| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,484 |
41,919 |
$2.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,137 |
30,709 |
$1.96M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,132 |
8,564 |
$847K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,706 |
6,673 |
$681K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,043 |
3,970 |
$340K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,086 |
3,974 |
$264K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,638 |
1,263 |
$108K |
| 90686 |
|
5,535 |
5,494 |
$95K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,140 |
1,394 |
$91K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
94 |
75 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
821 |
818 |
$82K |
| 90670 |
|
4,167 |
4,137 |
$64K |
| 90680 |
|
3,522 |
3,495 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
726 |
698 |
$32K |
| 90671 |
|
1,772 |
1,756 |
$30K |
| 90697 |
|
1,533 |
1,517 |
$27K |
| 99243 |
|
339 |
336 |
$27K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
202 |
194 |
$24K |
| 92551 |
|
2,883 |
2,866 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
997 |
971 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
794 |
784 |
$22K |
| 95117 |
|
3,089 |
1,347 |
$22K |
| 90723 |
|
1,555 |
1,545 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
415 |
406 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,366 |
1,345 |
$19K |
| 90647 |
|
1,164 |
1,149 |
$16K |
| 93970 |
|
170 |
163 |
$16K |
| 90633 |
|
860 |
856 |
$14K |
| 92567 |
|
1,446 |
1,422 |
$13K |
| 92557 |
|
621 |
612 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
204 |
201 |
$12K |
| 31575 |
|
209 |
197 |
$12K |
| 90648 |
|
854 |
851 |
$12K |
| 69210 |
|
620 |
610 |
$11K |
| 92015 |
Determination of refractive state |
1,066 |
991 |
$9K |
| 59025 |
Fetal non-stress test |
200 |
105 |
$9K |
| 95115 |
|
1,200 |
578 |
$7K |
| 95885 |
|
156 |
138 |
$7K |
| 90698 |
|
548 |
544 |
$6K |
| 64615 |
|
75 |
74 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
108 |
100 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
128 |
57 |
$5K |
| 90480 |
|
138 |
136 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
303 |
298 |
$5K |
| 93971 |
|
64 |
54 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
139 |
133 |
$5K |
| 99215 |
Prolong outpt/office vis |
59 |
58 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,651 |
1,526 |
$4K |
| 64483 |
|
56 |
55 |
$4K |
| 99173 |
|
1,822 |
1,810 |
$3K |
| 90685 |
|
221 |
220 |
$3K |
| 90744 |
|
228 |
226 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
81 |
$3K |
| 31231 |
|
26 |
24 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
524 |
501 |
$2K |
| 90473 |
|
106 |
99 |
$2K |
| 90688 |
|
149 |
143 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
176 |
170 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
73 |
40 |
$2K |
| 95910 |
|
12 |
12 |
$1K |
| 94375 |
|
66 |
66 |
$1K |
| 0081A |
|
31 |
31 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
153 |
151 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 73630 |
|
82 |
65 |
$1K |
| 36416 |
|
196 |
192 |
$1K |
| 73610 |
|
76 |
63 |
$1K |
| 90656 |
|
379 |
378 |
$1K |
| 95012 |
|
105 |
103 |
$1K |
| 81003 |
|
632 |
584 |
$1K |
| 95816 |
|
25 |
25 |
$840.97 |
| 90682 |
|
12 |
12 |
$832.41 |
| 95908 |
|
16 |
15 |
$814.25 |
| 95251 |
|
48 |
47 |
$698.11 |
| 0082A |
|
14 |
12 |
$620.00 |
| 90710 |
|
41 |
41 |
$595.97 |
| 0071A |
|
13 |
13 |
$581.20 |
| 0072A |
|
13 |
13 |
$581.20 |
| 96161 |
|
219 |
207 |
$564.03 |
| 64493 |
|
14 |
12 |
$549.46 |
| 73130 |
|
42 |
38 |
$543.56 |
| 51798 |
|
102 |
98 |
$445.59 |
| 90700 |
|
29 |
29 |
$436.30 |
| 92083 |
|
14 |
14 |
$421.94 |
| 90696 |
|
16 |
16 |
$327.22 |
| 91321 |
|
90 |
90 |
$324.94 |
| 73110 |
|
19 |
16 |
$318.88 |
| 64494 |
|
14 |
12 |
$312.51 |
| 90707 |
|
12 |
12 |
$261.06 |
| 90716 |
|
12 |
12 |
$261.06 |
| 96380 |
|
17 |
15 |
$209.62 |
| 73030 |
|
16 |
16 |
$171.08 |
| 86885 |
|
13 |
13 |
$74.92 |
| 82950 |
|
12 |
12 |
$72.32 |
| 96127 |
|
12 |
12 |
$45.29 |
| 85014 |
|
12 |
12 |
$36.04 |