| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,303 |
1,157 |
$1.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,886 |
53,547 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,190 |
26,584 |
$966K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
11,042 |
4,294 |
$541K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24,212 |
9,790 |
$388K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,871 |
3,334 |
$251K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
560 |
271 |
$208K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,177 |
4,399 |
$179K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
10,164 |
7,185 |
$136K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,981 |
2,558 |
$120K |
| 99215 |
Prolong outpt/office vis |
2,360 |
1,517 |
$95K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,035 |
908 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
921 |
813 |
$62K |
| 99233 |
Prolong inpt eval add15 m |
2,648 |
1,432 |
$55K |
| 76801 |
|
799 |
645 |
$50K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,026 |
4,678 |
$49K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,477 |
1,184 |
$42K |
| 99460 |
|
782 |
699 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
717 |
591 |
$34K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
667 |
534 |
$32K |
| 99385 |
|
395 |
362 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
796 |
490 |
$30K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
334 |
255 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,259 |
7,297 |
$30K |
| 99306 |
Prolong nursin fac eval 15m |
1,196 |
1,091 |
$28K |
| 59025 |
Fetal non-stress test |
1,320 |
778 |
$27K |
| 64493 |
|
522 |
327 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,023 |
852 |
$22K |
| 54150 |
|
121 |
101 |
$19K |
| 64615 |
|
353 |
272 |
$18K |
| 43235 |
|
303 |
209 |
$17K |
| 59510 |
|
21 |
12 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,011 |
802 |
$14K |
| 90715 |
|
398 |
336 |
$14K |
| 51798 |
|
2,162 |
1,928 |
$13K |
| 92557 |
|
633 |
524 |
$13K |
| 31231 |
|
143 |
120 |
$12K |
| 99305 |
|
537 |
477 |
$12K |
| 64494 |
|
636 |
326 |
$11K |
| 80305 |
|
2,749 |
2,358 |
$11K |
| 64495 |
|
585 |
309 |
$10K |
| 81025 |
|
1,806 |
1,487 |
$9K |
| 3008F |
|
7,043 |
5,973 |
$9K |
| 52000 |
|
134 |
122 |
$9K |
| 99441 |
|
1,467 |
923 |
$9K |
| 99219 |
|
224 |
204 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
411 |
358 |
$8K |
| 81003 |
|
8,105 |
7,065 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
685 |
297 |
$6K |
| 43450 |
|
370 |
257 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
51 |
41 |
$6K |
| 92567 |
|
659 |
545 |
$6K |
| 85027 |
|
3,584 |
2,638 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
457 |
289 |
$5K |
| 58571 |
|
21 |
12 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
348 |
$4K |
| 94729 |
|
297 |
269 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
35 |
28 |
$4K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
375 |
341 |
$4K |
| 99220 |
|
81 |
70 |
$4K |
| 99217 |
|
164 |
142 |
$4K |
| 99292 |
|
102 |
68 |
$4K |
| 94726 |
|
247 |
223 |
$3K |
| 99205 |
Prolong outpt/office vis |
47 |
43 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
18 |
14 |
$3K |
| 20610 |
|
159 |
135 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,140 |
3,524 |
$2K |
| 99442 |
|
201 |
130 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
263 |
224 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
871 |
737 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
25 |
$2K |
| 95886 |
|
42 |
29 |
$2K |
| 64400 |
|
34 |
13 |
$2K |
| 51728 |
|
14 |
12 |
$2K |
| 82962 |
|
1,313 |
1,058 |
$1K |
| 73130 |
|
161 |
62 |
$1K |
| 83735 |
|
298 |
131 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
298 |
131 |
$975.44 |
| 0502F |
|
9,421 |
6,267 |
$950.00 |
| 90682 |
|
22 |
14 |
$920.49 |
| 27096 |
|
12 |
12 |
$902.60 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
57 |
26 |
$882.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$856.22 |
| 58300 |
|
17 |
13 |
$855.14 |
| 51797 |
|
14 |
12 |
$837.81 |
| 64405 |
|
33 |
13 |
$824.32 |
| 95909 |
|
21 |
13 |
$701.71 |
| 31575 |
|
13 |
12 |
$695.74 |
| 97597 |
|
96 |
26 |
$609.27 |
| 51784 |
|
14 |
12 |
$609.07 |
| 3078F |
|
145 |
113 |
$380.00 |
| 99462 |
|
20 |
15 |
$369.51 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
34 |
27 |
$292.95 |
| 94060 |
|
30 |
25 |
$277.73 |
| 3074F |
|
123 |
92 |
$270.00 |
| 90686 |
|
35 |
35 |
$259.55 |
| 99315 |
|
40 |
40 |
$243.61 |
| 99443 |
|
14 |
12 |
$240.69 |
| 95251 |
|
14 |
13 |
$234.55 |
| G0008 |
Administration of influenza virus vaccine |
150 |
139 |
$189.47 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
192 |
158 |
$183.13 |
| 3061F |
|
138 |
116 |
$170.00 |
| 3045F |
|
127 |
104 |
$120.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
330 |
276 |
$112.96 |
| 3046F |
|
72 |
57 |
$100.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
55 |
$74.68 |
| 1125F |
|
52 |
48 |
$70.00 |
| 1159F |
|
74 |
67 |
$50.00 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
13 |
12 |
$25.76 |
| 3725F |
|
40 |
36 |
$0.00 |
| 4013F |
|
122 |
94 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
50 |
48 |
$0.00 |
| 4004F |
|
28 |
25 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
52 |
49 |
$0.00 |
| 3048F |
|
58 |
50 |
$0.00 |
| 4086F |
|
15 |
15 |
$0.00 |