| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,263 |
8,225 |
$484K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,552 |
2,775 |
$222K |
| 59514 |
|
1,005 |
890 |
$179K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,507 |
1,311 |
$98K |
| 59025 |
Fetal non-stress test |
4,845 |
3,544 |
$88K |
| 99235 |
|
641 |
490 |
$60K |
| 99222 |
Initial hospital care, per day, moderate complexity |
425 |
393 |
$39K |
| 99219 |
|
507 |
386 |
$36K |
| 99234 |
|
333 |
226 |
$26K |
| 99223 |
Prolong inpt eval add15 m |
191 |
168 |
$25K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
243 |
209 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,901 |
591 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
265 |
253 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
116 |
$14K |
| 17000 |
|
305 |
213 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
179 |
77 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
96 |
27 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
137 |
$4K |
| 99254 |
|
27 |
24 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
37 |
$3K |
| 99221 |
|
38 |
28 |
$2K |
| 99459 |
|
93 |
88 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
38 |
29 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$1K |
| 99205 |
Prolong outpt/office vis |
15 |
12 |
$987.52 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
14 |
$843.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
653 |
375 |
$528.88 |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$517.98 |
| 95816 |
|
17 |
12 |
$460.79 |
| 82962 |
|
539 |
325 |
$382.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
310 |
222 |
$273.32 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
185 |
119 |
$226.69 |
| 94760 |
|
111 |
101 |
$139.55 |
| 90674 |
|
26 |
12 |
$106.68 |
| 81025 |
|
14 |
13 |
$57.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
187 |
130 |
$56.13 |
| 17003 |
|
13 |
12 |
$29.40 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
38 |
27 |
$13.35 |
| 0502F |
|
1,158 |
779 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 3008F |
|
1,900 |
1,644 |
$0.00 |
| 1101F |
|
506 |
483 |
$0.00 |
| 99024 |
|
262 |
205 |
$0.00 |
| 1036F |
|
168 |
164 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
70 |
54 |
$0.00 |
| 99000 |
|
99 |
96 |
$0.00 |
| 1000F |
|
188 |
154 |
$0.00 |
| 0503F |
|
16 |
14 |
$0.00 |
| 1030F |
|
14 |
14 |
$0.00 |