| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,188 |
1,065 |
$1.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,111 |
15,093 |
$510K |
| 99233 |
Prolong inpt eval add15 m |
5,753 |
1,737 |
$260K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,930 |
3,813 |
$258K |
| S9083 |
Global fee urgent care centers |
3,398 |
3,263 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,022 |
12,834 |
$245K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,155 |
483 |
$164K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,887 |
1,296 |
$162K |
| 99223 |
Prolong inpt eval add15 m |
2,212 |
2,105 |
$160K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,613 |
1,557 |
$160K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,616 |
1,563 |
$151K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,626 |
2,337 |
$143K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
815 |
791 |
$129K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
303 |
291 |
$101K |
| 90961 |
|
355 |
323 |
$94K |
| 59025 |
Fetal non-stress test |
4,558 |
2,697 |
$65K |
| 31231 |
|
780 |
753 |
$58K |
| 92557 |
|
864 |
841 |
$55K |
| 90962 |
|
228 |
205 |
$49K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,559 |
2,287 |
$42K |
| 99497 |
|
560 |
367 |
$41K |
| 31575 |
|
351 |
337 |
$41K |
| 99243 |
|
340 |
319 |
$40K |
| 20610 |
|
451 |
377 |
$34K |
| 99215 |
Prolong outpt/office vis |
460 |
445 |
$30K |
| 90686 |
|
1,519 |
1,472 |
$27K |
| 92504 |
|
948 |
882 |
$26K |
| 69210 |
|
626 |
579 |
$25K |
| 99222 |
Initial hospital care, per day, moderate complexity |
291 |
286 |
$22K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
70 |
66 |
$20K |
| 99205 |
Prolong outpt/office vis |
134 |
133 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
527 |
294 |
$12K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,484 |
2,251 |
$12K |
| 93000 |
|
384 |
367 |
$9K |
| 94729 |
|
120 |
116 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
166 |
166 |
$7K |
| 93294 |
|
240 |
239 |
$7K |
| 92550 |
|
217 |
214 |
$6K |
| 94060 |
|
105 |
101 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
523 |
436 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
79 |
$4K |
| 94726 |
|
63 |
59 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
437 |
417 |
$3K |
| 93295 |
|
42 |
37 |
$3K |
| 99498 |
|
37 |
26 |
$3K |
| 93351 |
|
13 |
12 |
$3K |
| 92551 |
|
1,872 |
1,853 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
163 |
$3K |
| 93298 |
|
103 |
103 |
$2K |
| 95251 |
|
42 |
42 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
600 |
578 |
$2K |
| 81002 |
|
748 |
681 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
40 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
24 |
24 |
$1K |
| 93793 |
|
94 |
42 |
$1K |
| 93990 |
|
103 |
101 |
$1K |
| 99460 |
|
12 |
12 |
$1K |
| 94727 |
|
27 |
27 |
$1K |
| 99349 |
|
119 |
119 |
$943.47 |
| 99384 |
|
79 |
78 |
$818.96 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$799.12 |
| 90688 |
|
39 |
39 |
$789.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
75 |
$789.04 |
| 93320 |
|
13 |
12 |
$776.49 |
| 96127 |
|
152 |
152 |
$751.46 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
36 |
29 |
$661.06 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
17 |
$522.81 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
41 |
38 |
$356.78 |
| 90670 |
|
29 |
25 |
$261.00 |
| 85018 |
|
83 |
79 |
$212.57 |
| 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) |
30 |
29 |
$183.91 |
| 90656 |
|
12 |
12 |
$123.23 |
| 83655 |
|
12 |
12 |
$116.16 |
| 94750 |
|
12 |
12 |
$114.24 |
| 93325 |
|
13 |
12 |
$59.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
69 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$0.00 |
| 90662 |
|
40 |
40 |
$0.00 |