| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,778 |
6,136 |
$508K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,875 |
2,397 |
$141K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
137 |
55 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
519 |
458 |
$32K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,233 |
998 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
408 |
385 |
$26K |
| 99215 |
Prolong outpt/office vis |
294 |
274 |
$25K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
391 |
291 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,001 |
891 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
144 |
$12K |
| 97597 |
|
570 |
278 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
104 |
$12K |
| 87428 |
|
313 |
240 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
221 |
202 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
243 |
118 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
371 |
169 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
95 |
$5K |
| 90671 |
|
402 |
369 |
$3K |
| 90661 |
|
137 |
136 |
$2K |
| 99205 |
Prolong outpt/office vis |
30 |
25 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$2K |
| 90697 |
|
258 |
236 |
$2K |
| 90680 |
|
230 |
206 |
$2K |
| 76801 |
|
48 |
27 |
$1K |
| 90461 |
|
27 |
26 |
$1K |
| 99173 |
|
296 |
245 |
$1K |
| 92551 |
|
301 |
242 |
$1K |
| 99383 |
|
17 |
16 |
$980.00 |
| 76830 |
Ultrasound, transvaginal |
19 |
15 |
$923.00 |
| 90674 |
|
125 |
118 |
$920.00 |
| 90633 |
|
113 |
110 |
$848.00 |
| 93000 |
|
59 |
51 |
$672.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
56 |
$658.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
21 |
14 |
$516.56 |
| 81025 |
|
229 |
184 |
$479.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49 |
48 |
$460.00 |
| 99460 |
|
21 |
14 |
$455.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
39 |
$416.25 |
| 99462 |
|
23 |
14 |
$338.85 |
| 87807 |
|
12 |
12 |
$132.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$128.00 |
| 90710 |
|
16 |
14 |
$112.00 |
| 90700 |
|
14 |
12 |
$96.00 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
25 |
$46.00 |
| 99024 |
|
30 |
27 |
$0.00 |
| 0503F |
|
14 |
14 |
$0.00 |