| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,136 |
18,671 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
318 |
253 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
384 |
372 |
$5K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
36 |
24 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
57 |
54 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
218 |
162 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,037 |
998 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
311 |
108 |
$3K |
| 97014 |
|
257 |
79 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28 |
28 |
$2K |
| 3074F |
|
156 |
148 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
561 |
554 |
$2K |
| 3008F |
|
219 |
202 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
671 |
639 |
$1K |
| 80053 |
Comprehensive metabolic panel |
3,005 |
2,851 |
$1K |
| 97161 |
|
26 |
26 |
$1K |
| 3078F |
|
73 |
67 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28 |
28 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
213 |
196 |
$975.00 |
| 76642 |
|
46 |
29 |
$750.00 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$691.37 |
| 3079F |
|
28 |
28 |
$684.60 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
540 |
534 |
$669.92 |
| 87510 |
|
18 |
18 |
$668.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,352 |
2,134 |
$624.31 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
161 |
146 |
$522.62 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
46 |
45 |
$510.10 |
| 94760 |
|
181 |
173 |
$372.30 |
| 87480 |
|
18 |
18 |
$371.40 |
| 71045 |
Radiologic examination, chest; single view |
86 |
84 |
$319.86 |
| 87660 |
|
18 |
18 |
$299.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,342 |
1,336 |
$228.00 |
| 80061 |
Lipid panel |
2,112 |
2,107 |
$223.20 |
| 81001 |
|
218 |
209 |
$200.50 |
| 90670 |
|
385 |
385 |
$197.10 |
| J3490 |
Unclassified drugs |
73 |
65 |
$153.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,321 |
1,307 |
$142.60 |
| 71046 |
Radiologic examination, chest; 2 views |
414 |
404 |
$119.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
150 |
110 |
$114.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,250 |
1,216 |
$110.96 |
| 82043 |
|
259 |
258 |
$88.45 |
| 83013 |
|
20 |
20 |
$60.71 |
| 85610 |
|
52 |
49 |
$47.37 |
| 99000 |
|
6,466 |
6,153 |
$43.56 |
| 87081 |
|
19 |
19 |
$43.33 |
| 82962 |
|
338 |
331 |
$39.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,519 |
990 |
$34.07 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
212 |
205 |
$32.63 |
| 82746 |
|
31 |
31 |
$26.58 |
| 82607 |
|
32 |
32 |
$26.46 |
| 81002 |
|
3,011 |
2,979 |
$25.59 |
| 85027 |
|
921 |
912 |
$24.80 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
145 |
143 |
$24.79 |
| 84484 |
|
32 |
25 |
$17.43 |
| 83690 |
|
14 |
13 |
$16.52 |
| 81003 |
|
12 |
12 |
$15.89 |
| 36415 |
Collection of venous blood by venipuncture |
106 |
103 |
$9.92 |
| 84550 |
|
13 |
13 |
$9.42 |
| 80076 |
|
23 |
22 |
$5.82 |
| 81025 |
|
102 |
102 |
$2.03 |
| 73562 |
|
200 |
177 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
130 |
130 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
471 |
465 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
100 |
96 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
161 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
665 |
665 |
$0.00 |
| 85007 |
|
58 |
58 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
854 |
847 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
545 |
544 |
$0.00 |
| 72100 |
|
137 |
137 |
$0.00 |
| 83540 |
|
51 |
51 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
349 |
349 |
$0.00 |
| 83655 |
|
299 |
299 |
$0.00 |
| 99173 |
|
1,727 |
1,726 |
$0.00 |
| 73630 |
|
207 |
167 |
$0.00 |
| 82465 |
|
276 |
276 |
$0.00 |
| 92134 |
|
33 |
33 |
$0.00 |
| 73610 |
|
60 |
58 |
$0.00 |
| 86003 |
|
20 |
20 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
71 |
70 |
$0.00 |
| 73110 |
|
29 |
27 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
37 |
37 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$0.00 |
| 82570 |
|
255 |
254 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 84439 |
|
29 |
29 |
$0.00 |
| 82248 |
|
92 |
92 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
39 |
39 |
$0.00 |
| 82274 |
|
50 |
50 |
$0.00 |
| 73130 |
|
65 |
46 |
$0.00 |
| 87186 |
|
33 |
33 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
58 |
56 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |
| 90633 |
|
36 |
36 |
$0.00 |
| 74018 |
|
14 |
14 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
17 |
12 |
$0.00 |
| 73140 |
|
12 |
12 |
$0.00 |
| 73030 |
|
31 |
29 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
43 |
$0.00 |
| 84403 |
|
12 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$0.00 |
| 86038 |
|
16 |
16 |
$0.00 |
| 82785 |
|
14 |
14 |
$0.00 |
| 90651 |
|
111 |
111 |
$0.00 |
| 90698 |
|
170 |
170 |
$0.00 |
| 88142 |
|
77 |
77 |
$0.00 |
| 85018 |
|
1,296 |
1,295 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
225 |
215 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43 |
43 |
$0.00 |
| 90688 |
|
243 |
243 |
$0.00 |
| 92551 |
|
1,504 |
1,504 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 92227 |
|
39 |
39 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
27 |
$0.00 |
| 99024 |
|
334 |
299 |
$0.00 |
| 90744 |
|
38 |
37 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
147 |
$0.00 |
| 86592 |
|
92 |
92 |
$0.00 |
| 84479 |
|
32 |
31 |
$0.00 |
| 82550 |
|
63 |
63 |
$0.00 |
| 90680 |
|
104 |
104 |
$0.00 |
| 85652 |
|
34 |
32 |
$0.00 |
| 93000 |
|
328 |
324 |
$0.00 |
| 83002 |
|
14 |
14 |
$0.00 |
| 72040 |
|
24 |
24 |
$0.00 |
| 87088 |
|
88 |
87 |
$0.00 |
| 86580 |
|
143 |
143 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
65 |
65 |
$0.00 |
| 87077 |
|
23 |
23 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
77 |
77 |
$0.00 |
| 95115 |
|
79 |
38 |
$0.00 |
| 83550 |
|
51 |
51 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 86803 |
|
14 |
14 |
$0.00 |
| 73502 |
|
12 |
12 |
$0.00 |
| 85730 |
|
26 |
26 |
$0.00 |
| 82728 |
|
16 |
16 |
$0.00 |
| 84153 |
|
24 |
24 |
$0.00 |
| 86140 |
|
12 |
12 |
$0.00 |
| 84436 |
|
36 |
35 |
$0.00 |
| 83001 |
|
17 |
17 |
$0.00 |