| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,530 |
7,802 |
$406K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,050 |
4,200 |
$230K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
1,001 |
629 |
$194K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,488 |
1,252 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,496 |
847 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,324 |
2,134 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,186 |
1,005 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
861 |
789 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
590 |
575 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
97 |
$13K |
| 90461 |
|
304 |
260 |
$12K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
764 |
552 |
$11K |
| G9357 |
Post-partum screenings, evaluations and education performed |
101 |
97 |
$9K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
728 |
579 |
$9K |
| 59510 |
|
35 |
24 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
248 |
126 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
505 |
393 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
116 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
29 |
24 |
$6K |
| 99205 |
Prolong outpt/office vis |
30 |
29 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
71 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
94 |
74 |
$5K |
| 90715 |
|
180 |
171 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
52 |
$4K |
| 90674 |
|
125 |
111 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
135 |
53 |
$2K |
| 90686 |
|
105 |
105 |
$2K |
| 81025 |
|
896 |
724 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
502 |
451 |
$2K |
| 87631 |
|
34 |
31 |
$2K |
| 76801 |
|
373 |
339 |
$1K |
| 90734 |
|
13 |
13 |
$1K |
| 76830 |
Ultrasound, transvaginal |
32 |
25 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$1K |
| 92551 |
|
59 |
59 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
39 |
29 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
42 |
24 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$907.78 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
143 |
78 |
$864.29 |
| 81002 |
|
307 |
255 |
$618.14 |
| 87486 |
|
34 |
31 |
$571.98 |
| 87581 |
|
34 |
31 |
$571.98 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18 |
15 |
$442.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$428.12 |
| 99173 |
|
78 |
77 |
$425.76 |
| 36415 |
Collection of venous blood by venipuncture |
419 |
389 |
$317.10 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
296 |
212 |
$268.00 |
| 92015 |
Determination of refractive state |
48 |
40 |
$234.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
23 |
13 |
$216.00 |
| 90688 |
|
12 |
12 |
$196.24 |
| 87807 |
|
13 |
13 |
$129.82 |
| 99490 |
Ccm add 20min |
26 |
26 |
$112.04 |
| 92370 |
|
23 |
13 |
$63.12 |
| 81003 |
|
31 |
26 |
$57.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
28 |
$41.08 |
| 94750 |
|
12 |
12 |
$40.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$5.04 |
| 94760 |
|
773 |
596 |
$2.83 |
| 2010F |
|
1,427 |
1,301 |
$0.00 |
| 3074F |
|
7,030 |
5,868 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,678 |
1,261 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
643 |
499 |
$0.00 |
| 3008F |
|
6,014 |
5,059 |
$0.00 |
| 3079F |
|
171 |
153 |
$0.00 |
| 2000F |
|
1,346 |
1,280 |
$0.00 |
| 3037F |
|
96 |
93 |
$0.00 |
| 1125F |
|
83 |
78 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 1126F |
|
160 |
107 |
$0.00 |
| 2001F |
|
527 |
502 |
$0.00 |
| 1000F |
|
202 |
142 |
$0.00 |
| 1036F |
|
95 |
92 |
$0.00 |
| 1111F |
|
116 |
92 |
$0.00 |
| 3080F |
|
20 |
15 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
22 |
20 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 7025F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,481 |
1,974 |
$0.00 |
| 1159F |
|
1,936 |
1,714 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
423 |
405 |
$0.00 |
| 59426 |
|
551 |
474 |
$0.00 |
| 3078F |
|
6,001 |
5,017 |
$0.00 |
| 1160F |
|
1,862 |
1,640 |
$0.00 |
| 3028F |
|
271 |
223 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
56 |
56 |
$0.00 |
| 4274F |
|
105 |
104 |
$0.00 |
| 0521F |
|
105 |
101 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
22 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
16 |
15 |
$0.00 |