| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,357 |
35,822 |
$2.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,725 |
19,707 |
$815K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,884 |
3,531 |
$240K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,267 |
15,024 |
$217K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,431 |
7,522 |
$209K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,491 |
3,152 |
$193K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,604 |
2,441 |
$168K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,365 |
1,274 |
$117K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,584 |
6,878 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,414 |
1,292 |
$97K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
552 |
517 |
$78K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,261 |
851 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,515 |
4,980 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,211 |
1,887 |
$43K |
| 99215 |
Prolong outpt/office vis |
703 |
657 |
$38K |
| 99051 |
|
2,322 |
2,081 |
$23K |
| 20611 |
|
335 |
260 |
$16K |
| 90474 |
|
1,962 |
1,770 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
233 |
210 |
$14K |
| 92551 |
|
1,630 |
1,545 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
243 |
217 |
$12K |
| 94060 |
|
352 |
340 |
$12K |
| 90686 |
|
4,948 |
4,554 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
330 |
237 |
$10K |
| 85018 |
|
4,423 |
4,093 |
$9K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
32 |
26 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
160 |
152 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
577 |
472 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
27 |
26 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
63 |
58 |
$5K |
| 95012 |
|
339 |
323 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
88 |
86 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
70 |
$4K |
| 90651 |
|
1,084 |
943 |
$4K |
| 99173 |
|
1,847 |
1,733 |
$2K |
| 95886 |
|
31 |
30 |
$2K |
| 92558 |
|
122 |
121 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
25 |
$2K |
| 69210 |
|
70 |
62 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
410 |
337 |
$2K |
| 87807 |
|
129 |
117 |
$2K |
| 90620 |
|
101 |
86 |
$2K |
| 92567 |
|
132 |
124 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
25 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
51 |
30 |
$1K |
| 20610 |
|
36 |
28 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
242 |
208 |
$1K |
| 81002 |
|
668 |
597 |
$973.85 |
| 99220 |
|
28 |
25 |
$951.75 |
| 99381 |
|
13 |
12 |
$915.89 |
| 87428 |
|
39 |
37 |
$915.75 |
| 31575 |
|
16 |
13 |
$851.03 |
| 51798 |
|
101 |
93 |
$767.84 |
| 82962 |
|
512 |
438 |
$737.64 |
| 99225 |
|
42 |
24 |
$656.36 |
| 90473 |
|
65 |
62 |
$646.66 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
25 |
$641.90 |
| 99205 |
Prolong outpt/office vis |
15 |
13 |
$610.95 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
21 |
12 |
$586.56 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
27 |
16 |
$563.99 |
| 94729 |
|
48 |
45 |
$409.24 |
| 94726 |
|
45 |
41 |
$386.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
25 |
$292.90 |
| 92552 |
|
13 |
12 |
$173.13 |
| 92555 |
|
13 |
12 |
$132.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
294 |
265 |
$126.93 |
| 90734 |
|
210 |
180 |
$116.40 |
| 92550 |
|
14 |
12 |
$114.51 |
| 81025 |
|
12 |
12 |
$60.60 |
| 90672 |
|
76 |
72 |
$58.25 |
| 81003 |
|
25 |
24 |
$44.80 |
| 90633 |
|
2,335 |
2,009 |
$0.04 |
| 99072 |
|
5,091 |
4,214 |
$0.00 |
| 98960 |
|
176 |
170 |
$0.00 |
| 90670 |
|
3,110 |
2,813 |
$0.00 |
| 90648 |
|
320 |
289 |
$0.00 |
| 90710 |
|
415 |
378 |
$0.00 |
| 99177 |
|
149 |
145 |
$0.00 |
| 90685 |
|
683 |
610 |
$0.00 |
| 90700 |
|
105 |
97 |
$0.00 |
| 90707 |
|
23 |
13 |
$0.00 |
| 90744 |
|
1,089 |
994 |
$0.00 |
| 90696 |
|
96 |
91 |
$0.00 |
| 90680 |
|
1,927 |
1,727 |
$0.00 |
| 90698 |
|
2,268 |
2,046 |
$0.00 |
| 99024 |
|
412 |
297 |
$0.00 |
| 90723 |
|
104 |
97 |
$0.00 |
| 90716 |
|
35 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
17 |
$0.00 |