| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,279 |
20,065 |
$1.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,588 |
10,526 |
$835K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,928 |
1,757 |
$81K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,105 |
1,058 |
$45K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,066 |
8,538 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,290 |
2,223 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
324 |
309 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,573 |
776 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
880 |
386 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
211 |
$21K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
530 |
289 |
$18K |
| 11721 |
|
2,989 |
2,687 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
779 |
734 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
209 |
209 |
$9K |
| 76818 |
|
151 |
58 |
$8K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
24 |
24 |
$6K |
| 93000 |
|
447 |
413 |
$5K |
| 99215 |
Prolong outpt/office vis |
51 |
49 |
$5K |
| 62323 |
|
48 |
47 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
103 |
101 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
52 |
52 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
87 |
81 |
$3K |
| 95813 |
|
12 |
12 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
22 |
12 |
$3K |
| 99457 |
|
363 |
353 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
37 |
35 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
87 |
$2K |
| 59025 |
Fetal non-stress test |
83 |
71 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 99460 |
|
12 |
12 |
$996.01 |
| 73630 |
|
53 |
37 |
$973.94 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$859.13 |
| 99458 |
|
69 |
67 |
$766.43 |
| 69210 |
|
25 |
24 |
$758.05 |
| 51798 |
|
123 |
111 |
$742.83 |
| V2020 |
Frames, purchases |
26 |
26 |
$482.00 |
| 94060 |
|
54 |
50 |
$480.31 |
| 94726 |
|
53 |
49 |
$440.50 |
| 36415 |
Collection of venous blood by venipuncture |
275 |
238 |
$422.50 |
| 94729 |
|
54 |
50 |
$383.07 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
35 |
12 |
$339.82 |
| 92552 |
|
26 |
26 |
$311.99 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$306.70 |
| 11056 |
|
14 |
12 |
$254.13 |
| 87210 |
|
53 |
51 |
$248.28 |
| 92557 |
|
14 |
12 |
$230.44 |
| 92567 |
|
15 |
15 |
$202.03 |
| 99490 |
Ccm add 20min |
30 |
28 |
$175.72 |
| 99406 |
|
14 |
13 |
$141.91 |
| 92015 |
Determination of refractive state |
12 |
12 |
$63.25 |
| 93793 |
|
28 |
24 |
$49.48 |