| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,495 |
26,850 |
$786K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,447 |
11,957 |
$250K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,917 |
1,335 |
$210K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,754 |
2,315 |
$147K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,628 |
1,276 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,449 |
2,065 |
$89K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,969 |
1,139 |
$34K |
| 99233 |
Prolong inpt eval add15 m |
1,595 |
688 |
$28K |
| 94729 |
|
2,119 |
1,791 |
$26K |
| 94727 |
|
2,012 |
1,700 |
$20K |
| 99215 |
Prolong outpt/office vis |
563 |
468 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,118 |
555 |
$11K |
| 94010 |
|
1,566 |
1,390 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,099 |
3,424 |
$8K |
| 82962 |
|
6,473 |
5,351 |
$7K |
| 94060 |
|
448 |
350 |
$7K |
| 99292 |
|
104 |
48 |
$6K |
| 51798 |
|
1,727 |
1,247 |
$6K |
| 51701 |
|
324 |
220 |
$6K |
| 81001 |
|
5,871 |
4,245 |
$5K |
| 99443 |
|
410 |
346 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,107 |
611 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
107 |
67 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
4,962 |
4,069 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
457 |
412 |
$4K |
| 95251 |
|
323 |
268 |
$3K |
| 90686 |
|
323 |
251 |
$3K |
| 3078F |
|
13,023 |
10,005 |
$2K |
| 3074F |
|
12,355 |
9,658 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
29 |
24 |
$2K |
| 99406 |
|
707 |
549 |
$2K |
| 74018 |
|
154 |
110 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
31 |
24 |
$2K |
| 99442 |
|
139 |
108 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
42 |
$1K |
| 95811 |
|
13 |
12 |
$951.69 |
| 99223 |
Prolong inpt eval add15 m |
32 |
27 |
$734.98 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$566.04 |
| 1160F |
|
25,728 |
19,408 |
$550.80 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
51 |
44 |
$536.18 |
| 3008F |
|
27,069 |
20,563 |
$510.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
31 |
$459.90 |
| 3079F |
|
1,570 |
1,222 |
$406.82 |
| 90962 |
|
17 |
14 |
$393.11 |
| 3075F |
|
630 |
495 |
$381.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$342.96 |
| 94618 |
|
43 |
28 |
$260.69 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
82 |
50 |
$208.68 |
| 90961 |
|
14 |
13 |
$189.31 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
30 |
24 |
$179.10 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
75 |
68 |
$178.58 |
| 3077F |
|
454 |
312 |
$170.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
28 |
24 |
$167.21 |
| G0008 |
Administration of influenza virus vaccine |
352 |
320 |
$130.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
14 |
$78.15 |
| 81002 |
|
69 |
60 |
$71.92 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
17 |
12 |
$62.62 |
| 81005 |
|
78 |
64 |
$55.11 |
| 90662 |
|
64 |
59 |
$53.37 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$34.98 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
334 |
257 |
$24.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
24 |
$19.07 |
| 1159F |
|
21,311 |
16,187 |
$0.07 |
| 1036F |
|
17,025 |
12,612 |
$0.06 |
| 1034F |
|
2,424 |
1,752 |
$0.01 |
| 1126F |
|
685 |
534 |
$0.00 |
| 1125F |
|
460 |
363 |
$0.00 |
| 3080F |
|
81 |
52 |
$0.00 |
| 1035F |
|
84 |
65 |
$0.00 |