| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,801 |
10,442 |
$951K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,460 |
6,679 |
$522K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,853 |
3,182 |
$380K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,547 |
3,232 |
$346K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,332 |
5,418 |
$255K |
| 59025 |
Fetal non-stress test |
10,060 |
7,656 |
$254K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,235 |
3,241 |
$253K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,883 |
5,651 |
$224K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
382 |
350 |
$221K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,113 |
985 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,430 |
1,281 |
$66K |
| 99218 |
|
1,842 |
1,637 |
$62K |
| 99221 |
|
1,212 |
1,115 |
$49K |
| 99222 |
Initial hospital care, per day, moderate complexity |
727 |
687 |
$49K |
| 99215 |
Prolong outpt/office vis |
1,040 |
824 |
$49K |
| 59514 |
|
41 |
39 |
$29K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
660 |
619 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,824 |
1,586 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
304 |
283 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
522 |
478 |
$18K |
| 99220 |
|
200 |
192 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
988 |
925 |
$11K |
| 76820 |
|
313 |
209 |
$9K |
| 99219 |
|
169 |
156 |
$9K |
| 99235 |
|
52 |
50 |
$6K |
| 0002A |
|
236 |
227 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
350 |
292 |
$6K |
| 76818 |
|
65 |
56 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
132 |
123 |
$5K |
| 0001A |
|
227 |
217 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
50 |
$5K |
| 72082 |
|
146 |
140 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
41 |
38 |
$4K |
| 99234 |
|
44 |
44 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
130 |
$3K |
| 76825 |
|
13 |
12 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
276 |
136 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
154 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
62 |
62 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
17 |
$1K |
| 87428 |
|
18 |
16 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 0071A |
|
25 |
25 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
26 |
12 |
$956.22 |
| 90674 |
|
101 |
95 |
$939.76 |
| 92551 |
|
491 |
471 |
$907.59 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
13 |
$781.55 |
| 76827 |
|
13 |
12 |
$741.10 |
| 99242 |
|
13 |
13 |
$615.27 |
| 99443 |
|
38 |
37 |
$514.02 |
| 99241 |
|
17 |
17 |
$513.98 |
| 93000 |
|
72 |
66 |
$363.11 |
| 90473 |
|
33 |
32 |
$336.41 |
| 0012A |
|
77 |
77 |
$296.02 |
| 51798 |
|
54 |
49 |
$292.19 |
| 73630 |
|
31 |
25 |
$273.07 |
| 93296 |
|
13 |
13 |
$243.76 |
| 93325 |
|
15 |
12 |
$227.08 |
| 0011A |
|
75 |
72 |
$205.55 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
19 |
18 |
$142.10 |
| 92552 |
|
14 |
12 |
$108.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$102.91 |
| 0031A |
|
15 |
15 |
$85.17 |
| 99453 |
|
55 |
48 |
$20.14 |
| 90686 |
|
192 |
185 |
$17.52 |
| 91300 |
|
356 |
327 |
$0.34 |
| 3074F |
|
2,530 |
2,057 |
$0.12 |
| 3008F |
|
2,886 |
2,323 |
$0.11 |
| 1036F |
|
2,910 |
2,324 |
$0.09 |
| 3078F |
|
1,878 |
1,566 |
$0.08 |
| 3725F |
|
237 |
221 |
$0.03 |
| 1159F |
|
2,730 |
2,275 |
$0.00 |
| 1160F |
|
3,123 |
2,564 |
$0.00 |
| 90672 |
|
62 |
61 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 99173 |
|
32 |
32 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 99024 |
|
2,237 |
1,984 |
$0.00 |
| 3079F |
|
71 |
56 |
$0.00 |
| 1126F |
|
301 |
283 |
$0.00 |
| 91307 |
|
35 |
33 |
$0.00 |
| 96127 |
|
81 |
79 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |
| 3075F |
|
43 |
40 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |