| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,947 |
24,422 |
$1.13M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,769 |
5,264 |
$570K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
772 |
751 |
$420K |
| 76818 |
|
3,935 |
2,132 |
$334K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,270 |
3,121 |
$230K |
| 59430 |
|
2,795 |
2,515 |
$226K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,955 |
2,934 |
$216K |
| 59025 |
Fetal non-stress test |
4,614 |
2,692 |
$160K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,581 |
4,325 |
$124K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,588 |
4,330 |
$124K |
| 76801 |
|
1,240 |
1,206 |
$106K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
806 |
790 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,279 |
1,260 |
$100K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,814 |
8,619 |
$88K |
| 87806 |
|
3,429 |
3,334 |
$82K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,907 |
11,920 |
$80K |
| 87800 |
|
2,258 |
2,111 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,486 |
3,288 |
$75K |
| 81001 |
|
25,140 |
14,925 |
$62K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
956 |
909 |
$61K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,642 |
3,760 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
992 |
960 |
$49K |
| 90715 |
|
1,773 |
1,749 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,044 |
992 |
$43K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
728 |
721 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
443 |
435 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,374 |
2,295 |
$32K |
| 99460 |
|
407 |
406 |
$31K |
| 87400 |
|
2,450 |
1,180 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
246 |
242 |
$25K |
| 90686 |
|
3,530 |
3,474 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,836 |
1,970 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,537 |
751 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,955 |
1,839 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,206 |
1,166 |
$16K |
| 90474 |
|
1,666 |
1,639 |
$14K |
| 76820 |
|
428 |
324 |
$14K |
| 82950 |
|
3,258 |
3,183 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261 |
252 |
$11K |
| 81025 |
|
1,495 |
1,413 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
855 |
562 |
$9K |
| 83655 |
|
926 |
910 |
$9K |
| 82947 |
|
2,778 |
1,875 |
$9K |
| 59514 |
|
12 |
12 |
$7K |
| 87807 |
|
409 |
391 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
45 |
39 |
$3K |
| 86580 |
|
380 |
373 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
183 |
180 |
$2K |
| 99462 |
|
48 |
46 |
$2K |
| 81002 |
|
650 |
585 |
$2K |
| 99051 |
|
83 |
80 |
$1K |
| 87480 |
|
94 |
85 |
$968.32 |
| 87660 |
|
94 |
86 |
$905.31 |
| 87510 |
|
95 |
85 |
$607.33 |
| 90734 |
|
90 |
90 |
$288.96 |
| 90707 |
|
347 |
342 |
$256.40 |
| 99050 |
|
15 |
12 |
$179.28 |
| 99000 |
|
25 |
13 |
$145.34 |
| 96161 |
|
57 |
56 |
$101.25 |
| 90723 |
|
858 |
846 |
$65.00 |
| 90677 |
|
434 |
424 |
$0.45 |
| 90651 |
|
166 |
164 |
$0.13 |
| 90688 |
|
21 |
18 |
$0.04 |
| 90633 |
|
1,085 |
1,068 |
$0.00 |
| 90648 |
|
879 |
866 |
$0.00 |
| 90670 |
|
1,953 |
1,928 |
$0.00 |
| 90710 |
|
151 |
150 |
$0.00 |
| 0502F |
|
18 |
17 |
$0.00 |
| 90698 |
|
899 |
889 |
$0.00 |
| 90697 |
|
405 |
395 |
$0.00 |
| 0503F |
|
572 |
558 |
$0.00 |
| 90680 |
|
1,669 |
1,642 |
$0.00 |
| 90696 |
|
94 |
93 |
$0.00 |
| 0500F |
|
242 |
235 |
$0.00 |
| 90716 |
|
357 |
350 |
$0.00 |