| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,846 |
18,616 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,649 |
8,575 |
$82K |
| J7320 |
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
1,793 |
443 |
$62K |
| 97814 |
|
3,096 |
1,302 |
$56K |
| 27369 |
|
1,764 |
415 |
$52K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
811 |
807 |
$51K |
| 97813 |
|
3,057 |
1,272 |
$28K |
| 27370 |
|
683 |
171 |
$18K |
| 90756 |
|
584 |
577 |
$14K |
| 99458 |
|
1,129 |
1,123 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
4,116 |
3,963 |
$13K |
| 77002 |
|
2,730 |
589 |
$13K |
| 20610 |
|
2,598 |
673 |
$12K |
| 99454 |
|
1,141 |
1,135 |
$12K |
| 73580 |
|
2,498 |
601 |
$10K |
| 90658 |
|
660 |
648 |
$10K |
| 99457 |
|
1,143 |
1,137 |
$9K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
831 |
216 |
$8K |
| 93976 |
|
592 |
545 |
$7K |
| 95943 |
|
136 |
135 |
$7K |
| 95923 |
|
135 |
133 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
796 |
785 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
192 |
173 |
$6K |
| 99000 |
|
4,474 |
4,277 |
$5K |
| 93880 |
|
464 |
461 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,478 |
1,437 |
$5K |
| 93925 |
|
719 |
712 |
$4K |
| 76775 |
|
422 |
410 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,066 |
1,223 |
$2K |
| 76770 |
|
353 |
349 |
$1K |
| 93000 |
|
139 |
135 |
$1K |
| 17110 |
|
31 |
28 |
$1K |
| 93923 |
|
59 |
58 |
$995.73 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,064 |
1,223 |
$874.69 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,228 |
1,313 |
$755.49 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,469 |
651 |
$580.58 |
| 93922 |
|
152 |
150 |
$570.51 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
56 |
56 |
$494.25 |
| 73564 |
|
278 |
268 |
$491.15 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
210 |
209 |
$452.22 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
56 |
56 |
$407.76 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
50 |
49 |
$357.70 |
| 51798 |
|
52 |
52 |
$240.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
171 |
107 |
$69.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$63.86 |
| 99453 |
|
31 |
31 |
$49.18 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,479 |
583 |
$47.11 |
| 90661 |
|
46 |
46 |
$36.11 |
| G0008 |
Administration of influenza virus vaccine |
107 |
105 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
19 |
$0.00 |
| 97799 |
|
2,411 |
992 |
$0.00 |