| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,865 |
24,930 |
$1.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,307 |
8,781 |
$830K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,111 |
4,035 |
$338K |
| 99401 |
|
26,034 |
22,953 |
$323K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,760 |
3,691 |
$309K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,430 |
3,339 |
$305K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,121 |
15,117 |
$278K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,953 |
2,833 |
$231K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,482 |
6,132 |
$221K |
| 92588 |
|
3,542 |
3,449 |
$138K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
368 |
368 |
$119K |
| 92587 |
|
4,631 |
4,517 |
$100K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
688 |
661 |
$61K |
| 95930 |
|
830 |
829 |
$50K |
| 36410 |
|
3,088 |
2,884 |
$45K |
| 90461 |
|
1,926 |
1,815 |
$39K |
| 94060 |
|
1,043 |
934 |
$35K |
| 99381 |
|
370 |
355 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,230 |
9,878 |
$23K |
| 86413 |
|
1,492 |
1,428 |
$22K |
| 90620 |
|
597 |
577 |
$18K |
| 99402 |
|
2,825 |
2,742 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,682 |
3,554 |
$15K |
| 90651 |
|
1,018 |
973 |
$15K |
| 96127 |
|
3,544 |
3,435 |
$12K |
| S9470 |
Nutritional counseling, dietitian visit |
2,357 |
2,310 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
4,929 |
4,830 |
$9K |
| 0001A |
|
225 |
225 |
$9K |
| 92015 |
Determination of refractive state |
1,181 |
1,178 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
573 |
562 |
$7K |
| 0002A |
|
179 |
179 |
$7K |
| 90686 |
|
4,927 |
4,858 |
$7K |
| 36400 |
|
385 |
377 |
$7K |
| 81002 |
|
4,065 |
3,890 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,843 |
1,824 |
$6K |
| 90734 |
|
918 |
885 |
$6K |
| 0071A |
|
155 |
155 |
$6K |
| 99215 |
Prolong outpt/office vis |
40 |
36 |
$5K |
| 99173 |
|
3,300 |
3,164 |
$5K |
| 0072A |
|
131 |
131 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
411 |
403 |
$5K |
| 90670 |
|
1,931 |
1,890 |
$5K |
| 96111 |
|
66 |
66 |
$4K |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
428 |
419 |
$4K |
| 3008F |
|
1,193 |
973 |
$4K |
| 90716 |
|
776 |
756 |
$4K |
| 99188 |
|
262 |
262 |
$4K |
| 94664 |
|
438 |
430 |
$4K |
| 90697 |
|
199 |
198 |
$3K |
| 69210 |
|
120 |
118 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
319 |
283 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
407 |
354 |
$3K |
| 90677 |
|
325 |
319 |
$3K |
| 90649 |
|
124 |
124 |
$3K |
| 90671 |
|
13 |
13 |
$2K |
| 90656 |
|
571 |
571 |
$2K |
| 81005 |
|
998 |
990 |
$2K |
| 90715 |
|
324 |
309 |
$2K |
| 90707 |
|
697 |
683 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
97 |
88 |
$1K |
| 87081 |
|
316 |
300 |
$1K |
| 90633 |
|
1,351 |
1,309 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90672 |
|
174 |
174 |
$812.33 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$772.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$703.07 |
| 99000 |
|
6,987 |
6,770 |
$699.89 |
| S9061 |
Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
617 |
614 |
$593.00 |
| 90723 |
|
838 |
826 |
$511.79 |
| 90710 |
|
58 |
55 |
$500.04 |
| 90700 |
|
948 |
933 |
$413.95 |
| 86580 |
|
68 |
66 |
$398.54 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
271 |
271 |
$380.96 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
46 |
46 |
$295.70 |
| 90680 |
|
1,576 |
1,564 |
$250.00 |
| 90713 |
|
175 |
173 |
$208.74 |
| 90648 |
|
2,042 |
2,006 |
$192.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
144 |
138 |
$187.26 |
| 90473 |
|
16 |
16 |
$176.37 |
| 36406 |
|
52 |
52 |
$170.46 |
| 99051 |
|
24 |
24 |
$169.05 |
| 90621 |
|
13 |
13 |
$136.17 |
| 90674 |
|
40 |
40 |
$119.62 |
| 90696 |
|
98 |
94 |
$115.96 |
| 96160 |
|
193 |
172 |
$99.46 |
| 97803 |
|
17 |
16 |
$65.22 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
507 |
507 |
$53.42 |
| 99072 |
|
1,368 |
1,154 |
$42.50 |
| 94760 |
|
222 |
210 |
$36.68 |
| 97802 |
|
32 |
32 |
$29.99 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
98 |
94 |
$20.72 |
| 90658 |
|
30 |
30 |
$11.90 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
33 |
31 |
$6.67 |
| A4616 |
Tubing (oxygen), per foot |
93 |
90 |
$4.94 |
| A6411 |
Eye pad, non-sterile, each |
507 |
506 |
$1.48 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
18 |
18 |
$0.56 |
| 91307 |
|
163 |
147 |
$0.31 |
| 91300 |
|
325 |
308 |
$0.30 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
271 |
271 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90657 |
|
63 |
63 |
$0.00 |
| 90632 |
|
27 |
27 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
31 |
31 |
$0.00 |