| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,227 |
2,151 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,031 |
20,094 |
$933K |
| 59514 |
|
715 |
678 |
$443K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
56,584 |
46,418 |
$200K |
| 0002A |
|
5,496 |
5,478 |
$141K |
| 0001A |
|
5,621 |
5,589 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,074 |
2,047 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,128 |
1,111 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,773 |
1,605 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,262 |
2,231 |
$71K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
805 |
761 |
$61K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
121 |
118 |
$29K |
| 0004A |
|
880 |
878 |
$29K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
210 |
204 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
343 |
330 |
$22K |
| 0072A |
|
650 |
649 |
$22K |
| 0071A |
|
679 |
675 |
$21K |
| 93970 |
|
1,015 |
827 |
$17K |
| 92579 |
|
518 |
514 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,448 |
620 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
606 |
575 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
131 |
126 |
$14K |
| 92587 |
|
875 |
862 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
531 |
515 |
$13K |
| 92567 |
|
1,017 |
1,003 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
547 |
189 |
$9K |
| 0003A |
|
247 |
247 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
33 |
12 |
$5K |
| 95720 |
|
156 |
51 |
$5K |
| 92557 |
|
218 |
218 |
$5K |
| 99220 |
|
77 |
73 |
$5K |
| 59430 |
|
46 |
38 |
$4K |
| 90674 |
|
181 |
139 |
$4K |
| 95951 |
|
77 |
25 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
428 |
341 |
$3K |
| 93971 |
|
295 |
261 |
$3K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$3K |
| 81025 |
|
433 |
397 |
$3K |
| 90715 |
|
67 |
61 |
$2K |
| 0054A |
|
87 |
87 |
$2K |
| 99235 |
|
13 |
13 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$1K |
| 90661 |
|
31 |
31 |
$818.52 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$745.80 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
13 |
$729.85 |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
24 |
$648.24 |
| 0052A |
|
43 |
43 |
$572.00 |
| 93000 |
|
12 |
12 |
$15.73 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |