| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,483 |
28,045 |
$1.81M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,124 |
8,116 |
$456K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,763 |
4,551 |
$445K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,333 |
6,331 |
$346K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,985 |
10,920 |
$307K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,658 |
4,571 |
$211K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,259 |
3,258 |
$194K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,992 |
2,908 |
$94K |
| 92551 |
|
8,881 |
8,876 |
$94K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,212 |
1,211 |
$73K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
562 |
555 |
$59K |
| 90461 |
|
1,656 |
1,651 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
542 |
542 |
$37K |
| 99460 |
|
438 |
437 |
$32K |
| 99462 |
|
798 |
782 |
$27K |
| 99441 |
|
559 |
547 |
$18K |
| 99173 |
|
6,661 |
6,657 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
160 |
158 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
220 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,747 |
1,626 |
$12K |
| 90691 |
|
145 |
145 |
$11K |
| 96127 |
|
1,862 |
1,858 |
$9K |
| 99442 |
|
155 |
154 |
$7K |
| 90658 |
|
422 |
422 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
139 |
138 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
97 |
37 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,364 |
1,339 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
69 |
68 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
29 |
29 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
6,295 |
6,232 |
$2K |
| 90671 |
|
40 |
40 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
353 |
292 |
$2K |
| 90686 |
|
3,538 |
3,534 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
131 |
131 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
39 |
39 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
56 |
55 |
$2K |
| 90697 |
|
12 |
12 |
$1K |
| 99384 |
|
49 |
49 |
$1K |
| 90717 |
|
14 |
14 |
$962.10 |
| 0001A |
|
25 |
25 |
$880.00 |
| 71046 |
Radiologic examination, chest; 2 views |
107 |
106 |
$785.49 |
| 70450 |
Computed tomography, head or brain; without contrast material |
44 |
42 |
$668.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
52 |
$652.30 |
| 90657 |
|
95 |
95 |
$631.26 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$497.01 |
| 99443 |
|
13 |
13 |
$462.01 |
| 94760 |
|
2,517 |
2,365 |
$292.73 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
14 |
$286.59 |
| 90656 |
|
297 |
297 |
$201.15 |
| 73630 |
|
19 |
19 |
$65.66 |
| 73610 |
|
17 |
14 |
$55.76 |
| 3074F |
|
2,061 |
2,010 |
$50.00 |
| 3078F |
|
1,974 |
1,927 |
$45.00 |
| 90688 |
|
69 |
69 |
$20.49 |
| 3008F |
|
239 |
232 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
52 |
50 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| 3725F |
|
1,522 |
1,489 |
$0.00 |
| 90685 |
|
39 |
39 |
$0.00 |
| 90670 |
|
165 |
165 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
15 |
$0.00 |
| 90661 |
|
18 |
18 |
$0.00 |
| 90734 |
|
76 |
76 |
$0.00 |
| 91300 |
|
25 |
25 |
$0.00 |