| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,754 |
12,368 |
$876K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,294 |
9,263 |
$631K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,813 |
2,260 |
$291K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,852 |
2,132 |
$255K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,619 |
1,241 |
$145K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
964 |
227 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,694 |
3,369 |
$68K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,990 |
2,078 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
795 |
608 |
$65K |
| 99199 |
Unlisted special service, procedure or report |
14,196 |
14,076 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,213 |
965 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,277 |
805 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
330 |
279 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
572 |
439 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
157 |
124 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,193 |
454 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
665 |
536 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,962 |
2,297 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
55 |
36 |
$6K |
| 96127 |
|
1,527 |
1,063 |
$5K |
| 99173 |
|
3,592 |
2,597 |
$5K |
| 90474 |
|
340 |
194 |
$4K |
| 83655 |
|
306 |
238 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
79 |
37 |
$4K |
| 20611 |
|
153 |
107 |
$3K |
| 90686 |
|
1,729 |
1,256 |
$3K |
| 90697 |
|
660 |
532 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
38 |
24 |
$2K |
| 90670 |
|
1,936 |
1,240 |
$2K |
| 81025 |
|
352 |
260 |
$2K |
| 90698 |
|
761 |
416 |
$2K |
| 85018 |
|
750 |
536 |
$2K |
| 92551 |
|
540 |
412 |
$2K |
| 90461 |
|
656 |
523 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
25 |
$2K |
| 99292 |
|
31 |
14 |
$2K |
| 90680 |
|
1,192 |
762 |
$1K |
| 93922 |
|
54 |
41 |
$1K |
| 99460 |
|
14 |
12 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
279 |
212 |
$1K |
| 76830 |
Ultrasound, transvaginal |
14 |
12 |
$872.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
96 |
82 |
$768.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
50 |
$734.44 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
13 |
$682.75 |
| 69210 |
|
31 |
24 |
$614.22 |
| 20610 |
|
33 |
25 |
$582.11 |
| 90656 |
|
62 |
59 |
$542.32 |
| 90660 |
|
23 |
19 |
$308.00 |
| 90651 |
|
68 |
50 |
$260.45 |
| 90633 |
|
708 |
532 |
$200.38 |
| 90677 |
|
350 |
307 |
$110.01 |
| 76937 |
|
22 |
13 |
$109.34 |
| 3074F |
|
6,323 |
5,178 |
$76.41 |
| 90710 |
|
88 |
67 |
$66.00 |
| 1159F |
|
12,754 |
10,269 |
$52.87 |
| 90707 |
|
36 |
25 |
$44.00 |
| 90696 |
|
49 |
37 |
$44.00 |
| 90716 |
|
37 |
26 |
$44.00 |
| 1126F |
|
1,142 |
912 |
$26.06 |
| 3079F |
|
2,220 |
1,838 |
$25.47 |
| 90700 |
|
12 |
12 |
$22.00 |
| 90672 |
|
29 |
26 |
$11.00 |
| 36416 |
|
93 |
64 |
$6.32 |
| 99000 |
|
294 |
196 |
$2.79 |
| 1125F |
|
2,063 |
1,598 |
$2.03 |
| 3078F |
|
5,500 |
4,555 |
$1.10 |
| 3075F |
|
435 |
343 |
$0.11 |
| 1160F |
|
638 |
562 |
$0.04 |
| 3077F |
|
69 |
62 |
$0.00 |
| 90619 |
|
14 |
13 |
$0.00 |
| 90744 |
|
270 |
143 |
$0.00 |