| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
2,376 |
767 |
$745K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
2,273 |
828 |
$716K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,313 |
8,042 |
$629K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
5,386 |
2,348 |
$517K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,689 |
3,687 |
$457K |
| 99215 |
Prolong outpt/office vis |
4,893 |
4,308 |
$420K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,785 |
965 |
$302K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,919 |
1,262 |
$295K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
4,209 |
4,085 |
$242K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,079 |
1,079 |
$124K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,656 |
1,648 |
$98K |
| 93320 |
|
4,219 |
4,081 |
$70K |
| 99233 |
Prolong inpt eval add15 m |
1,119 |
435 |
$64K |
| 99243 |
|
737 |
737 |
$61K |
| 95951 |
|
397 |
240 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
745 |
745 |
$59K |
| 95813 |
|
917 |
917 |
$49K |
| 93325 |
|
5,137 |
4,891 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
861 |
853 |
$46K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
578 |
570 |
$39K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,655 |
6,458 |
$36K |
| 54161 |
|
186 |
186 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
533 |
311 |
$24K |
| 99252 |
|
357 |
354 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
943 |
894 |
$22K |
| 99222 |
Initial hospital care, per day, moderate complexity |
189 |
188 |
$17K |
| 99460 |
|
183 |
182 |
$16K |
| 99468 |
|
25 |
25 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
420 |
412 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
174 |
174 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
214 |
214 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
131 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
70 |
69 |
$8K |
| 99464 |
|
99 |
98 |
$7K |
| 95720 |
|
51 |
29 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
73 |
$5K |
| 76825 |
|
122 |
121 |
$4K |
| 90461 |
|
172 |
155 |
$4K |
| 99245 |
|
24 |
24 |
$4K |
| 99462 |
|
123 |
94 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$3K |
| 99201 |
|
37 |
37 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
29 |
29 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 99254 |
|
15 |
15 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
13 |
13 |
$1K |
| 76827 |
|
70 |
70 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$731.13 |
| 99442 |
|
20 |
20 |
$348.00 |