| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,434 |
29,603 |
$1.83M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,380 |
15,996 |
$810K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,571 |
10,882 |
$715K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
85,907 |
85,877 |
$515K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,140 |
5,630 |
$469K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,863 |
2,794 |
$241K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
22,073 |
18,394 |
$131K |
| 90837 |
Psychotherapy, 53 minutes with patient |
964 |
459 |
$78K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
590 |
505 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
640 |
635 |
$53K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
536 |
523 |
$32K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
275 |
275 |
$29K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
300 |
296 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
230 |
214 |
$16K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
102 |
92 |
$15K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
509 |
481 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
150 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
487 |
487 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
226 |
219 |
$8K |
| 99215 |
Prolong outpt/office vis |
72 |
71 |
$7K |
| 90962 |
|
135 |
129 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
97 |
37 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
436 |
435 |
$5K |
| 96127 |
|
880 |
863 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
48 |
41 |
$4K |
| 90686 |
|
4,963 |
4,892 |
$4K |
| 0001A |
|
240 |
240 |
$3K |
| 99460 |
|
52 |
52 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
97 |
$3K |
| 0072A |
|
64 |
62 |
$2K |
| 93000 |
|
170 |
167 |
$2K |
| 0002A |
|
179 |
179 |
$2K |
| 0071A |
|
48 |
48 |
$2K |
| 90961 |
|
24 |
24 |
$2K |
| 90670 |
|
2,102 |
2,019 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
96 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
59 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28 |
12 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
62 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$996.63 |
| 11721 |
|
78 |
77 |
$772.79 |
| 96380 |
|
45 |
45 |
$660.00 |
| 90677 |
|
318 |
316 |
$577.32 |
| 90656 |
|
466 |
465 |
$373.22 |
| 90723 |
|
1,225 |
1,193 |
$347.46 |
| 83655 |
|
26 |
26 |
$337.25 |
| 95251 |
|
12 |
12 |
$278.82 |
| 90785 |
|
28 |
26 |
$261.56 |
| 99442 |
|
15 |
15 |
$238.52 |
| 93296 |
|
12 |
12 |
$213.34 |
| 99335 |
|
13 |
13 |
$154.83 |
| 90647 |
|
572 |
523 |
$123.84 |
| 0004A |
|
14 |
14 |
$120.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
25 |
$102.41 |
| 85018 |
|
54 |
54 |
$98.40 |
| 90680 |
|
557 |
555 |
$79.25 |
| 36416 |
|
12 |
12 |
$44.16 |
| 90633 |
|
104 |
99 |
$40.80 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$10.32 |
| 99173 |
|
68 |
44 |
$4.38 |
| 91307 |
|
160 |
147 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
30 |
$0.00 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
23 |
13 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90461 |
|
8,061 |
7,768 |
$0.00 |
| 91300 |
|
238 |
208 |
$0.00 |
| 90681 |
|
43 |
43 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |