| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,529 |
5,789 |
$489K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,967 |
4,790 |
$304K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,099 |
1,006 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
742 |
733 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
680 |
644 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,667 |
2,512 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
378 |
362 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,864 |
1,843 |
$31K |
| 90461 |
|
1,227 |
1,211 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
201 |
199 |
$18K |
| 99460 |
|
207 |
182 |
$16K |
| 99215 |
Prolong outpt/office vis |
145 |
131 |
$16K |
| 95886 |
|
181 |
176 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
711 |
678 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
147 |
135 |
$9K |
| 81002 |
|
3,358 |
2,459 |
$9K |
| 73560 |
|
422 |
320 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
800 |
791 |
$7K |
| 95911 |
|
73 |
71 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
67 |
$6K |
| 99243 |
|
54 |
49 |
$5K |
| 73565 |
|
265 |
247 |
$4K |
| 96127 |
|
540 |
527 |
$4K |
| 99462 |
|
154 |
117 |
$4K |
| 76801 |
|
30 |
26 |
$3K |
| 20610 |
|
98 |
73 |
$3K |
| 87807 |
|
204 |
197 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
69 |
15 |
$2K |
| 52000 |
|
27 |
27 |
$2K |
| 59025 |
Fetal non-stress test |
97 |
84 |
$2K |
| 73030 |
|
119 |
102 |
$2K |
| 95816 |
|
54 |
54 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$2K |
| 51798 |
|
210 |
194 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
32 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$1K |
| 54150 |
|
12 |
12 |
$1K |
| 81025 |
|
105 |
98 |
$764.97 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
17 |
$458.94 |
| 36415 |
Collection of venous blood by venipuncture |
248 |
222 |
$350.08 |
| 73110 |
|
14 |
12 |
$291.32 |
| 73130 |
|
16 |
13 |
$243.25 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
43 |
40 |
$208.13 |
| 85018 |
|
72 |
71 |
$196.92 |
| 72170 |
|
12 |
12 |
$186.63 |
| 94760 |
|
40 |
36 |
$18.68 |
| 90656 |
|
143 |
143 |
$16.61 |
| 90655 |
|
70 |
68 |
$0.00 |
| 90670 |
|
520 |
511 |
$0.00 |
| 90633 |
|
90 |
90 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90647 |
|
407 |
400 |
$0.00 |
| 90680 |
|
268 |
266 |
$0.00 |
| 90723 |
|
340 |
338 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |