| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,134 |
38,585 |
$1.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,980 |
14,531 |
$926K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,181 |
5,621 |
$292K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,518 |
10,205 |
$265K |
| 59025 |
Fetal non-stress test |
9,442 |
6,322 |
$199K |
| 76830 |
Ultrasound, transvaginal |
1,285 |
1,137 |
$140K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,897 |
1,754 |
$139K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
974 |
854 |
$112K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,178 |
1,017 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,679 |
2,637 |
$93K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
755 |
601 |
$57K |
| 99223 |
Prolong inpt eval add15 m |
340 |
330 |
$45K |
| 76813 |
|
344 |
297 |
$34K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
809 |
765 |
$25K |
| 90677 |
|
164 |
156 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,016 |
1,010 |
$24K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
342 |
328 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
583 |
576 |
$19K |
| 99381 |
|
219 |
205 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,949 |
1,826 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
89 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
577 |
550 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,621 |
1,529 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
494 |
482 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
88 |
87 |
$4K |
| 90461 |
|
239 |
237 |
$4K |
| 99383 |
|
41 |
39 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
206 |
191 |
$3K |
| 81025 |
|
619 |
560 |
$2K |
| 99384 |
|
14 |
13 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
16 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
73 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$962.68 |
| 99233 |
Prolong inpt eval add15 m |
12 |
12 |
$921.03 |
| 81002 |
|
1,420 |
1,043 |
$660.49 |
| 87807 |
|
93 |
92 |
$425.10 |
| 0503F |
|
42 |
42 |
$270.00 |
| 0500F |
|
103 |
101 |
$250.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
87 |
83 |
$173.81 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
38 |
$88.68 |
| 90656 |
|
170 |
163 |
$60.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
76 |
68 |
$40.46 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
24 |
$13.50 |
| 82962 |
|
19 |
13 |
$7.42 |
| 90715 |
|
38 |
38 |
$0.01 |
| 3008F |
|
8,768 |
8,301 |
$0.01 |
| 90670 |
|
1,875 |
1,852 |
$0.00 |
| 0502F |
|
7,890 |
6,083 |
$0.00 |
| 3078F |
|
2,281 |
2,198 |
$0.00 |
| 90633 |
|
374 |
371 |
$0.00 |
| 4274F |
|
305 |
286 |
$0.00 |
| 90710 |
|
158 |
154 |
$0.00 |
| 99173 |
|
299 |
293 |
$0.00 |
| 90734 |
|
182 |
181 |
$0.00 |
| 3077F |
|
41 |
39 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| 90723 |
|
1,904 |
1,884 |
$0.00 |
| 90680 |
|
1,381 |
1,371 |
$0.00 |
| 1036F |
|
4,996 |
4,644 |
$0.00 |
| 3079F |
|
1,007 |
984 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
49 |
49 |
$0.00 |
| 3074F |
|
2,871 |
2,771 |
$0.00 |
| 90651 |
|
126 |
125 |
$0.00 |
| 90686 |
|
1,063 |
1,031 |
$0.00 |
| 90647 |
|
1,515 |
1,494 |
$0.00 |
| 90696 |
|
31 |
31 |
$0.00 |
| 3075F |
|
209 |
202 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |