| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,027 |
27,774 |
$1.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,349 |
12,488 |
$869K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,854 |
5,799 |
$472K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,466 |
5,099 |
$427K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31,593 |
13,711 |
$325K |
| 99223 |
Prolong inpt eval add15 m |
2,914 |
2,791 |
$310K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
558 |
547 |
$295K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,521 |
7,531 |
$256K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,826 |
2,798 |
$242K |
| 59514 |
|
348 |
323 |
$198K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,711 |
8,366 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,028 |
1,005 |
$94K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,049 |
1,981 |
$90K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
677 |
650 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,721 |
2,223 |
$60K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
879 |
844 |
$52K |
| 99222 |
Initial hospital care, per day, moderate complexity |
536 |
517 |
$47K |
| 90461 |
|
7,115 |
5,964 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,914 |
4,756 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
328 |
317 |
$37K |
| 59430 |
|
378 |
365 |
$35K |
| 87428 |
|
668 |
647 |
$35K |
| 76801 |
|
403 |
388 |
$35K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
485 |
466 |
$28K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
430 |
420 |
$25K |
| 81002 |
|
8,754 |
7,269 |
$25K |
| 87081 |
|
3,333 |
3,231 |
$19K |
| 99234 |
|
178 |
162 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
412 |
133 |
$16K |
| 87807 |
|
1,412 |
1,344 |
$16K |
| 99460 |
|
197 |
196 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
237 |
204 |
$9K |
| 76818 |
|
99 |
38 |
$8K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
63 |
62 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
85 |
55 |
$7K |
| 83655 |
|
638 |
632 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
676 |
655 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
62 |
52 |
$4K |
| 92567 |
|
312 |
294 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
228 |
221 |
$3K |
| 92587 |
|
1,739 |
1,723 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
302 |
292 |
$3K |
| 81025 |
|
397 |
387 |
$3K |
| 99381 |
|
40 |
40 |
$3K |
| 99000 |
|
280 |
270 |
$3K |
| 90715 |
|
104 |
103 |
$2K |
| 0001A |
|
57 |
57 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
19 |
$2K |
| 83789 |
|
84 |
79 |
$2K |
| 80053 |
Comprehensive metabolic panel |
232 |
229 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
199 |
196 |
$1K |
| 99307 |
|
60 |
39 |
$1K |
| 0072A |
|
32 |
32 |
$1K |
| 92551 |
|
256 |
253 |
$1K |
| 0071A |
|
29 |
29 |
$1K |
| 82950 |
|
303 |
294 |
$1K |
| 0002A |
|
24 |
24 |
$964.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
42 |
$698.84 |
| 90473 |
|
61 |
61 |
$691.57 |
| 81003 |
|
348 |
312 |
$556.83 |
| 84439 |
|
66 |
64 |
$430.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
24 |
$298.70 |
| 90686 |
|
3,685 |
3,623 |
$188.38 |
| 80061 |
Lipid panel |
25 |
25 |
$130.21 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
637 |
634 |
$126.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,700 |
1,441 |
$57.19 |
| 85018 |
|
46 |
46 |
$43.69 |
| 94760 |
|
40 |
30 |
$16.99 |
| 99173 |
|
1,987 |
1,975 |
$12.49 |
| 36416 |
|
1,568 |
1,467 |
$10.68 |
| 90671 |
|
312 |
311 |
$1.31 |
| 90619 |
|
31 |
31 |
$0.10 |
| 90734 |
|
63 |
63 |
$0.01 |
| 90672 |
|
174 |
174 |
$0.01 |
| 90680 |
|
2,330 |
2,312 |
$0.00 |
| 90696 |
|
141 |
141 |
$0.00 |
| 90723 |
|
2,636 |
2,606 |
$0.00 |
| 90647 |
|
2,789 |
2,759 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
58 |
54 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |
| 90670 |
|
3,670 |
3,624 |
$0.00 |
| 90700 |
|
183 |
183 |
$0.00 |
| 90633 |
|
1,523 |
1,508 |
$0.00 |
| 90710 |
|
1,124 |
1,112 |
$0.00 |