| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,336 |
6,675 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,618 |
4,338 |
$172K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
801 |
786 |
$69K |
| 99215 |
Prolong outpt/office vis |
676 |
648 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
754 |
729 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
5,562 |
4,876 |
$27K |
| 99205 |
Prolong outpt/office vis |
215 |
210 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
555 |
527 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
466 |
462 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,872 |
2,800 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
487 |
485 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
398 |
325 |
$11K |
| 91320 |
|
144 |
143 |
$10K |
| 73630 |
|
1,578 |
1,314 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
337 |
307 |
$8K |
| 90677 |
|
289 |
285 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
133 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,136 |
1,108 |
$5K |
| 73610 |
|
695 |
619 |
$4K |
| 99490 |
Ccm add 20min |
109 |
109 |
$3K |
| 73562 |
|
567 |
449 |
$3K |
| 90651 |
|
58 |
57 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
43 |
$3K |
| 90480 |
|
288 |
285 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
56 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
64 |
47 |
$2K |
| 72100 |
|
260 |
228 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$2K |
| 73130 |
|
306 |
229 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
522 |
432 |
$1K |
| 90686 |
|
1,033 |
999 |
$1K |
| 20610 |
|
106 |
65 |
$1K |
| 90715 |
|
73 |
72 |
$1K |
| 73030 |
|
241 |
200 |
$1K |
| 73110 |
|
183 |
156 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
208 |
173 |
$1K |
| 90656 |
|
167 |
163 |
$978.95 |
| 0071A |
|
30 |
30 |
$960.00 |
| 92015 |
Determination of refractive state |
635 |
578 |
$918.20 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
896 |
845 |
$734.73 |
| 0072A |
|
16 |
16 |
$520.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
167 |
106 |
$391.39 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
61 |
51 |
$329.65 |
| 90474 |
|
145 |
145 |
$241.73 |
| 74018 |
|
46 |
41 |
$238.95 |
| 73140 |
|
42 |
38 |
$186.74 |
| 71101 |
|
15 |
13 |
$166.82 |
| 11721 |
|
12 |
12 |
$148.25 |
| 72040 |
|
28 |
25 |
$118.10 |
| 93793 |
|
100 |
60 |
$99.45 |
| 92133 |
|
23 |
12 |
$92.81 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
29 |
$75.46 |
| 90662 |
|
15 |
15 |
$59.52 |
| 96381 |
|
16 |
16 |
$57.96 |
| 73660 |
|
12 |
12 |
$46.89 |
| 99177 |
|
173 |
170 |
$10.18 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
78 |
66 |
$8.21 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
24 |
$5.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
24 |
24 |
$0.36 |
| 91321 |
|
14 |
14 |
$0.01 |
| 90670 |
|
170 |
168 |
$0.00 |
| 90633 |
|
25 |
24 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16 |
15 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 95251 |
|
12 |
12 |
$0.00 |
| 99024 |
|
198 |
168 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
68 |
50 |
$0.00 |
| 90723 |
|
265 |
263 |
$0.00 |
| 90647 |
|
244 |
240 |
$0.00 |
| 90680 |
|
189 |
188 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$0.00 |
| 91307 |
|
32 |
32 |
$0.00 |
| 91318 |
|
27 |
26 |
$0.00 |