| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,043 |
5,567 |
$468K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,403 |
4,058 |
$250K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
687 |
685 |
$71K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,154 |
314 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
472 |
467 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
474 |
474 |
$44K |
| 99215 |
Prolong outpt/office vis |
335 |
319 |
$38K |
| 99233 |
Prolong inpt eval add15 m |
549 |
166 |
$38K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
518 |
513 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
211 |
194 |
$22K |
| 99493 |
|
151 |
151 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,040 |
1,991 |
$8K |
| 93000 |
|
910 |
901 |
$7K |
| 99490 |
Ccm add 20min |
170 |
169 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
260 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
553 |
460 |
$4K |
| 99442 |
|
74 |
70 |
$4K |
| 99443 |
|
41 |
40 |
$3K |
| 90688 |
|
143 |
142 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 90656 |
|
54 |
54 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$710.90 |
| 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) |
176 |
164 |
$679.86 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$580.68 |
| 99439 |
|
12 |
12 |
$526.87 |
| 99494 |
|
12 |
12 |
$440.44 |
| 90662 |
|
24 |
24 |
$371.80 |
| 90658 |
|
14 |
14 |
$175.16 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
43 |
42 |
$69.00 |
| 81003 |
|
39 |
39 |
$60.21 |
| 81002 |
|
17 |
17 |
$29.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
24 |
$9.37 |
| 3074F |
|
4,074 |
3,828 |
$7.07 |
| 3078F |
|
3,318 |
3,116 |
$5.67 |
| 1220F |
|
2,854 |
2,665 |
$5.41 |
| 3079F |
|
1,979 |
1,906 |
$3.62 |
| 1034F |
|
1,593 |
1,459 |
$3.62 |
| 3075F |
|
1,192 |
1,161 |
$2.21 |
| 1033F |
|
706 |
660 |
$0.93 |
| 3077F |
|
315 |
303 |
$0.37 |
| 3080F |
|
239 |
231 |
$0.36 |
| 3008F |
|
3,407 |
3,151 |
$0.17 |
| 3351F |
|
90 |
90 |
$0.10 |
| 1159F |
|
3,897 |
3,596 |
$0.09 |
| 3725F |
|
1,301 |
1,165 |
$0.07 |
| 3288F |
|
303 |
291 |
$0.06 |
| 1036F |
|
4,050 |
3,741 |
$0.04 |
| 1160F |
|
2,290 |
2,176 |
$0.01 |
| 2000F |
|
340 |
324 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$0.00 |