| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,796 |
20,440 |
$1.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,017 |
13,508 |
$1.24M |
| 96127 |
|
20,725 |
14,641 |
$293K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,199 |
940 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,188 |
959 |
$95K |
| 99233 |
Prolong inpt eval add15 m |
2,502 |
700 |
$83K |
| 99223 |
Prolong inpt eval add15 m |
1,095 |
929 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
936 |
759 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
789 |
576 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
602 |
499 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,295 |
1,109 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,793 |
2,307 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
742 |
624 |
$31K |
| 99000 |
|
4,999 |
3,777 |
$29K |
| 96136 |
|
750 |
670 |
$26K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,513 |
915 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
361 |
284 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
808 |
668 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
642 |
530 |
$19K |
| 99406 |
|
2,786 |
1,797 |
$18K |
| 80053 |
Comprehensive metabolic panel |
1,554 |
939 |
$16K |
| 82607 |
|
1,290 |
770 |
$15K |
| 94760 |
|
10,159 |
7,591 |
$12K |
| 90734 |
|
448 |
340 |
$12K |
| 90686 |
|
825 |
584 |
$12K |
| 86060 |
|
1,370 |
820 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,279 |
768 |
$11K |
| 80305 |
|
1,167 |
874 |
$10K |
| 83690 |
|
1,346 |
804 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,589 |
966 |
$9K |
| 82150 |
|
1,365 |
816 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
529 |
496 |
$8K |
| 90651 |
|
205 |
156 |
$8K |
| 80061 |
Lipid panel |
1,345 |
822 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,425 |
884 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
827 |
555 |
$7K |
| 99490 |
Ccm add 20min |
451 |
448 |
$7K |
| 84550 |
|
1,364 |
817 |
$6K |
| 93000 |
|
258 |
230 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,804 |
2,345 |
$5K |
| 99383 |
|
48 |
39 |
$5K |
| 99051 |
|
2,766 |
2,303 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
53 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
99 |
56 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
194 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
80 |
44 |
$3K |
| 99384 |
|
33 |
27 |
$3K |
| 90715 |
|
219 |
176 |
$3K |
| 81001 |
|
1,129 |
676 |
$3K |
| 99215 |
Prolong outpt/office vis |
64 |
49 |
$3K |
| 81002 |
|
1,070 |
851 |
$3K |
| 90710 |
|
62 |
51 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
183 |
123 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,269 |
1,082 |
$2K |
| 81025 |
|
565 |
474 |
$2K |
| 87070 |
|
229 |
134 |
$1K |
| 86140 |
|
251 |
165 |
$1K |
| 90620 |
|
19 |
12 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
525 |
333 |
$914.04 |
| 87088 |
|
82 |
55 |
$904.80 |
| 84153 |
|
71 |
34 |
$818.40 |
| 83704 |
|
39 |
17 |
$773.76 |
| 90723 |
|
41 |
40 |
$757.80 |
| 83698 |
|
40 |
18 |
$713.60 |
| 84481 |
|
71 |
41 |
$711.44 |
| 86141 |
|
40 |
18 |
$671.30 |
| 90696 |
|
47 |
34 |
$642.42 |
| 82570 |
|
138 |
71 |
$629.10 |
| 84439 |
|
72 |
42 |
$629.06 |
| 90633 |
|
41 |
32 |
$608.67 |
| 86803 |
|
42 |
26 |
$606.60 |
| 87340 |
|
45 |
28 |
$526.50 |
| 82043 |
|
134 |
70 |
$520.08 |
| 82172 |
|
40 |
18 |
$480.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
337 |
297 |
$452.89 |
| 90619 |
|
26 |
21 |
$417.86 |
| 85610 |
|
113 |
67 |
$397.92 |
| 83695 |
|
40 |
18 |
$325.60 |
| 99439 |
|
13 |
12 |
$271.79 |
| 90670 |
|
40 |
39 |
$252.48 |
| 90648 |
|
31 |
30 |
$240.84 |
| 3074F |
|
12,572 |
9,660 |
$44.53 |
| 3078F |
|
8,933 |
7,035 |
$31.56 |
| 3079F |
|
6,228 |
4,860 |
$23.51 |
| 3075F |
|
2,530 |
2,014 |
$9.76 |
| 3077F |
|
2,013 |
1,557 |
$8.05 |
| 3080F |
|
1,880 |
1,494 |
$7.13 |
| 3008F |
|
30,366 |
22,931 |
$0.01 |