| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,536 |
47,562 |
$2.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,506 |
11,583 |
$983K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,855 |
1,543 |
$187K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,318 |
2,033 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,008 |
932 |
$109K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
593 |
537 |
$40K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
822 |
250 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
957 |
852 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
292 |
278 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
744 |
647 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
276 |
268 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
366 |
348 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,626 |
3,283 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,255 |
952 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
203 |
189 |
$13K |
| 59025 |
Fetal non-stress test |
553 |
377 |
$12K |
| 99460 |
|
149 |
149 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,353 |
2,071 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,098 |
3,705 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
72 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
83 |
45 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,050 |
852 |
$5K |
| 80306 |
|
698 |
602 |
$3K |
| 64483 |
|
25 |
25 |
$3K |
| 17110 |
|
31 |
27 |
$2K |
| 99307 |
|
200 |
190 |
$2K |
| 20610 |
|
46 |
38 |
$2K |
| 11721 |
|
344 |
296 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
41 |
37 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 76942 |
|
26 |
26 |
$1K |
| 20550 |
|
28 |
28 |
$1K |
| 81002 |
|
2,093 |
1,800 |
$955.63 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
84 |
57 |
$866.33 |
| 99462 |
|
27 |
27 |
$864.74 |
| 11102 |
|
16 |
15 |
$858.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
31 |
$786.51 |
| 90686 |
|
1,453 |
1,343 |
$570.16 |
| 0002A |
|
26 |
26 |
$560.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
62 |
62 |
$484.41 |
| 17000 |
|
13 |
12 |
$455.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
74 |
$438.42 |
| 90715 |
|
47 |
45 |
$417.80 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
30 |
25 |
$223.99 |
| 0001A |
|
20 |
17 |
$200.00 |
| 90734 |
|
25 |
24 |
$166.33 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
71 |
66 |
$105.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$87.33 |
| G8484 |
Influenza immunization was not administered, reason not given |
128 |
123 |
$77.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
250 |
223 |
$10.17 |
| 90633 |
|
42 |
38 |
$0.00 |
| 90648 |
|
1,080 |
930 |
$0.00 |
| 90670 |
|
1,194 |
1,032 |
$0.00 |
| 87400 |
|
79 |
72 |
$0.00 |
| 90473 |
|
233 |
200 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 4040F |
|
32 |
30 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
44 |
41 |
$0.00 |
| 90680 |
|
533 |
443 |
$0.00 |
| 90723 |
|
742 |
623 |
$0.00 |
| 2001F |
|
13 |
13 |
$0.00 |
| 4037F |
|
400 |
374 |
$0.00 |
| 88720 |
|
27 |
18 |
$0.00 |
| 64484 |
|
13 |
13 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
12 |
$0.00 |
| 2000F |
|
34 |
27 |
$0.00 |