| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,169 |
9,289 |
$837K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,195 |
8,328 |
$515K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,205 |
2,744 |
$307K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,466 |
5,060 |
$238K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
8,564 |
2,853 |
$148K |
| 62323 |
|
439 |
200 |
$109K |
| 97032 |
|
8,165 |
2,764 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,033 |
955 |
$71K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
487 |
355 |
$48K |
| 97162 |
|
635 |
627 |
$31K |
| 11056 |
|
698 |
673 |
$29K |
| 72275 |
|
232 |
83 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
260 |
$26K |
| 27096 |
|
113 |
78 |
$25K |
| 99243 |
|
280 |
228 |
$18K |
| 99215 |
Prolong outpt/office vis |
241 |
213 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
169 |
165 |
$16K |
| 11721 |
|
571 |
553 |
$15K |
| 97010 |
|
7,975 |
2,766 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
130 |
122 |
$13K |
| 90901 |
|
475 |
295 |
$12K |
| 76942 |
|
232 |
83 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
936 |
796 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
85 |
85 |
$10K |
| 93975 |
|
33 |
33 |
$7K |
| 64483 |
|
24 |
12 |
$7K |
| 99245 |
|
43 |
40 |
$6K |
| 62321 |
|
23 |
13 |
$6K |
| 93923 |
|
48 |
46 |
$5K |
| 95831 |
|
1,341 |
1,160 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
128 |
108 |
$4K |
| 20611 |
|
80 |
29 |
$4K |
| 17360 |
|
31 |
25 |
$4K |
| G0378 |
Hospital observation service, per hour |
293 |
218 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
51 |
47 |
$4K |
| 97014 |
|
579 |
266 |
$4K |
| 20553 |
|
108 |
42 |
$3K |
| 20610 |
|
111 |
46 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
40 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
29 |
$3K |
| 64484 |
|
25 |
13 |
$3K |
| 88141 |
|
112 |
112 |
$3K |
| 95905 |
|
31 |
30 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
29 |
$3K |
| 95911 |
|
16 |
16 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,286 |
2,895 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$2K |
| 86328 |
|
34 |
30 |
$2K |
| 99401 |
|
88 |
77 |
$2K |
| 10040 |
|
62 |
25 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
99 |
97 |
$1K |
| 97164 |
|
605 |
495 |
$1K |
| 93970 |
|
12 |
12 |
$1K |
| 76870 |
|
16 |
16 |
$979.65 |
| 95921 |
|
105 |
102 |
$893.69 |
| 01991 |
|
22 |
12 |
$880.00 |
| D1110 |
Prophylaxis - adult |
30 |
29 |
$702.00 |
| 95851 |
|
1,225 |
1,072 |
$668.12 |
| 93000 |
|
39 |
39 |
$590.64 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
81 |
73 |
$463.92 |
| 94690 |
|
85 |
83 |
$425.38 |
| 81000 |
|
176 |
175 |
$409.30 |
| 99242 |
|
15 |
14 |
$401.01 |
| D0230 |
Intraoral - periapical each additional radiographic image |
39 |
39 |
$317.23 |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$222.64 |
| 95910 |
|
16 |
16 |
$184.96 |
| 94729 |
|
12 |
12 |
$96.78 |
| 94375 |
|
12 |
12 |
$90.30 |
| 95922 |
|
18 |
17 |
$63.20 |
| 97024 |
|
34 |
26 |
$40.32 |
| 81002 |
|
15 |
12 |
$15.93 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
63 |
53 |
$0.00 |
| 98940 |
|
275 |
137 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
61 |
50 |
$0.00 |
| 99499 |
|
13 |
12 |
$0.00 |
| 80101 |
|
20 |
20 |
$0.00 |
| 99241 |
|
21 |
13 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
12 |
12 |
$0.00 |
| 95864 |
|
31 |
30 |
$0.00 |