| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,141 |
67,952 |
$5.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,402 |
17,609 |
$2.09M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,240 |
5,238 |
$527K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,160 |
5,157 |
$518K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,129 |
4,611 |
$455K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,702 |
2,701 |
$295K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,914 |
4,732 |
$232K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
949 |
949 |
$183K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,868 |
11,809 |
$139K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,002 |
999 |
$120K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,534 |
2,528 |
$109K |
| 99215 |
Prolong outpt/office vis |
515 |
477 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
570 |
569 |
$57K |
| 99442 |
|
714 |
674 |
$52K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,479 |
5,819 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
315 |
315 |
$39K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
311 |
311 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
211 |
211 |
$33K |
| 99441 |
|
750 |
683 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,262 |
1,185 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,866 |
3,858 |
$17K |
| 96160 |
|
7,570 |
7,442 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,043 |
1,998 |
$14K |
| 11721 |
|
470 |
466 |
$12K |
| 92557 |
|
292 |
292 |
$9K |
| 99406 |
|
645 |
614 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
464 |
440 |
$9K |
| 99051 |
|
1,174 |
1,160 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
50 |
50 |
$8K |
| 90686 |
|
4,258 |
4,248 |
$6K |
| 0012A |
|
159 |
159 |
$6K |
| 81025 |
|
2,396 |
2,383 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
101 |
101 |
$5K |
| 90461 |
|
5,113 |
5,092 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
712 |
712 |
$5K |
| 0011A |
|
152 |
152 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$3K |
| 95806 |
|
84 |
84 |
$3K |
| 92567 |
|
188 |
188 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
41 |
$2K |
| 81002 |
|
996 |
980 |
$2K |
| 00813 |
|
13 |
13 |
$2K |
| 93000 |
|
116 |
116 |
$2K |
| 99460 |
|
25 |
25 |
$1K |
| 99443 |
|
13 |
12 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
669 |
666 |
$1K |
| 96127 |
|
212 |
211 |
$963.72 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$805.07 |
| 90619 |
|
381 |
381 |
$503.18 |
| 94060 |
|
42 |
42 |
$472.40 |
| 94760 |
|
9,189 |
8,324 |
$410.39 |
| 92570 |
|
12 |
12 |
$342.18 |
| 98925 |
|
12 |
12 |
$310.70 |
| 90651 |
|
281 |
281 |
$273.37 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$225.29 |
| 94726 |
|
26 |
26 |
$165.26 |
| 90734 |
|
399 |
399 |
$161.43 |
| 83655 |
|
12 |
12 |
$145.32 |
| 93018 |
|
12 |
12 |
$144.86 |
| 80305 |
|
24 |
24 |
$110.00 |
| 90715 |
|
195 |
195 |
$105.13 |
| 36415 |
Collection of venous blood by venipuncture |
4,269 |
4,035 |
$38.10 |
| 99173 |
|
2,396 |
2,367 |
$29.11 |
| 90656 |
|
275 |
275 |
$23.53 |
| 90677 |
|
524 |
524 |
$0.01 |
| 90647 |
|
1,499 |
1,498 |
$0.00 |
| 90723 |
|
1,805 |
1,802 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,558 |
1,454 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90696 |
|
114 |
114 |
$0.00 |
| 91301 |
|
301 |
287 |
$0.00 |
| 90670 |
|
2,332 |
2,327 |
$0.00 |
| 90681 |
|
524 |
524 |
$0.00 |
| 90633 |
|
733 |
733 |
$0.00 |
| 90685 |
|
198 |
198 |
$0.00 |
| G8509 |
Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given |
279 |
264 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90710 |
|
118 |
118 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
91 |
90 |
$0.00 |
| 90473 |
|
73 |
73 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |