| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,144 |
16,523 |
$2.15M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,405 |
1,332 |
$190K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
4,084 |
1,827 |
$160K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,088 |
1,961 |
$142K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,548 |
2,188 |
$137K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,911 |
1,711 |
$125K |
| G0378 |
Hospital observation service, per hour |
874 |
798 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
580 |
528 |
$63K |
| 92526 |
|
1,443 |
859 |
$61K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,771 |
1,037 |
$43K |
| 81002 |
|
577 |
526 |
$36K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
339 |
313 |
$35K |
| 94010 |
|
1,105 |
960 |
$22K |
| 97535 |
Self-care/home management training, each 15 minutes |
1,162 |
703 |
$18K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
15 |
12 |
$11K |
| 97116 |
|
436 |
241 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
211 |
164 |
$10K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
141 |
126 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
629 |
561 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
31 |
25 |
$4K |
| G0379 |
Direct admission of patient for hospital observation care |
105 |
93 |
$4K |
| 92523 |
|
75 |
70 |
$4K |
| 96112 |
|
209 |
172 |
$3K |
| 97162 |
|
43 |
39 |
$2K |
| 97803 |
|
753 |
643 |
$2K |
| 92610 |
|
29 |
25 |
$2K |
| 86140 |
|
300 |
262 |
$2K |
| 90686 |
|
170 |
144 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
227 |
210 |
$1K |
| 80076 |
|
101 |
89 |
$1K |
| 85027 |
|
172 |
151 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$785.65 |
| 97166 |
|
12 |
12 |
$657.30 |
| 85007 |
|
163 |
147 |
$625.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
52 |
$491.97 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
12 |
12 |
$481.67 |
| 95012 |
|
112 |
93 |
$335.21 |
| 85652 |
|
129 |
112 |
$313.30 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
44 |
37 |
$87.80 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,102 |
884 |
$51.95 |
| 36415 |
Collection of venous blood by venipuncture |
833 |
703 |
$11.63 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
85 |
67 |
$0.00 |