| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65,035 |
54,009 |
$1.52M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,561 |
38,471 |
$1.44M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,767 |
5,063 |
$304K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,446 |
4,191 |
$249K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,084 |
939 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,137 |
2,020 |
$119K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,689 |
880 |
$106K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
655 |
553 |
$80K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,704 |
580 |
$67K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,470 |
2,229 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,069 |
965 |
$54K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
679 |
624 |
$50K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,683 |
1,526 |
$49K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,902 |
827 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,396 |
1,934 |
$44K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,357 |
1,178 |
$38K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,052 |
890 |
$35K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
150 |
108 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
931 |
815 |
$33K |
| 99223 |
Prolong inpt eval add15 m |
892 |
727 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
502 |
467 |
$28K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,412 |
4,478 |
$26K |
| 90648 |
|
3,991 |
3,516 |
$21K |
| 76881 |
|
434 |
230 |
$17K |
| 90723 |
|
3,088 |
2,711 |
$16K |
| 90670 |
|
3,835 |
3,455 |
$15K |
| 99173 |
|
778 |
741 |
$14K |
| 99215 |
Prolong outpt/office vis |
320 |
275 |
$13K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
248 |
202 |
$12K |
| 90686 |
|
2,314 |
2,135 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
365 |
317 |
$11K |
| 59025 |
Fetal non-stress test |
365 |
252 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
594 |
503 |
$11K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
90 |
63 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
578 |
270 |
$10K |
| 90633 |
|
2,125 |
1,979 |
$10K |
| 92015 |
Determination of refractive state |
1,753 |
1,459 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
360 |
303 |
$9K |
| 90677 |
|
670 |
526 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
431 |
371 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
198 |
97 |
$7K |
| 99350 |
Prolong home eval add 15m |
146 |
115 |
$7K |
| 73630 |
|
649 |
432 |
$6K |
| 95115 |
|
1,736 |
982 |
$6K |
| 90681 |
|
1,151 |
987 |
$5K |
| 92134 |
|
451 |
366 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
106 |
89 |
$5K |
| 99460 |
|
41 |
38 |
$4K |
| 11720 |
|
734 |
667 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,237 |
1,123 |
$4K |
| 90688 |
|
460 |
433 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
342 |
276 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
332 |
279 |
$2K |
| 20610 |
|
70 |
49 |
$2K |
| 17000 |
|
214 |
184 |
$2K |
| 99205 |
Prolong outpt/office vis |
35 |
28 |
$2K |
| 59426 |
|
25 |
15 |
$2K |
| 93971 |
|
121 |
105 |
$2K |
| 99384 |
|
25 |
25 |
$2K |
| 90649 |
|
331 |
320 |
$1K |
| 31575 |
|
22 |
16 |
$1K |
| 90710 |
|
309 |
284 |
$1K |
| 90698 |
|
447 |
416 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$1K |
| 11721 |
|
123 |
112 |
$1K |
| 3008F |
|
176 |
171 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
33 |
27 |
$1K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
15 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
40 |
$960.28 |
| 99385 |
|
17 |
15 |
$936.05 |
| 93018 |
|
104 |
92 |
$927.66 |
| 99442 |
|
57 |
48 |
$923.55 |
| 69210 |
|
179 |
137 |
$912.72 |
| 99243 |
|
19 |
18 |
$897.56 |
| 93458 |
|
13 |
12 |
$885.70 |
| 93016 |
|
61 |
57 |
$805.75 |
| 99383 |
|
17 |
14 |
$753.11 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
94 |
50 |
$737.27 |
| 99349 |
|
44 |
36 |
$707.19 |
| 94060 |
|
100 |
85 |
$698.51 |
| 20611 |
|
19 |
12 |
$678.66 |
| 90685 |
|
242 |
217 |
$673.94 |
| 95251 |
|
54 |
51 |
$669.80 |
| 90734 |
|
98 |
96 |
$654.76 |
| 90733 |
|
27 |
27 |
$627.18 |
| 31231 |
|
13 |
12 |
$600.55 |
| 90696 |
|
153 |
140 |
$577.21 |
| 82948 |
|
540 |
497 |
$561.95 |
| 17110 |
|
118 |
92 |
$542.81 |
| 90715 |
|
63 |
62 |
$540.23 |
| 99219 |
|
16 |
13 |
$531.66 |
| 90687 |
|
199 |
181 |
$523.59 |
| 91321 |
|
26 |
18 |
$479.20 |
| 0111A |
|
12 |
12 |
$459.83 |
| 90744 |
|
130 |
124 |
$438.43 |
| 96127 |
|
126 |
119 |
$435.12 |
| 73564 |
|
38 |
28 |
$415.55 |
| 90656 |
|
138 |
128 |
$404.09 |
| 94726 |
|
67 |
53 |
$397.68 |
| 95819 |
|
12 |
12 |
$383.56 |
| 90707 |
|
109 |
103 |
$379.05 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
12 |
$373.26 |
| 90716 |
|
113 |
106 |
$356.81 |
| 99152 |
|
15 |
13 |
$323.82 |
| 92504 |
|
17 |
17 |
$322.56 |
| 94729 |
|
66 |
52 |
$280.31 |
| 99443 |
|
14 |
12 |
$221.41 |
| 90700 |
|
67 |
66 |
$216.09 |
| 92567 |
|
13 |
12 |
$194.13 |
| 93308 |
|
14 |
14 |
$186.98 |
| 92083 |
|
12 |
12 |
$160.42 |
| 73030 |
|
17 |
12 |
$136.57 |
| 73562 |
|
21 |
17 |
$101.53 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
24 |
$93.94 |
| 99441 |
|
19 |
13 |
$87.12 |
| 93793 |
|
23 |
15 |
$77.17 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
24 |
18 |
$58.80 |
| 93321 |
|
13 |
13 |
$43.67 |
| 87210 |
|
28 |
24 |
$34.06 |
| J7050 |
Infusion, normal saline solution, 250 cc |
56 |
39 |
$33.64 |
| 93325 |
|
15 |
15 |
$24.11 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
22 |
20 |
$9.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
65 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
26 |
$0.00 |