| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,638 |
22,203 |
$1.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,995 |
24,396 |
$1.23M |
| 59426 |
|
5,595 |
2,064 |
$387K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,812 |
1,506 |
$159K |
| 59425 |
|
2,102 |
1,401 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,068 |
863 |
$95K |
| 80305 |
|
12,262 |
8,085 |
$91K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,530 |
1,735 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,360 |
1,191 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,503 |
1,303 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,899 |
4,895 |
$57K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,453 |
1,946 |
$44K |
| 99223 |
Prolong inpt eval add15 m |
572 |
504 |
$33K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,932 |
1,934 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
287 |
241 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
694 |
583 |
$25K |
| 81002 |
|
10,551 |
5,288 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
247 |
203 |
$23K |
| 99215 |
Prolong outpt/office vis |
443 |
359 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,023 |
611 |
$17K |
| 59025 |
Fetal non-stress test |
913 |
276 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
897 |
466 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,227 |
1,721 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,097 |
831 |
$13K |
| 92083 |
|
524 |
449 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
838 |
747 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
377 |
308 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
424 |
397 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
8,630 |
6,905 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
387 |
162 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
803 |
685 |
$10K |
| 92133 |
|
621 |
535 |
$10K |
| 81025 |
|
2,285 |
1,562 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
93 |
71 |
$8K |
| 20610 |
|
560 |
384 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
250 |
166 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,040 |
814 |
$7K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
664 |
517 |
$6K |
| 80320 |
|
1,468 |
948 |
$6K |
| 90686 |
|
1,809 |
1,566 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
124 |
29 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
51 |
$4K |
| 90670 |
|
1,065 |
907 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
84 |
36 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
31 |
13 |
$3K |
| 92015 |
Determination of refractive state |
398 |
301 |
$3K |
| 90474 |
|
326 |
299 |
$3K |
| 90674 |
|
235 |
197 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
676 |
525 |
$2K |
| 90698 |
|
553 |
463 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
14 |
$2K |
| 90688 |
|
308 |
267 |
$2K |
| 99354 |
|
38 |
32 |
$1K |
| 81003 |
|
1,069 |
804 |
$884.17 |
| 90680 |
|
370 |
332 |
$835.85 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
24 |
$814.80 |
| 99310 |
Prolong nursin fac eval 15m |
33 |
26 |
$582.32 |
| 90715 |
|
95 |
89 |
$523.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
169 |
145 |
$496.87 |
| 96127 |
|
118 |
66 |
$336.98 |
| 87807 |
|
19 |
18 |
$233.68 |
| 90685 |
|
133 |
116 |
$145.92 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
58 |
$52.90 |
| 85018 |
|
14 |
13 |
$30.11 |
| 99173 |
|
15 |
14 |
$27.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$11.48 |
| G0008 |
Administration of influenza virus vaccine |
244 |
203 |
$0.00 |
| 90744 |
|
59 |
51 |
$0.00 |
| 99024 |
|
100 |
65 |
$0.00 |
| 59430 |
|
84 |
74 |
$0.00 |
| 99406 |
|
91 |
75 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
53 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
166 |
157 |
$0.00 |
| 90633 |
|
35 |
31 |
$0.00 |