| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,364 |
14,935 |
$1.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,869 |
5,643 |
$240K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,394 |
879 |
$206K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,973 |
2,817 |
$169K |
| 99233 |
Prolong inpt eval add15 m |
3,065 |
1,301 |
$125K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
354 |
125 |
$61K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,000 |
1,616 |
$56K |
| 99223 |
Prolong inpt eval add15 m |
586 |
520 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
680 |
592 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
505 |
456 |
$41K |
| 99222 |
Initial hospital care, per day, moderate complexity |
446 |
396 |
$39K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,053 |
958 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
881 |
810 |
$38K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,151 |
523 |
$34K |
| 90837 |
Psychotherapy, 53 minutes with patient |
233 |
126 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
316 |
253 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
335 |
328 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
485 |
425 |
$24K |
| 0502F |
|
3,017 |
1,920 |
$21K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,490 |
3,456 |
$17K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,309 |
968 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
701 |
233 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
274 |
255 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
601 |
346 |
$11K |
| 99215 |
Prolong outpt/office vis |
193 |
178 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,772 |
1,584 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
38 |
36 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,361 |
750 |
$4K |
| 99443 |
|
198 |
161 |
$4K |
| 97803 |
|
125 |
121 |
$3K |
| 95886 |
|
168 |
153 |
$3K |
| 95913 |
|
18 |
14 |
$3K |
| 95813 |
|
26 |
24 |
$3K |
| 90674 |
|
169 |
150 |
$3K |
| 97802 |
|
29 |
27 |
$3K |
| 59425 |
|
20 |
19 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
18 |
14 |
$2K |
| 59426 |
|
16 |
16 |
$2K |
| 90685 |
|
134 |
127 |
$2K |
| 85018 |
|
188 |
174 |
$2K |
| 99205 |
Prolong outpt/office vis |
25 |
23 |
$1K |
| 80305 |
|
552 |
500 |
$1K |
| 73564 |
|
222 |
163 |
$879.75 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
13 |
$782.68 |
| 20610 |
|
93 |
79 |
$780.51 |
| 99024 |
|
873 |
629 |
$727.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
94 |
$713.97 |
| 90723 |
|
300 |
271 |
$706.86 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
131 |
90 |
$670.53 |
| 90670 |
|
430 |
385 |
$649.09 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$551.31 |
| 64615 |
|
13 |
12 |
$478.59 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$386.33 |
| 59025 |
Fetal non-stress test |
31 |
19 |
$381.24 |
| 90686 |
|
73 |
66 |
$362.76 |
| 81002 |
|
19 |
14 |
$318.14 |
| 90680 |
|
186 |
172 |
$243.26 |
| 36416 |
|
27 |
25 |
$170.70 |
| 3008F |
|
7,515 |
6,116 |
$169.15 |
| 73110 |
|
17 |
12 |
$149.13 |
| 0500F |
|
55 |
52 |
$144.01 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
117 |
106 |
$142.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
57 |
$139.32 |
| 93000 |
|
98 |
85 |
$136.30 |
| 73140 |
|
18 |
12 |
$111.12 |
| 93016 |
|
19 |
16 |
$87.96 |
| 90647 |
|
245 |
216 |
$82.88 |
| 73502 |
|
14 |
12 |
$79.58 |
| 93018 |
|
45 |
27 |
$74.02 |
| 90474 |
|
118 |
110 |
$62.15 |
| 99292 |
|
66 |
14 |
$50.30 |
| 98968 |
|
16 |
13 |
$50.25 |
| 99407 |
|
39 |
27 |
$42.94 |
| 36415 |
Collection of venous blood by venipuncture |
187 |
167 |
$25.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
109 |
99 |
$24.48 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
25 |
$13.81 |
| 96127 |
|
104 |
99 |
$13.27 |
| 97597 |
|
14 |
12 |
$9.53 |
| 1125F |
|
728 |
578 |
$2.04 |
| 90461 |
|
409 |
121 |
$0.05 |
| 1159F |
|
5,568 |
4,702 |
$0.00 |
| 3078F |
|
2,802 |
2,262 |
$0.00 |
| 1160F |
|
6,042 |
5,015 |
$0.00 |
| 0521F |
|
297 |
237 |
$0.00 |
| 3725F |
|
358 |
326 |
$0.00 |
| 3077F |
|
191 |
171 |
$0.00 |
| 90734 |
|
16 |
12 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
25 |
14 |
$0.00 |
| 90633 |
|
21 |
18 |
$0.00 |
| 90655 |
|
28 |
27 |
$0.00 |
| 95923 |
|
15 |
14 |
$0.00 |
| 1036F |
|
4,627 |
3,631 |
$0.00 |
| 1111F |
|
82 |
64 |
$0.00 |
| 3080F |
|
180 |
166 |
$0.00 |
| 3074F |
|
3,922 |
3,167 |
$0.00 |
| 3075F |
|
281 |
249 |
$0.00 |
| 1126F |
|
224 |
202 |
$0.00 |
| 1034F |
|
353 |
306 |
$0.00 |
| 3079F |
|
730 |
640 |
$0.00 |
| 1157F |
|
64 |
58 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
12 |
$0.00 |
| 99406 |
|
19 |
16 |
$0.00 |
| 82962 |
|
33 |
32 |
$0.00 |
| 90657 |
|
21 |
18 |
$0.00 |
| 1035F |
|
25 |
20 |
$0.00 |
| 0503F |
|
44 |
44 |
$0.00 |