| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
949 |
785 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
229 |
168 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
198 |
191 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
235 |
214 |
$5K |
| 59025 |
Fetal non-stress test |
291 |
136 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
177 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
24 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
158 |
59 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
71 |
70 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
106 |
72 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
86 |
$628.10 |
| 99460 |
|
20 |
17 |
$603.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
21 |
17 |
$508.75 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
25 |
$490.00 |
| 81002 |
|
600 |
442 |
$471.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
29 |
$409.81 |
| 90686 |
|
27 |
26 |
$340.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$328.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
30 |
$289.38 |
| 81025 |
|
29 |
27 |
$170.89 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
17 |
15 |
$161.56 |
| 20610 |
|
17 |
12 |
$133.20 |
| 96127 |
|
13 |
13 |
$24.72 |
| 36415 |
Collection of venous blood by venipuncture |
55 |
51 |
$2.67 |