| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,901 |
5,461 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,055 |
7,329 |
$954K |
| 99233 |
Prolong inpt eval add15 m |
2,237 |
756 |
$378K |
| 99223 |
Prolong inpt eval add15 m |
558 |
536 |
$183K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
897 |
893 |
$159K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
848 |
797 |
$148K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
496 |
493 |
$90K |
| 90670 |
|
330 |
323 |
$90K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
424 |
420 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
978 |
939 |
$80K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
413 |
412 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,156 |
1,142 |
$64K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,124 |
1,015 |
$51K |
| 99497 |
|
324 |
274 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
316 |
312 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
214 |
212 |
$37K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
295 |
295 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
441 |
434 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
996 |
981 |
$32K |
| 99222 |
Initial hospital care, per day, moderate complexity |
108 |
107 |
$24K |
| 90698 |
|
173 |
168 |
$23K |
| 81025 |
|
1,180 |
1,136 |
$22K |
| 81002 |
|
2,359 |
2,040 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
68 |
68 |
$21K |
| 93000 |
|
527 |
516 |
$20K |
| 90461 |
|
467 |
453 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
3,265 |
3,082 |
$19K |
| 96151 |
|
414 |
407 |
$18K |
| 99215 |
Prolong outpt/office vis |
69 |
64 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
135 |
69 |
$16K |
| 99310 |
Prolong nursin fac eval 15m |
61 |
14 |
$14K |
| 90674 |
|
417 |
417 |
$12K |
| 99000 |
|
2,909 |
2,665 |
$12K |
| 90715 |
|
148 |
148 |
$10K |
| 99386 |
|
36 |
36 |
$9K |
| 99173 |
|
440 |
440 |
$8K |
| 90680 |
|
43 |
41 |
$8K |
| 90756 |
|
272 |
272 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
151 |
133 |
$7K |
| 94010 |
|
79 |
79 |
$7K |
| 92551 |
|
410 |
409 |
$7K |
| 99243 |
|
30 |
29 |
$6K |
| 96150 |
|
120 |
116 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$5K |
| 85018 |
|
584 |
576 |
$5K |
| 90651 |
|
12 |
12 |
$4K |
| 90686 |
|
157 |
157 |
$4K |
| 82948 |
|
328 |
314 |
$4K |
| 90734 |
|
12 |
12 |
$3K |
| 58100 |
|
12 |
12 |
$3K |
| 90658 |
|
123 |
123 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
88 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
378 |
358 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
29 |
$1K |
| A4550 |
Surgical trays |
31 |
31 |
$899.00 |
| 90633 |
|
13 |
13 |
$816.00 |
| 36416 |
|
70 |
70 |
$690.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
39 |
$312.00 |
| 99001 |
|
33 |
30 |
$297.00 |
| 1159F |
|
512 |
507 |
$0.00 |
| 1160F |
|
579 |
573 |
$0.00 |
| 3725F |
|
30 |
30 |
$0.00 |
| 99499 |
|
36 |
25 |
$0.00 |
| 99024 |
|
81 |
71 |
$0.00 |