| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,323 |
16,170 |
$586K |
| 97811 |
|
13,160 |
4,799 |
$338K |
| 59425 |
|
4,337 |
2,849 |
$331K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,058 |
18,753 |
$318K |
| 97813 |
|
12,990 |
4,694 |
$171K |
| 97814 |
|
12,955 |
4,689 |
$170K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,345 |
2,690 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,114 |
1,111 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
799 |
791 |
$55K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
49 |
49 |
$39K |
| 92552 |
|
1,276 |
1,267 |
$34K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
730 |
520 |
$29K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
331 |
239 |
$29K |
| 99215 |
Prolong outpt/office vis |
152 |
151 |
$25K |
| 76801 |
|
201 |
200 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
560 |
554 |
$24K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
117 |
117 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
147 |
147 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
214 |
213 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
234 |
$17K |
| 76830 |
Ultrasound, transvaginal |
140 |
139 |
$17K |
| 76820 |
|
308 |
229 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
142 |
141 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
162 |
148 |
$14K |
| 90670 |
|
681 |
681 |
$13K |
| 90686 |
|
618 |
615 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
151 |
150 |
$12K |
| 90698 |
|
664 |
664 |
$12K |
| 98942 |
|
310 |
179 |
$11K |
| 90707 |
|
394 |
394 |
$11K |
| 20552 |
|
316 |
164 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
98 |
$10K |
| 90633 |
|
490 |
490 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
83 |
83 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
670 |
585 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
202 |
202 |
$7K |
| 76770 |
|
113 |
112 |
$7K |
| 97810 |
|
722 |
412 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
98 |
98 |
$7K |
| 90715 |
|
237 |
237 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
175 |
170 |
$6K |
| 99173 |
|
884 |
883 |
$6K |
| 90716 |
|
305 |
305 |
$6K |
| 90744 |
|
341 |
341 |
$6K |
| 59430 |
|
69 |
69 |
$6K |
| 90681 |
|
304 |
304 |
$5K |
| 81002 |
|
2,312 |
2,231 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
165 |
153 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
57 |
57 |
$4K |
| 96127 |
|
654 |
618 |
$4K |
| 80305 |
|
333 |
281 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
187 |
187 |
$3K |
| 85018 |
|
1,207 |
1,199 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
326 |
277 |
$3K |
| 59025 |
Fetal non-stress test |
57 |
36 |
$2K |
| 90685 |
|
91 |
91 |
$2K |
| 90756 |
|
74 |
73 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34 |
28 |
$2K |
| 99201 |
|
32 |
32 |
$1K |
| 99243 |
|
14 |
14 |
$1K |
| 82947 |
|
427 |
382 |
$1K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
57 |
39 |
$1K |
| 99385 |
|
31 |
31 |
$1K |
| 99460 |
|
14 |
14 |
$950.06 |
| 90651 |
|
50 |
50 |
$900.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
125 |
$873.32 |
| 90734 |
|
46 |
46 |
$828.00 |
| 90674 |
|
36 |
36 |
$730.98 |
| 90680 |
|
42 |
42 |
$711.00 |
| 97124 |
|
51 |
36 |
$433.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
53 |
$223.00 |
| 90649 |
|
12 |
12 |
$216.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
53 |
$153.35 |
| 81025 |
|
40 |
38 |
$126.72 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
18 |
18 |
$117.40 |
| 99497 |
|
29 |
29 |
$59.28 |
| 82962 |
|
38 |
34 |
$44.00 |
| 93000 |
|
14 |
14 |
$33.76 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
31 |
31 |
$33.52 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
13 |
13 |
$0.00 |