| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,280 |
37,862 |
$255K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,346 |
3,343 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,186 |
2,186 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,418 |
4,253 |
$88K |
| 95144 |
|
68 |
62 |
$33K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,168 |
377 |
$27K |
| 95115 |
|
3,393 |
1,455 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
341 |
332 |
$24K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,361 |
1,322 |
$21K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
340 |
312 |
$19K |
| 95117 |
|
2,540 |
1,280 |
$18K |
| 92551 |
|
3,713 |
3,706 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,373 |
1,369 |
$15K |
| 90686 |
|
2,372 |
2,367 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,432 |
1,432 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,332 |
2,329 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
690 |
491 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,156 |
2,094 |
$10K |
| 99255 |
|
143 |
134 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,782 |
1,400 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,169 |
1,167 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,137 |
1,134 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
280 |
104 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,958 |
3,647 |
$6K |
| 98960 |
|
1,605 |
1,570 |
$6K |
| 90688 |
|
731 |
729 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
112 |
112 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
338 |
336 |
$4K |
| 92552 |
|
664 |
663 |
$4K |
| 90651 |
|
542 |
541 |
$3K |
| 90670 |
|
320 |
320 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,351 |
2,349 |
$3K |
| 99386 |
|
116 |
116 |
$3K |
| 90715 |
|
416 |
416 |
$3K |
| 90697 |
|
129 |
129 |
$2K |
| 99344 |
|
14 |
12 |
$2K |
| 99496 |
|
28 |
27 |
$2K |
| 90633 |
|
182 |
182 |
$2K |
| 90698 |
|
286 |
286 |
$1K |
| 85018 |
|
874 |
872 |
$1K |
| 99173 |
|
983 |
981 |
$950.07 |
| 95251 |
|
101 |
97 |
$812.00 |
| 90680 |
|
166 |
166 |
$685.00 |
| 90734 |
|
227 |
226 |
$668.50 |
| 99442 |
|
164 |
158 |
$649.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
296 |
296 |
$616.05 |
| 99000 |
|
216 |
216 |
$614.45 |
| 90671 |
|
139 |
139 |
$610.00 |
| 99397 |
|
12 |
12 |
$495.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,976 |
4,973 |
$469.30 |
| 90744 |
|
96 |
96 |
$443.00 |
| 83026 |
|
2,846 |
2,843 |
$379.63 |
| 88141 |
|
131 |
131 |
$315.58 |
| 90662 |
|
33 |
33 |
$300.00 |
| 90461 |
|
327 |
308 |
$230.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
134 |
121 |
$180.00 |
| 90707 |
|
29 |
29 |
$119.00 |
| 90750 |
|
150 |
149 |
$110.80 |
| 93000 |
|
12 |
12 |
$103.41 |
| 90710 |
|
26 |
26 |
$100.00 |
| 90716 |
|
26 |
26 |
$100.00 |
| 90619 |
|
159 |
159 |
$100.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
40 |
25 |
$93.08 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
994 |
994 |
$89.50 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
6,772 |
6,422 |
$75.95 |
| 90696 |
|
26 |
26 |
$70.00 |
| 99385 |
|
40 |
40 |
$66.01 |
| 86580 |
|
12 |
12 |
$33.33 |
| 3078F |
|
3,571 |
3,553 |
$30.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$30.00 |
| 3008F |
|
9,846 |
9,792 |
$30.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
5,785 |
5,438 |
$29.95 |
| 81025 |
|
16 |
16 |
$25.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
424 |
406 |
$23.09 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,663 |
4,660 |
$16.25 |
| 90621 |
|
60 |
60 |
$10.00 |
| 92081 |
|
341 |
340 |
$10.00 |
| 81002 |
|
51 |
51 |
$8.58 |
| A4550 |
Surgical trays |
12 |
12 |
$6.02 |
| 99441 |
|
1,078 |
1,073 |
$0.79 |
| 3074F |
|
3,823 |
3,809 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
577 |
576 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
159 |
158 |
$0.00 |
| 1159F |
|
169 |
163 |
$0.00 |
| 83655 |
|
43 |
43 |
$0.00 |
| 3077F |
|
53 |
53 |
$0.00 |
| 3725F |
|
69 |
68 |
$0.00 |
| 1160F |
|
134 |
134 |
$0.00 |
| 99254 |
|
47 |
47 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
32 |
32 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
201 |
201 |
$0.00 |
| 1158F |
|
32 |
32 |
$0.00 |
| 84439 |
|
23 |
23 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 3079F |
|
1,876 |
1,875 |
$0.00 |
| 96127 |
|
321 |
321 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
493 |
492 |
$0.00 |
| 3075F |
|
1,431 |
1,429 |
$0.00 |
| 1036F |
|
98 |
98 |
$0.00 |
| 1111F |
|
140 |
135 |
$0.00 |
| 3080F |
|
29 |
29 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
23 |
23 |
$0.00 |
| 3017F |
|
17 |
16 |
$0.00 |
| 88150 |
|
12 |
12 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$0.00 |
| 3044F |
|
16 |
16 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |
| 90656 |
|
221 |
221 |
$0.00 |