| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
52,414 |
8,730 |
$9.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,713 |
47,326 |
$4.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,239 |
12,757 |
$1.09M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,943 |
10,189 |
$838K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,647 |
1,225 |
$383K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,115 |
3,113 |
$233K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,608 |
2,607 |
$195K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,420 |
10,369 |
$192K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,332 |
2,331 |
$174K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,900 |
1,866 |
$142K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,861 |
1,846 |
$137K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,569 |
1,555 |
$116K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,531 |
1,509 |
$69K |
| 90697 |
|
454 |
454 |
$67K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,254 |
1,246 |
$62K |
| 96127 |
|
11,788 |
11,368 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,440 |
3,413 |
$33K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
172 |
54 |
$29K |
| 0012A |
|
923 |
922 |
$28K |
| 59430 |
|
128 |
120 |
$25K |
| 86703 |
|
1,642 |
1,640 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,262 |
2,250 |
$22K |
| 90686 |
|
1,201 |
1,200 |
$21K |
| 0011A |
|
894 |
893 |
$21K |
| 0001A |
|
484 |
484 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
228 |
227 |
$19K |
| 0064A |
|
428 |
428 |
$17K |
| 0002A |
|
420 |
420 |
$17K |
| 0071A |
|
374 |
372 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
57 |
57 |
$13K |
| 0072A |
|
319 |
318 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
932 |
916 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
112 |
112 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
446 |
440 |
$12K |
| 99385 |
|
140 |
140 |
$10K |
| 99215 |
Prolong outpt/office vis |
125 |
124 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
39 |
$9K |
| 96160 |
|
2,362 |
2,288 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
571 |
569 |
$7K |
| 90715 |
|
215 |
215 |
$7K |
| V2020 |
Frames, purchases |
255 |
255 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
23 |
19 |
$5K |
| 99401 |
|
23,716 |
22,536 |
$5K |
| 92552 |
|
8,217 |
8,203 |
$5K |
| 82962 |
|
1,571 |
1,520 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
445 |
445 |
$5K |
| 81025 |
|
2,487 |
2,431 |
$5K |
| 11721 |
|
111 |
111 |
$4K |
| 0054A |
|
98 |
98 |
$4K |
| 92002 |
|
51 |
51 |
$4K |
| 81003 |
|
1,884 |
1,538 |
$4K |
| 0031A |
|
102 |
102 |
$3K |
| 93000 |
|
204 |
204 |
$3K |
| 0052A |
|
72 |
72 |
$3K |
| 91322 |
|
25 |
25 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
44 |
44 |
$2K |
| 0004A |
|
60 |
60 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,404 |
1,396 |
$2K |
| 99381 |
|
27 |
27 |
$2K |
| 0134A |
|
49 |
49 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
244 |
128 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
201 |
200 |
$2K |
| 0051A |
|
42 |
42 |
$2K |
| 90480 |
|
43 |
43 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
43 |
40 |
$1K |
| 90656 |
|
73 |
73 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$997.37 |
| 97802 |
|
98 |
98 |
$951.30 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
321 |
318 |
$694.75 |
| 36415 |
Collection of venous blood by venipuncture |
221 |
221 |
$532.69 |
| 80061 |
Lipid panel |
77 |
77 |
$467.30 |
| 90746 |
|
25 |
25 |
$360.00 |
| 81005 |
|
154 |
140 |
$321.16 |
| 85018 |
|
99 |
97 |
$199.74 |
| 99173 |
|
10,536 |
10,528 |
$44.13 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
25 |
25 |
$0.44 |
| 36416 |
|
3,231 |
2,791 |
$0.21 |
| 3078F |
|
4,332 |
4,217 |
$0.00 |
| 92015 |
Determination of refractive state |
166 |
166 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
243 |
243 |
$0.00 |
| 99001 |
|
335 |
325 |
$0.00 |
| 3077F |
|
311 |
306 |
$0.00 |
| 2028F |
|
62 |
61 |
$0.00 |
| 3455F |
|
25 |
25 |
$0.00 |
| 3074F |
|
4,837 |
4,705 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
55 |
54 |
$0.00 |
| 99000 |
|
1,536 |
1,508 |
$0.00 |
| 1000F |
|
53 |
53 |
$0.00 |
| 3079F |
|
879 |
865 |
$0.00 |
| 3075F |
|
398 |
393 |
$0.00 |
| 3080F |
|
173 |
169 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |