| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,258 |
51,575 |
$3.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,808 |
59,004 |
$2.76M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,487 |
4,370 |
$419K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,193 |
10,020 |
$366K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,365 |
4,294 |
$332K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,325 |
4,243 |
$311K |
| 95886 |
|
2,211 |
2,065 |
$304K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,875 |
2,864 |
$226K |
| 95913 |
|
938 |
911 |
$225K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,532 |
5,343 |
$201K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,620 |
2,540 |
$159K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,138 |
1,120 |
$155K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,340 |
6,783 |
$107K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,149 |
1,125 |
$100K |
| 95912 |
|
498 |
471 |
$100K |
| 20610 |
|
2,305 |
1,910 |
$99K |
| 99215 |
Prolong outpt/office vis |
1,176 |
1,129 |
$98K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
711 |
265 |
$94K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,831 |
1,651 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
431 |
431 |
$39K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,064 |
709 |
$36K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
240 |
240 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,321 |
2,272 |
$31K |
| 99493 |
|
208 |
208 |
$26K |
| 99205 |
Prolong outpt/office vis |
225 |
218 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,254 |
1,245 |
$20K |
| 59025 |
Fetal non-stress test |
609 |
509 |
$19K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
128 |
125 |
$18K |
| 92583 |
|
399 |
393 |
$18K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
447 |
434 |
$16K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
12 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
253 |
253 |
$14K |
| 99255 |
|
77 |
76 |
$14K |
| 99442 |
|
323 |
314 |
$14K |
| 99383 |
|
142 |
140 |
$14K |
| 81025 |
|
1,457 |
1,438 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
124 |
117 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
652 |
534 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
667 |
541 |
$11K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
53 |
53 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
230 |
221 |
$10K |
| 99443 |
|
285 |
266 |
$9K |
| 99221 |
|
128 |
126 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
502 |
469 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,095 |
1,035 |
$7K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
133 |
106 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
268 |
110 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
97 |
95 |
$6K |
| 93970 |
|
133 |
132 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
96 |
68 |
$6K |
| 99460 |
|
71 |
70 |
$5K |
| 93018 |
|
686 |
668 |
$5K |
| 93000 |
|
443 |
428 |
$5K |
| 00731 |
|
44 |
42 |
$4K |
| 99307 |
|
538 |
412 |
$4K |
| 95251 |
|
151 |
150 |
$4K |
| 83655 |
|
278 |
278 |
$3K |
| 99254 |
|
26 |
25 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
618 |
585 |
$3K |
| 90715 |
|
97 |
97 |
$3K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
12 |
12 |
$3K |
| 96127 |
|
857 |
815 |
$3K |
| 95911 |
|
15 |
15 |
$3K |
| 81003 |
|
1,877 |
1,670 |
$3K |
| 76813 |
|
55 |
55 |
$3K |
| 99462 |
|
86 |
58 |
$3K |
| 99218 |
|
65 |
60 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
37 |
37 |
$2K |
| 99382 |
|
24 |
24 |
$2K |
| 93971 |
|
55 |
44 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
201 |
138 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
15 |
13 |
$2K |
| 00811 |
|
14 |
14 |
$2K |
| 99381 |
|
27 |
26 |
$2K |
| 99245 |
|
13 |
12 |
$2K |
| 95910 |
|
16 |
16 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
250 |
244 |
$2K |
| 85018 |
|
711 |
700 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
24 |
24 |
$2K |
| 99494 |
|
26 |
26 |
$2K |
| 90686 |
|
551 |
521 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
22 |
13 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
19 |
19 |
$1K |
| 81002 |
|
462 |
414 |
$1K |
| 98940 |
|
49 |
37 |
$929.00 |
| 90474 |
|
51 |
51 |
$742.09 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
104 |
92 |
$740.38 |
| 95812 |
|
17 |
16 |
$733.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
33 |
$654.80 |
| 96160 |
|
227 |
227 |
$608.94 |
| 11721 |
|
29 |
27 |
$519.56 |
| 99177 |
|
42 |
42 |
$488.59 |
| 91040 |
|
14 |
14 |
$486.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
44 |
$482.18 |
| 99201 |
|
18 |
18 |
$453.64 |
| 90670 |
|
70 |
65 |
$368.29 |
| 99173 |
|
134 |
134 |
$256.71 |
| 97597 |
|
21 |
12 |
$236.75 |
| 80305 |
|
13 |
13 |
$161.56 |
| 94762 |
|
13 |
12 |
$159.86 |
| 90723 |
|
27 |
26 |
$122.28 |
| 51798 |
|
14 |
14 |
$66.63 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$60.30 |
| 90677 |
|
52 |
48 |
$0.19 |
| 90656 |
|
91 |
88 |
$0.04 |
| 90671 |
|
27 |
24 |
$0.04 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |