| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,214 |
5,419 |
$275K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,070 |
1,953 |
$253K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,276 |
2,660 |
$235K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,237 |
1,893 |
$199K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,666 |
2,513 |
$186K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
714 |
698 |
$96K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,154 |
766 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
952 |
910 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
297 |
284 |
$27K |
| 73110 |
|
847 |
691 |
$22K |
| 92567 |
|
1,666 |
1,625 |
$20K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
91 |
88 |
$19K |
| 76820 |
|
386 |
195 |
$12K |
| 92557 |
|
399 |
390 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
333 |
145 |
$9K |
| 73140 |
|
308 |
266 |
$8K |
| 92579 |
|
209 |
208 |
$7K |
| 42830 |
|
57 |
57 |
$7K |
| 76818 |
|
59 |
42 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
40 |
40 |
$4K |
| 25600 |
|
17 |
12 |
$3K |
| 76821 |
|
56 |
27 |
$3K |
| 92587 |
|
135 |
132 |
$2K |
| 73564 |
|
59 |
51 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
50 |
26 |
$2K |
| 29075 |
|
67 |
49 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$988.77 |
| 73070 |
|
31 |
25 |
$574.85 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$537.31 |
| 93325 |
|
27 |
24 |
$383.05 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$367.67 |
| 69210 |
|
13 |
13 |
$239.44 |
| 3288F |
|
97 |
93 |
$0.00 |
| 1111F |
|
136 |
126 |
$0.00 |
| 99024 |
|
52 |
47 |
$0.00 |