| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,833 |
12,921 |
$419K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,481 |
6,678 |
$364K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,640 |
3,267 |
$311K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,623 |
4,511 |
$305K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,067 |
3,694 |
$292K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
301 |
291 |
$202K |
| 59025 |
Fetal non-stress test |
8,008 |
5,021 |
$179K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,811 |
3,739 |
$152K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,438 |
2,329 |
$119K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,940 |
3,430 |
$114K |
| 76813 |
|
2,823 |
2,740 |
$108K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,119 |
3,185 |
$102K |
| 90870 |
|
1,580 |
583 |
$72K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,476 |
1,914 |
$67K |
| D1351 |
Sealant - per tooth |
1,798 |
542 |
$58K |
| 99223 |
Prolong inpt eval add15 m |
534 |
480 |
$51K |
| 99233 |
Prolong inpt eval add15 m |
1,007 |
588 |
$50K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,658 |
1,579 |
$44K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,421 |
1,346 |
$39K |
| 76830 |
Ultrasound, transvaginal |
1,372 |
1,286 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
354 |
295 |
$23K |
| 90837 |
Psychotherapy, 53 minutes with patient |
237 |
110 |
$21K |
| 76825 |
|
329 |
283 |
$21K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
725 |
685 |
$20K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
896 |
655 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
260 |
233 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
375 |
321 |
$11K |
| 99215 |
Prolong outpt/office vis |
145 |
117 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
57 |
25 |
$9K |
| 76827 |
|
329 |
283 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
128 |
117 |
$8K |
| 76801 |
|
200 |
187 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
118 |
114 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
74 |
$5K |
| 99442 |
|
182 |
176 |
$4K |
| 90836 |
|
68 |
50 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
139 |
113 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
96 |
82 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
214 |
$2K |
| 51701 |
|
53 |
50 |
$2K |
| 93976 |
|
44 |
40 |
$1K |
| 90688 |
|
94 |
92 |
$1K |
| 81025 |
|
160 |
145 |
$1K |
| 93325 |
|
392 |
347 |
$1K |
| 76376 |
|
88 |
84 |
$518.37 |
| 99441 |
|
29 |
25 |
$509.69 |
| 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 |
59 |
53 |
$304.90 |
| 96127 |
|
73 |
69 |
$294.93 |
| 90686 |
|
13 |
13 |
$184.72 |
| 86580 |
|
16 |
16 |
$157.16 |
| A9150 |
Non-prescription drugs |
568 |
410 |
$50.82 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$27.18 |
| 1159F |
|
5,107 |
4,741 |
$17.84 |
| 81002 |
|
17 |
16 |
$10.76 |
| G9275 |
Documentation that patient is a current non-tobacco user |
232 |
225 |
$0.00 |
| 1126F |
|
2,849 |
2,664 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,179 |
1,051 |
$0.00 |
| 1125F |
|
542 |
503 |
$0.00 |
| 3008F |
|
534 |
516 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
185 |
165 |
$0.00 |
| 3074F |
|
89 |
87 |
$0.00 |
| 1160F |
|
5,119 |
4,751 |
$0.00 |
| 3078F |
|
152 |
140 |
$0.00 |
| 3725F |
|
16 |
12 |
$0.00 |