| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,196 |
8,350 |
$478K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,488 |
6,187 |
$469K |
| 59426 |
|
318 |
312 |
$282K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,474 |
2,440 |
$150K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,637 |
1,629 |
$142K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,388 |
1,383 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,291 |
1,254 |
$86K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,307 |
1,213 |
$83K |
| 59430 |
|
289 |
288 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,109 |
1,108 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
864 |
861 |
$65K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,343 |
9,047 |
$45K |
| 99223 |
Prolong inpt eval add15 m |
433 |
412 |
$43K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
491 |
491 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
476 |
475 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,579 |
3,536 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
350 |
348 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
973 |
929 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,968 |
1,951 |
$25K |
| 76801 |
|
318 |
316 |
$22K |
| 76830 |
Ultrasound, transvaginal |
313 |
311 |
$22K |
| 93351 |
|
303 |
302 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
377 |
167 |
$14K |
| 93000 |
|
1,758 |
1,738 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
232 |
210 |
$11K |
| 81025 |
|
1,446 |
1,435 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$9K |
| 59514 |
|
12 |
12 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
608 |
590 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
78 |
$7K |
| 99215 |
Prolong outpt/office vis |
70 |
67 |
$7K |
| 76820 |
|
222 |
205 |
$6K |
| 93016 |
|
464 |
459 |
$5K |
| 93320 |
|
481 |
479 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
44 |
44 |
$3K |
| 93018 |
|
463 |
458 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
278 |
275 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
483 |
466 |
$1K |
| 96127 |
|
488 |
488 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
38 |
38 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$1K |
| 99459 |
|
69 |
68 |
$912.67 |
| 90651 |
|
52 |
52 |
$908.00 |
| 99221 |
|
18 |
14 |
$890.80 |
| 93325 |
|
481 |
479 |
$872.93 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
44 |
24 |
$835.62 |
| 90686 |
|
419 |
418 |
$752.98 |
| 99460 |
|
14 |
14 |
$751.66 |
| 54150 |
|
12 |
12 |
$706.42 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
15 |
$683.11 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$574.13 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$552.44 |
| 81003 |
|
298 |
266 |
$491.14 |
| 20610 |
|
12 |
12 |
$432.77 |
| 90670 |
|
662 |
661 |
$410.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
42 |
$384.07 |
| 59025 |
Fetal non-stress test |
21 |
12 |
$317.39 |
| 81002 |
|
95 |
87 |
$259.48 |
| 90715 |
|
12 |
12 |
$192.30 |
| 3074F |
|
1,221 |
1,055 |
$0.04 |
| 3078F |
|
1,002 |
873 |
$0.03 |
| 0500F |
|
17 |
17 |
$0.03 |
| 3079F |
|
400 |
378 |
$0.01 |
| 90633 |
|
140 |
140 |
$0.00 |
| 1159F |
|
356 |
311 |
$0.00 |
| 90710 |
|
60 |
58 |
$0.00 |
| 0502F |
|
379 |
229 |
$0.00 |
| 90685 |
|
56 |
56 |
$0.00 |
| 1160F |
|
356 |
311 |
$0.00 |
| 3077F |
|
27 |
27 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90698 |
|
341 |
341 |
$0.00 |
| 1034F |
|
283 |
248 |
$0.00 |
| 90680 |
|
260 |
259 |
$0.00 |
| 3075F |
|
119 |
114 |
$0.00 |
| 99024 |
|
69 |
55 |
$0.00 |
| 1036F |
|
1,261 |
1,076 |
$0.00 |
| 1125F |
|
49 |
48 |
$0.00 |
| 90744 |
|
57 |
57 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 3008F |
|
1,700 |
1,481 |
$0.00 |