| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
67,394 |
22,156 |
$7.10M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
67,711 |
23,378 |
$6.84M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
13,374 |
5,240 |
$4.45M |
| 92586 |
|
62,692 |
61,496 |
$4.18M |
| 92650 |
|
50,146 |
49,735 |
$2.15M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12,725 |
11,932 |
$865K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
2,380 |
704 |
$760K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,784 |
5,707 |
$672K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
9,807 |
9,662 |
$594K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,081 |
6,011 |
$515K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,775 |
6,932 |
$442K |
| 99460 |
|
6,406 |
6,350 |
$426K |
| 99464 |
|
6,134 |
6,069 |
$338K |
| 99215 |
Prolong outpt/office vis |
2,879 |
2,732 |
$277K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,294 |
5,795 |
$246K |
| 96112 |
|
1,448 |
1,423 |
$193K |
| 59025 |
Fetal non-stress test |
5,753 |
3,683 |
$173K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,379 |
3,212 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,109 |
2,649 |
$154K |
| 96111 |
|
839 |
769 |
$81K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,959 |
1,103 |
$62K |
| 99243 |
|
561 |
551 |
$60K |
| 99253 |
|
651 |
638 |
$54K |
| 99462 |
|
1,809 |
1,400 |
$54K |
| 99468 |
|
37 |
37 |
$29K |
| 76820 |
|
880 |
644 |
$27K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
302 |
294 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
341 |
332 |
$18K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
119 |
112 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
162 |
116 |
$9K |
| 99242 |
|
117 |
116 |
$9K |
| 99463 |
|
92 |
92 |
$7K |
| 99477 |
|
24 |
24 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
53 |
52 |
$6K |
| 99354 |
|
70 |
56 |
$5K |
| 99417 |
Prolong home eval add 15m |
29 |
28 |
$4K |
| 99478 |
|
29 |
12 |
$3K |
| 76825 |
|
12 |
12 |
$2K |
| 99245 |
|
13 |
13 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
18 |
13 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$2K |
| 99219 |
|
14 |
13 |
$1K |
| 76818 |
|
15 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$818.11 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$741.29 |
| 99217 |
|
12 |
12 |
$734.07 |
| 76827 |
|
12 |
12 |
$661.38 |
| 76813 |
|
15 |
15 |
$498.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$285.45 |
| 90674 |
|
12 |
12 |
$70.11 |
| 99072 |
|
609 |
491 |
$0.00 |