| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,535 |
12,693 |
$693K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,287 |
16,589 |
$535K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,324 |
3,154 |
$494K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,623 |
1,534 |
$384K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,501 |
1,383 |
$283K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,169 |
2,873 |
$140K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,231 |
5,573 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,428 |
1,356 |
$112K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
622 |
541 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,610 |
1,303 |
$94K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,448 |
1,198 |
$86K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
133 |
128 |
$77K |
| 76801 |
|
1,317 |
1,046 |
$71K |
| 59514 |
|
99 |
93 |
$53K |
| 43450 |
|
1,282 |
1,231 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
589 |
563 |
$39K |
| 81025 |
|
5,715 |
4,857 |
$25K |
| 81003 |
|
16,044 |
10,292 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,371 |
1,269 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
892 |
841 |
$15K |
| 99218 |
|
350 |
314 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
264 |
225 |
$11K |
| 91200 |
|
538 |
500 |
$10K |
| 59430 |
|
122 |
113 |
$9K |
| 99460 |
|
158 |
151 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
129 |
125 |
$6K |
| 99401 |
|
268 |
247 |
$5K |
| 99215 |
Prolong outpt/office vis |
81 |
67 |
$5K |
| 90474 |
|
484 |
452 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
465 |
195 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
204 |
128 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
105 |
101 |
$3K |
| 54161 |
|
21 |
15 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
28 |
$2K |
| 97597 |
|
114 |
78 |
$2K |
| 99462 |
|
102 |
86 |
$2K |
| 90715 |
|
65 |
60 |
$2K |
| 43235 |
|
13 |
13 |
$1K |
| 72114 |
|
80 |
67 |
$961.77 |
| 82962 |
|
862 |
738 |
$884.02 |
| 99464 |
|
13 |
13 |
$614.90 |
| 99442 |
|
265 |
242 |
$596.64 |
| 99307 |
|
120 |
115 |
$515.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
47 |
$430.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
17 |
$161.60 |
| 99443 |
|
56 |
54 |
$158.26 |
| 76981 |
|
129 |
95 |
$156.70 |
| 87807 |
|
18 |
14 |
$148.54 |
| 73564 |
|
13 |
12 |
$88.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
31 |
$70.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
99 |
90 |
$36.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
26 |
$10.37 |
| 90633 |
|
56 |
54 |
$0.01 |
| 90647 |
|
548 |
524 |
$0.00 |
| 90723 |
|
543 |
517 |
$0.00 |
| 90680 |
|
470 |
433 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
19 |
17 |
$0.00 |
| 90670 |
|
666 |
640 |
$0.00 |
| 1159F |
|
30 |
26 |
$0.00 |
| 1160F |
|
30 |
26 |
$0.00 |
| 0502F |
|
19 |
17 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
148 |
82 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |