| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,984 |
13,100 |
$1.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,092 |
9,841 |
$857K |
| 99233 |
Prolong inpt eval add15 m |
2,279 |
636 |
$152K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
817 |
710 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,144 |
1,054 |
$141K |
| 87428 |
|
1,195 |
1,159 |
$82K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
764 |
724 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,163 |
1,103 |
$61K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,091 |
377 |
$60K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
167 |
144 |
$56K |
| 0001A |
|
1,254 |
1,245 |
$37K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
225 |
153 |
$36K |
| 0002A |
|
1,096 |
1,086 |
$35K |
| 90461 |
|
699 |
671 |
$34K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
509 |
492 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
305 |
305 |
$29K |
| 99215 |
Prolong outpt/office vis |
297 |
183 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
349 |
335 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
288 |
255 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
93 |
79 |
$18K |
| 99253 |
|
312 |
123 |
$17K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
64 |
43 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
143 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
147 |
$14K |
| 94729 |
|
285 |
183 |
$12K |
| 94726 |
|
287 |
184 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
175 |
159 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,045 |
1,011 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
355 |
328 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
431 |
375 |
$11K |
| 99243 |
|
76 |
70 |
$11K |
| 99201 |
|
226 |
214 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
53 |
52 |
$9K |
| 90670 |
|
40 |
40 |
$9K |
| 94375 |
|
268 |
171 |
$8K |
| 90734 |
|
54 |
54 |
$8K |
| 90686 |
|
394 |
386 |
$7K |
| 76801 |
|
141 |
119 |
$7K |
| 81025 |
|
2,528 |
2,194 |
$6K |
| 81001 |
|
2,497 |
1,903 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
721 |
629 |
$6K |
| G9357 |
Post-partum screenings, evaluations and education performed |
45 |
38 |
$6K |
| 81002 |
|
2,362 |
1,945 |
$5K |
| 94060 |
|
74 |
60 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
750 |
586 |
$5K |
| 99051 |
|
210 |
199 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
184 |
$4K |
| 90674 |
|
120 |
119 |
$4K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
294 |
272 |
$3K |
| 54150 |
|
15 |
14 |
$3K |
| 90710 |
|
12 |
12 |
$3K |
| 87807 |
|
243 |
230 |
$3K |
| 99173 |
|
594 |
563 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
83 |
55 |
$2K |
| 90661 |
|
61 |
61 |
$2K |
| 92587 |
|
187 |
178 |
$2K |
| 0072A |
|
57 |
56 |
$2K |
| 0003A |
|
49 |
49 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$2K |
| 0071A |
|
52 |
50 |
$2K |
| 81003 |
|
597 |
534 |
$1K |
| 99174 |
|
74 |
74 |
$1K |
| 20611 |
|
17 |
14 |
$944.01 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$860.14 |
| 90648 |
|
69 |
69 |
$822.27 |
| 96160 |
|
171 |
132 |
$779.75 |
| 80053 |
Comprehensive metabolic panel |
108 |
97 |
$719.21 |
| 99459 |
|
32 |
30 |
$659.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
14 |
$541.10 |
| 90633 |
|
14 |
14 |
$484.40 |
| 99050 |
|
19 |
19 |
$463.77 |
| 94664 |
|
16 |
16 |
$400.64 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
88 |
75 |
$352.19 |
| 82962 |
|
176 |
133 |
$339.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$298.09 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
154 |
137 |
$238.20 |
| 87210 |
|
16 |
16 |
$75.00 |
| 96127 |
|
43 |
38 |
$58.86 |
| 94760 |
|
324 |
298 |
$15.81 |
| 51798 |
|
74 |
41 |
$1.90 |
| 1160F |
|
3,675 |
2,990 |
$0.00 |
| 0502F |
|
8,024 |
4,716 |
$0.00 |
| 3725F |
|
560 |
433 |
$0.00 |
| 3078F |
|
2,265 |
1,898 |
$0.00 |
| 1159F |
|
3,103 |
2,530 |
$0.00 |
| 99001 |
|
64 |
59 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 3079F |
|
196 |
145 |
$0.00 |
| 3008F |
|
4,367 |
3,478 |
$0.00 |
| 1036F |
|
3,705 |
2,459 |
$0.00 |
| 3074F |
|
2,945 |
2,362 |
$0.00 |
| 99000 |
|
1,166 |
1,039 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
40 |
12 |
$0.00 |
| 99441 |
|
16 |
15 |
$0.00 |
| 3075F |
|
16 |
13 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |
| 36416 |
|
16 |
12 |
$0.00 |
| 99024 |
|
12 |
12 |
$0.00 |