| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,313 |
20,189 |
$341K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,387 |
2,333 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,320 |
3,226 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
756 |
749 |
$25K |
| 11721 |
|
799 |
774 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
170 |
170 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
372 |
372 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
206 |
206 |
$4K |
| 11056 |
|
257 |
251 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
163 |
149 |
$3K |
| 82947 |
|
1,575 |
1,502 |
$3K |
| 90686 |
|
838 |
829 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
61 |
$1K |
| 82962 |
|
1,543 |
1,465 |
$1K |
| 80305 |
|
223 |
212 |
$878.82 |
| 82270 |
|
508 |
467 |
$770.82 |
| 94010 |
|
54 |
54 |
$738.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
363 |
362 |
$712.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
239 |
235 |
$645.03 |
| 90715 |
|
57 |
57 |
$576.23 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
47 |
$522.82 |
| 3008F |
|
28,824 |
27,129 |
$515.38 |
| 92551 |
|
946 |
920 |
$405.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
105 |
104 |
$274.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$263.14 |
| 88142 |
|
285 |
281 |
$179.44 |
| 90732 |
|
41 |
41 |
$170.00 |
| 81025 |
|
937 |
922 |
$167.18 |
| 81002 |
|
1,544 |
1,522 |
$148.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$106.23 |
| 90670 |
|
140 |
138 |
$63.00 |
| 90723 |
|
74 |
74 |
$37.00 |
| 90647 |
|
51 |
51 |
$36.00 |
| 90633 |
|
31 |
31 |
$35.35 |
| 86580 |
|
15 |
15 |
$23.50 |
| 3725F |
|
2,884 |
2,762 |
$21.60 |
| 3079F |
|
5,085 |
4,926 |
$14.00 |
| 3078F |
|
9,002 |
8,577 |
$12.00 |
| 3075F |
|
2,360 |
2,300 |
$11.00 |
| 85018 |
|
396 |
393 |
$10.66 |
| 90649 |
|
35 |
35 |
$9.00 |
| 3080F |
|
1,547 |
1,504 |
$6.00 |
| 99173 |
|
633 |
631 |
$5.01 |
| 3077F |
|
2,822 |
2,712 |
$4.50 |
| 3074F |
|
10,553 |
10,044 |
$0.00 |
| 1125F |
|
7,142 |
6,762 |
$0.00 |
| 3061F |
|
78 |
65 |
$0.00 |
| 1036F |
|
7,250 |
6,827 |
$0.00 |
| 1126F |
|
9,352 |
8,886 |
$0.00 |
| 3014F |
|
537 |
492 |
$0.00 |
| 1034F |
|
585 |
549 |
$0.00 |
| 3048F |
|
78 |
72 |
$0.00 |
| 3017F |
|
397 |
363 |
$0.00 |
| 1111F |
|
228 |
226 |
$0.00 |
| 1035F |
|
275 |
267 |
$0.00 |
| 3044F |
|
43 |
43 |
$0.00 |
| 99384 |
|
15 |
15 |
$0.00 |
| 99383 |
|
68 |
55 |
$0.00 |
| 90688 |
|
25 |
25 |
$0.00 |
| 90674 |
|
25 |
25 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |
| 1159F |
|
5,396 |
5,206 |
$0.00 |
| 1160F |
|
3,666 |
3,511 |
$0.00 |
| 99382 |
|
32 |
13 |
$0.00 |
| 3015F |
|
551 |
505 |
$0.00 |
| 97803 |
|
976 |
835 |
$0.00 |
| 3045F |
|
13 |
13 |
$0.00 |
| 2028F |
|
234 |
220 |
$0.00 |
| 2022F |
|
190 |
172 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
30 |
30 |
$0.00 |
| 99408 |
|
60 |
60 |
$0.00 |
| 90655 |
|
25 |
25 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
13 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| 90685 |
|
52 |
52 |
$0.00 |
| 4004F |
|
19 |
19 |
$0.00 |
| 90658 |
|
25 |
25 |
$0.00 |