| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,817 |
18,630 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,523 |
17,838 |
$743K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,320 |
4,175 |
$408K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,041 |
2,949 |
$175K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,197 |
1,880 |
$152K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,074 |
2,015 |
$77K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
42 |
41 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,047 |
2,855 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
437 |
429 |
$35K |
| 59426 |
|
39 |
38 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,115 |
1,040 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,436 |
1,666 |
$23K |
| 31231 |
|
150 |
138 |
$22K |
| 73630 |
|
613 |
566 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
488 |
204 |
$17K |
| 59425 |
|
31 |
29 |
$12K |
| 20610 |
|
241 |
179 |
$12K |
| 93000 |
|
822 |
803 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
743 |
657 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
234 |
229 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
854 |
821 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
64 |
$5K |
| 81002 |
|
1,916 |
1,807 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
746 |
640 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
56 |
12 |
$4K |
| 81025 |
|
493 |
448 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
38 |
$3K |
| 97597 |
|
101 |
66 |
$3K |
| 51701 |
|
76 |
69 |
$2K |
| 11721 |
|
70 |
69 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
162 |
159 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$904.62 |
| 11055 |
|
25 |
25 |
$867.42 |
| 93016 |
|
50 |
49 |
$775.35 |
| 99397 |
|
14 |
12 |
$745.56 |
| 93018 |
|
62 |
61 |
$641.76 |
| 69210 |
|
15 |
13 |
$451.54 |
| 73660 |
|
15 |
13 |
$392.46 |
| 99443 |
|
12 |
12 |
$353.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
46 |
42 |
$323.53 |
| 99454 |
|
54 |
54 |
$302.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
190 |
182 |
$159.18 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
38 |
36 |
$145.05 |
| 3077F |
|
732 |
656 |
$0.00 |
| 3078F |
|
2,390 |
2,153 |
$0.00 |
| 1159F |
|
1,259 |
1,139 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 1160F |
|
943 |
816 |
$0.00 |
| 0502F |
|
234 |
159 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
13 |
13 |
$0.00 |
| 1126F |
|
1,634 |
1,490 |
$0.00 |
| 1125F |
|
1,952 |
1,763 |
$0.00 |
| 3008F |
|
6,571 |
5,920 |
$0.00 |
| 1036F |
|
3,974 |
3,593 |
$0.00 |
| 3074F |
|
1,547 |
1,439 |
$0.00 |
| 3080F |
|
105 |
99 |
$0.00 |
| 1034F |
|
388 |
345 |
$0.00 |
| 3079F |
|
444 |
428 |
$0.00 |
| 3075F |
|
99 |
94 |
$0.00 |