| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
10,795 |
6,542 |
$1.03M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,032 |
1,027 |
$785K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,429 |
3,346 |
$590K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,069 |
4,918 |
$381K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,072 |
3,866 |
$323K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,326 |
16,447 |
$267K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,682 |
6,161 |
$222K |
| 99215 |
Prolong outpt/office vis |
1,230 |
1,219 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,513 |
2,470 |
$176K |
| 99460 |
|
2,107 |
2,073 |
$155K |
| 59514 |
|
546 |
537 |
$142K |
| 99462 |
|
3,116 |
1,954 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,242 |
5,847 |
$108K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
569 |
565 |
$74K |
| 59430 |
|
689 |
687 |
$64K |
| 90670 |
|
3,571 |
3,474 |
$53K |
| 76801 |
|
497 |
478 |
$49K |
| 99464 |
|
514 |
502 |
$46K |
| 90698 |
|
3,019 |
2,941 |
$43K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,712 |
1,996 |
$43K |
| 99221 |
|
688 |
605 |
$33K |
| 90680 |
|
2,354 |
2,333 |
$33K |
| 90744 |
|
2,151 |
2,092 |
$30K |
| 99222 |
Initial hospital care, per day, moderate complexity |
294 |
278 |
$30K |
| G9920 |
Screening performed and negative |
671 |
664 |
$29K |
| 90715 |
|
725 |
707 |
$27K |
| Z1034 |
|
486 |
303 |
$27K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,125 |
1,117 |
$26K |
| 90686 |
|
1,277 |
1,264 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
191 |
181 |
$21K |
| 99305 |
|
674 |
667 |
$21K |
| 92552 |
|
848 |
845 |
$20K |
| 59025 |
Fetal non-stress test |
838 |
599 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,161 |
1,126 |
$18K |
| 90633 |
|
1,073 |
1,053 |
$17K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
994 |
984 |
$16K |
| 99315 |
|
604 |
599 |
$15K |
| 90707 |
|
766 |
751 |
$13K |
| 90716 |
|
756 |
740 |
$12K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
409 |
395 |
$11K |
| 99188 |
|
436 |
434 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
96 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
129 |
83 |
$7K |
| 85018 |
|
2,889 |
2,823 |
$6K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
129 |
128 |
$6K |
| 99350 |
Prolong home eval add 15m |
99 |
96 |
$5K |
| 90700 |
|
265 |
261 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
84 |
83 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
74 |
61 |
$4K |
| 99381 |
|
41 |
40 |
$4K |
| 99173 |
|
490 |
489 |
$3K |
| 90648 |
|
201 |
199 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
63 |
63 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
102 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
698 |
604 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
114 |
$2K |
| 90658 |
|
105 |
105 |
$2K |
| 99304 |
|
34 |
34 |
$2K |
| 90697 |
|
94 |
93 |
$2K |
| 90671 |
|
145 |
144 |
$2K |
| 99406 |
|
101 |
100 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
33 |
31 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
183 |
181 |
$1K |
| 99354 |
|
14 |
13 |
$1K |
| 81002 |
|
660 |
634 |
$1K |
| 0012A |
|
26 |
26 |
$1K |
| 0011A |
|
25 |
25 |
$953.88 |
| 0001A |
|
28 |
28 |
$843.28 |
| 90656 |
|
29 |
29 |
$750.68 |
| 99310 |
Prolong nursin fac eval 15m |
14 |
14 |
$743.60 |
| G9919 |
Screening performed and positive and provision of recommendations |
15 |
15 |
$652.50 |
| 90696 |
|
42 |
42 |
$585.00 |
| 81025 |
|
157 |
155 |
$445.52 |
| 96127 |
|
36 |
33 |
$247.40 |
| 99334 |
|
27 |
25 |
$234.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
54 |
51 |
$169.62 |
| 99072 |
|
13 |
12 |
$96.25 |
| 82962 |
|
13 |
12 |
$16.00 |
| 1036F |
|
1,420 |
1,210 |
$0.00 |
| 3074F |
|
167 |
163 |
$0.00 |
| 0500F |
|
28 |
28 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 0503F |
|
13 |
13 |
$0.00 |
| 3078F |
|
130 |
126 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 0502F |
|
493 |
308 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |