| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,000 |
18,834 |
$779K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,876 |
3,456 |
$316K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,659 |
3,267 |
$289K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,813 |
3,437 |
$162K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
675 |
644 |
$59K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
677 |
511 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
485 |
482 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,473 |
2,438 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
259 |
235 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
239 |
239 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
332 |
312 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,283 |
1,198 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
172 |
165 |
$16K |
| 87428 |
|
317 |
284 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,422 |
902 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
909 |
857 |
$12K |
| 20610 |
|
430 |
290 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
120 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
12 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
198 |
190 |
$5K |
| 17110 |
|
62 |
56 |
$5K |
| 0002A |
|
192 |
191 |
$5K |
| 0001A |
|
185 |
176 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
79 |
63 |
$5K |
| 81002 |
|
1,371 |
1,019 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
207 |
115 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
59 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
287 |
266 |
$2K |
| 59430 |
|
14 |
13 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
124 |
98 |
$1K |
| 59025 |
Fetal non-stress test |
29 |
26 |
$677.87 |
| 90686 |
|
239 |
237 |
$579.37 |
| 0031A |
|
44 |
43 |
$570.57 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
74 |
60 |
$475.13 |
| 90715 |
|
12 |
12 |
$366.65 |
| 93000 |
|
60 |
53 |
$366.25 |
| 90674 |
|
12 |
12 |
$358.20 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
42 |
12 |
$351.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$294.59 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
70 |
51 |
$293.49 |
| 90474 |
|
12 |
12 |
$130.80 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
12 |
$121.98 |
| 91300 |
|
311 |
271 |
$0.11 |
| 3078F |
|
1,788 |
1,522 |
$0.03 |
| 1036F |
|
3,881 |
3,254 |
$0.03 |
| 91303 |
|
21 |
20 |
$0.01 |
| 1159F |
|
4,811 |
4,097 |
$0.00 |
| 3725F |
|
128 |
125 |
$0.00 |
| 1160F |
|
7,970 |
6,907 |
$0.00 |
| 90670 |
|
52 |
52 |
$0.00 |
| 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) |
16 |
14 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |
| 3079F |
|
201 |
167 |
$0.00 |
| 3008F |
|
4,238 |
3,583 |
$0.00 |
| 99024 |
|
413 |
323 |
$0.00 |
| 3074F |
|
2,364 |
1,978 |
$0.00 |
| 1125F |
|
1,010 |
843 |
$0.00 |
| 90698 |
|
50 |
50 |
$0.00 |
| 90677 |
|
29 |
29 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |