| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
2,504 |
728 |
$1.49M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,354 |
9,002 |
$629K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,566 |
14,691 |
$441K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,847 |
5,760 |
$280K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,344 |
477 |
$265K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,644 |
9,549 |
$261K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,606 |
6,545 |
$209K |
| 99460 |
|
1,877 |
1,849 |
$207K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,120 |
3,895 |
$204K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,221 |
1,201 |
$203K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,782 |
1,749 |
$201K |
| 99499 |
|
4,876 |
4,834 |
$166K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,500 |
2,462 |
$127K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,774 |
1,747 |
$110K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,037 |
1,017 |
$105K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,445 |
3,216 |
$101K |
| 90686 |
|
10,641 |
10,576 |
$93K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
539 |
219 |
$83K |
| 93325 |
|
746 |
679 |
$74K |
| 90461 |
|
1,397 |
1,322 |
$74K |
| 93000 |
|
998 |
981 |
$53K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
695 |
682 |
$52K |
| 99215 |
Prolong outpt/office vis |
448 |
437 |
$50K |
| 90670 |
|
3,475 |
3,455 |
$36K |
| 90698 |
|
3,583 |
3,562 |
$33K |
| 92551 |
|
2,859 |
2,801 |
$28K |
| S9083 |
Global fee urgent care centers |
206 |
205 |
$23K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
52 |
51 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,003 |
939 |
$21K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
140 |
140 |
$19K |
| 90680 |
|
1,752 |
1,741 |
$18K |
| 99462 |
|
361 |
329 |
$18K |
| 99173 |
|
4,334 |
4,241 |
$17K |
| 90651 |
|
823 |
810 |
$14K |
| 90734 |
|
220 |
214 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
64 |
61 |
$10K |
| 90633 |
|
948 |
947 |
$9K |
| 99245 |
|
25 |
25 |
$8K |
| 93320 |
|
40 |
39 |
$8K |
| 99464 |
|
77 |
76 |
$7K |
| 99310 |
Prolong nursin fac eval 15m |
159 |
139 |
$7K |
| 90744 |
|
807 |
805 |
$7K |
| 85018 |
|
2,611 |
2,600 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
356 |
332 |
$5K |
| 90697 |
|
508 |
506 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26 |
26 |
$5K |
| 90716 |
|
416 |
414 |
$4K |
| 90707 |
|
390 |
388 |
$4K |
| 90671 |
|
850 |
845 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
55 |
$2K |
| 0001A |
|
513 |
349 |
$2K |
| 90656 |
|
1,068 |
1,027 |
$2K |
| 96160 |
|
279 |
274 |
$2K |
| 90685 |
|
194 |
193 |
$2K |
| 0002A |
|
261 |
248 |
$1K |
| 90619 |
|
41 |
40 |
$1K |
| 92015 |
Determination of refractive state |
80 |
80 |
$1K |
| 96127 |
|
88 |
87 |
$1K |
| 0124A |
|
28 |
28 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| 90672 |
|
121 |
121 |
$889.56 |
| 90696 |
|
26 |
26 |
$819.94 |
| 90480 |
|
111 |
109 |
$814.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$714.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$355.48 |
| 90657 |
|
32 |
32 |
$281.90 |
| 90710 |
|
14 |
14 |
$267.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$264.66 |
| 0071A |
|
1,359 |
831 |
$252.00 |
| 90713 |
|
13 |
13 |
$91.00 |
| 82962 |
|
14 |
14 |
$87.98 |
| 90687 |
|
12 |
12 |
$84.00 |
| 90715 |
|
12 |
12 |
$77.00 |
| 36416 |
|
2,778 |
2,757 |
$4.77 |
| 0052A |
|
109 |
109 |
$0.00 |
| 0072A |
|
931 |
615 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 0051A |
|
121 |
121 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 0081A |
|
15 |
15 |
$0.00 |
| 0054A |
|
174 |
174 |
$0.00 |
| 0003A |
|
47 |
17 |
$0.00 |