| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118,234 |
87,872 |
$2.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,469 |
33,350 |
$1.18M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,304 |
984 |
$67K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
968 |
583 |
$51K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,009 |
738 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,128 |
3,313 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
891 |
701 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
701 |
563 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,477 |
1,932 |
$34K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
431 |
376 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
937 |
673 |
$29K |
| 76801 |
|
431 |
350 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,675 |
1,397 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,573 |
1,428 |
$25K |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,683 |
2,054 |
$22K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
45 |
38 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,427 |
1,638 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
332 |
298 |
$17K |
| 99443 |
|
943 |
761 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
248 |
174 |
$13K |
| 81003 |
|
8,022 |
4,434 |
$10K |
| 99215 |
Prolong outpt/office vis |
219 |
172 |
$9K |
| 59514 |
|
13 |
12 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
160 |
131 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
110 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
254 |
65 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
280 |
150 |
$5K |
| 99442 |
|
321 |
281 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
88 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
566 |
402 |
$4K |
| 81002 |
|
1,036 |
776 |
$3K |
| 99460 |
|
42 |
41 |
$3K |
| 59025 |
Fetal non-stress test |
111 |
65 |
$3K |
| 90473 |
|
333 |
233 |
$2K |
| 92551 |
|
341 |
280 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
152 |
91 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
31 |
25 |
$2K |
| 90715 |
|
90 |
83 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,050 |
928 |
$1K |
| 59430 |
|
15 |
14 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
43 |
39 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
652 |
529 |
$1K |
| 90688 |
|
79 |
76 |
$1K |
| 90686 |
|
1,561 |
1,349 |
$922.33 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,012 |
872 |
$904.01 |
| 87807 |
|
97 |
74 |
$770.82 |
| 99173 |
|
559 |
396 |
$694.76 |
| 36415 |
Collection of venous blood by venipuncture |
1,592 |
1,363 |
$616.09 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$567.79 |
| 81025 |
|
95 |
87 |
$532.42 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
95 |
38 |
$487.32 |
| 84703 |
|
92 |
65 |
$441.47 |
| 93971 |
|
26 |
25 |
$408.54 |
| 20610 |
|
17 |
12 |
$286.75 |
| 90682 |
|
29 |
15 |
$231.55 |
| 80061 |
Lipid panel |
832 |
705 |
$215.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
13 |
$56.25 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$54.32 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
37 |
15 |
$8.00 |
| 99177 |
|
72 |
44 |
$6.25 |
| 90633 |
|
235 |
209 |
$0.01 |
| 90670 |
|
516 |
476 |
$0.00 |
| 90653 |
|
36 |
33 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 3077F |
|
27 |
25 |
$0.00 |
| 90710 |
|
15 |
14 |
$0.00 |
| 90648 |
|
16 |
13 |
$0.00 |
| 1160F |
|
62 |
56 |
$0.00 |
| 59426 |
|
85 |
61 |
$0.00 |
| 83037 |
|
40 |
39 |
$0.00 |
| 90662 |
|
34 |
31 |
$0.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |
| 90734 |
|
58 |
49 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| 90723 |
|
319 |
266 |
$0.00 |
| 90680 |
|
270 |
221 |
$0.00 |
| 1101F |
|
244 |
163 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
253 |
240 |
$0.00 |
| 90647 |
|
231 |
202 |
$0.00 |
| 90651 |
|
68 |
61 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
41 |
38 |
$0.00 |
| 90620 |
|
13 |
12 |
$0.00 |
| 99243 |
|
31 |
30 |
$0.00 |
| 90696 |
|
15 |
14 |
$0.00 |