| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,949 |
10,040 |
$747K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,298 |
7,652 |
$395K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,614 |
2,548 |
$288K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,844 |
1,793 |
$212K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,321 |
1,303 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
738 |
717 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
485 |
472 |
$53K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,025 |
7,918 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,469 |
4,342 |
$37K |
| 99401 |
|
4,957 |
4,091 |
$33K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
875 |
741 |
$23K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
533 |
484 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
332 |
312 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,204 |
2,163 |
$12K |
| 99381 |
|
99 |
90 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
293 |
100 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
520 |
465 |
$7K |
| 99383 |
|
14 |
14 |
$2K |
| 90461 |
|
544 |
441 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
15 |
$909.32 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
97 |
80 |
$862.78 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
17 |
12 |
$511.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$229.32 |
| 93000 |
|
76 |
68 |
$194.71 |
| 90670 |
|
515 |
464 |
$144.04 |
| 90647 |
|
226 |
203 |
$128.02 |
| 90723 |
|
218 |
198 |
$94.00 |
| 99406 |
|
13 |
12 |
$33.71 |
| 85018 |
|
12 |
12 |
$8.48 |
| 3725F |
|
876 |
639 |
$0.00 |
| 3078F |
|
2,466 |
1,588 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90633 |
|
36 |
25 |
$0.00 |
| 3074F |
|
2,487 |
1,681 |
$0.00 |
| 93016 |
|
17 |
12 |
$0.00 |
| 1036F |
|
452 |
320 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |
| 93018 |
|
17 |
12 |
$0.00 |
| 1126F |
|
13 |
12 |
$0.00 |