| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,178 |
17,795 |
$1.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,966 |
23,882 |
$1.14M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,087 |
3,620 |
$155K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,751 |
1,749 |
$133K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,733 |
2,348 |
$124K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,074 |
16,536 |
$122K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,070 |
1,068 |
$111K |
| 99460 |
|
1,517 |
1,515 |
$89K |
| 59426 |
|
1,252 |
853 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,551 |
1,550 |
$84K |
| 59425 |
|
1,468 |
1,192 |
$79K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,393 |
1,391 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,107 |
1,107 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
999 |
997 |
$62K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
737 |
736 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
972 |
969 |
$41K |
| 99462 |
|
1,418 |
1,099 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
715 |
707 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
724 |
717 |
$28K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
320 |
319 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
248 |
248 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
500 |
474 |
$12K |
| 76813 |
|
135 |
135 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
182 |
182 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
116 |
52 |
$7K |
| 99385 |
|
98 |
98 |
$7K |
| 99406 |
|
690 |
669 |
$6K |
| 76801 |
|
114 |
114 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
41 |
41 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
71 |
67 |
$4K |
| 99442 |
|
100 |
98 |
$4K |
| 76820 |
|
158 |
110 |
$3K |
| 95806 |
|
71 |
71 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
277 |
271 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
91 |
91 |
$2K |
| 93018 |
|
133 |
132 |
$2K |
| 76821 |
|
50 |
28 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 99220 |
|
12 |
12 |
$1K |
| 99234 |
|
51 |
48 |
$1K |
| 99441 |
|
71 |
63 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39 |
25 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
157 |
125 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$434.30 |
| 3074F |
|
871 |
847 |
$320.00 |
| 3078F |
|
698 |
681 |
$240.00 |
| 81002 |
|
113 |
73 |
$222.00 |
| 59430 |
|
51 |
51 |
$205.86 |
| 99173 |
|
491 |
491 |
$204.68 |
| 93016 |
|
12 |
12 |
$198.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$195.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$137.17 |
| 81025 |
|
116 |
116 |
$100.94 |
| 83655 |
|
14 |
14 |
$32.56 |
| 3079F |
|
69 |
68 |
$20.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,411 |
2,306 |
$19.33 |
| 1123F |
|
41 |
39 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
109 |
108 |
$0.00 |
| 3075F |
|
27 |
27 |
$0.00 |
| 3080F |
|
37 |
36 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,068 |
1,983 |
$0.00 |
| 99080 |
|
697 |
691 |
$0.00 |
| 3077F |
|
80 |
76 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
335 |
321 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |