| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,539 |
34,414 |
$3.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,160 |
19,518 |
$2.00M |
| 93976 |
|
16,612 |
14,271 |
$919K |
| 76820 |
|
27,477 |
23,510 |
$771K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15,251 |
13,798 |
$577K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
592 |
534 |
$510K |
| 76818 |
|
11,466 |
7,569 |
$510K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,983 |
2,802 |
$351K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,778 |
7,847 |
$329K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,477 |
3,274 |
$317K |
| 59025 |
Fetal non-stress test |
12,229 |
10,328 |
$312K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,870 |
2,875 |
$288K |
| 99218 |
|
2,866 |
2,488 |
$271K |
| 99221 |
|
2,348 |
2,091 |
$229K |
| 59514 |
|
206 |
193 |
$209K |
| 99215 |
Prolong outpt/office vis |
2,082 |
1,960 |
$209K |
| 99233 |
Prolong inpt eval add15 m |
2,449 |
1,240 |
$196K |
| 99223 |
Prolong inpt eval add15 m |
1,221 |
1,152 |
$167K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,038 |
1,915 |
$165K |
| 58662 |
|
387 |
300 |
$158K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,149 |
1,119 |
$134K |
| 50949 |
|
206 |
147 |
$122K |
| 99219 |
|
1,138 |
865 |
$122K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,748 |
2,768 |
$121K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,611 |
1,535 |
$105K |
| 99205 |
Prolong outpt/office vis |
709 |
667 |
$97K |
| 76813 |
|
1,418 |
1,310 |
$77K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
7,290 |
5,192 |
$74K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,936 |
1,583 |
$74K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,237 |
1,768 |
$60K |
| 99385 |
|
417 |
403 |
$57K |
| 99459 |
|
2,379 |
2,229 |
$47K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
542 |
515 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,090 |
954 |
$45K |
| 76801 |
|
626 |
490 |
$43K |
| 59050 |
|
973 |
750 |
$41K |
| 76821 |
|
1,233 |
806 |
$41K |
| 44238 |
|
136 |
77 |
$41K |
| H1000 |
Prenatal care, at-risk assessment |
814 |
779 |
$33K |
| 81025 |
|
4,456 |
4,177 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
469 |
414 |
$25K |
| 81002 |
|
10,038 |
7,719 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
233 |
217 |
$22K |
| 54150 |
|
287 |
240 |
$22K |
| 99078 |
|
425 |
262 |
$15K |
| 81003 |
|
8,161 |
6,341 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
632 |
599 |
$10K |
| 76825 |
|
122 |
110 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
222 |
169 |
$8K |
| 57283 |
|
23 |
14 |
$8K |
| 99234 |
|
48 |
36 |
$6K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
320 |
295 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
27 |
$4K |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 99386 |
|
14 |
13 |
$2K |
| 90715 |
|
61 |
55 |
$2K |
| 11900 |
|
55 |
52 |
$2K |
| 95251 |
|
46 |
38 |
$1K |
| 17110 |
|
17 |
16 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
149 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
351 |
336 |
$841.37 |
| 20550 |
|
13 |
12 |
$587.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
73 |
66 |
$485.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
42 |
$405.20 |
| 73030 |
|
13 |
12 |
$157.72 |
| 3078F |
|
624 |
591 |
$0.00 |
| 3074F |
|
741 |
693 |
$0.00 |
| 3079F |
|
162 |
145 |
$0.00 |
| 3075F |
|
32 |
27 |
$0.00 |