| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
3,064 |
2,113 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,007 |
4,886 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,856 |
3,290 |
$148K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,895 |
968 |
$62K |
| 99223 |
Prolong inpt eval add15 m |
735 |
585 |
$50K |
| 99460 |
|
502 |
471 |
$43K |
| 99233 |
Prolong inpt eval add15 m |
1,260 |
392 |
$40K |
| 59025 |
Fetal non-stress test |
1,217 |
757 |
$38K |
| 59410 |
|
30 |
30 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
516 |
416 |
$29K |
| 99462 |
|
894 |
567 |
$24K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
436 |
361 |
$20K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
343 |
304 |
$14K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
138 |
29 |
$13K |
| 59430 |
|
53 |
49 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
42 |
37 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
52 |
41 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
22 |
$2K |
| 87428 |
|
69 |
58 |
$1K |
| 93458 |
|
25 |
12 |
$1K |
| 81025 |
|
536 |
514 |
$878.53 |
| 99220 |
|
19 |
12 |
$739.29 |
| 94060 |
|
69 |
60 |
$713.04 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
31 |
$586.21 |
| 93000 |
|
187 |
160 |
$533.82 |
| 94726 |
|
81 |
71 |
$499.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
66 |
$421.88 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
169 |
115 |
$346.01 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
23 |
13 |
$292.65 |
| 99442 |
|
21 |
13 |
$278.03 |
| 99152 |
|
71 |
47 |
$188.18 |
| 94729 |
|
67 |
58 |
$136.32 |
| 99441 |
|
15 |
12 |
$109.09 |
| 81003 |
|
87 |
79 |
$70.70 |
| 3725F |
|
399 |
317 |
$0.00 |
| 3078F |
|
6,417 |
4,927 |
$0.00 |
| 3288F |
|
261 |
252 |
$0.00 |
| 3077F |
|
116 |
90 |
$0.00 |
| 3079F |
|
1,483 |
1,210 |
$0.00 |
| 3074F |
|
7,289 |
5,630 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
486 |
442 |
$0.00 |
| 3080F |
|
67 |
49 |
$0.00 |
| 1101F |
|
365 |
334 |
$0.00 |
| 1126F |
|
213 |
181 |
$0.00 |
| 1036F |
|
786 |
570 |
$0.00 |
| 3075F |
|
217 |
159 |
$0.00 |
| 1125F |
|
93 |
77 |
$0.00 |