| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,727 |
19,963 |
$1.23M |
| 99215 |
Prolong outpt/office vis |
14,051 |
13,758 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,983 |
14,055 |
$584K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
4,860 |
4,830 |
$454K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,982 |
6,973 |
$450K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,946 |
7,801 |
$377K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,486 |
3,474 |
$298K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,924 |
3,289 |
$290K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,504 |
3,503 |
$232K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,735 |
2,640 |
$210K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,545 |
4,449 |
$191K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,351 |
9,313 |
$176K |
| 99233 |
Prolong inpt eval add15 m |
2,815 |
1,701 |
$166K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,937 |
14,797 |
$149K |
| 99254 |
|
1,667 |
1,505 |
$148K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
469 |
325 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,104 |
2,102 |
$135K |
| 99223 |
Prolong inpt eval add15 m |
1,123 |
1,098 |
$124K |
| 99243 |
|
2,060 |
2,041 |
$123K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,133 |
1,132 |
$85K |
| D0190 |
|
5,417 |
5,400 |
$84K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,695 |
1,690 |
$79K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,099 |
1,087 |
$73K |
| 99460 |
|
1,262 |
1,258 |
$68K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,637 |
1,627 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,050 |
3,962 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
884 |
881 |
$45K |
| 99205 |
Prolong outpt/office vis |
404 |
403 |
$45K |
| 99381 |
|
687 |
687 |
$40K |
| 95816 |
|
1,102 |
1,094 |
$36K |
| 83037 |
|
4,488 |
4,418 |
$33K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,234 |
5,575 |
$30K |
| 99253 |
|
456 |
428 |
$28K |
| 99245 |
|
256 |
255 |
$27K |
| 96112 |
|
379 |
379 |
$26K |
| 94060 |
|
1,125 |
1,114 |
$24K |
| 94375 |
|
1,397 |
1,390 |
$22K |
| 99188 |
|
2,932 |
2,922 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,019 |
1,910 |
$20K |
| 93320 |
|
1,630 |
1,620 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
661 |
412 |
$17K |
| 90474 |
|
2,691 |
2,679 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
601 |
581 |
$15K |
| 93304 |
|
571 |
473 |
$14K |
| 99471 |
|
28 |
28 |
$13K |
| 99217 |
|
325 |
323 |
$13K |
| 99219 |
|
152 |
151 |
$11K |
| 99417 |
Prolong home eval add 15m |
243 |
240 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
98 |
98 |
$8K |
| 93325 |
|
3,102 |
2,755 |
$8K |
| 81025 |
|
982 |
957 |
$7K |
| 82962 |
|
2,652 |
2,604 |
$6K |
| 95012 |
|
539 |
538 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
179 |
179 |
$6K |
| 99255 |
|
46 |
44 |
$5K |
| 93321 |
|
1,049 |
879 |
$5K |
| 81002 |
|
1,757 |
1,727 |
$5K |
| 96127 |
|
1,502 |
1,485 |
$5K |
| 96161 |
|
2,924 |
2,849 |
$4K |
| 99462 |
|
130 |
103 |
$3K |
| 93000 |
|
288 |
285 |
$3K |
| 99383 |
|
28 |
28 |
$2K |
| 98966 |
|
469 |
462 |
$2K |
| 90620 |
|
323 |
322 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28 |
28 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$1K |
| 99242 |
|
27 |
27 |
$1K |
| 90686 |
|
3,682 |
3,678 |
$1K |
| 96111 |
|
15 |
15 |
$1K |
| 99221 |
|
19 |
19 |
$1K |
| 90651 |
|
861 |
860 |
$963.23 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
24 |
$684.37 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
44 |
$560.61 |
| 98967 |
|
34 |
34 |
$519.58 |
| 99218 |
|
13 |
13 |
$504.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
75 |
$500.87 |
| 0071A |
|
13 |
13 |
$499.14 |
| 90671 |
|
1,039 |
1,036 |
$492.40 |
| 88720 |
|
169 |
162 |
$429.78 |
| 90734 |
|
793 |
791 |
$405.87 |
| 95819 |
|
12 |
12 |
$392.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$364.16 |
| 90656 |
|
200 |
200 |
$112.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
1,315 |
1,231 |
$0.41 |
| G9002 |
Coordinated care fee, maintenance rate |
1,182 |
1,128 |
$0.40 |
| 90698 |
|
3,921 |
3,902 |
$0.00 |
| 90744 |
|
2,608 |
2,595 |
$0.00 |
| 1000F |
|
3,857 |
3,730 |
$0.00 |
| 1031F |
|
19,272 |
18,126 |
$0.00 |
| 3074F |
|
1,200 |
1,175 |
$0.00 |
| 90716 |
|
1,039 |
1,039 |
$0.00 |
| 1111F |
|
10,231 |
9,559 |
$0.00 |
| 1036F |
|
3,745 |
3,620 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
678 |
678 |
$0.00 |
| 3066F |
|
186 |
164 |
$0.00 |
| 90696 |
|
556 |
556 |
$0.00 |
| 4140F |
|
1,760 |
1,606 |
$0.00 |
| 4037F |
|
2,614 |
2,609 |
$0.00 |
| 3044F |
|
480 |
439 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
247 |
247 |
$0.00 |
| 90723 |
|
473 |
473 |
$0.00 |
| 91307 |
|
51 |
48 |
$0.00 |
| 90681 |
|
2,582 |
2,569 |
$0.00 |
| 3023F |
|
48 |
47 |
$0.00 |
| 4040F |
|
21,095 |
19,778 |
$0.00 |
| 1032F |
|
5,690 |
5,416 |
$0.00 |
| 90707 |
|
1,039 |
1,039 |
$0.00 |
| 90710 |
|
848 |
847 |
$0.00 |
| 90648 |
|
1,183 |
1,183 |
$0.00 |
| 1160F |
|
17,034 |
16,130 |
$0.00 |
| 90700 |
|
1,199 |
1,199 |
$0.00 |
| 90670 |
|
4,394 |
4,375 |
$0.00 |
| 1159F |
|
17,001 |
16,100 |
$0.00 |
| 90715 |
|
186 |
186 |
$0.00 |
| 3725F |
|
905 |
904 |
$0.00 |
| 4025F |
|
3,863 |
3,565 |
$0.00 |
| 90633 |
|
2,600 |
2,599 |
$0.00 |
| 3078F |
|
1,085 |
1,065 |
$0.00 |
| 90685 |
|
173 |
173 |
$0.00 |
| 1033F |
|
15,724 |
14,535 |
$0.00 |
| 91308 |
|
15 |
14 |
$0.00 |
| 2022F |
|
15 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
66 |
66 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |