| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,526 |
5,933 |
$515K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
6,191 |
3,034 |
$377K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,485 |
3,307 |
$333K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,044 |
6,032 |
$320K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,554 |
6,373 |
$238K |
| 76801 |
|
2,643 |
2,503 |
$218K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,146 |
1,662 |
$191K |
| 76820 |
|
5,748 |
2,899 |
$187K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,463 |
2,974 |
$177K |
| 76830 |
Ultrasound, transvaginal |
1,815 |
1,594 |
$140K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
235 |
215 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,413 |
1,399 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,314 |
1,278 |
$94K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,261 |
1,023 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,523 |
2,594 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
721 |
706 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,081 |
3,662 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
445 |
431 |
$37K |
| 76813 |
|
434 |
423 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
362 |
350 |
$27K |
| 92552 |
|
1,789 |
1,750 |
$19K |
| 96373 |
|
1,382 |
1,227 |
$19K |
| 90461 |
|
6,016 |
1,756 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,007 |
1,908 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
174 |
166 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
343 |
249 |
$14K |
| 59514 |
|
31 |
24 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
187 |
179 |
$9K |
| 87807 |
|
699 |
629 |
$7K |
| 87276 |
|
453 |
414 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
333 |
314 |
$4K |
| 81025 |
|
711 |
621 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
54 |
$4K |
| 99423 |
|
109 |
101 |
$4K |
| 99381 |
|
59 |
56 |
$4K |
| 87275 |
|
453 |
414 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
67 |
$4K |
| 81003 |
|
1,997 |
1,510 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
134 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
129 |
118 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,006 |
898 |
$1K |
| 96160 |
|
682 |
656 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
15 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
410 |
347 |
$557.89 |
| 99000 |
|
69 |
64 |
$388.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$191.00 |
| 84030 |
|
40 |
38 |
$4.75 |
| 90686 |
|
457 |
449 |
$0.07 |
| 90633 |
|
519 |
507 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
674 |
652 |
$0.02 |
| 90707 |
|
75 |
75 |
$0.01 |
| 90734 |
|
87 |
83 |
$0.01 |
| 90715 |
|
60 |
56 |
$0.01 |
| 90620 |
|
31 |
29 |
$0.01 |
| 90681 |
|
392 |
388 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,692 |
4,423 |
$0.00 |
| 90648 |
|
889 |
876 |
$0.00 |
| 90670 |
|
1,059 |
1,044 |
$0.00 |
| 99173 |
|
1,542 |
1,492 |
$0.00 |
| 90700 |
|
47 |
47 |
$0.00 |
| 90710 |
|
14 |
13 |
$0.00 |
| 90723 |
|
657 |
650 |
$0.00 |
| 90680 |
|
84 |
77 |
$0.00 |
| 90744 |
|
115 |
111 |
$0.00 |
| 90716 |
|
75 |
75 |
$0.00 |
| 90698 |
|
168 |
161 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |