| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,428 |
10,600 |
$583K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,940 |
5,309 |
$271K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
260 |
248 |
$133K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,549 |
1,462 |
$120K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
750 |
725 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,632 |
1,287 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
594 |
562 |
$59K |
| 59430 |
|
566 |
542 |
$52K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
560 |
522 |
$46K |
| 99000 |
|
1,970 |
1,857 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
240 |
210 |
$17K |
| 99215 |
Prolong outpt/office vis |
154 |
144 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
273 |
211 |
$16K |
| 99243 |
|
167 |
163 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,432 |
564 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
903 |
862 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
121 |
114 |
$8K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
46 |
43 |
$8K |
| 81002 |
|
2,799 |
1,690 |
$8K |
| 81025 |
|
1,148 |
1,059 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
124 |
106 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
733 |
621 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
364 |
344 |
$4K |
| 76801 |
|
40 |
40 |
$4K |
| 99242 |
|
48 |
47 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
57 |
31 |
$3K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$2K |
| 69210 |
|
82 |
81 |
$2K |
| 92567 |
|
170 |
159 |
$2K |
| 90461 |
|
386 |
285 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
16 |
15 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
130 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
44 |
$813.53 |
| 92557 |
|
28 |
25 |
$740.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
59 |
$682.63 |
| 90756 |
|
28 |
28 |
$643.62 |
| 92551 |
|
161 |
113 |
$541.72 |
| 99443 |
|
43 |
34 |
$440.52 |
| 90674 |
|
18 |
18 |
$436.97 |
| 99201 |
|
18 |
18 |
$338.07 |
| 81003 |
|
75 |
55 |
$123.34 |
| 90686 |
|
41 |
40 |
$57.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$39.51 |
| 82947 |
|
13 |
13 |
$30.89 |
| 82962 |
|
414 |
399 |
$9.84 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
2,259 |
2,051 |
$0.00 |
| 99172 |
|
24 |
22 |
$0.00 |
| 96127 |
|
439 |
387 |
$0.00 |
| 3008F |
|
147 |
109 |
$0.00 |
| 99024 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
40 |
$0.00 |
| 3074F |
|
137 |
99 |
$0.00 |
| 36416 |
|
34 |
33 |
$0.00 |
| 90716 |
|
38 |
28 |
$0.00 |
| 0501F |
|
16 |
14 |
$0.00 |
| 90677 |
|
33 |
29 |
$0.00 |
| 90698 |
|
18 |
12 |
$0.00 |
| 99051 |
|
737 |
641 |
$0.00 |
| 90633 |
|
18 |
13 |
$0.00 |
| 99173 |
|
24 |
13 |
$0.00 |
| 90707 |
|
37 |
28 |
$0.00 |
| 3078F |
|
118 |
90 |
$0.00 |
| 99072 |
|
56 |
52 |
$0.00 |
| 90670 |
|
48 |
41 |
$0.00 |
| 0502F |
|
88 |
69 |
$0.00 |
| 3725F |
|
45 |
41 |
$0.00 |