20 |
20 |
$551.44 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
14 |
$454.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$381.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
50 |
42 |
$365.29 |
| 0134A |
|
14 |
14 |
$346.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
23 |
$321.77 |
| 90677 |
|
366 |
361 |
$269.01 |
| 90656 |
|
950 |
937 |
$246.71 |
| 99188 |
|
25 |
25 |
$190.64 |
| 93294 |
|
19 |
12 |
$85.04 |
| 82962 |
|
54 |
46 |
$70.86 |
| 96381 |
|
14 |
12 |
$62.04 |
| 90461 |
|
89 |
63 |
$61.29 |
| 81003 |
|
16 |
16 |
$27.68 |
| 96160 |
|
16 |
14 |
$27.63 |
| 96161 |
|
26 |
26 |
$27.44 |
| 90633 |
|
689 |
596 |
$26.66 |
| 91307 |
|
431 |
416 |
$0.62 |
| 91313 |
|
14 |
14 |
$0.05 |
| 91312 |
|
37 |
37 |
$0.05 |
| 91300 |
|
73 |
69 |
$0.05 |
| 91305 |
|
26 |
18 |
$0.05 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90715 |
|
16 |
15 |
$0.00 |
| 90734 |
|
37 |
32 |
$0.00 |
| 99201 |
|
18 |
14 |
$0.00 |
| 90697 |
|
465 |
452 |
$0.00 |
| 90698 |
|
879 |
783 |
$0.00 |
| 90680 |
|
575 |
543 |
$0.00 |
| 90744 |
|
122 |
116 |
$0.00 |
| 90619 |
|
38 |
38 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 91306 |
|
20 |
20 |
$0.00 |