| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,296 |
28,716 |
$1.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,706 |
16,234 |
$559K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,646 |
3,646 |
$330K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,609 |
1,581 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,147 |
1,125 |
$65K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
2,600 |
1,563 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
819 |
785 |
$45K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
474 |
432 |
$44K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
293 |
284 |
$40K |
| 99215 |
Prolong outpt/office vis |
539 |
486 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
495 |
488 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
337 |
226 |
$23K |
| 3008F |
|
2,355 |
2,279 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
831 |
723 |
$17K |
| 96119 |
|
116 |
113 |
$16K |
| 96118 |
|
82 |
81 |
$15K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
196 |
168 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
133 |
114 |
$15K |
| H0001 |
Alcohol and/or drug assessment |
33 |
33 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
180 |
176 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
783 |
635 |
$12K |
| 92015 |
Determination of refractive state |
1,190 |
1,160 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
109 |
96 |
$11K |
| 99243 |
|
101 |
100 |
$6K |
| 99205 |
Prolong outpt/office vis |
50 |
50 |
$6K |
| Q3014 |
Telehealth originating site facility fee |
310 |
259 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
127 |
122 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
129 |
127 |
$5K |
| 92567 |
|
244 |
236 |
$4K |
| 92557 |
|
102 |
95 |
$4K |
| 96120 |
|
52 |
52 |
$4K |
| 97167 |
|
56 |
56 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
45 |
45 |
$3K |
| 73630 |
|
163 |
121 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
16 |
15 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
27 |
$2K |
| 76820 |
|
45 |
25 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$1K |
| 94010 |
|
33 |
31 |
$1K |
| D9243 |
|
25 |
12 |
$1K |
| 99245 |
|
14 |
14 |
$975.12 |
| 73562 |
|
39 |
32 |
$889.15 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
26 |
12 |
$849.98 |
| 93000 |
|
40 |
38 |
$747.95 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
12 |
$746.40 |
| 73610 |
|
36 |
29 |
$722.32 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
13 |
$686.94 |
| 92523 |
|
25 |
17 |
$680.82 |
| 92579 |
|
34 |
29 |
$671.55 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
60 |
57 |
$593.64 |
| 74018 |
|
30 |
28 |
$440.20 |
| 73110 |
|
13 |
12 |
$403.75 |
| 93325 |
|
20 |
12 |
$393.59 |
| 92134 |
|
12 |
12 |
$374.96 |
| 73030 |
|
13 |
12 |
$369.04 |
| A9578 |
Injection, gadobenate dimeglumine (multihance multipack), per ml |
13 |
12 |
$336.77 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$244.93 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
17 |
16 |
$150.28 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
27 |
13 |
$108.78 |
| 90686 |
|
24 |
24 |
$76.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
28 |
$74.22 |
| 90674 |
|
21 |
21 |
$27.82 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |