| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,386 |
13,954 |
$507K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,626 |
5,194 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,697 |
1,641 |
$77K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
654 |
638 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
818 |
727 |
$51K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
577 |
560 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
444 |
440 |
$32K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,892 |
1,864 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
396 |
386 |
$24K |
| 59025 |
Fetal non-stress test |
765 |
461 |
$19K |
| 99215 |
Prolong outpt/office vis |
276 |
239 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,541 |
1,463 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,269 |
2,003 |
$17K |
| 90686 |
|
1,130 |
1,111 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
186 |
$14K |
| 81025 |
|
1,175 |
1,114 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
277 |
255 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
280 |
224 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
25 |
25 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
535 |
524 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
935 |
877 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
38 |
$2K |
| 94060 |
|
114 |
109 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
55 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
348 |
267 |
$939.37 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$844.80 |
| 90651 |
|
32 |
31 |
$829.18 |
| 90461 |
|
663 |
636 |
$810.90 |
| 81002 |
|
279 |
263 |
$785.46 |
| 96127 |
|
14 |
13 |
$593.06 |
| 36415 |
Collection of venous blood by venipuncture |
218 |
204 |
$476.26 |
| 94729 |
|
82 |
78 |
$373.71 |
| 90670 |
|
444 |
429 |
$356.22 |
| 81003 |
|
151 |
139 |
$327.56 |
| 94727 |
|
42 |
40 |
$300.65 |
| 90734 |
|
17 |
17 |
$246.56 |
| 92567 |
|
13 |
12 |
$155.10 |
| 90633 |
|
101 |
99 |
$92.64 |
| 90715 |
|
12 |
12 |
$80.48 |
| 90647 |
|
279 |
265 |
$47.14 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90680 |
|
227 |
217 |
$0.00 |
| 90723 |
|
263 |
252 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |