| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,699 |
53,126 |
$1.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,898 |
10,922 |
$557K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,237 |
2,092 |
$180K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,145 |
2,920 |
$164K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,123 |
3,022 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,227 |
1,052 |
$80K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
756 |
706 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
641 |
629 |
$49K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,707 |
1,608 |
$46K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,562 |
819 |
$41K |
| 90686 |
|
2,922 |
2,841 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
240 |
236 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
184 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,292 |
1,078 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,670 |
2,594 |
$13K |
| 99215 |
Prolong outpt/office vis |
185 |
175 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
284 |
252 |
$11K |
| 90461 |
|
1,042 |
1,009 |
$10K |
| 94010 |
|
484 |
469 |
$10K |
| 95117 |
|
610 |
258 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
203 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
49 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
415 |
407 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
742 |
534 |
$4K |
| 11721 |
|
198 |
179 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
30 |
$2K |
| 96127 |
|
88 |
55 |
$1K |
| 94060 |
|
44 |
38 |
$1K |
| 90656 |
|
145 |
137 |
$1K |
| 99307 |
|
244 |
193 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
121 |
108 |
$900.87 |
| 90734 |
|
16 |
16 |
$820.09 |
| 90651 |
|
13 |
13 |
$776.77 |
| 90670 |
|
328 |
321 |
$646.22 |
| A0425 |
Ground mileage, per statute mile |
85 |
48 |
$592.47 |
| 99072 |
|
3,475 |
3,191 |
$435.52 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
40 |
39 |
$383.64 |
| 90677 |
|
27 |
26 |
$257.14 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
20 |
13 |
$254.02 |
| 87400 |
|
44 |
13 |
$159.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$121.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$33.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$24.89 |
| 90685 |
|
32 |
30 |
$21.84 |
| 99173 |
|
12 |
12 |
$18.81 |
| 90680 |
|
89 |
86 |
$0.02 |
| 90648 |
|
94 |
91 |
$0.00 |
| 90723 |
|
15 |
14 |
$0.00 |