| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,634 |
2,098 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
505 |
463 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
1,746 |
1,642 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
28 |
26 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,602 |
9,078 |
$708.12 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$677.46 |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
43 |
$547.24 |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,041 |
5,423 |
$274.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,729 |
10,759 |
$139.54 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$132.00 |
| 73630 |
|
210 |
181 |
$131.95 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,115 |
1,924 |
$120.86 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,294 |
3,077 |
$115.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,654 |
3,399 |
$92.73 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,532 |
1,466 |
$42.59 |
| 73110 |
|
319 |
241 |
$21.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,023 |
953 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,391 |
1,812 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
698 |
581 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
945 |
874 |
$0.00 |
| 92015 |
Determination of refractive state |
4,825 |
4,453 |
$0.00 |
| 90785 |
|
3,927 |
2,737 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,347 |
4,389 |
$0.00 |
| 99490 |
Ccm add 20min |
584 |
318 |
$0.00 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
98 |
82 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
313 |
266 |
$0.00 |
| 96101 |
|
19 |
13 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
261 |
255 |
$0.00 |
| 99307 |
|
474 |
289 |
$0.00 |
| 73130 |
|
63 |
48 |
$0.00 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
56 |
36 |
$0.00 |
| 96130 |
|
135 |
119 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
35 |
26 |
$0.00 |
| 99442 |
|
13 |
12 |
$0.00 |
| 73030 |
|
43 |
39 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
82 |
37 |
$0.00 |
| 73562 |
|
15 |
12 |
$0.00 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
14 |
12 |
$0.00 |
| 73610 |
|
40 |
36 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
765 |
661 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
4,498 |
4,102 |
$0.00 |
| 20610 |
|
608 |
564 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
238 |
115 |
$0.00 |
| 90686 |
|
118 |
106 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
129 |
125 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
102 |
91 |
$0.00 |
| 99441 |
|
71 |
64 |
$0.00 |
| 96127 |
|
16 |
16 |
$0.00 |
| A6454 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard |
20 |
14 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
56 |
53 |
$0.00 |
| 73564 |
|
129 |
68 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |