| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,977 |
11,503 |
$611K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,996 |
9,457 |
$366K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,329 |
1,291 |
$45K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,172 |
475 |
$39K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
709 |
682 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
593 |
579 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
551 |
550 |
$23K |
| 90686 |
|
1,923 |
1,910 |
$16K |
| 0001A |
|
487 |
475 |
$16K |
| 0002A |
|
368 |
364 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
371 |
354 |
$10K |
| 99310 |
Prolong nursin fac eval 15m |
470 |
436 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
132 |
127 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
500 |
433 |
$8K |
| 92551 |
|
948 |
929 |
$8K |
| 0003A |
|
220 |
207 |
$7K |
| 0011A |
|
197 |
192 |
$7K |
| 99173 |
|
1,379 |
1,348 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
152 |
152 |
$6K |
| 0012A |
|
154 |
149 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
138 |
67 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
265 |
241 |
$5K |
| 90682 |
|
227 |
224 |
$4K |
| 90715 |
|
242 |
242 |
$4K |
| 99490 |
Ccm add 20min |
295 |
295 |
$4K |
| 90620 |
|
105 |
105 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
38 |
37 |
$4K |
| 90670 |
|
177 |
174 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
357 |
345 |
$3K |
| 90651 |
|
268 |
268 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
110 |
103 |
$3K |
| 99385 |
|
69 |
69 |
$2K |
| 94010 |
|
175 |
167 |
$2K |
| 90734 |
|
262 |
258 |
$2K |
| 3079F |
|
518 |
501 |
$2K |
| 0013A |
|
65 |
62 |
$2K |
| 3077F |
|
401 |
386 |
$2K |
| 3074F |
|
1,003 |
975 |
$2K |
| 98927 |
|
62 |
48 |
$2K |
| 3078F |
|
845 |
825 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 0124A |
|
33 |
30 |
$992.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
44 |
$899.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$737.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
67 |
65 |
$720.10 |
| 98928 |
|
28 |
25 |
$693.09 |
| 3080F |
|
115 |
111 |
$545.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
133 |
121 |
$499.65 |
| 3044F |
|
384 |
363 |
$460.00 |
| 90648 |
|
104 |
102 |
$397.00 |
| 90480 |
|
14 |
13 |
$330.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,616 |
1,533 |
$312.60 |
| 90723 |
|
42 |
42 |
$309.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$255.82 |
| 90633 |
|
52 |
52 |
$251.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
28 |
28 |
$238.50 |
| 3075F |
|
82 |
82 |
$220.00 |
| 86580 |
|
27 |
27 |
$150.41 |
| 90662 |
|
29 |
28 |
$65.00 |
| 90461 |
|
26 |
26 |
$41.36 |
| 1160F |
|
1,275 |
1,199 |
$0.00 |
| 1159F |
|
1,261 |
1,187 |
$0.00 |
| G9920 |
Screening performed and negative |
36 |
36 |
$0.00 |
| 99307 |
|
36 |
31 |
$0.00 |
| 91320 |
|
15 |
14 |
$0.00 |
| 90687 |
|
15 |
15 |
$0.00 |
| 4035F |
|
22 |
22 |
$0.00 |
| 3008F |
|
1,192 |
1,117 |
$0.00 |
| 1036F |
|
527 |
497 |
$0.00 |
| 1170F |
|
70 |
63 |
$0.00 |
| 1125F |
|
640 |
600 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| 4037F |
|
21 |
21 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |