| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,498 |
3,958 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,110 |
1,893 |
$129K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,631 |
1,550 |
$52K |
| 99205 |
Prolong outpt/office vis |
274 |
265 |
$43K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,112 |
7,137 |
$37K |
| 99215 |
Prolong outpt/office vis |
263 |
256 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
300 |
284 |
$30K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
516 |
487 |
$19K |
| 95722 |
|
88 |
77 |
$14K |
| 93970 |
|
864 |
764 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
191 |
180 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
451 |
402 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
71 |
60 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
466 |
203 |
$7K |
| 95886 |
|
121 |
117 |
$6K |
| 93016 |
|
586 |
547 |
$5K |
| 64644 |
|
130 |
115 |
$5K |
| 93880 |
|
262 |
248 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
333 |
297 |
$5K |
| 99243 |
|
118 |
114 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
69 |
$4K |
| 93018 |
|
584 |
547 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
73 |
13 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
74 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
77 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
93 |
31 |
$3K |
| 64643 |
|
70 |
56 |
$2K |
| 99221 |
|
30 |
27 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
36 |
$2K |
| 95721 |
|
14 |
12 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
30 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
318 |
282 |
$1K |
| 95874 |
|
175 |
154 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$945.07 |
| 20611 |
|
17 |
14 |
$857.14 |
| 93971 |
|
78 |
72 |
$748.32 |
| 90461 |
|
110 |
95 |
$717.22 |
| 99385 |
|
15 |
13 |
$404.93 |
| 76706 |
|
43 |
35 |
$391.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
15 |
$229.90 |
| 99367 |
|
104 |
39 |
$96.40 |
| 90686 |
|
444 |
402 |
$92.00 |
| 90677 |
|
14 |
13 |
$4.00 |
| 90670 |
|
60 |
47 |
$3.00 |
| 90707 |
|
17 |
15 |
$2.00 |
| 90648 |
|
77 |
61 |
$2.00 |
| 90716 |
|
17 |
15 |
$2.00 |
| 90723 |
|
31 |
25 |
$0.00 |