| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,694 |
10,618 |
$742K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,277 |
12,401 |
$638K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,399 |
2,289 |
$235K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,001 |
2,800 |
$199K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,319 |
1,249 |
$149K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
355 |
335 |
$77K |
| 36415 |
Collection of venous blood by venipuncture |
4,416 |
3,956 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,232 |
1,116 |
$40K |
| 31231 |
|
359 |
338 |
$39K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
181 |
174 |
$29K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
83 |
78 |
$15K |
| 47562 |
|
46 |
25 |
$11K |
| 4004F |
|
714 |
614 |
$7K |
| 31575 |
|
78 |
69 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
514 |
405 |
$5K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
43 |
43 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
145 |
111 |
$5K |
| 90688 |
|
157 |
150 |
$5K |
| 1036F |
|
7,197 |
5,872 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
315 |
152 |
$4K |
| 43450 |
|
58 |
53 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
158 |
$3K |
| 99442 |
|
232 |
180 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
15 |
13 |
$2K |
| 92567 |
|
267 |
251 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
139 |
$2K |
| 92557 |
|
83 |
81 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 81002 |
|
571 |
541 |
$1K |
| 69210 |
|
31 |
27 |
$924.27 |
| 99441 |
|
87 |
52 |
$289.38 |
| 90686 |
|
16 |
16 |
$247.76 |
| 92587 |
|
12 |
12 |
$164.89 |
| 99422 |
|
30 |
29 |
$159.74 |
| 99421 |
|
14 |
13 |
$132.37 |
| 99423 |
|
13 |
13 |
$106.46 |
| 93000 |
|
12 |
12 |
$70.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
14 |
$24.96 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
12 |
$24.17 |
| 1159F |
|
2,797 |
2,269 |
$0.00 |
| 1160F |
|
3,947 |
3,316 |
$0.00 |
| 3725F |
|
1,109 |
814 |
$0.00 |
| 3078F |
|
3,870 |
3,352 |
$0.00 |
| 3077F |
|
892 |
783 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
44 |
38 |
$0.00 |
| 1126F |
|
1,484 |
1,247 |
$0.00 |
| 3008F |
|
7,996 |
6,654 |
$0.00 |
| 99024 |
|
1,115 |
978 |
$0.00 |
| 3074F |
|
3,827 |
3,292 |
$0.00 |
| 1034F |
|
2,083 |
1,658 |
$0.00 |
| 3075F |
|
1,005 |
907 |
$0.00 |
| 1125F |
|
703 |
604 |
$0.00 |
| 3080F |
|
321 |
279 |
$0.00 |
| 1035F |
|
390 |
325 |
$0.00 |
| 3079F |
|
1,785 |
1,581 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
373 |
313 |
$0.00 |