| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,772 |
19,583 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,669 |
4,898 |
$419K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,671 |
1,550 |
$101K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
860 |
685 |
$40K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
607 |
450 |
$35K |
| 87428 |
|
812 |
734 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,726 |
1,574 |
$27K |
| 99460 |
|
870 |
752 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,195 |
2,071 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
392 |
346 |
$23K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
15 |
14 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
586 |
525 |
$15K |
| 99462 |
|
936 |
579 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
232 |
205 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
376 |
234 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
56 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
207 |
51 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
158 |
118 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
91 |
88 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
451 |
385 |
$5K |
| 81025 |
|
1,674 |
1,277 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
119 |
112 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
73 |
38 |
$3K |
| 90670 |
|
330 |
302 |
$2K |
| 90698 |
|
214 |
204 |
$2K |
| 54150 |
|
13 |
13 |
$1K |
| 90680 |
|
178 |
170 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
51 |
41 |
$1K |
| 87807 |
|
112 |
101 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$802.65 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
13 |
$770.00 |
| 76801 |
|
19 |
14 |
$769.73 |
| 90686 |
|
106 |
95 |
$680.00 |
| 90685 |
|
108 |
86 |
$624.00 |
| 90744 |
|
76 |
72 |
$576.00 |
| 90633 |
|
41 |
28 |
$216.00 |
| 90710 |
|
26 |
25 |
$184.00 |
| 99051 |
|
16 |
13 |
$140.32 |
| 90734 |
|
17 |
15 |
$120.00 |
| 99221 |
|
42 |
31 |
$71.16 |
| 87210 |
|
20 |
13 |
$70.00 |
| 81002 |
|
13 |
13 |
$36.00 |
| 96160 |
|
31 |
24 |
$23.08 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
16 |
13 |
$19.20 |
| 99173 |
|
18 |
16 |
$10.00 |
| 1160F |
|
1,961 |
1,851 |
$0.00 |
| 0502F |
|
6,630 |
3,997 |
$0.00 |
| 1159F |
|
1,965 |
1,854 |
$0.00 |
| 3078F |
|
2,623 |
2,386 |
$0.00 |
| 3077F |
|
193 |
171 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
51 |
43 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
16 |
15 |
$0.00 |
| 1036F |
|
2,238 |
1,925 |
$0.00 |
| 3074F |
|
3,513 |
3,158 |
$0.00 |
| 3079F |
|
782 |
686 |
$0.00 |
| 3008F |
|
3,881 |
3,417 |
$0.00 |
| 1125F |
|
133 |
119 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
405 |
384 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
615 |
560 |
$0.00 |
| 90688 |
|
14 |
13 |
$0.00 |
| 1034F |
|
464 |
379 |
$0.00 |
| 3075F |
|
108 |
94 |
$0.00 |
| 3080F |
|
41 |
37 |
$0.00 |
| 1126F |
|
197 |
163 |
$0.00 |
| 0503F |
|
40 |
28 |
$0.00 |
| 0500F |
|
25 |
24 |
$0.00 |