| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,813 |
12,450 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,078 |
4,765 |
$551K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,061 |
3,770 |
$355K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,848 |
2,069 |
$289K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,522 |
2,512 |
$221K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,053 |
1,722 |
$155K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,486 |
1,166 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,416 |
1,394 |
$119K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
987 |
968 |
$109K |
| 59025 |
Fetal non-stress test |
2,422 |
1,231 |
$91K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
889 |
795 |
$87K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,319 |
537 |
$87K |
| 76801 |
|
526 |
456 |
$58K |
| 76813 |
|
549 |
463 |
$51K |
| 59430 |
|
247 |
243 |
$49K |
| 90832 |
Psychotherapy, 30 minutes with patient |
717 |
643 |
$42K |
| 76820 |
|
781 |
257 |
$38K |
| 99215 |
Prolong outpt/office vis |
201 |
185 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
475 |
411 |
$25K |
| 92015 |
Determination of refractive state |
1,311 |
1,286 |
$23K |
| V2020 |
Frames, purchases |
919 |
906 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
230 |
221 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
844 |
509 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
194 |
190 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
133 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
63 |
$11K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
133 |
123 |
$10K |
| 99383 |
|
86 |
85 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
398 |
252 |
$8K |
| 99429 |
|
187 |
187 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
50 |
43 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
922 |
459 |
$4K |
| 92523 |
|
12 |
12 |
$2K |
| 87428 |
|
27 |
27 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
19 |
18 |
$1K |
| 99381 |
|
15 |
13 |
$1K |
| 99460 |
|
14 |
14 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
12 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$983.37 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
56 |
36 |
$795.48 |
| 72100 |
|
51 |
42 |
$778.45 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17 |
13 |
$626.46 |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
46 |
$481.25 |
| 73562 |
|
22 |
18 |
$306.18 |
| 73030 |
|
20 |
17 |
$260.14 |
| 71047 |
|
15 |
14 |
$233.16 |
| 73630 |
|
17 |
14 |
$173.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$158.64 |
| 73610 |
|
14 |
14 |
$95.20 |
| 1159F |
|
230 |
192 |
$0.00 |
| 1160F |
|
230 |
192 |
$0.00 |
| 3078F |
|
174 |
158 |
$0.00 |
| 81002 |
|
80 |
63 |
$0.00 |
| 4274F |
|
51 |
27 |
$0.00 |
| 1036F |
|
303 |
250 |
$0.00 |
| 3008F |
|
439 |
380 |
$0.00 |
| 2000F |
|
281 |
241 |
$0.00 |
| 2001F |
|
460 |
401 |
$0.00 |
| 1125F |
|
14 |
13 |
$0.00 |
| 3074F |
|
203 |
175 |
$0.00 |
| 2010F |
|
473 |
415 |
$0.00 |
| 3351F |
|
135 |
111 |
$0.00 |
| 1126F |
|
52 |
45 |
$0.00 |