| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,924 |
6,350 |
$351K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,864 |
2,714 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
704 |
611 |
$56K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
701 |
643 |
$54K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
232 |
224 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
532 |
528 |
$20K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
221 |
196 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
236 |
$18K |
| 81025 |
|
1,535 |
1,454 |
$11K |
| 76813 |
|
81 |
78 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
95 |
$7K |
| 76830 |
Ultrasound, transvaginal |
69 |
67 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
140 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
73 |
$3K |
| 76801 |
|
27 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
139 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
42 |
$2K |
| 0500F |
|
92 |
92 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$903.58 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
15 |
$697.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
42 |
$630.36 |
| 59025 |
Fetal non-stress test |
19 |
14 |
$578.48 |
| 87807 |
|
34 |
32 |
$519.57 |
| 90670 |
|
184 |
184 |
$410.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
24 |
$402.96 |
| 96161 |
|
83 |
80 |
$331.75 |
| 90474 |
|
25 |
25 |
$283.82 |
| 90686 |
|
110 |
108 |
$279.37 |
| 96127 |
|
73 |
70 |
$254.75 |
| 81002 |
|
13 |
12 |
$42.08 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90680 |
|
52 |
52 |
$0.00 |
| 90723 |
|
111 |
111 |
$0.00 |
| 90647 |
|
88 |
88 |
$0.00 |