| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,391 |
46,145 |
$3.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,001 |
54,125 |
$3.02M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,772 |
6,626 |
$779K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,915 |
6,665 |
$760K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,324 |
14,986 |
$663K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,947 |
4,850 |
$574K |
| 59025 |
Fetal non-stress test |
6,429 |
1,878 |
$377K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,974 |
2,187 |
$364K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,502 |
2,600 |
$326K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,052 |
4,231 |
$270K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,037 |
1,993 |
$252K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
839 |
776 |
$196K |
| 99215 |
Prolong outpt/office vis |
1,083 |
1,012 |
$148K |
| 99233 |
Prolong inpt eval add15 m |
5,240 |
2,858 |
$108K |
| 99173 |
|
12,150 |
11,901 |
$89K |
| 76813 |
|
1,179 |
1,106 |
$82K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,589 |
3,508 |
$80K |
| 92551 |
|
11,976 |
11,729 |
$75K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,988 |
3,616 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,319 |
2,258 |
$57K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,993 |
1,850 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
736 |
656 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
720 |
656 |
$31K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
20 |
14 |
$30K |
| 76801 |
|
234 |
211 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,050 |
1,169 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
798 |
611 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
416 |
406 |
$21K |
| 17110 |
|
530 |
414 |
$21K |
| 36416 |
|
6,031 |
5,863 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
567 |
544 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
147 |
145 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,003 |
948 |
$10K |
| 99459 |
|
899 |
824 |
$10K |
| 0001A |
|
222 |
221 |
$9K |
| 0002A |
|
221 |
217 |
$8K |
| 94010 |
|
943 |
898 |
$8K |
| 93000 |
|
1,069 |
915 |
$7K |
| 0071A |
|
180 |
178 |
$7K |
| 90682 |
|
184 |
177 |
$7K |
| 99307 |
|
423 |
418 |
$6K |
| 0072A |
|
141 |
139 |
$6K |
| 0012A |
|
125 |
125 |
$5K |
| 90686 |
|
8,245 |
8,041 |
$5K |
| 0011A |
|
136 |
136 |
$5K |
| 11102 |
|
154 |
140 |
$5K |
| 95251 |
|
522 |
467 |
$5K |
| 96127 |
|
192 |
183 |
$4K |
| 20610 |
|
293 |
255 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
152 |
141 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
932 |
848 |
$3K |
| 17000 |
|
394 |
373 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
262 |
233 |
$2K |
| 94060 |
|
399 |
383 |
$2K |
| 11100 |
|
90 |
88 |
$2K |
| 94726 |
|
368 |
352 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$1K |
| 90673 |
|
30 |
26 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
46 |
41 |
$1K |
| 0003A |
|
32 |
32 |
$1K |
| 0111A |
|
42 |
31 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
299 |
107 |
$1K |
| 94729 |
|
368 |
352 |
$1K |
| 51798 |
|
210 |
196 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
48 |
48 |
$828.20 |
| 99221 |
|
15 |
14 |
$641.64 |
| 81025 |
|
126 |
112 |
$602.41 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
31 |
30 |
$582.01 |
| 99051 |
|
77 |
75 |
$504.56 |
| 97803 |
|
94 |
92 |
$499.04 |
| 90715 |
|
25 |
15 |
$433.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
279 |
248 |
$424.89 |
| 99305 |
|
14 |
13 |
$332.18 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$244.98 |
| 82962 |
|
430 |
366 |
$244.16 |
| 96161 |
|
14 |
13 |
$232.91 |
| 99188 |
|
12 |
12 |
$220.00 |
| 94200 |
|
15 |
12 |
$214.95 |
| 99217 |
|
12 |
12 |
$164.48 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
12 |
$158.99 |
| 17003 |
|
127 |
118 |
$139.52 |
| 99406 |
|
12 |
12 |
$137.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$102.72 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
22 |
13 |
$86.28 |
| 90662 |
|
68 |
65 |
$49.03 |
| 97802 |
|
12 |
12 |
$48.12 |
| 85018 |
|
401 |
397 |
$27.12 |
| 81002 |
|
163 |
157 |
$18.47 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.60 |
| G0008 |
Administration of influenza virus vaccine |
420 |
398 |
$0.01 |
| 3074F |
|
617 |
594 |
$0.00 |
| 90744 |
|
161 |
155 |
$0.00 |
| 90698 |
|
1,625 |
1,605 |
$0.00 |
| 1170F |
|
72 |
69 |
$0.00 |
| 90697 |
|
511 |
505 |
$0.00 |
| 90680 |
|
674 |
662 |
$0.00 |
| 91307 |
|
340 |
321 |
$0.00 |
| 90656 |
|
367 |
338 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 91301 |
|
267 |
254 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 1160F |
|
4,526 |
4,246 |
$0.00 |
| 90670 |
|
2,584 |
2,556 |
$0.00 |
| 90633 |
|
164 |
155 |
$0.00 |
| 90685 |
|
316 |
312 |
$0.00 |
| 4274F |
|
1,497 |
1,359 |
$0.00 |
| 91300 |
|
573 |
540 |
$0.00 |
| 3078F |
|
421 |
403 |
$0.00 |
| 90671 |
|
152 |
152 |
$0.00 |
| 91311 |
|
90 |
77 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$0.00 |
| 98960 |
|
13 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |