| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,686 |
14,200 |
$1.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,913 |
9,466 |
$944K |
| 99215 |
Prolong outpt/office vis |
2,340 |
2,150 |
$203K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
401 |
354 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
365 |
322 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,763 |
4,369 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
189 |
164 |
$21K |
| 99454 |
|
1,059 |
1,042 |
$13K |
| 99457 |
|
656 |
630 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
30 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,652 |
1,537 |
$3K |
| 93923 |
|
136 |
66 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
311 |
81 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 90649 |
|
83 |
61 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$1K |
| 99497 |
|
46 |
46 |
$761.45 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
126 |
107 |
$504.38 |
| 99233 |
Prolong inpt eval add15 m |
45 |
12 |
$497.64 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
271 |
246 |
$445.16 |
| 99453 |
|
103 |
102 |
$357.42 |
| 99458 |
|
209 |
134 |
$355.50 |
| 81000 |
|
1,620 |
1,495 |
$351.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,878 |
2,533 |
$293.34 |
| 99000 |
|
199 |
185 |
$292.22 |
| 82947 |
|
643 |
579 |
$235.40 |
| 87430 |
|
712 |
615 |
$204.67 |
| 0031A |
|
16 |
14 |
$168.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,357 |
2,065 |
$149.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,789 |
1,562 |
$142.49 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
280 |
274 |
$134.71 |
| 99173 |
|
680 |
574 |
$79.24 |
| 71046 |
Radiologic examination, chest; 2 views |
47 |
43 |
$18.99 |
| 80305 |
|
128 |
122 |
$8.49 |
| 1111F |
|
4,334 |
3,667 |
$6.98 |
| 94760 |
|
27 |
27 |
$0.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
976 |
839 |
$0.00 |
| 85027 |
|
65 |
62 |
$0.00 |
| 3074F |
|
2,977 |
2,549 |
$0.00 |
| 0001A |
|
23 |
18 |
$0.00 |
| 3075F |
|
900 |
799 |
$0.00 |
| 3080F |
|
177 |
165 |
$0.00 |
| 3008F |
|
4,660 |
3,902 |
$0.00 |
| 1125F |
|
2,379 |
2,117 |
$0.00 |
| 86308 |
|
39 |
37 |
$0.00 |
| 1126F |
|
781 |
711 |
$0.00 |
| 87276 |
|
401 |
355 |
$0.00 |
| 3079F |
|
1,516 |
1,327 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
325 |
290 |
$0.00 |
| 92551 |
|
635 |
528 |
$0.00 |
| 1170F |
|
79 |
72 |
$0.00 |
| 90686 |
|
91 |
82 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
39 |
$0.00 |
| 0012A |
|
36 |
25 |
$0.00 |
| 0011A |
|
53 |
41 |
$0.00 |
| 95924 |
|
17 |
15 |
$0.00 |
| 90651 |
|
15 |
13 |
$0.00 |
| 3044F |
|
16 |
13 |
$0.00 |
| 93040 |
|
69 |
66 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$0.00 |
| 81015 |
|
18 |
12 |
$0.00 |
| 3078F |
|
2,893 |
2,481 |
$0.00 |
| 3077F |
|
754 |
676 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,168 |
1,063 |
$0.00 |
| 90715 |
|
52 |
43 |
$0.00 |
| 90658 |
|
346 |
303 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
233 |
188 |
$0.00 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
277 |
233 |
$0.00 |
| 1160F |
|
170 |
162 |
$0.00 |
| 90734 |
|
81 |
63 |
$0.00 |
| J0715 |
Injection, ceftizoxime sodium, per 500 mg |
83 |
76 |
$0.00 |
| 90633 |
|
105 |
82 |
$0.00 |
| 95923 |
|
70 |
65 |
$0.00 |
| 95921 |
|
37 |
37 |
$0.00 |
| 1159F |
|
123 |
118 |
$0.00 |
| 0002A |
|
18 |
14 |
$0.00 |