| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,641 |
19,031 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,570 |
8,913 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,116 |
2,108 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,623 |
1,617 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,025 |
1,016 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,937 |
2,633 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,606 |
3,033 |
$7K |
| 99406 |
|
14,131 |
11,459 |
$7K |
| 92551 |
|
3,998 |
3,997 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,011 |
1,009 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,055 |
1,055 |
$4K |
| 92552 |
|
1,211 |
1,205 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
91 |
82 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
324 |
324 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
212 |
211 |
$2K |
| 93000 |
|
188 |
187 |
$2K |
| 85018 |
|
5,747 |
5,702 |
$2K |
| 97802 |
|
4,135 |
4,006 |
$1K |
| 96156 |
|
2,020 |
2,016 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,304 |
4,163 |
$1K |
| 99201 |
|
24 |
24 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,995 |
1,945 |
$1K |
| 90651 |
|
515 |
512 |
$1K |
| 99215 |
Prolong outpt/office vis |
321 |
302 |
$1K |
| 99173 |
|
5,220 |
5,214 |
$1K |
| 81000 |
|
3,824 |
3,805 |
$901.91 |
| 99401 |
|
2,472 |
2,472 |
$890.71 |
| 3008F |
|
6,386 |
6,378 |
$834.12 |
| 72100 |
|
90 |
89 |
$813.34 |
| 99386 |
|
100 |
100 |
$650.58 |
| 90734 |
|
414 |
413 |
$617.85 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
178 |
173 |
$596.82 |
| 90686 |
|
368 |
368 |
$584.61 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
42 |
$509.04 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
70 |
$460.39 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
136 |
$448.51 |
| 96151 |
|
228 |
228 |
$387.00 |
| 81002 |
|
2,190 |
2,139 |
$322.88 |
| 90621 |
|
205 |
204 |
$274.50 |
| 90715 |
|
131 |
131 |
$216.00 |
| 99384 |
|
15 |
15 |
$207.57 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
39 |
25 |
$185.02 |
| 86580 |
|
41 |
41 |
$145.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
932 |
914 |
$104.44 |
| 3074F |
|
2,449 |
2,421 |
$100.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$100.00 |
| 4050F |
|
1,605 |
1,501 |
$75.00 |
| 99385 |
|
29 |
29 |
$68.40 |
| 73562 |
|
12 |
12 |
$66.63 |
| 83026 |
|
66 |
66 |
$59.40 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$47.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,310 |
2,310 |
$40.62 |
| 99442 |
|
668 |
628 |
$40.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
500 |
491 |
$39.57 |
| 90700 |
|
29 |
29 |
$36.00 |
| 3044F |
|
1,841 |
1,795 |
$30.01 |
| 88141 |
|
221 |
214 |
$30.00 |
| 1111F |
|
359 |
352 |
$30.00 |
| 81003 |
|
53 |
52 |
$20.64 |
| 3079F |
|
530 |
518 |
$20.01 |
| 3078F |
|
2,964 |
2,895 |
$20.00 |
| 90648 |
|
25 |
25 |
$18.00 |
| 96160 |
|
3,634 |
3,632 |
$15.00 |
| 99443 |
|
171 |
163 |
$12.50 |
| 82270 |
|
484 |
483 |
$2.92 |
| 3075F |
|
246 |
241 |
$0.01 |
| 3017F |
|
491 |
478 |
$0.00 |
| 3048F |
|
1,088 |
1,069 |
$0.00 |
| 1125F |
|
1,720 |
1,602 |
$0.00 |
| 1036F |
|
1,050 |
1,050 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,458 |
1,376 |
$0.00 |
| 3061F |
|
16 |
13 |
$0.00 |
| 99407 |
|
15 |
12 |
$0.00 |
| 3049F |
|
740 |
724 |
$0.00 |
| 99496 |
|
83 |
82 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
30 |
30 |
$0.00 |
| 3014F |
|
146 |
145 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 96127 |
|
74 |
74 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
16 |
16 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 0521F |
|
1,731 |
1,613 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
731 |
700 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
71 |
68 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
294 |
294 |
$0.00 |
| 1159F |
|
4,350 |
4,141 |
$0.00 |
| 3077F |
|
585 |
555 |
$0.00 |
| 1160F |
|
4,357 |
4,148 |
$0.00 |
| 3050F |
|
496 |
477 |
$0.00 |
| 97803 |
|
39 |
37 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,979 |
1,978 |
$0.00 |
| 3015F |
|
262 |
255 |
$0.00 |
| 1158F |
|
35 |
35 |
$0.00 |
| 82274 |
|
34 |
34 |
$0.00 |
| 4035F |
|
83 |
83 |
$0.00 |
| 1003F |
|
94 |
94 |
$0.00 |
| 3046F |
|
62 |
57 |
$0.00 |