| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,636 |
12,462 |
$606K |
| H1000 |
Prenatal care, at-risk assessment |
9,819 |
4,114 |
$287K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,046 |
8,431 |
$223K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,794 |
1,545 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,720 |
1,375 |
$103K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,956 |
3,676 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
1,396 |
462 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,610 |
681 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
667 |
444 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
326 |
310 |
$22K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
607 |
134 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
389 |
258 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,563 |
3,534 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,754 |
1,684 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
767 |
622 |
$11K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
370 |
275 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
333 |
101 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
50 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
199 |
118 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
107 |
73 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
259 |
187 |
$2K |
| 0002A |
|
61 |
59 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
122 |
53 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
23 |
13 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
345 |
204 |
$1K |
| 0001A |
|
37 |
36 |
$1K |
| 85060 |
|
141 |
78 |
$935.24 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
114 |
64 |
$715.40 |
| 59430 |
|
12 |
12 |
$529.95 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$507.30 |
| 90670 |
|
472 |
335 |
$446.19 |
| 90461 |
|
110 |
70 |
$304.01 |
| 92567 |
|
24 |
24 |
$261.07 |
| 90474 |
|
42 |
39 |
$210.00 |
| 94060 |
|
53 |
27 |
$148.03 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$142.14 |
| 94726 |
|
53 |
27 |
$97.13 |
| 94729 |
|
54 |
28 |
$78.15 |
| 90707 |
|
13 |
13 |
$72.02 |
| 90698 |
|
21 |
13 |
$60.01 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$60.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
12 |
$53.88 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$11.29 |
| 3078F |
|
1,085 |
832 |
$0.00 |
| 87481 |
|
15 |
12 |
$0.00 |
| 99307 |
|
15 |
13 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 81513 |
|
13 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
16 |
13 |
$0.00 |
| 3008F |
|
1,985 |
1,579 |
$0.00 |
| 90680 |
|
56 |
44 |
$0.00 |
| 3074F |
|
1,086 |
917 |
$0.00 |
| 3079F |
|
120 |
99 |
$0.00 |
| 36416 |
|
18 |
14 |
$0.00 |
| 3044F |
|
43 |
38 |
$0.00 |
| 90647 |
|
24 |
24 |
$0.00 |
| 90686 |
|
32 |
29 |
$0.00 |
| 90688 |
|
22 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
36 |
29 |
$0.00 |