| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,899 |
7,399 |
$240K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,023 |
2,915 |
$235K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,025 |
1,899 |
$95K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,454 |
1,401 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
687 |
649 |
$62K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
332 |
315 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
460 |
444 |
$21K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
153 |
142 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
183 |
159 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
188 |
184 |
$11K |
| 90686 |
|
559 |
540 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
60 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
507 |
473 |
$4K |
| 90461 |
|
226 |
220 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
538 |
513 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$3K |
| 99205 |
Prolong outpt/office vis |
26 |
25 |
$2K |
| 90715 |
|
78 |
73 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
208 |
140 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
78 |
$2K |
| 69210 |
|
82 |
76 |
$2K |
| 90750 |
|
13 |
13 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
21 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
444 |
415 |
$1K |
| 59025 |
Fetal non-stress test |
57 |
36 |
$1K |
| 42830 |
|
13 |
13 |
$893.41 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$720.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
94 |
90 |
$715.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
25 |
$654.19 |
| 31231 |
|
15 |
13 |
$643.23 |
| 90651 |
|
14 |
14 |
$636.30 |
| 90732 |
|
12 |
12 |
$622.16 |
| 81002 |
|
106 |
102 |
$319.05 |
| 90670 |
|
108 |
104 |
$272.13 |
| 81025 |
|
25 |
24 |
$148.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
44 |
$146.86 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$91.30 |
| 92567 |
|
13 |
12 |
$91.25 |
| 90633 |
|
13 |
12 |
$86.22 |
| 90648 |
|
96 |
93 |
$54.98 |
| 90723 |
|
66 |
63 |
$0.00 |
| 3074F |
|
28 |
28 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |