| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,826 |
24,730 |
$1.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,569 |
25,884 |
$1.57M |
| 95811 |
|
2,572 |
2,194 |
$872K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,377 |
2,152 |
$867K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
441 |
427 |
$344K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
144 |
139 |
$294K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,232 |
2,074 |
$263K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,543 |
1,494 |
$149K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,586 |
1,500 |
$134K |
| 95800 |
|
1,248 |
1,042 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,427 |
1,387 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,221 |
1,160 |
$109K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
765 |
462 |
$108K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,941 |
4,671 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
998 |
883 |
$80K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
718 |
635 |
$66K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
414 |
393 |
$61K |
| 94729 |
|
2,290 |
1,955 |
$61K |
| 59514 |
|
66 |
65 |
$59K |
| 94727 |
|
2,226 |
1,881 |
$45K |
| 94060 |
|
1,567 |
1,316 |
$42K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,616 |
2,482 |
$42K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
294 |
174 |
$30K |
| 99233 |
Prolong inpt eval add15 m |
565 |
238 |
$28K |
| 99205 |
Prolong outpt/office vis |
149 |
123 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
4,987 |
4,647 |
$16K |
| 99058 |
|
923 |
880 |
$15K |
| 94010 |
|
673 |
588 |
$13K |
| 93880 |
|
265 |
203 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
981 |
641 |
$13K |
| 99490 |
Ccm add 20min |
2,201 |
1,421 |
$12K |
| 95115 |
|
2,351 |
1,080 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
707 |
542 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
280 |
270 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
637 |
605 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
802 |
385 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
81 |
$8K |
| 99443 |
|
1,503 |
1,244 |
$7K |
| 99050 |
|
535 |
497 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
81 |
68 |
$6K |
| 99243 |
|
47 |
47 |
$5K |
| 99442 |
|
1,436 |
1,281 |
$5K |
| 99215 |
Prolong outpt/office vis |
63 |
56 |
$4K |
| 80305 |
|
1,464 |
914 |
$4K |
| 93000 |
|
310 |
266 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
162 |
151 |
$2K |
| 90682 |
|
107 |
67 |
$2K |
| 94618 |
|
82 |
77 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38 |
38 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
16 |
12 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
160 |
152 |
$1K |
| 92586 |
|
47 |
43 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
259 |
250 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
58 |
57 |
$1K |
| 90651 |
|
428 |
417 |
$1K |
| 93922 |
|
43 |
38 |
$992.26 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
482 |
447 |
$969.60 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
502 |
462 |
$867.95 |
| 99381 |
|
13 |
12 |
$867.19 |
| 90656 |
|
1,448 |
1,388 |
$777.29 |
| 99070 |
|
97 |
89 |
$762.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
57 |
$682.58 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
242 |
224 |
$602.66 |
| 90734 |
|
349 |
332 |
$462.20 |
| 0013A |
|
17 |
17 |
$400.36 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
371 |
346 |
$400.08 |
| 81025 |
|
74 |
70 |
$343.83 |
| 90657 |
|
50 |
50 |
$293.78 |
| 90670 |
|
760 |
721 |
$263.65 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
118 |
111 |
$244.32 |
| 90633 |
|
93 |
88 |
$198.40 |
| 99441 |
|
193 |
173 |
$176.98 |
| 90473 |
|
120 |
113 |
$171.43 |
| 90648 |
|
193 |
183 |
$155.14 |
| 90715 |
|
135 |
129 |
$132.32 |
| 90707 |
|
120 |
107 |
$33.03 |
| 81002 |
|
13 |
13 |
$31.36 |
| 90716 |
|
123 |
110 |
$22.22 |
| 90621 |
|
12 |
12 |
$0.06 |
| 90733 |
|
70 |
63 |
$0.04 |
| 3078F |
|
892 |
875 |
$0.00 |
| 90681 |
|
68 |
66 |
$0.00 |
| 3288F |
|
409 |
355 |
$0.00 |
| 1090F |
|
38 |
26 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 90649 |
|
62 |
61 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 99401 |
|
16 |
15 |
$0.00 |
| 0503F |
|
117 |
110 |
$0.00 |
| 90698 |
|
153 |
148 |
$0.00 |
| 3074F |
|
896 |
878 |
$0.00 |
| 0500F |
|
383 |
356 |
$0.00 |
| 90723 |
|
88 |
82 |
$0.00 |
| 1111F |
|
155 |
148 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
162 |
145 |
$0.00 |
| 90744 |
|
39 |
38 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
112 |
99 |
$0.00 |
| 99000 |
|
34 |
34 |
$0.00 |