| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,406 |
7,083 |
$381K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,372 |
2,085 |
$160K |
| 76830 |
Ultrasound, transvaginal |
1,330 |
1,263 |
$101K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,255 |
1,058 |
$86K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,133 |
1,513 |
$44K |
| 87660 |
|
1,884 |
1,743 |
$33K |
| 87480 |
|
1,742 |
1,617 |
$33K |
| 87510 |
|
1,736 |
1,616 |
$33K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
47 |
26 |
$32K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
814 |
476 |
$25K |
| 82670 |
|
811 |
774 |
$21K |
| 91122 |
|
273 |
128 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
306 |
297 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
550 |
503 |
$18K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
714 |
302 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
5,582 |
4,699 |
$17K |
| 83001 |
|
1,019 |
978 |
$16K |
| 51784 |
|
631 |
313 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
420 |
403 |
$14K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
419 |
403 |
$14K |
| 81025 |
|
1,711 |
1,553 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
162 |
$12K |
| 84403 |
|
419 |
403 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
681 |
665 |
$10K |
| 76801 |
|
112 |
106 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
113 |
$9K |
| 80081 |
|
75 |
74 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
709 |
662 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
90 |
49 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
37 |
37 |
$5K |
| 81003 |
|
2,652 |
2,174 |
$4K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
161 |
157 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
464 |
442 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
119 |
74 |
$3K |
| 84146 |
|
192 |
190 |
$3K |
| 51729 |
|
14 |
13 |
$3K |
| 97750 |
|
250 |
119 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
149 |
$3K |
| 76820 |
|
186 |
100 |
$3K |
| 96127 |
|
646 |
632 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
69 |
67 |
$2K |
| 86803 |
|
173 |
163 |
$2K |
| 87088 |
|
248 |
235 |
$2K |
| 97535 |
Self-care/home management training, each 15 minutes |
82 |
69 |
$2K |
| 83002 |
|
111 |
111 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 51797 |
|
13 |
13 |
$2K |
| 97032 |
|
302 |
131 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
129 |
129 |
$1K |
| 86787 |
|
93 |
92 |
$1K |
| 86592 |
|
147 |
140 |
$593.17 |
| 82627 |
|
26 |
26 |
$580.10 |
| 76857 |
|
16 |
12 |
$536.00 |
| 96160 |
|
272 |
239 |
$472.63 |
| 90688 |
|
20 |
20 |
$370.16 |
| Q3014 |
Telehealth originating site facility fee |
13 |
13 |
$351.26 |
| 82950 |
|
75 |
74 |
$351.24 |
| 84702 |
|
23 |
14 |
$348.21 |
| 84402 |
|
13 |
13 |
$339.07 |
| 90674 |
|
22 |
14 |
$274.39 |
| 84439 |
|
27 |
26 |
$242.15 |
| 87081 |
|
37 |
36 |
$241.38 |
| 90686 |
|
15 |
14 |
$194.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$160.22 |
| 87512 |
|
21 |
12 |
$105.16 |
| 96161 |
|
61 |
51 |
$99.64 |
| 92551 |
|
12 |
12 |
$97.26 |
| 87481 |
|
21 |
12 |
$88.40 |
| 51741 |
|
14 |
14 |
$66.72 |
| 99459 |
|
14 |
13 |
$43.20 |
| 85018 |
|
17 |
13 |
$37.52 |
| 90677 |
|
15 |
12 |
$0.08 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$0.00 |