| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,375 |
13,645 |
$1.17M |
| 99215 |
Prolong outpt/office vis |
8,540 |
8,414 |
$1.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,145 |
13,797 |
$686K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,209 |
13,194 |
$495K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,502 |
2,502 |
$315K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,862 |
2,862 |
$209K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,014 |
2,980 |
$208K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,154 |
2,154 |
$149K |
| 99205 |
Prolong outpt/office vis |
589 |
589 |
$97K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,392 |
1,384 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
726 |
726 |
$58K |
| 99223 |
Prolong inpt eval add15 m |
360 |
354 |
$40K |
| 96112 |
|
417 |
417 |
$39K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
336 |
90 |
$39K |
| 99233 |
Prolong inpt eval add15 m |
541 |
262 |
$35K |
| 99460 |
|
500 |
498 |
$34K |
| 94010 |
|
1,445 |
1,418 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
509 |
345 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
403 |
403 |
$30K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,209 |
3,483 |
$28K |
| 90461 |
|
3,720 |
3,718 |
$25K |
| 92551 |
|
3,044 |
3,044 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,848 |
3,834 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,545 |
2,544 |
$20K |
| 95251 |
|
749 |
749 |
$19K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
137 |
137 |
$14K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
263 |
64 |
$14K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
79 |
42 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
219 |
217 |
$11K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
45 |
14 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
231 |
177 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
407 |
405 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
965 |
964 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
126 |
$4K |
| 96111 |
|
25 |
25 |
$4K |
| 96127 |
|
1,040 |
1,004 |
$4K |
| 83655 |
|
316 |
316 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
38 |
38 |
$3K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
64 |
26 |
$3K |
| 99442 |
|
138 |
138 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
30 |
25 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
45 |
32 |
$2K |
| 99443 |
|
74 |
74 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
24 |
12 |
$2K |
| 85018 |
|
946 |
946 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$1K |
| 0071A |
|
26 |
26 |
$1K |
| 0072A |
|
25 |
25 |
$1K |
| 99477 |
|
12 |
12 |
$1K |
| 90686 |
|
4,937 |
4,933 |
$945.92 |
| 90480 |
|
27 |
26 |
$860.53 |
| 90832 |
Psychotherapy, 30 minutes with patient |
18 |
12 |
$855.45 |
| 96161 |
|
460 |
456 |
$582.43 |
| 96160 |
|
641 |
638 |
$426.85 |
| 99441 |
|
37 |
37 |
$379.37 |
| 99188 |
|
39 |
39 |
$375.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$325.56 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
19 |
17 |
$199.10 |
| 80061 |
Lipid panel |
13 |
13 |
$127.14 |
| 99173 |
|
5,730 |
5,717 |
$97.68 |
| 90656 |
|
180 |
180 |
$44.70 |
| 81002 |
|
12 |
12 |
$29.28 |
| 36416 |
|
1,584 |
1,569 |
$8.10 |
| 94760 |
|
33 |
33 |
$2.74 |
| 90677 |
|
87 |
87 |
$0.06 |
| 90670 |
|
1,438 |
1,433 |
$0.00 |
| 90633 |
|
265 |
264 |
$0.00 |
| 1159F |
|
533 |
528 |
$0.00 |
| 3016F |
|
70 |
70 |
$0.00 |
| 3078F |
|
288 |
288 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90734 |
|
83 |
83 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
47 |
33 |
$0.00 |
| 3074F |
|
289 |
289 |
$0.00 |
| 90723 |
|
720 |
717 |
$0.00 |
| 90647 |
|
537 |
535 |
$0.00 |
| 90680 |
|
435 |
433 |
$0.00 |
| 4290F |
|
71 |
71 |
$0.00 |
| 92567 |
|
14 |
14 |
$0.00 |
| 3008F |
|
379 |
379 |
$0.00 |
| 99024 |
|
14 |
12 |
$0.00 |
| 1036F |
|
243 |
243 |
$0.00 |
| 99174 |
|
84 |
84 |
$0.00 |
| 2000F |
|
290 |
290 |
$0.00 |
| 90651 |
|
105 |
105 |
$0.00 |