| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,565 |
22,632 |
$974K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,810 |
1,664 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,395 |
1,345 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,597 |
5,134 |
$78K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,847 |
3,742 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
699 |
679 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,380 |
2,315 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,173 |
2,879 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
482 |
468 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,326 |
1,188 |
$38K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
4,099 |
1,513 |
$27K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
482 |
444 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
364 |
308 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
4,070 |
3,424 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
337 |
305 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
252 |
236 |
$8K |
| D1120 |
Prophylaxis - child |
200 |
192 |
$8K |
| D1110 |
Prophylaxis - adult |
249 |
225 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
216 |
150 |
$6K |
| 99381 |
|
52 |
50 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
244 |
233 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
52 |
41 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
50 |
41 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
340 |
306 |
$2K |
| 87807 |
|
183 |
167 |
$2K |
| D0274 |
Bitewings - four radiographic images |
108 |
97 |
$2K |
| D0272 |
Bitewings - two radiographic images |
112 |
108 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
39 |
27 |
$2K |
| 90670 |
|
1,528 |
1,438 |
$1K |
| 90688 |
|
82 |
82 |
$980.79 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
27 |
$963.88 |
| 90633 |
|
1,119 |
1,066 |
$871.90 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
93 |
81 |
$814.58 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$802.41 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
29 |
18 |
$758.34 |
| 99221 |
|
24 |
18 |
$752.38 |
| 90723 |
|
1,114 |
1,048 |
$701.03 |
| 90647 |
|
997 |
933 |
$604.11 |
| 90680 |
|
831 |
783 |
$491.56 |
| 90651 |
|
475 |
453 |
$407.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
69 |
38 |
$400.18 |
| 90686 |
|
691 |
683 |
$374.17 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
379 |
340 |
$328.22 |
| 71046 |
Radiologic examination, chest; 2 views |
22 |
21 |
$301.14 |
| 90710 |
|
272 |
254 |
$249.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,386 |
2,218 |
$185.24 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
81 |
75 |
$176.67 |
| 36416 |
|
188 |
179 |
$127.53 |
| 90734 |
|
163 |
160 |
$101.20 |
| 90685 |
|
19 |
19 |
$58.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
18 |
12 |
$44.91 |
| 81002 |
|
113 |
106 |
$35.82 |
| 90715 |
|
64 |
63 |
$18.40 |
| 90696 |
|
32 |
32 |
$18.40 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
460 |
442 |
$0.04 |
| 90700 |
|
38 |
37 |
$0.00 |
| 90672 |
|
50 |
46 |
$0.00 |