| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,644 |
84,901 |
$4.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,213 |
49,049 |
$3.57M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,611 |
31,960 |
$1.49M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22,396 |
19,696 |
$1.32M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,193 |
16,419 |
$1.24M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52,450 |
47,537 |
$962K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,448 |
13,263 |
$958K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,810 |
8,761 |
$710K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
9,868 |
8,192 |
$676K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
5,778 |
4,997 |
$452K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22,140 |
18,500 |
$350K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,233 |
1,923 |
$163K |
| 81025 |
|
34,161 |
28,834 |
$145K |
| 76830 |
Ultrasound, transvaginal |
1,801 |
1,403 |
$101K |
| 81003 |
|
60,530 |
48,975 |
$93K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,871 |
1,697 |
$86K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,819 |
11,011 |
$78K |
| 99464 |
|
1,558 |
1,416 |
$77K |
| 99460 |
|
1,627 |
1,484 |
$73K |
| 99173 |
|
16,207 |
14,626 |
$72K |
| 96127 |
|
17,084 |
14,879 |
$64K |
| 36415 |
Collection of venous blood by venipuncture |
35,367 |
29,689 |
$60K |
| 3008F |
|
160,742 |
135,331 |
$57K |
| 59025 |
Fetal non-stress test |
1,844 |
1,387 |
$49K |
| 1160F |
|
63,657 |
55,391 |
$36K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
29 |
24 |
$33K |
| 99383 |
|
400 |
359 |
$30K |
| 83037 |
|
4,525 |
3,529 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
382 |
299 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,226 |
1,011 |
$20K |
| 59430 |
|
299 |
160 |
$20K |
| 99384 |
|
230 |
195 |
$19K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,158 |
941 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
309 |
237 |
$15K |
| 99382 |
|
182 |
164 |
$14K |
| 99462 |
|
592 |
485 |
$13K |
| 1159F |
|
12,052 |
10,444 |
$11K |
| 74240 |
|
191 |
162 |
$10K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
5,898 |
5,066 |
$9K |
| 90651 |
|
4,184 |
3,684 |
$8K |
| 90716 |
|
3,237 |
2,970 |
$7K |
| 90670 |
|
7,378 |
6,798 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
97 |
$6K |
| 82948 |
|
2,460 |
1,877 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,003 |
883 |
$6K |
| 90680 |
|
5,909 |
5,357 |
$5K |
| 82950 |
|
1,322 |
1,169 |
$5K |
| 81002 |
|
2,799 |
2,344 |
$5K |
| 90677 |
|
1,821 |
1,640 |
$4K |
| 0503F |
|
5,304 |
4,375 |
$4K |
| 1125F |
|
2,267 |
1,963 |
$4K |
| 99215 |
Prolong outpt/office vis |
51 |
37 |
$4K |
| 90715 |
|
1,300 |
1,128 |
$4K |
| 99235 |
|
30 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
362 |
329 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
24 |
18 |
$3K |
| 90734 |
|
2,173 |
1,904 |
$3K |
| 90707 |
|
3,165 |
2,901 |
$3K |
| 92552 |
|
176 |
160 |
$3K |
| 90723 |
|
2,860 |
2,552 |
$2K |
| 3079F |
|
1,498 |
1,256 |
$2K |
| 3077F |
|
1,256 |
1,038 |
$2K |
| 99401 |
|
210 |
60 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,506 |
1,241 |
$2K |
| 90698 |
|
3,331 |
3,061 |
$2K |
| 82947 |
|
616 |
467 |
$2K |
| 93000 |
|
110 |
82 |
$1K |
| 3080F |
|
880 |
713 |
$1K |
| 92551 |
|
179 |
173 |
$1K |
| 3074F |
|
1,009 |
839 |
$1K |
| 85018 |
|
680 |
534 |
$1K |
| 99385 |
|
13 |
12 |
$811.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
67 |
52 |
$796.49 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,493 |
1,313 |
$734.22 |
| 90633 |
|
5,009 |
4,599 |
$678.47 |
| 90648 |
|
5,433 |
4,939 |
$539.13 |
| 0500F |
|
66 |
51 |
$425.00 |
| 90696 |
|
904 |
817 |
$418.76 |
| 82951 |
|
65 |
57 |
$399.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
36 |
$382.63 |
| 90700 |
|
1,603 |
1,440 |
$362.98 |
| 3075F |
|
196 |
152 |
$280.00 |
| 92229 |
|
14 |
12 |
$277.34 |
| 90661 |
|
527 |
477 |
$270.00 |
| 3078F |
|
306 |
252 |
$269.49 |
| 99406 |
|
29 |
27 |
$262.72 |
| 90744 |
|
1,085 |
1,022 |
$130.46 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
65 |
58 |
$24.97 |
| 90710 |
|
933 |
842 |
$0.00 |
| 0502F |
|
29,573 |
24,728 |
$0.00 |
| 90671 |
|
1,838 |
1,634 |
$0.00 |
| 90658 |
|
265 |
254 |
$0.00 |
| 1039F |
|
35 |
26 |
$0.00 |
| 90713 |
|
81 |
74 |
$0.00 |
| 90686 |
|
3,977 |
3,693 |
$0.00 |
| 90733 |
|
200 |
186 |
$0.00 |
| 90660 |
|
293 |
276 |
$0.00 |
| 90674 |
|
806 |
730 |
$0.00 |
| 90697 |
|
645 |
588 |
$0.00 |
| 90620 |
|
311 |
290 |
$0.00 |
| 90688 |
|
68 |
64 |
$0.00 |
| 90378 |
|
19 |
12 |
$0.00 |
| 4015F |
|
28 |
25 |
$0.00 |
| 3044F |
|
15 |
13 |
$0.00 |