| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,322 |
8,070 |
$628K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,424 |
18,436 |
$584K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
11,204 |
7,951 |
$573K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,012 |
13,767 |
$507K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,499 |
4,025 |
$464K |
| 76820 |
|
4,837 |
3,329 |
$132K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,301 |
2,014 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,721 |
1,508 |
$69K |
| 99215 |
Prolong outpt/office vis |
1,107 |
983 |
$65K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,059 |
1,141 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
882 |
826 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,113 |
2,518 |
$53K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
70 |
62 |
$31K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
859 |
322 |
$20K |
| 81003 |
|
13,440 |
10,458 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
598 |
456 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,801 |
1,492 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
237 |
196 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
333 |
275 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
376 |
115 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
215 |
193 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
201 |
160 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,040 |
1,517 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
297 |
252 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,119 |
802 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
169 |
149 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
98 |
93 |
$6K |
| 87428 |
|
106 |
91 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,708 |
1,394 |
$5K |
| 99221 |
|
119 |
108 |
$5K |
| 99205 |
Prolong outpt/office vis |
58 |
57 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
55 |
54 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
483 |
234 |
$4K |
| 81025 |
|
718 |
626 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
63 |
54 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
82 |
67 |
$3K |
| 99243 |
|
51 |
44 |
$3K |
| 93000 |
|
439 |
397 |
$2K |
| 99318 |
|
263 |
208 |
$2K |
| 59025 |
Fetal non-stress test |
78 |
41 |
$2K |
| 99307 |
|
668 |
530 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
208 |
140 |
$2K |
| 93018 |
|
130 |
107 |
$1K |
| 93016 |
|
130 |
107 |
$1K |
| 90674 |
|
72 |
60 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
45 |
41 |
$1K |
| 59430 |
|
14 |
13 |
$1K |
| 81002 |
|
1,627 |
623 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
110 |
$940.37 |
| 99219 |
|
16 |
15 |
$899.04 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
566 |
566 |
$754.37 |
| 59020 |
|
20 |
12 |
$737.41 |
| 90715 |
|
41 |
31 |
$695.87 |
| 99490 |
Ccm add 20min |
171 |
166 |
$686.13 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$479.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
26 |
$422.60 |
| 99000 |
|
60 |
57 |
$400.18 |
| 99442 |
|
15 |
14 |
$241.87 |
| 90961 |
|
216 |
216 |
$187.64 |
| 99305 |
|
19 |
18 |
$105.14 |
| 90461 |
|
15 |
12 |
$75.61 |
| 84443 |
Thyroid stimulating hormone (TSH) |
31 |
31 |
$47.44 |
| 80053 |
Comprehensive metabolic panel |
71 |
71 |
$29.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
67 |
67 |
$21.93 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
13 |
$17.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$14.93 |
| 80061 |
Lipid panel |
41 |
41 |
$9.94 |
| 1036F |
|
23,595 |
16,237 |
$0.02 |
| 3008F |
|
30,211 |
21,156 |
$0.01 |
| 1159F |
|
19,967 |
15,266 |
$0.01 |
| 3074F |
|
20,900 |
14,839 |
$0.00 |
| 1125F |
|
389 |
359 |
$0.00 |
| 3079F |
|
5,724 |
4,314 |
$0.00 |
| 3080F |
|
266 |
212 |
$0.00 |
| 3075F |
|
3,652 |
2,817 |
$0.00 |
| 1126F |
|
766 |
664 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
64 |
$0.00 |
| 1170F |
|
294 |
271 |
$0.00 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
62 |
26 |
$0.00 |
| 1111F |
|
289 |
268 |
$0.00 |
| 1034F |
|
14 |
12 |
$0.00 |
| 1035F |
|
17 |
12 |
$0.00 |
| 4010F |
|
35 |
32 |
$0.00 |
| 1160F |
|
23,687 |
18,007 |
$0.00 |
| 0502F |
|
7,636 |
4,162 |
$0.00 |
| 3078F |
|
20,353 |
14,514 |
$0.00 |
| 3077F |
|
1,482 |
1,141 |
$0.00 |
| 3725F |
|
710 |
618 |
$0.00 |