| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,209 |
8,525 |
$675K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
510 |
493 |
$418K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,537 |
5,170 |
$356K |
| 59514 |
|
1,917 |
1,698 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,546 |
3,234 |
$267K |
| 99460 |
|
2,484 |
2,343 |
$213K |
| 99221 |
|
2,318 |
2,098 |
$191K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,086 |
1,233 |
$107K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,168 |
2,910 |
$79K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,569 |
1,484 |
$74K |
| 71045 |
Radiologic examination, chest; single view |
17,581 |
13,687 |
$67K |
| 99349 |
|
583 |
426 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,481 |
1,245 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
298 |
275 |
$36K |
| 99222 |
Initial hospital care, per day, moderate complexity |
504 |
462 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
252 |
244 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
321 |
249 |
$26K |
| 90739 |
|
168 |
160 |
$25K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
273 |
267 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
142 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
538 |
377 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
446 |
422 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
254 |
122 |
$15K |
| 59430 |
|
107 |
97 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
363 |
320 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
439 |
418 |
$11K |
| 99215 |
Prolong outpt/office vis |
67 |
63 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
90 |
89 |
$11K |
| 97803 |
|
427 |
295 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
459 |
435 |
$11K |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
364 |
344 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
94 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
184 |
164 |
$8K |
| 90686 |
|
316 |
308 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
239 |
232 |
$6K |
| 99462 |
|
170 |
152 |
$6K |
| 99336 |
|
86 |
73 |
$6K |
| 97802 |
|
200 |
158 |
$5K |
| 99348 |
|
95 |
73 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
470 |
443 |
$5K |
| 90674 |
|
187 |
171 |
$5K |
| 99385 |
|
31 |
31 |
$4K |
| 59025 |
Fetal non-stress test |
158 |
146 |
$4K |
| 3044F |
|
824 |
763 |
$4K |
| 71250 |
|
356 |
341 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
211 |
199 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
72 |
72 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
104 |
75 |
$3K |
| 90661 |
|
84 |
83 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
611 |
547 |
$2K |
| 99335 |
|
39 |
37 |
$2K |
| 99497 |
|
76 |
52 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
275 |
267 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
62 |
60 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18 |
16 |
$2K |
| 76506 |
|
76 |
56 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
168 |
136 |
$2K |
| 0011A |
|
57 |
48 |
$2K |
| 3074F |
|
2,624 |
2,376 |
$1K |
| 90662 |
|
63 |
61 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
162 |
158 |
$1K |
| 90698 |
|
59 |
49 |
$1K |
| 46600 |
|
14 |
14 |
$853.32 |
| 70544 |
|
40 |
38 |
$791.31 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
39 |
38 |
$695.17 |
| 90656 |
|
26 |
26 |
$665.86 |
| 90715 |
|
16 |
13 |
$556.88 |
| 93970 |
|
172 |
162 |
$553.83 |
| 90688 |
|
31 |
26 |
$511.84 |
| 70547 |
|
26 |
24 |
$384.08 |
| 90677 |
|
13 |
13 |
$332.93 |
| 99334 |
|
29 |
24 |
$290.75 |
| 90670 |
|
13 |
12 |
$232.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
69 |
$224.90 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
16 |
$215.03 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
17 |
17 |
$173.00 |
| 83655 |
|
14 |
13 |
$156.96 |
| 3008F |
|
786 |
741 |
$150.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
25 |
24 |
$145.64 |
| 99406 |
|
12 |
12 |
$140.49 |
| 73502 |
|
64 |
54 |
$135.71 |
| 76775 |
|
30 |
30 |
$130.65 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$117.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
411 |
389 |
$106.88 |
| 74018 |
|
16 |
15 |
$102.72 |
| 85018 |
|
42 |
41 |
$102.40 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
13 |
13 |
$96.36 |
| 99441 |
|
12 |
12 |
$72.68 |
| 73030 |
|
13 |
12 |
$26.39 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$12.47 |
| 3078F |
|
2,355 |
2,140 |
$0.00 |
| G9920 |
Screening performed and negative |
13 |
13 |
$0.00 |
| 90461 |
|
34 |
13 |
$0.00 |
| 3079F |
|
544 |
512 |
$0.00 |
| 93971 |
|
47 |
43 |
$0.00 |
| 3075F |
|
101 |
99 |
$0.00 |
| 90694 |
|
18 |
18 |
$0.00 |