| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,599 |
14,195 |
$344K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,393 |
6,912 |
$208K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
165 |
144 |
$188K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,452 |
3,026 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,623 |
2,977 |
$60K |
| 20610 |
|
2,237 |
1,704 |
$48K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,102 |
1,302 |
$41K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,163 |
1,115 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
1,965 |
795 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
881 |
729 |
$31K |
| 51798 |
|
5,213 |
4,703 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
510 |
460 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
350 |
326 |
$21K |
| 73630 |
|
1,932 |
1,527 |
$21K |
| 76830 |
Ultrasound, transvaginal |
213 |
205 |
$12K |
| 97597 |
|
985 |
525 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
5,454 |
4,669 |
$10K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,727 |
1,396 |
$9K |
| 90715 |
|
188 |
165 |
$6K |
| 81025 |
|
1,411 |
1,247 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
271 |
215 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
189 |
161 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
147 |
131 |
$5K |
| 76801 |
|
113 |
88 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
845 |
694 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
343 |
225 |
$5K |
| 73110 |
|
335 |
236 |
$5K |
| 11721 |
|
714 |
536 |
$5K |
| 81003 |
|
7,692 |
6,715 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
609 |
512 |
$4K |
| 94060 |
|
331 |
280 |
$4K |
| 73564 |
|
332 |
289 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
499 |
399 |
$4K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
248 |
206 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
63 |
56 |
$3K |
| 90686 |
|
224 |
199 |
$3K |
| 73130 |
|
170 |
127 |
$2K |
| 99220 |
|
83 |
70 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
61 |
44 |
$2K |
| 59025 |
Fetal non-stress test |
64 |
40 |
$2K |
| 99460 |
|
39 |
30 |
$2K |
| 95117 |
|
147 |
62 |
$1K |
| 73030 |
|
195 |
157 |
$1K |
| 99385 |
|
19 |
18 |
$1K |
| 73562 |
|
98 |
80 |
$1K |
| 99406 |
|
403 |
342 |
$1K |
| 99217 |
|
53 |
48 |
$1K |
| 73610 |
|
91 |
68 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
18 |
13 |
$960.56 |
| 90656 |
|
97 |
81 |
$895.48 |
| 96127 |
|
230 |
190 |
$743.65 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$722.82 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$707.81 |
| 99462 |
|
37 |
27 |
$656.94 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
15 |
$616.62 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$611.30 |
| 11720 |
|
154 |
110 |
$565.19 |
| 52000 |
|
12 |
12 |
$560.73 |
| 0598T |
|
14 |
12 |
$440.43 |
| 73502 |
|
45 |
41 |
$408.81 |
| 73560 |
|
14 |
12 |
$261.07 |
| 90674 |
|
19 |
12 |
$234.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
13 |
$226.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
332 |
285 |
$140.50 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
63 |
49 |
$136.56 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
53 |
35 |
$136.27 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
29 |
20 |
$121.72 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$83.33 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
139 |
121 |
$26.09 |
| G0008 |
Administration of influenza virus vaccine |
38 |
32 |
$13.12 |
| 0503F |
|
52 |
43 |
$0.15 |
| 0502F |
|
14,148 |
9,325 |
$0.01 |
| 0501F |
|
355 |
321 |
$0.00 |
| 1160F |
|
38 |
29 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |