| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,490 |
11,163 |
$813K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,297 |
3,167 |
$348K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,612 |
1,532 |
$128K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,314 |
1,268 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,206 |
1,196 |
$112K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,443 |
1,439 |
$110K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
494 |
488 |
$85K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,830 |
1,821 |
$71K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
767 |
726 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
551 |
549 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
296 |
295 |
$50K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
816 |
738 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,178 |
1,143 |
$37K |
| 92060 |
|
531 |
529 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
617 |
536 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
16 |
16 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
174 |
174 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,094 |
1,888 |
$16K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
112 |
112 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
80 |
80 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
153 |
140 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
143 |
143 |
$10K |
| 93000 |
|
583 |
571 |
$10K |
| 99460 |
|
99 |
98 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
39 |
39 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
69 |
$7K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
43 |
43 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
89 |
42 |
$7K |
| 76818 |
|
36 |
29 |
$5K |
| 99243 |
|
34 |
34 |
$4K |
| 92552 |
|
161 |
161 |
$4K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
24 |
13 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
34 |
33 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
26 |
26 |
$3K |
| 93299 |
|
13 |
13 |
$3K |
| 93320 |
|
41 |
41 |
$2K |
| 92015 |
Determination of refractive state |
316 |
315 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$2K |
| 99462 |
|
49 |
40 |
$2K |
| 59025 |
Fetal non-stress test |
53 |
28 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 59430 |
|
12 |
12 |
$2K |
| 93325 |
|
48 |
47 |
$2K |
| 95806 |
|
21 |
20 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$1K |
| 76820 |
|
34 |
30 |
$1K |
| 99173 |
|
150 |
149 |
$882.85 |
| 94664 |
|
86 |
84 |
$739.22 |
| 85060 |
|
31 |
26 |
$677.85 |
| 36415 |
Collection of venous blood by venipuncture |
438 |
413 |
$654.30 |
| 92134 |
|
14 |
12 |
$639.14 |
| 81003 |
|
219 |
178 |
$497.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$406.00 |
| 81025 |
|
56 |
54 |
$353.14 |
| 94760 |
|
330 |
313 |
$342.88 |
| 93298 |
|
13 |
13 |
$320.24 |
| 81002 |
|
90 |
81 |
$229.47 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$160.78 |
| 92551 |
|
12 |
12 |
$114.50 |
| 82962 |
|
27 |
27 |
$49.99 |
| 90686 |
|
35 |
35 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
14 |
14 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |