| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
15,124 |
6,626 |
$4.67M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
3,966 |
1,435 |
$1.45M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13,559 |
12,785 |
$1.14M |
| 92650 |
|
18,492 |
16,839 |
$1.14M |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,848 |
6,500 |
$835K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,258 |
7,407 |
$649K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,064 |
4,565 |
$457K |
| 99464 |
|
6,380 |
6,003 |
$396K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,491 |
1,669 |
$316K |
| 99215 |
Prolong outpt/office vis |
2,908 |
2,273 |
$310K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
837 |
578 |
$184K |
| 99233 |
Prolong inpt eval add15 m |
1,611 |
540 |
$182K |
| 99468 |
|
157 |
146 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,130 |
1,676 |
$119K |
| 99292 |
|
833 |
573 |
$117K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,468 |
926 |
$101K |
| 99223 |
Prolong inpt eval add15 m |
424 |
371 |
$66K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
758 |
536 |
$63K |
| 99462 |
|
1,097 |
985 |
$30K |
| 92586 |
|
2,312 |
2,253 |
$29K |
| 99460 |
|
433 |
411 |
$27K |
| 99221 |
|
380 |
358 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,176 |
2,278 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
373 |
313 |
$21K |
| 99205 |
Prolong outpt/office vis |
192 |
136 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
197 |
194 |
$20K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
677 |
546 |
$20K |
| 99243 |
|
97 |
97 |
$15K |
| 93000 |
|
2,615 |
1,836 |
$15K |
| 90670 |
|
52 |
52 |
$12K |
| 99471 |
|
12 |
12 |
$10K |
| 76825 |
|
55 |
46 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
60 |
$6K |
| 76770 |
|
99 |
62 |
$5K |
| 59025 |
Fetal non-stress test |
380 |
315 |
$4K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
42 |
27 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
42 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
744 |
327 |
$3K |
| 92587 |
|
209 |
179 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
68 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
39 |
39 |
$2K |
| 76827 |
|
56 |
47 |
$2K |
| 94010 |
|
71 |
69 |
$2K |
| 90461 |
|
137 |
118 |
$2K |
| 93325 |
|
78 |
67 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
72 |
70 |
$584.25 |
| 90698 |
|
50 |
50 |
$425.33 |
| 85044 |
|
40 |
37 |
$137.54 |
| 81002 |
|
88 |
41 |
$41.16 |
| 96523 |
|
260 |
27 |
$0.00 |
| J9370 |
Vincristine sulfate, 1 mg |
89 |
12 |
$0.00 |
| 90680 |
|
40 |
40 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
138 |
14 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
100 |
14 |
$0.00 |