| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,543 |
4,780 |
$213K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,293 |
1,221 |
$92K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
27 |
26 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,574 |
1,286 |
$42K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
665 |
612 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,588 |
1,433 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
164 |
159 |
$17K |
| 97597 |
|
827 |
270 |
$15K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
133 |
133 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
262 |
223 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
254 |
241 |
$10K |
| 20610 |
|
332 |
279 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
175 |
139 |
$8K |
| 59425 |
|
19 |
19 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
564 |
505 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
96 |
93 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
181 |
135 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
238 |
55 |
$3K |
| 99460 |
|
49 |
39 |
$2K |
| 81025 |
|
334 |
310 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
69 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
47 |
37 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
354 |
338 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
378 |
338 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
17 |
12 |
$703.80 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
15 |
$424.51 |
| 73562 |
|
33 |
24 |
$393.49 |
| 90670 |
|
77 |
45 |
$180.00 |
| 90723 |
|
80 |
43 |
$74.87 |
| 81002 |
|
13 |
13 |
$36.19 |
| 90648 |
|
73 |
41 |
$24.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$9.55 |
| 1126F |
|
431 |
370 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 3074F |
|
18 |
15 |
$0.00 |
| 1159F |
|
247 |
207 |
$0.00 |
| 90681 |
|
51 |
26 |
$0.00 |
| 1160F |
|
17 |
13 |
$0.00 |
| 3078F |
|
24 |
16 |
$0.00 |