| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
163,967 |
107,146 |
$89.18M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,482 |
6,558 |
$1.28M |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,323 |
2,282 |
$104K |
| 71046 |
Radiologic examination, chest; 2 views |
5,576 |
5,506 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
927 |
890 |
$61K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
537 |
535 |
$59K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,275 |
767 |
$39K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
415 |
411 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
405 |
401 |
$32K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
415 |
412 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
140 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
1,860 |
1,808 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
260 |
259 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
211 |
131 |
$12K |
| 73130 |
|
613 |
569 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
132 |
126 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
346 |
116 |
$7K |
| 73630 |
|
442 |
424 |
$5K |
| 73610 |
|
333 |
325 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
49 |
49 |
$4K |
| 73110 |
|
249 |
228 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
24 |
24 |
$3K |
| 70486 |
|
53 |
52 |
$3K |
| 73560 |
|
244 |
229 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
61 |
61 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15 |
13 |
$2K |
| 71250 |
|
24 |
24 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
55 |
54 |
$756.52 |
| 90480 |
|
136 |
134 |
$654.00 |
| 73030 |
|
13 |
12 |
$240.51 |
| 99443 |
|
15 |
15 |
$171.00 |
| 99442 |
|
12 |
12 |
$164.18 |
| 73070 |
|
14 |
13 |
$123.34 |
| G0008 |
Administration of influenza virus vaccine |
728 |
721 |
$0.00 |
| 90686 |
|
109 |
108 |
$0.00 |
| 90694 |
|
91 |
91 |
$0.00 |
| 90688 |
|
16 |
16 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
22 |
22 |
$0.00 |
| 0004A |
|
63 |
62 |
$0.00 |
| 0054A |
|
47 |
47 |
$0.00 |
| 90653 |
|
82 |
81 |
$0.00 |
| 0124A |
|
150 |
150 |
$0.00 |
| 91320 |
|
21 |
21 |
$0.00 |
| 90662 |
|
163 |
161 |
$0.00 |