| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,388 |
27,529 |
$1.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,390 |
14,787 |
$782K |
| 59025 |
Fetal non-stress test |
3,139 |
2,055 |
$118K |
| 99215 |
Prolong outpt/office vis |
937 |
889 |
$72K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
29 |
29 |
$55K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
895 |
850 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
299 |
$29K |
| 90686 |
|
2,118 |
2,098 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
283 |
265 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,682 |
1,648 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
338 |
331 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
123 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
139 |
79 |
$9K |
| 90674 |
|
307 |
304 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
84 |
$7K |
| 76801 |
|
84 |
76 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
49 |
$5K |
| 96127 |
|
821 |
788 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
65 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 81025 |
|
282 |
268 |
$2K |
| 90715 |
|
55 |
55 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
89 |
$1K |
| 90656 |
|
117 |
117 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
107 |
97 |
$1K |
| 90651 |
|
41 |
41 |
$740.45 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$683.05 |
| 90677 |
|
12 |
12 |
$480.30 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
29 |
$346.97 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
58 |
52 |
$259.34 |
| 90734 |
|
13 |
13 |
$255.97 |
| 72100 |
|
12 |
12 |
$209.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$207.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$161.28 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
43 |
$138.01 |
| 99173 |
|
43 |
42 |
$62.73 |
| 81003 |
|
26 |
24 |
$49.69 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
13 |
13 |
$23.64 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
30 |
29 |
$3.61 |
| 3078F |
|
827 |
794 |
$0.00 |
| 99072 |
|
1,779 |
1,656 |
$0.00 |
| 1160F |
|
205 |
197 |
$0.00 |
| 1159F |
|
667 |
638 |
$0.00 |
| 3074F |
|
596 |
573 |
$0.00 |
| 3044F |
|
39 |
37 |
$0.00 |
| 1126F |
|
15 |
15 |
$0.00 |