| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,425 |
8,857 |
$459K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,067 |
5,899 |
$391K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,522 |
5,163 |
$211K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,040 |
2,037 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,889 |
1,883 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,398 |
1,396 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,529 |
1,454 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
787 |
781 |
$74K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,438 |
2,415 |
$41K |
| 99215 |
Prolong outpt/office vis |
376 |
369 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,165 |
4,118 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
430 |
422 |
$27K |
| 99205 |
Prolong outpt/office vis |
196 |
194 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
652 |
643 |
$22K |
| 20610 |
|
751 |
621 |
$10K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
425 |
366 |
$9K |
| 83655 |
|
695 |
692 |
$8K |
| 90677 |
|
76 |
74 |
$7K |
| 73130 |
|
147 |
146 |
$6K |
| 97803 |
|
4,077 |
4,063 |
$6K |
| 73110 |
|
94 |
93 |
$5K |
| 73610 |
|
104 |
103 |
$5K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
178 |
171 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,214 |
1,155 |
$5K |
| 73630 |
|
111 |
111 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
768 |
706 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,202 |
1,166 |
$3K |
| 81002 |
|
1,380 |
1,327 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
340 |
339 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
14 |
$2K |
| 85018 |
|
818 |
816 |
$2K |
| 73560 |
|
45 |
45 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
120 |
$1K |
| 90651 |
|
552 |
548 |
$1K |
| 36416 |
|
491 |
490 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
317 |
303 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
74 |
$983.00 |
| 72110 |
|
26 |
26 |
$832.59 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
279 |
259 |
$348.62 |
| 72170 |
|
14 |
14 |
$259.41 |
| 90670 |
|
898 |
889 |
$257.99 |
| 96415 |
|
53 |
51 |
$224.68 |
| 97802 |
|
41 |
41 |
$193.99 |
| 90688 |
|
280 |
278 |
$157.65 |
| 85651 |
|
55 |
54 |
$117.03 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
36 |
35 |
$78.83 |
| J2704 |
Injection, propofol, 10 mg |
42 |
31 |
$57.98 |
| 84460 |
|
12 |
12 |
$45.37 |
| S9451 |
Exercise classes, non-physician provider, per session |
4,158 |
4,144 |
$43.00 |
| 86140 |
|
12 |
12 |
$38.16 |
| 84520 |
|
15 |
15 |
$23.27 |
| 90473 |
|
14 |
14 |
$22.50 |
| 90686 |
|
48 |
48 |
$19.03 |
| 2000F |
|
8,137 |
7,716 |
$1.75 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,758 |
7,473 |
$0.06 |
| 3078F |
|
2,340 |
2,238 |
$0.00 |
| 90461 |
|
396 |
391 |
$0.00 |
| 90734 |
|
247 |
244 |
$0.00 |
| 90707 |
|
307 |
302 |
$0.00 |
| 90633 |
|
378 |
371 |
$0.00 |
| 90621 |
|
58 |
58 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 3077F |
|
115 |
111 |
$0.00 |
| 3075F |
|
266 |
257 |
$0.00 |
| 3074F |
|
2,850 |
2,740 |
$0.00 |
| 3079F |
|
390 |
383 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,704 |
3,647 |
$0.00 |
| 90716 |
|
313 |
308 |
$0.00 |
| 90680 |
|
220 |
215 |
$0.00 |
| 90698 |
|
400 |
394 |
$0.00 |
| 90744 |
|
137 |
132 |
$0.00 |
| 99000 |
|
31 |
30 |
$0.00 |
| 90697 |
|
38 |
38 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |