| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,791 |
8,814 |
$462K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,393 |
4,333 |
$311K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,245 |
5,922 |
$261K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,238 |
1,236 |
$257K |
| 99215 |
Prolong outpt/office vis |
1,667 |
1,623 |
$207K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,249 |
2,181 |
$189K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,503 |
1,375 |
$175K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,310 |
2,305 |
$158K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,331 |
3,247 |
$152K |
| 76801 |
|
2,796 |
2,688 |
$127K |
| 76813 |
|
2,041 |
1,972 |
$114K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,115 |
1,078 |
$52K |
| 42830 |
|
464 |
464 |
$47K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
539 |
515 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
396 |
394 |
$42K |
| 99205 |
Prolong outpt/office vis |
257 |
257 |
$41K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,116 |
803 |
$39K |
| 71045 |
Radiologic examination, chest; single view |
4,500 |
2,706 |
$38K |
| 74018 |
|
3,179 |
2,446 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
2,559 |
2,535 |
$25K |
| 76818 |
|
511 |
374 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
286 |
142 |
$23K |
| 41520 |
|
102 |
96 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
429 |
413 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
25 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
448 |
365 |
$13K |
| 59025 |
Fetal non-stress test |
536 |
349 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
165 |
104 |
$12K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
84 |
42 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
83 |
81 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
97 |
95 |
$11K |
| 76830 |
Ultrasound, transvaginal |
474 |
471 |
$10K |
| 59514 |
|
12 |
12 |
$9K |
| 76821 |
|
284 |
169 |
$8K |
| 76820 |
|
373 |
226 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
219 |
213 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
338 |
334 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
257 |
256 |
$5K |
| 41115 |
|
52 |
52 |
$4K |
| 76770 |
|
169 |
167 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
67 |
67 |
$3K |
| 74019 |
|
306 |
299 |
$3K |
| 40812 |
|
36 |
36 |
$3K |
| 99443 |
|
44 |
43 |
$3K |
| 93975 |
|
29 |
27 |
$2K |
| 54150 |
|
26 |
26 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$751.81 |
| 31575 |
|
12 |
12 |
$637.72 |
| 99442 |
|
14 |
14 |
$611.25 |
| 76376 |
|
27 |
26 |
$291.66 |
| 76377 |
|
12 |
12 |
$281.97 |
| 76506 |
|
14 |
12 |
$227.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$224.88 |
| 73070 |
|
25 |
24 |
$100.50 |
| 73090 |
|
15 |
14 |
$75.42 |
| 73100 |
|
15 |
12 |
$70.50 |
| 73610 |
|
12 |
12 |
$61.18 |
| 73630 |
|
13 |
12 |
$56.81 |
| 73590 |
|
13 |
12 |
$53.52 |