| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
10,124 |
6,534 |
$585K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,074 |
4,905 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,441 |
2,805 |
$84K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,830 |
1,045 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
528 |
447 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
577 |
498 |
$32K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
638 |
148 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
159 |
126 |
$11K |
| 99215 |
Prolong outpt/office vis |
224 |
193 |
$9K |
| 99220 |
|
129 |
111 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
73 |
64 |
$8K |
| 59430 |
|
39 |
32 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,167 |
693 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
99 |
79 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
197 |
169 |
$3K |
| 99205 |
Prolong outpt/office vis |
28 |
26 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
49 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
233 |
184 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
29 |
27 |
$2K |
| 99441 |
|
265 |
201 |
$1K |
| 81003 |
|
1,406 |
965 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
107 |
87 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
15 |
$631.99 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
13 |
$550.34 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$504.54 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
18 |
13 |
$442.84 |
| 59025 |
Fetal non-stress test |
20 |
13 |
$354.53 |
| 11721 |
|
27 |
24 |
$336.89 |
| 3074F |
|
3,999 |
3,201 |
$290.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
252 |
147 |
$258.90 |
| 1036F |
|
5,461 |
4,030 |
$209.96 |
| 20610 |
|
17 |
12 |
$197.55 |
| 1159F |
|
2,660 |
1,907 |
$46.20 |
| 3075F |
|
54 |
49 |
$46.20 |
| 71045 |
Radiologic examination, chest; single view |
21 |
12 |
$35.56 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
35 |
13 |
$35.32 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
12 |
$30.86 |
| 99000 |
|
22 |
22 |
$17.22 |
| 1160F |
|
3,399 |
2,543 |
$0.00 |
| 3725F |
|
3,308 |
2,354 |
$0.00 |
| 3078F |
|
2,940 |
2,364 |
$0.00 |
| 3077F |
|
82 |
62 |
$0.00 |
| 3008F |
|
7,734 |
6,040 |
$0.00 |
| 3079F |
|
853 |
723 |
$0.00 |
| 1126F |
|
684 |
518 |
$0.00 |
| 4010F |
|
34 |
32 |
$0.00 |
| 1125F |
|
564 |
375 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
97 |
71 |
$0.00 |
| 3080F |
|
17 |
14 |
$0.00 |