| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,428 |
3,367 |
$726K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,467 |
4,055 |
$446K |
| 76820 |
|
5,650 |
3,829 |
$431K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,222 |
3,808 |
$272K |
| 76825 |
|
1,696 |
1,600 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,473 |
1,385 |
$104K |
| 76818 |
|
1,288 |
828 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,558 |
1,486 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
837 |
821 |
$74K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
775 |
350 |
$41K |
| 99245 |
|
247 |
238 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
232 |
226 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
183 |
178 |
$18K |
| 99215 |
Prolong outpt/office vis |
159 |
147 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
132 |
129 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
572 |
545 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
163 |
147 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
149 |
137 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
119 |
101 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
89 |
82 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
115 |
114 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
86 |
83 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
211 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
214 |
208 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
91 |
90 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
148 |
68 |
$6K |
| 74018 |
|
375 |
246 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
43 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
96 |
76 |
$4K |
| 87428 |
|
63 |
56 |
$4K |
| 59025 |
Fetal non-stress test |
79 |
40 |
$3K |
| 99241 |
|
59 |
58 |
$3K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
409 |
377 |
$3K |
| 99460 |
|
22 |
22 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
153 |
147 |
$2K |
| 76813 |
|
14 |
14 |
$1K |
| 99462 |
|
34 |
25 |
$1K |
| 96127 |
|
271 |
264 |
$1K |
| 99218 |
|
16 |
15 |
$1K |
| 81002 |
|
313 |
291 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
76 |
64 |
$957.01 |
| 99205 |
Prolong outpt/office vis |
45 |
36 |
$811.62 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
128 |
105 |
$790.35 |
| 99188 |
|
50 |
49 |
$782.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$759.81 |
| 95251 |
|
30 |
29 |
$600.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$439.06 |
| 82962 |
|
163 |
155 |
$370.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$259.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$246.81 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
14 |
$147.29 |
| 36415 |
Collection of venous blood by venipuncture |
223 |
214 |
$138.38 |
| 80053 |
Comprehensive metabolic panel |
15 |
14 |
$129.90 |
| 81025 |
|
16 |
14 |
$122.29 |
| 81003 |
|
36 |
31 |
$116.75 |
| 96160 |
|
13 |
13 |
$53.95 |
| 92551 |
|
15 |
14 |
$37.95 |
| 90686 |
|
131 |
129 |
$13.01 |
| 36416 |
|
168 |
161 |
$5.04 |
| 90670 |
|
121 |
109 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 83037 |
|
13 |
12 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90723 |
|
93 |
84 |
$0.00 |
| 90680 |
|
70 |
66 |
$0.00 |
| 90647 |
|
74 |
69 |
$0.00 |
| 99000 |
|
18 |
16 |
$0.00 |