| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,167 |
5,441 |
$193K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,896 |
2,725 |
$150K |
| 59025 |
Fetal non-stress test |
4,058 |
2,626 |
$88K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,410 |
2,019 |
$58K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,268 |
637 |
$39K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
478 |
432 |
$35K |
| 90834 |
Psychotherapy, 45 minutes with patient |
407 |
247 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
525 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
835 |
719 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
266 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
176 |
165 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
416 |
298 |
$11K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
429 |
404 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
237 |
152 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
253 |
225 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
960 |
905 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
144 |
120 |
$8K |
| 95806 |
|
79 |
78 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
781 |
740 |
$6K |
| 96127 |
|
376 |
343 |
$6K |
| 20610 |
|
105 |
100 |
$5K |
| 99460 |
|
79 |
74 |
$5K |
| 76830 |
Ultrasound, transvaginal |
150 |
142 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
69 |
67 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
104 |
90 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
104 |
90 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
79 |
72 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
91 |
85 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
40 |
36 |
$3K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
13 |
13 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
293 |
152 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
103 |
81 |
$2K |
| 76801 |
|
43 |
37 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
43 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
770 |
636 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
25 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
150 |
124 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
144 |
131 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
30 |
27 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$822.08 |
| 80305 |
|
76 |
57 |
$773.69 |
| 87210 |
|
135 |
122 |
$581.23 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
101 |
100 |
$573.19 |
| 90686 |
|
110 |
109 |
$500.86 |
| 99462 |
|
14 |
12 |
$480.61 |
| 80055 |
|
16 |
13 |
$437.87 |
| 81025 |
|
57 |
56 |
$404.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
43 |
38 |
$284.09 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
18 |
15 |
$249.36 |
| 90656 |
|
83 |
82 |
$242.31 |
| 73610 |
|
19 |
14 |
$214.92 |
| 86787 |
|
16 |
13 |
$184.14 |
| 94060 |
|
12 |
12 |
$179.80 |
| 73630 |
|
17 |
14 |
$162.73 |
| 72100 |
|
12 |
12 |
$144.87 |
| 99152 |
|
13 |
12 |
$50.63 |
| 81003 |
|
30 |
27 |
$43.95 |
| 90648 |
|
12 |
12 |
$0.00 |