| Code | Description | Claims | Beneficiaries | Total Paid |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
10,087 |
2,687 |
$6.39M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
13,598 |
4,101 |
$2.60M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
11,854 |
2,465 |
$2.36M |
| 99468 |
|
1,168 |
1,155 |
$1.72M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
1,715 |
295 |
$1.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,068 |
4,642 |
$661K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,241 |
5,227 |
$595K |
| 99233 |
Prolong inpt eval add15 m |
2,611 |
898 |
$369K |
| 99215 |
Prolong outpt/office vis |
1,880 |
1,727 |
$338K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,939 |
1,870 |
$324K |
| 99223 |
Prolong inpt eval add15 m |
1,023 |
922 |
$279K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,636 |
1,636 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,029 |
1,872 |
$187K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
702 |
702 |
$169K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,572 |
618 |
$153K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
641 |
641 |
$148K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
57 |
57 |
$140K |
| 99205 |
Prolong outpt/office vis |
490 |
489 |
$134K |
| 99477 |
|
220 |
220 |
$127K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
339 |
182 |
$100K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
659 |
598 |
$96K |
| 94010 |
|
1,858 |
1,761 |
$85K |
| 54150 |
|
494 |
494 |
$78K |
| 99471 |
|
65 |
65 |
$73K |
| 99218 |
|
466 |
451 |
$60K |
| 99222 |
Initial hospital care, per day, moderate complexity |
253 |
251 |
$48K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
386 |
240 |
$45K |
| 59514 |
|
112 |
112 |
$39K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
140 |
140 |
$38K |
| 93971 |
|
888 |
864 |
$32K |
| 44970 |
|
30 |
30 |
$30K |
| 93970 |
|
526 |
463 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
129 |
129 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
158 |
157 |
$16K |
| 94060 |
|
191 |
191 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
113 |
94 |
$14K |
| 73100 |
|
308 |
265 |
$12K |
| 99221 |
|
74 |
73 |
$10K |
| 99460 |
|
75 |
75 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
191 |
104 |
$10K |
| 73070 |
|
243 |
219 |
$9K |
| 76801 |
|
42 |
42 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
499 |
465 |
$6K |
| 25600 |
|
12 |
12 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$5K |
| 93272 |
|
128 |
128 |
$5K |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
104 |
96 |
$3K |
| 93298 |
|
59 |
57 |
$2K |
| 93016 |
|
64 |
64 |
$2K |
| 31624 |
|
12 |
12 |
$2K |
| 96450 |
|
16 |
13 |
$2K |
| 73610 |
|
37 |
37 |
$2K |
| 99462 |
|
22 |
17 |
$1K |
| 93308 |
|
30 |
29 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
70 |
$1K |
| 93018 |
|
51 |
51 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$1K |
| 93227 |
|
40 |
40 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
60 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
67 |
$1K |
| 93228 |
|
27 |
27 |
$983.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$713.15 |
| 73090 |
|
21 |
14 |
$708.12 |
| 73590 |
|
18 |
15 |
$671.76 |
| 90688 |
|
87 |
86 |
$589.26 |
| 93000 |
|
25 |
25 |
$502.98 |
| 73552 |
|
12 |
12 |
$502.32 |
| 90715 |
|
12 |
12 |
$329.89 |
| 81025 |
|
40 |
40 |
$293.40 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
63 |
62 |
$0.00 |