| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,538 |
26,387 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,839 |
27,464 |
$863K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24,640 |
20,468 |
$152K |
| 99215 |
Prolong outpt/office vis |
1,614 |
1,567 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,855 |
1,696 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,657 |
1,644 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,324 |
1,599 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,150 |
2,061 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
885 |
834 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
612 |
565 |
$20K |
| V2020 |
Frames, purchases |
1,878 |
1,784 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
554 |
538 |
$17K |
| 95813 |
|
619 |
602 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
304 |
223 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,243 |
1,190 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,164 |
1,975 |
$14K |
| 92015 |
Determination of refractive state |
1,144 |
1,064 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
325 |
321 |
$13K |
| 95957 |
|
474 |
461 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
848 |
435 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
176 |
172 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
258 |
249 |
$8K |
| 95886 |
|
293 |
264 |
$7K |
| 92341 |
|
339 |
326 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
223 |
203 |
$7K |
| 11721 |
|
784 |
750 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
342 |
176 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,271 |
1,226 |
$5K |
| 99205 |
Prolong outpt/office vis |
58 |
57 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
152 |
129 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
363 |
349 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
381 |
372 |
$4K |
| 90686 |
|
514 |
496 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
69 |
63 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
136 |
126 |
$2K |
| 95912 |
|
24 |
24 |
$2K |
| 90648 |
|
657 |
639 |
$2K |
| 92250 |
|
226 |
209 |
$2K |
| 99245 |
|
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
113 |
$2K |
| 90670 |
|
568 |
550 |
$2K |
| 99307 |
|
394 |
367 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$1K |
| 92558 |
|
99 |
98 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
97 |
$1K |
| 95911 |
|
27 |
25 |
$1K |
| 90723 |
|
330 |
320 |
$861.50 |
| 93886 |
|
33 |
33 |
$739.64 |
| 64483 |
|
28 |
26 |
$687.24 |
| 11720 |
|
314 |
304 |
$661.73 |
| 93892 |
|
30 |
30 |
$617.32 |
| 93000 |
|
58 |
55 |
$568.92 |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
12 |
$511.38 |
| 64493 |
|
13 |
12 |
$498.48 |
| 59899 |
|
36 |
13 |
$482.50 |
| 90680 |
|
191 |
187 |
$470.00 |
| 90633 |
|
131 |
126 |
$419.58 |
| 87807 |
|
31 |
30 |
$398.26 |
| 90715 |
|
12 |
12 |
$349.88 |
| 64495 |
|
13 |
12 |
$297.84 |
| 31231 |
|
12 |
12 |
$294.01 |
| 64494 |
|
13 |
12 |
$287.76 |
| 90685 |
|
66 |
65 |
$265.75 |
| 95251 |
|
19 |
19 |
$241.08 |
| 97597 |
|
48 |
24 |
$218.80 |
| 90710 |
|
59 |
57 |
$180.00 |
| 11056 |
|
15 |
15 |
$132.23 |
| 96160 |
|
50 |
50 |
$113.55 |
| 94060 |
|
12 |
12 |
$85.03 |
| 99173 |
|
40 |
40 |
$66.82 |
| 90461 |
|
228 |
57 |
$42.00 |
| 94729 |
|
12 |
12 |
$28.49 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
44,206 |
40,152 |
$0.01 |
| 3078F |
|
198 |
155 |
$0.01 |
| 3074F |
|
152 |
129 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
23,787 |
21,676 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
25,972 |
23,847 |
$0.00 |
| 4004F |
|
6,810 |
6,384 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
3,568 |
3,244 |
$0.00 |
| 3046F |
|
178 |
161 |
$0.00 |
| 2022F |
|
514 |
485 |
$0.00 |
| 1090F |
|
26 |
25 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
37 |
37 |
$0.00 |
| 4040F |
|
91 |
87 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 1036F |
|
21,669 |
19,532 |
$0.00 |
| 3017F |
|
6,731 |
6,321 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,017 |
950 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
454 |
348 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
266 |
257 |
$0.00 |
| 1123F |
|
91 |
87 |
$0.00 |
| 3014F |
|
14 |
14 |
$0.00 |