| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,896 |
75,856 |
$2.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,659 |
33,164 |
$1.56M |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,124 |
4,080 |
$414K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,814 |
6,685 |
$247K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,832 |
4,343 |
$175K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,789 |
3,546 |
$148K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
992 |
959 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,131 |
1,044 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,443 |
1,373 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
716 |
584 |
$33K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
809 |
778 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
774 |
742 |
$29K |
| 99215 |
Prolong outpt/office vis |
431 |
407 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
427 |
395 |
$20K |
| 99174 |
|
1,535 |
1,424 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
453 |
418 |
$14K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
58 |
52 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
133 |
127 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
542 |
399 |
$9K |
| 99460 |
|
140 |
127 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,416 |
990 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
196 |
180 |
$8K |
| 99220 |
|
181 |
158 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,200 |
1,028 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
650 |
591 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
40 |
39 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
350 |
181 |
$6K |
| 92567 |
|
516 |
460 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
192 |
181 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
112 |
$5K |
| 90785 |
|
409 |
297 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
135 |
129 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
51 |
40 |
$3K |
| 43235 |
|
49 |
48 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
36 |
36 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
433 |
330 |
$2K |
| 99217 |
|
109 |
101 |
$2K |
| 99219 |
|
51 |
49 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$2K |
| 99205 |
Prolong outpt/office vis |
16 |
14 |
$2K |
| 99442 |
|
77 |
77 |
$1K |
| 54150 |
|
28 |
28 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
33 |
29 |
$1K |
| 81003 |
|
1,071 |
903 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
26 |
$1K |
| 99441 |
|
105 |
100 |
$1K |
| 99462 |
|
35 |
30 |
$939.59 |
| 99233 |
Prolong inpt eval add15 m |
63 |
29 |
$580.02 |
| 81025 |
|
93 |
85 |
$516.63 |
| 83655 |
|
48 |
48 |
$484.32 |
| 99221 |
|
12 |
12 |
$473.88 |
| 99218 |
|
17 |
15 |
$290.64 |
| 90670 |
|
1,583 |
1,467 |
$277.18 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
14 |
$253.56 |
| 36415 |
Collection of venous blood by venipuncture |
150 |
143 |
$215.64 |
| 94726 |
|
78 |
75 |
$207.91 |
| 94729 |
|
78 |
75 |
$203.91 |
| 91200 |
|
15 |
15 |
$188.77 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
14 |
$179.64 |
| 85018 |
|
75 |
75 |
$149.72 |
| H1000 |
Prenatal care, at-risk assessment |
14 |
13 |
$128.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$124.80 |
| 99188 |
|
17 |
12 |
$89.14 |
| 90686 |
|
823 |
691 |
$81.98 |
| 81002 |
|
39 |
37 |
$73.28 |
| 51798 |
|
13 |
13 |
$53.22 |
| 94010 |
|
12 |
12 |
$38.56 |
| 90648 |
|
1,859 |
1,669 |
$33.98 |
| 90680 |
|
368 |
359 |
$20.50 |
| 90723 |
|
837 |
776 |
$10.50 |
| 1036F |
|
4,685 |
4,210 |
$0.00 |
| 90677 |
|
162 |
127 |
$0.00 |
| 3074F |
|
1,467 |
1,306 |
$0.00 |
| 3008F |
|
9,409 |
8,505 |
$0.00 |
| 1034F |
|
1,194 |
1,073 |
$0.00 |
| 3352F |
|
2,746 |
2,464 |
$0.00 |
| 1030F |
|
2,411 |
2,176 |
$0.00 |
| 3079F |
|
389 |
349 |
$0.00 |
| 4000F |
|
223 |
205 |
$0.00 |
| 3017F |
|
69 |
64 |
$0.00 |
| 3075F |
|
118 |
114 |
$0.00 |
| 1022F |
|
81 |
79 |
$0.00 |
| 3078F |
|
1,297 |
1,179 |
$0.00 |
| 4274F |
|
28 |
27 |
$0.00 |
| 90461 |
|
41 |
40 |
$0.00 |
| 3015F |
|
74 |
65 |
$0.00 |
| 90633 |
|
200 |
184 |
$0.00 |
| 1160F |
|
15 |
14 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |