| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,026 |
22,291 |
$1.12M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
671 |
505 |
$730K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,528 |
5,373 |
$354K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,058 |
3,489 |
$238K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,604 |
2,231 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,965 |
1,831 |
$135K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,007 |
8,025 |
$83K |
| 59510 |
|
47 |
40 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,543 |
2,142 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
803 |
734 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
805 |
725 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
465 |
416 |
$34K |
| 99173 |
|
4,564 |
4,157 |
$33K |
| 99460 |
|
842 |
714 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,700 |
1,438 |
$30K |
| 81000 |
|
7,478 |
5,850 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
9,404 |
8,371 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
267 |
245 |
$24K |
| 81025 |
|
4,539 |
3,908 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
348 |
321 |
$23K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
125 |
69 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
780 |
575 |
$15K |
| 81003 |
|
7,315 |
6,387 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
989 |
924 |
$13K |
| 99381 |
|
167 |
146 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
84 |
71 |
$6K |
| 99220 |
|
91 |
56 |
$5K |
| 54160 |
|
25 |
17 |
$3K |
| 99462 |
|
129 |
92 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
44 |
42 |
$2K |
| 83655 |
|
130 |
101 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$2K |
| 0500F |
|
438 |
319 |
$2K |
| 82950 |
|
257 |
235 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 76801 |
|
20 |
17 |
$1K |
| 99217 |
|
58 |
31 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$825.48 |
| 76820 |
|
16 |
12 |
$660.18 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
313 |
295 |
$587.02 |
| 90658 |
|
185 |
152 |
$551.93 |
| 3008F |
|
84 |
63 |
$340.00 |
| 0501F |
|
481 |
412 |
$200.00 |
| 81002 |
|
46 |
42 |
$174.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
23 |
$105.04 |
| 90670 |
|
3,273 |
2,705 |
$100.12 |
| 90461 |
|
477 |
164 |
$90.08 |
| 82948 |
|
18 |
12 |
$61.57 |
| 3074F |
|
15 |
12 |
$60.00 |
| 90686 |
|
216 |
201 |
$44.51 |
| 90648 |
|
2,914 |
2,453 |
$14.84 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
30 |
28 |
$14.57 |
| 0502F |
|
5,621 |
4,123 |
$10.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$2.43 |
| 90656 |
|
30 |
30 |
$0.25 |
| 90723 |
|
1,896 |
1,617 |
$0.11 |
| 90681 |
|
944 |
807 |
$0.08 |
| 90734 |
|
79 |
67 |
$0.03 |
| 90700 |
|
1,205 |
1,010 |
$0.03 |
| 90707 |
|
626 |
494 |
$0.03 |
| 90716 |
|
641 |
504 |
$0.02 |
| 90744 |
|
614 |
522 |
$0.02 |
| 90633 |
|
309 |
238 |
$0.01 |
| 90688 |
|
149 |
86 |
$0.01 |
| 90651 |
|
59 |
51 |
$0.01 |
| 90713 |
|
746 |
632 |
$0.00 |
| 90696 |
|
58 |
29 |
$0.00 |
| 0503F |
|
80 |
74 |
$0.00 |