| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122,458 |
96,618 |
$3.88M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
49,661 |
39,322 |
$3.64M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
37,769 |
23,203 |
$2.10M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,021 |
16,822 |
$1.22M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
11,704 |
11,431 |
$1.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,069 |
12,979 |
$967K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77,424 |
24,410 |
$796K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,244 |
1,229 |
$678K |
| 76801 |
|
6,147 |
5,982 |
$535K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,130 |
6,016 |
$460K |
| 59430 |
|
5,563 |
5,374 |
$434K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,472 |
7,683 |
$373K |
| 99381 |
|
4,911 |
4,679 |
$313K |
| 81002 |
|
116,579 |
87,714 |
$307K |
| 76813 |
|
3,302 |
3,237 |
$282K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,325 |
3,291 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,232 |
2,222 |
$176K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,947 |
1,920 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,498 |
4,910 |
$118K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,535 |
10,289 |
$115K |
| 59514 |
|
555 |
535 |
$106K |
| 90461 |
|
15,697 |
14,408 |
$90K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,017 |
1,001 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,312 |
1,276 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,314 |
7,143 |
$62K |
| 90715 |
|
2,536 |
2,481 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
634 |
633 |
$53K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,435 |
1,403 |
$51K |
| 99215 |
Prolong outpt/office vis |
748 |
728 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,483 |
3,248 |
$35K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,679 |
708 |
$34K |
| 76830 |
Ultrasound, transvaginal |
356 |
347 |
$30K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,186 |
3,012 |
$29K |
| 92551 |
|
5,699 |
5,650 |
$29K |
| 81025 |
|
4,469 |
4,304 |
$28K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,503 |
539 |
$27K |
| 99385 |
|
413 |
410 |
$27K |
| 59025 |
Fetal non-stress test |
1,361 |
1,178 |
$25K |
| 76820 |
|
835 |
529 |
$24K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,136 |
593 |
$23K |
| 90674 |
|
1,068 |
1,049 |
$21K |
| 99000 |
|
2,663 |
2,590 |
$21K |
| 99234 |
|
236 |
226 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
426 |
417 |
$17K |
| 97162 |
|
245 |
233 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,159 |
570 |
$15K |
| 76857 |
|
190 |
189 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
82 |
82 |
$6K |
| 58300 |
|
68 |
66 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
77 |
76 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
72 |
54 |
$4K |
| 99383 |
|
44 |
44 |
$4K |
| 87807 |
|
377 |
369 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
399 |
183 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
298 |
296 |
$4K |
| 99401 |
|
557 |
540 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
152 |
105 |
$1K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
15 |
15 |
$1K |
| 96160 |
|
543 |
536 |
$1K |
| 82947 |
|
345 |
222 |
$965.58 |
| 54150 |
|
12 |
12 |
$873.73 |
| 90686 |
|
6,551 |
6,468 |
$647.92 |
| 90677 |
|
1,553 |
1,544 |
$550.60 |
| 96127 |
|
724 |
686 |
$456.30 |
| 99078 |
|
236 |
231 |
$427.80 |
| 99493 |
|
12 |
12 |
$354.45 |
| 81003 |
|
171 |
150 |
$290.87 |
| 99050 |
|
20 |
19 |
$164.34 |
| 90723 |
|
7,577 |
7,519 |
$87.97 |
| 90633 |
|
5,988 |
5,935 |
$70.23 |
| 90680 |
|
9,540 |
9,462 |
$67.05 |
| 90716 |
|
2,704 |
2,677 |
$31.58 |
| 99459 |
|
2,566 |
2,372 |
$22.42 |
| 90648 |
|
13,474 |
13,370 |
$16.36 |
| 36416 |
|
4,771 |
3,946 |
$11.90 |
| 90670 |
|
12,796 |
12,697 |
$0.72 |
| 90707 |
|
2,674 |
2,653 |
$0.22 |
| 90713 |
|
2,794 |
2,772 |
$0.15 |
| 90734 |
|
105 |
105 |
$0.05 |
| 90620 |
|
32 |
32 |
$0.04 |
| 90744 |
|
303 |
301 |
$0.01 |
| 90651 |
|
137 |
135 |
$0.01 |
| 90700 |
|
5,948 |
5,900 |
$0.00 |
| 99173 |
|
5,788 |
5,713 |
$0.00 |
| 90710 |
|
724 |
716 |
$0.00 |
| 90685 |
|
861 |
851 |
$0.00 |
| 90696 |
|
222 |
218 |
$0.00 |
| 90698 |
|
444 |
441 |
$0.00 |
| 97804 |
|
31 |
30 |
$0.00 |