| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,811 |
15,856 |
$577K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,462 |
9,986 |
$511K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,709 |
1,447 |
$43K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
899 |
330 |
$37K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
936 |
796 |
$20K |
| 90686 |
|
2,392 |
2,347 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
247 |
229 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
240 |
201 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
151 |
145 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
926 |
823 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
110 |
$10K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
121 |
51 |
$10K |
| 99460 |
|
157 |
151 |
$8K |
| 90715 |
|
618 |
613 |
$8K |
| 90734 |
|
496 |
479 |
$7K |
| 90651 |
|
517 |
507 |
$7K |
| 90670 |
|
871 |
859 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
313 |
270 |
$5K |
| 3074F |
|
13,532 |
12,635 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
151 |
149 |
$4K |
| 3078F |
|
9,731 |
9,026 |
$3K |
| 90698 |
|
613 |
600 |
$3K |
| 11721 |
|
615 |
609 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
135 |
$3K |
| 90633 |
|
424 |
420 |
$3K |
| 90680 |
|
480 |
474 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
25 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
213 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$2K |
| 91320 |
|
15 |
15 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
37 |
36 |
$1K |
| 97597 |
|
69 |
41 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
137 |
136 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
98 |
96 |
$1K |
| 90744 |
|
272 |
268 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
201 |
184 |
$1K |
| 90710 |
|
137 |
134 |
$908.20 |
| 94729 |
|
43 |
43 |
$833.57 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
96 |
88 |
$791.06 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
85 |
72 |
$779.93 |
| 90696 |
|
81 |
81 |
$779.20 |
| 92551 |
|
154 |
154 |
$771.31 |
| 17110 |
|
12 |
12 |
$706.58 |
| 94727 |
|
42 |
42 |
$694.61 |
| 86580 |
|
240 |
211 |
$641.77 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
65 |
63 |
$611.50 |
| 99173 |
|
179 |
178 |
$586.42 |
| 90656 |
|
157 |
156 |
$514.84 |
| 73610 |
|
17 |
15 |
$474.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
38 |
$460.16 |
| 96127 |
|
132 |
108 |
$445.96 |
| 3079F |
|
902 |
883 |
$440.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
802 |
785 |
$436.43 |
| 90707 |
|
13 |
13 |
$306.34 |
| 90716 |
|
12 |
12 |
$275.80 |
| 99462 |
|
13 |
12 |
$239.71 |
| 81003 |
|
108 |
98 |
$231.21 |
| 11056 |
|
12 |
12 |
$170.24 |
| 96161 |
|
28 |
25 |
$101.27 |
| 83655 |
|
16 |
16 |
$76.50 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
40 |
$47.25 |
| 96160 |
|
26 |
26 |
$31.90 |
| 3075F |
|
14 |
14 |
$30.00 |
| 4010F |
|
12 |
12 |
$20.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,813 |
1,713 |
$0.00 |
| 90677 |
|
121 |
109 |
$0.00 |
| 3008F |
|
706 |
642 |
$0.00 |
| 1111F |
|
879 |
834 |
$0.00 |
| 90619 |
|
75 |
69 |
$0.00 |