| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,745 |
23,920 |
$1.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,166 |
17,472 |
$1.18M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,723 |
2,273 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,178 |
888 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
862 |
719 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
303 |
233 |
$11K |
| 99215 |
Prolong outpt/office vis |
181 |
123 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$8K |
| 59430 |
|
111 |
92 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
149 |
118 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
441 |
314 |
$7K |
| H1000 |
Prenatal care, at-risk assessment |
85 |
71 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
640 |
330 |
$6K |
| 59025 |
Fetal non-stress test |
363 |
194 |
$6K |
| 90670 |
|
572 |
395 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
901 |
803 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,323 |
1,206 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
301 |
124 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
222 |
192 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
88 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
25 |
$2K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
51 |
33 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
68 |
65 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$1K |
| 99406 |
|
125 |
113 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
54 |
$756.97 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$582.57 |
| 99381 |
|
15 |
12 |
$398.75 |
| 90698 |
|
292 |
190 |
$358.40 |
| 81025 |
|
61 |
50 |
$344.34 |
| 90633 |
|
17 |
15 |
$292.52 |
| 99462 |
|
31 |
12 |
$241.66 |
| 88142 |
|
21 |
13 |
$235.18 |
| 96161 |
|
303 |
198 |
$180.00 |
| 90685 |
|
51 |
37 |
$133.14 |
| 83655 |
|
15 |
13 |
$122.99 |
| 81002 |
|
54 |
33 |
$105.19 |
| 36416 |
|
12 |
12 |
$38.10 |
| 90686 |
|
151 |
118 |
$21.56 |
| 2014F |
|
24 |
20 |
$0.00 |
| 90680 |
|
195 |
113 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
124 |
93 |
$0.00 |
| 0500F |
|
12 |
12 |
$0.00 |
| 99024 |
|
29 |
24 |
$0.00 |
| 90744 |
|
17 |
13 |
$0.00 |