| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,766 |
27,398 |
$1.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,475 |
13,616 |
$833K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,069 |
3,961 |
$421K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,948 |
3,241 |
$326K |
| 99199 |
Unlisted special service, procedure or report |
76,355 |
74,277 |
$242K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,071 |
1,681 |
$177K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,130 |
1,397 |
$102K |
| 99499 |
|
205 |
130 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,156 |
3,777 |
$45K |
| 90837 |
Psychotherapy, 53 minutes with patient |
538 |
290 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
809 |
694 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
324 |
277 |
$32K |
| 99215 |
Prolong outpt/office vis |
251 |
204 |
$15K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
467 |
343 |
$11K |
| 99493 |
|
123 |
111 |
$10K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
153 |
107 |
$8K |
| 99460 |
|
111 |
91 |
$8K |
| 59426 |
|
28 |
14 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
450 |
322 |
$8K |
| 76830 |
Ultrasound, transvaginal |
316 |
213 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
97 |
96 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
48 |
47 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
238 |
143 |
$5K |
| 92551 |
|
4,649 |
3,858 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
40 |
40 |
$5K |
| 99205 |
Prolong outpt/office vis |
42 |
25 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
134 |
65 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
30 |
24 |
$3K |
| 96127 |
|
625 |
498 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
91 |
63 |
$3K |
| D1206 |
Topical application of fluoride varnish |
236 |
168 |
$3K |
| 99173 |
|
4,305 |
3,579 |
$3K |
| 92587 |
|
730 |
589 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
18 |
16 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
112 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
768 |
512 |
$2K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
58 |
50 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
24 |
$2K |
| 99462 |
|
48 |
42 |
$2K |
| 81003 |
|
696 |
315 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
79 |
24 |
$2K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
13 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
47 |
39 |
$1K |
| 00126 |
|
29 |
25 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
34 |
24 |
$952.68 |
| 90836 |
|
18 |
14 |
$877.58 |
| 99441 |
|
40 |
27 |
$698.51 |
| 95886 |
|
23 |
12 |
$298.02 |
| 99442 |
|
23 |
13 |
$292.67 |
| 11721 |
|
52 |
38 |
$185.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$127.17 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
27 |
$119.97 |
| 92570 |
|
39 |
28 |
$51.41 |
| 0502F |
|
4,224 |
2,535 |
$23.28 |
| 92552 |
|
15 |
12 |
$17.96 |
| 94760 |
|
828 |
439 |
$14.49 |
| 99177 |
|
17 |
12 |
$7.83 |
| 92567 |
|
55 |
53 |
$4.32 |
| 3008F |
|
13,469 |
9,941 |
$0.00 |
| 3074F |
|
20,282 |
13,789 |
$0.00 |
| 1036F |
|
11,945 |
8,641 |
$0.00 |
| 1126F |
|
3,597 |
2,744 |
$0.00 |
| 3079F |
|
1,056 |
663 |
$0.00 |
| 1125F |
|
1,329 |
1,009 |
$0.00 |
| 36416 |
|
62 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
12 |
$0.00 |
| 1101F |
|
143 |
117 |
$0.00 |
| 0500F |
|
38 |
13 |
$0.00 |
| 3078F |
|
16,968 |
11,808 |
$0.00 |
| 1160F |
|
13,387 |
9,701 |
$0.00 |
| 1159F |
|
12,459 |
9,121 |
$0.00 |
| 3725F |
|
2,501 |
1,680 |
$0.00 |
| 99188 |
|
58 |
39 |
$0.00 |
| 3288F |
|
309 |
243 |
$0.00 |
| 90670 |
|
22 |
12 |
$0.00 |
| 90700 |
|
18 |
14 |
$0.00 |
| 3077F |
|
48 |
38 |
$0.00 |
| 90648 |
|
19 |
13 |
$0.00 |