| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,454 |
17,066 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,461 |
14,382 |
$722K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,691 |
2,675 |
$247K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,279 |
3,231 |
$201K |
| 59426 |
|
166 |
166 |
$130K |
| 99215 |
Prolong outpt/office vis |
1,352 |
1,278 |
$123K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,446 |
1,436 |
$113K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,014 |
1,001 |
$109K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,312 |
1,298 |
$109K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,431 |
1,521 |
$99K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,208 |
762 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,517 |
1,470 |
$95K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
119 |
116 |
$87K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,195 |
1,123 |
$86K |
| 99385 |
|
896 |
889 |
$86K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,938 |
1,813 |
$75K |
| 99223 |
Prolong inpt eval add15 m |
858 |
816 |
$75K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,014 |
1,007 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
912 |
904 |
$65K |
| 99386 |
|
345 |
341 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,032 |
4,918 |
$37K |
| 99233 |
Prolong inpt eval add15 m |
1,017 |
494 |
$36K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
395 |
381 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
542 |
420 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
953 |
878 |
$26K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
433 |
395 |
$26K |
| 90686 |
|
1,613 |
1,603 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
10,724 |
9,785 |
$23K |
| 90715 |
|
812 |
800 |
$22K |
| 59430 |
|
125 |
124 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,655 |
1,634 |
$21K |
| 90836 |
|
332 |
202 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,757 |
1,674 |
$16K |
| 99205 |
Prolong outpt/office vis |
134 |
134 |
$16K |
| 90632 |
|
273 |
269 |
$15K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
177 |
176 |
$15K |
| 81025 |
|
2,351 |
2,284 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
188 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,607 |
1,329 |
$13K |
| 90651 |
|
90 |
90 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
203 |
200 |
$9K |
| 43775 |
|
17 |
15 |
$8K |
| 99460 |
|
132 |
131 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
177 |
128 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
157 |
153 |
$6K |
| 90670 |
|
775 |
768 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
79 |
79 |
$5K |
| 93000 |
|
552 |
538 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
244 |
146 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
684 |
672 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
29 |
29 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
248 |
186 |
$3K |
| 82962 |
|
1,283 |
1,210 |
$3K |
| 99254 |
|
29 |
29 |
$3K |
| 81002 |
|
1,191 |
1,142 |
$3K |
| 99221 |
|
48 |
44 |
$2K |
| 96127 |
|
843 |
638 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
170 |
$2K |
| 99253 |
|
30 |
26 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
61 |
59 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$2K |
| 59025 |
Fetal non-stress test |
59 |
24 |
$1K |
| 99188 |
|
198 |
198 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29 |
26 |
$1K |
| 0064A |
|
24 |
24 |
$965.22 |
| 90474 |
|
251 |
250 |
$938.98 |
| 98927 |
|
27 |
25 |
$875.68 |
| 76801 |
|
14 |
14 |
$822.48 |
| 83655 |
|
84 |
83 |
$812.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
61 |
$723.42 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$604.37 |
| 0011A |
|
14 |
14 |
$560.21 |
| 0012A |
|
13 |
13 |
$520.47 |
| 99442 |
|
38 |
37 |
$474.35 |
| 92551 |
|
68 |
67 |
$460.17 |
| 76942 |
|
14 |
13 |
$450.04 |
| 90656 |
|
18 |
16 |
$315.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
26 |
$295.21 |
| 99443 |
|
16 |
14 |
$275.48 |
| 99441 |
|
40 |
38 |
$264.53 |
| 99051 |
|
49 |
48 |
$245.00 |
| 85018 |
|
122 |
121 |
$227.56 |
| 96373 |
|
17 |
13 |
$173.41 |
| 90707 |
|
15 |
15 |
$165.00 |
| 82247 |
|
41 |
28 |
$158.08 |
| 36416 |
|
40 |
38 |
$92.16 |
| 87210 |
|
33 |
33 |
$62.66 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$59.40 |
| 82947 |
|
29 |
29 |
$58.49 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
45 |
36 |
$40.11 |
| 81003 |
|
17 |
16 |
$32.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$8.17 |
| 2000F |
|
2,131 |
1,945 |
$4.80 |
| 96160 |
|
82 |
82 |
$1.53 |
| 3351F |
|
2,270 |
2,126 |
$0.02 |
| 3078F |
|
1,773 |
1,681 |
$0.01 |
| 3074F |
|
2,070 |
1,941 |
$0.01 |
| 3288F |
|
139 |
133 |
$0.00 |
| 90633 |
|
115 |
115 |
$0.00 |
| 3725F |
|
3,077 |
2,875 |
$0.00 |
| 1100F |
|
84 |
80 |
$0.00 |
| 90685 |
|
53 |
53 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 0502F |
|
428 |
293 |
$0.00 |
| 3077F |
|
147 |
138 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 4274F |
|
100 |
95 |
$0.00 |
| 1158F |
|
91 |
88 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90461 |
|
18 |
18 |
$0.00 |
| 4000F |
|
54 |
48 |
$0.00 |
| 90680 |
|
387 |
386 |
$0.00 |
| 3080F |
|
91 |
86 |
$0.00 |
| 1034F |
|
675 |
613 |
$0.00 |
| 3044F |
|
146 |
144 |
$0.00 |
| 90698 |
|
484 |
479 |
$0.00 |
| 3079F |
|
647 |
618 |
$0.00 |
| 90744 |
|
252 |
250 |
$0.00 |
| 3353F |
|
81 |
75 |
$0.00 |
| 0500F |
|
12 |
12 |
$0.00 |
| 1036F |
|
1,401 |
1,295 |
$0.00 |
| 3075F |
|
208 |
205 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
307 |
282 |
$0.00 |
| 1101F |
|
44 |
43 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
16 |
16 |
$0.00 |
| 99024 |
|
17 |
14 |
$0.00 |
| 4086F |
|
14 |
12 |
$0.00 |