| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,667 |
16,250 |
$768K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,550 |
4,656 |
$280K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,410 |
1,337 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,439 |
1,239 |
$69K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,027 |
700 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,193 |
3,841 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
594 |
564 |
$31K |
| X5622 |
|
3,265 |
2,998 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,130 |
982 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,004 |
1,848 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
405 |
378 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
485 |
439 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
204 |
194 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
326 |
215 |
$16K |
| 99215 |
Prolong outpt/office vis |
176 |
154 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,544 |
3,081 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,865 |
1,537 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
183 |
156 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
206 |
175 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,149 |
1,924 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
370 |
329 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,253 |
1,148 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
4,511 |
3,806 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
284 |
251 |
$8K |
| 99460 |
|
159 |
138 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
527 |
241 |
$7K |
| 96127 |
|
2,023 |
1,832 |
$5K |
| 90686 |
|
1,704 |
1,625 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
210 |
183 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
824 |
700 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
64 |
39 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
582 |
530 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
319 |
300 |
$4K |
| 93793 |
|
591 |
268 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
141 |
134 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
359 |
266 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
37 |
$3K |
| 81001 |
|
1,298 |
1,151 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
42 |
40 |
$3K |
| 92551 |
|
705 |
652 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
368 |
325 |
$3K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
167 |
155 |
$3K |
| 90670 |
|
758 |
712 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
58 |
$3K |
| 99188 |
|
417 |
393 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
121 |
120 |
$2K |
| 90715 |
|
235 |
186 |
$2K |
| 90474 |
|
371 |
347 |
$2K |
| 73630 |
|
347 |
263 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
375 |
355 |
$2K |
| 92557 |
|
93 |
80 |
$2K |
| 85027 |
|
283 |
250 |
$2K |
| 90473 |
|
88 |
79 |
$2K |
| 76801 |
|
45 |
37 |
$1K |
| 92567 |
|
230 |
186 |
$1K |
| 92587 |
|
112 |
97 |
$1K |
| 85610 |
|
356 |
170 |
$1K |
| 99173 |
|
783 |
721 |
$891.16 |
| 90651 |
|
143 |
123 |
$868.44 |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$627.90 |
| 73110 |
|
71 |
52 |
$519.31 |
| 73610 |
|
60 |
50 |
$322.53 |
| 36416 |
|
132 |
110 |
$303.87 |
| G0008 |
Administration of influenza virus vaccine |
52 |
51 |
$299.17 |
| 73502 |
|
26 |
24 |
$228.23 |
| 74019 |
|
29 |
28 |
$221.03 |
| 74018 |
|
33 |
26 |
$212.54 |
| 73562 |
|
29 |
27 |
$180.94 |
| 92552 |
|
42 |
41 |
$175.90 |
| 90688 |
|
107 |
99 |
$155.25 |
| 85018 |
|
70 |
64 |
$150.06 |
| 87210 |
|
41 |
39 |
$139.80 |
| 72100 |
|
13 |
13 |
$114.11 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
12 |
$113.61 |
| 96161 |
|
169 |
153 |
$98.78 |
| 87077 |
|
15 |
13 |
$98.60 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
13 |
$57.12 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$53.84 |
| 90647 |
|
553 |
520 |
$0.00 |
| 90723 |
|
526 |
498 |
$0.00 |
| 90680 |
|
397 |
373 |
$0.00 |
| 90633 |
|
419 |
389 |
$0.00 |
| 90734 |
|
109 |
79 |
$0.00 |
| 90710 |
|
306 |
284 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
13 |
$0.00 |
| 90700 |
|
40 |
38 |
$0.00 |
| 90672 |
|
38 |
38 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |