| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,377 |
9,508 |
$531K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,247 |
5,867 |
$402K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,329 |
1,164 |
$26K |
| 99051 |
|
2,962 |
2,746 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
600 |
443 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
224 |
199 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
215 |
210 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
444 |
348 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
367 |
290 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
840 |
520 |
$8K |
| 99215 |
Prolong outpt/office vis |
107 |
82 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
400 |
304 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
764 |
543 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
162 |
$3K |
| 94060 |
|
68 |
58 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
28 |
$2K |
| 90686 |
|
352 |
306 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
186 |
157 |
$2K |
| 87428 |
|
626 |
454 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
324 |
265 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
54 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
27 |
$849.53 |
| 93000 |
|
72 |
48 |
$688.56 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
494 |
351 |
$536.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
749 |
548 |
$534.98 |
| 96127 |
|
884 |
602 |
$530.24 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
28 |
$434.25 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
27 |
27 |
$431.58 |
| 94726 |
|
12 |
12 |
$413.71 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
55 |
$50.25 |
| 90677 |
|
30 |
30 |
$25.10 |
| 90461 |
|
174 |
122 |
$13.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
16 |
$13.36 |
| 81002 |
|
247 |
166 |
$5.41 |
| 90715 |
|
35 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |