| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,665 |
7,234 |
$267K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,390 |
6,902 |
$210K |
| H1000 |
Prenatal care, at-risk assessment |
2,149 |
1,636 |
$124K |
| 99223 |
Prolong inpt eval add15 m |
1,557 |
1,277 |
$122K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,352 |
1,104 |
$55K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,576 |
902 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
472 |
421 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
418 |
196 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
465 |
346 |
$14K |
| 99234 |
|
181 |
61 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,187 |
823 |
$6K |
| 59025 |
Fetal non-stress test |
222 |
159 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
64 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
43 |
13 |
$3K |
| 59430 |
|
59 |
52 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
44 |
38 |
$2K |
| 81025 |
|
581 |
517 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
196 |
172 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
102 |
78 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
343 |
304 |
$1K |
| 93000 |
|
326 |
272 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
35 |
29 |
$922.86 |
| 94726 |
|
81 |
52 |
$829.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
107 |
$768.13 |
| 81003 |
|
878 |
727 |
$708.90 |
| 97597 |
|
17 |
12 |
$624.33 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
25 |
$532.71 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$510.16 |
| 94060 |
|
82 |
52 |
$498.23 |
| 51798 |
|
297 |
275 |
$468.00 |
| 99254 |
|
18 |
12 |
$456.57 |
| 94010 |
|
38 |
37 |
$387.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
18 |
$370.86 |
| 94664 |
|
63 |
59 |
$350.15 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
15 |
$348.97 |
| 99152 |
|
37 |
28 |
$331.62 |
| 3074F |
|
3,675 |
3,034 |
$275.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
267 |
134 |
$270.71 |
| 99336 |
|
83 |
78 |
$177.17 |
| 94729 |
|
21 |
14 |
$158.76 |
| 81002 |
|
64 |
54 |
$66.82 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$10.20 |
| 3078F |
|
3,415 |
2,515 |
$0.00 |
| 3725F |
|
4,901 |
3,546 |
$0.00 |
| 3288F |
|
1,240 |
1,138 |
$0.00 |
| 3077F |
|
166 |
129 |
$0.00 |
| 1100F |
|
21 |
12 |
$0.00 |
| 1036F |
|
8,184 |
6,007 |
$0.00 |
| 1126F |
|
3,755 |
3,126 |
$0.00 |
| 1125F |
|
1,231 |
1,080 |
$0.00 |
| 3079F |
|
940 |
723 |
$0.00 |
| 1101F |
|
1,700 |
1,463 |
$0.00 |
| 99335 |
|
29 |
27 |
$0.00 |
| 3075F |
|
152 |
144 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
618 |
455 |
$0.00 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
12 |
$0.00 |
| 3080F |
|
121 |
89 |
$0.00 |