| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,615 |
13,002 |
$699K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,947 |
8,959 |
$324K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,387 |
2,292 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,518 |
1,359 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,146 |
1,099 |
$85K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,633 |
2,265 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,973 |
4,503 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,728 |
2,628 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
460 |
454 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,859 |
1,828 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,084 |
3,027 |
$30K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
451 |
324 |
$24K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,374 |
2,696 |
$22K |
| 87081 |
|
2,361 |
2,274 |
$18K |
| 98928 |
|
318 |
238 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
6,306 |
5,516 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
128 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
259 |
248 |
$11K |
| 94060 |
|
364 |
329 |
$9K |
| 83655 |
|
507 |
498 |
$8K |
| 81001 |
|
1,936 |
1,780 |
$8K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
106 |
36 |
$8K |
| 80050 |
General health panel |
98 |
94 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
319 |
279 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
635 |
594 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
65 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
77 |
55 |
$4K |
| 31231 |
|
64 |
57 |
$4K |
| 90474 |
|
632 |
617 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
41 |
$4K |
| 84439 |
|
435 |
428 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
207 |
205 |
$3K |
| 80053 |
Comprehensive metabolic panel |
214 |
186 |
$3K |
| 90686 |
|
865 |
858 |
$3K |
| 11721 |
|
347 |
317 |
$2K |
| 87807 |
|
137 |
131 |
$2K |
| 83721 |
|
255 |
250 |
$2K |
| 80061 |
Lipid panel |
124 |
120 |
$2K |
| 83718 |
|
228 |
223 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
24 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
378 |
297 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
129 |
124 |
$1K |
| 84478 |
|
231 |
226 |
$1K |
| 93000 |
|
107 |
99 |
$1K |
| 90710 |
|
147 |
144 |
$1K |
| 90698 |
|
702 |
689 |
$1K |
| 99307 |
|
102 |
70 |
$857.86 |
| 90670 |
|
1,071 |
1,050 |
$699.41 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$595.77 |
| 94250 |
|
98 |
94 |
$591.70 |
| 90633 |
|
373 |
371 |
$580.74 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
23 |
14 |
$565.05 |
| 92567 |
|
40 |
36 |
$549.24 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
244 |
197 |
$540.37 |
| 80076 |
|
60 |
51 |
$410.79 |
| 86738 |
|
24 |
23 |
$408.30 |
| 83735 |
|
50 |
37 |
$403.03 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
34 |
29 |
$385.80 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$378.44 |
| 80047 |
|
25 |
25 |
$288.81 |
| 84100 |
|
50 |
37 |
$285.28 |
| 90734 |
|
67 |
67 |
$246.58 |
| 82565 |
|
50 |
44 |
$227.74 |
| 90651 |
|
14 |
14 |
$217.16 |
| 99173 |
|
110 |
110 |
$140.33 |
| 85652 |
|
44 |
40 |
$136.44 |
| 90716 |
|
12 |
12 |
$110.90 |
| 90707 |
|
12 |
12 |
$64.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
25 |
$56.29 |
| 85027 |
|
16 |
15 |
$34.70 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
18 |
13 |
$30.00 |
| 90647 |
|
148 |
145 |
$23.68 |
| 90685 |
|
51 |
49 |
$21.26 |
| 36416 |
|
59 |
59 |
$12.68 |
| 90680 |
|
636 |
621 |
$0.83 |
| 90723 |
|
193 |
187 |
$0.37 |
| 90744 |
|
257 |
246 |
$0.33 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
83 |
83 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
41 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
91 |
86 |
$0.00 |