| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,319 |
8,488 |
$417K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,453 |
2,166 |
$189K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,264 |
2,136 |
$142K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
238 |
235 |
$137K |
| 59514 |
|
204 |
201 |
$137K |
| 59025 |
Fetal non-stress test |
2,951 |
1,581 |
$108K |
| 99460 |
|
1,083 |
1,074 |
$86K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,432 |
1,407 |
$84K |
| 59430 |
|
858 |
809 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
859 |
853 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,029 |
962 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,709 |
1,437 |
$39K |
| 99000 |
|
3,771 |
3,313 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,411 |
3,337 |
$37K |
| 76801 |
|
384 |
379 |
$35K |
| 81002 |
|
11,772 |
6,826 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
406 |
399 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,241 |
1,617 |
$29K |
| 99381 |
|
276 |
275 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
155 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
960 |
888 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
116 |
115 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
122 |
$10K |
| 90474 |
|
942 |
934 |
$9K |
| 99462 |
|
217 |
206 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,005 |
757 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
622 |
614 |
$8K |
| 90674 |
|
251 |
248 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
431 |
213 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
102 |
$5K |
| 90756 |
|
177 |
173 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
291 |
285 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
155 |
$2K |
| 87807 |
|
177 |
162 |
$2K |
| 82951 |
|
147 |
145 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
101 |
101 |
$783.36 |
| 90715 |
|
27 |
27 |
$450.00 |
| 82950 |
|
118 |
113 |
$437.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
25 |
$369.01 |
| 81025 |
|
59 |
57 |
$361.50 |
| 90480 |
|
13 |
13 |
$325.00 |
| 96160 |
|
157 |
156 |
$321.13 |
| 0011A |
|
13 |
12 |
$51.33 |
| 82947 |
|
15 |
14 |
$23.10 |
| 90686 |
|
1,030 |
1,022 |
$13.18 |
| 90677 |
|
366 |
366 |
$5.60 |
| 90680 |
|
928 |
919 |
$0.00 |
| 90723 |
|
272 |
271 |
$0.00 |
| 90656 |
|
151 |
151 |
$0.00 |
| 90698 |
|
59 |
56 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90716 |
|
67 |
67 |
$0.00 |
| 90697 |
|
94 |
94 |
$0.00 |
| 91301 |
|
29 |
27 |
$0.00 |
| 90670 |
|
811 |
805 |
$0.00 |
| 90648 |
|
495 |
493 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 90633 |
|
122 |
120 |
$0.00 |