| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
3,555 |
2,995 |
$286K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,916 |
3,554 |
$231K |
| 99233 |
Prolong inpt eval add15 m |
4,831 |
2,356 |
$218K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,028 |
2,809 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,633 |
2,435 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,282 |
2,220 |
$116K |
| H1000 |
Prenatal care, at-risk assessment |
1,641 |
1,230 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,089 |
1,077 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,106 |
958 |
$93K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,015 |
973 |
$90K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
562 |
541 |
$55K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
730 |
633 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
377 |
376 |
$36K |
| 90461 |
|
914 |
896 |
$23K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
155 |
145 |
$19K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
394 |
307 |
$19K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
66 |
60 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
247 |
219 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
194 |
178 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,894 |
963 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
106 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
322 |
255 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
112 |
106 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
71 |
$5K |
| 59025 |
Fetal non-stress test |
352 |
305 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
107 |
98 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
316 |
313 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,674 |
1,210 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
904 |
537 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
54 |
40 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
887 |
797 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
36 |
$3K |
| 76813 |
|
15 |
15 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
29 |
28 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
27 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$729.51 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
38 |
19 |
$662.04 |
| 99310 |
Prolong nursin fac eval 15m |
145 |
102 |
$575.63 |
| 76820 |
|
21 |
12 |
$295.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
38 |
$274.81 |
| 81003 |
|
140 |
125 |
$165.77 |
| 96161 |
|
90 |
87 |
$162.75 |
| 90633 |
|
110 |
108 |
$38.99 |
| 90686 |
|
198 |
196 |
$23.63 |
| 90656 |
|
83 |
80 |
$0.02 |
| 90707 |
|
25 |
25 |
$0.01 |
| 90670 |
|
250 |
245 |
$0.00 |
| 99177 |
|
273 |
270 |
$0.00 |
| 90681 |
|
49 |
46 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 90647 |
|
268 |
263 |
$0.00 |
| 90677 |
|
156 |
153 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90723 |
|
221 |
218 |
$0.00 |