| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,156 |
13,373 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,634 |
2,615 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,480 |
3,320 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,165 |
1,160 |
$65K |
| 99233 |
Prolong inpt eval add15 m |
1,541 |
463 |
$52K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,760 |
545 |
$39K |
| 99381 |
|
336 |
334 |
$35K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
91 |
87 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,377 |
3,283 |
$29K |
| G9920 |
Screening performed and negative |
4,301 |
4,300 |
$25K |
| 99460 |
|
430 |
411 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,517 |
1,493 |
$21K |
| 99223 |
Prolong inpt eval add15 m |
272 |
258 |
$15K |
| 59514 |
|
52 |
50 |
$13K |
| 99462 |
|
285 |
218 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
566 |
560 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,056 |
1,016 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
507 |
371 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,002 |
968 |
$5K |
| 59425 |
|
431 |
332 |
$5K |
| 99215 |
Prolong outpt/office vis |
137 |
136 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
85 |
80 |
$4K |
| 92551 |
|
1,051 |
1,048 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
105 |
102 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
344 |
344 |
$3K |
| Z1034 |
|
21 |
13 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
133 |
129 |
$3K |
| 20610 |
|
76 |
66 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,099 |
1,095 |
$2K |
| 90671 |
|
323 |
323 |
$1K |
| 92587 |
|
229 |
228 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$841.47 |
| 90656 |
|
423 |
423 |
$770.00 |
| 90677 |
|
108 |
108 |
$596.60 |
| 76801 |
|
32 |
29 |
$535.30 |
| 90697 |
|
114 |
114 |
$490.84 |
| 90461 |
|
475 |
475 |
$348.60 |
| 73610 |
|
30 |
28 |
$325.58 |
| 73110 |
|
15 |
13 |
$292.91 |
| 99221 |
|
12 |
12 |
$290.77 |
| 99051 |
|
2,331 |
2,287 |
$195.00 |
| 99442 |
|
33 |
27 |
$193.65 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
108 |
104 |
$186.75 |
| 99441 |
|
61 |
56 |
$179.67 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
140 |
140 |
$154.00 |
| 96127 |
|
609 |
609 |
$122.54 |
| 73630 |
|
13 |
13 |
$96.12 |
| 90686 |
|
38 |
37 |
$95.09 |
| 90633 |
|
60 |
60 |
$67.00 |
| 90681 |
|
12 |
12 |
$61.50 |
| 90661 |
|
14 |
14 |
$27.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$17.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
68 |
$4.46 |
| 0502F |
|
339 |
259 |
$0.02 |
| 3074F |
|
1,771 |
1,698 |
$0.02 |
| 3079F |
|
535 |
514 |
$0.02 |
| 3078F |
|
1,633 |
1,582 |
$0.00 |
| 99173 |
|
1,228 |
1,227 |
$0.00 |
| 3077F |
|
157 |
154 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
34 |
34 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 3075F |
|
167 |
163 |
$0.00 |
| 3080F |
|
56 |
54 |
$0.00 |