| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39,903 |
15,774 |
$930K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,748 |
10,404 |
$648K |
| 99233 |
Prolong inpt eval add15 m |
12,301 |
6,119 |
$483K |
| 99223 |
Prolong inpt eval add15 m |
4,685 |
3,870 |
$416K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,982 |
3,757 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,482 |
4,135 |
$309K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,439 |
2,366 |
$256K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,899 |
1,843 |
$180K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,794 |
1,584 |
$165K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,367 |
4,244 |
$160K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,304 |
1,260 |
$155K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,605 |
1,863 |
$154K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,204 |
1,861 |
$99K |
| H1000 |
Prenatal care, at-risk assessment |
869 |
609 |
$62K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,093 |
1,025 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
394 |
389 |
$38K |
| 90461 |
|
1,901 |
1,838 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
708 |
605 |
$33K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,875 |
3,715 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
429 |
418 |
$27K |
| 99220 |
|
380 |
325 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
947 |
750 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
232 |
173 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
102 |
$8K |
| 90648 |
|
619 |
596 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
63 |
53 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,540 |
1,179 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
784 |
396 |
$3K |
| 76820 |
|
122 |
76 |
$3K |
| 99253 |
|
40 |
34 |
$3K |
| 59025 |
Fetal non-stress test |
156 |
93 |
$3K |
| 99254 |
|
27 |
24 |
$3K |
| 99307 |
|
1,025 |
519 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26 |
25 |
$2K |
| 99242 |
|
29 |
28 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,498 |
1,316 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$2K |
| 90686 |
|
907 |
904 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
148 |
57 |
$1K |
| 76821 |
|
19 |
14 |
$1K |
| 96161 |
|
233 |
224 |
$1K |
| 87428 |
|
28 |
27 |
$912.56 |
| 99221 |
|
29 |
27 |
$831.24 |
| 99252 |
|
18 |
14 |
$729.33 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
17 |
14 |
$621.14 |
| 92587 |
|
41 |
41 |
$604.12 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
13 |
$503.11 |
| 90647 |
|
279 |
277 |
$472.40 |
| 90670 |
|
971 |
936 |
$444.82 |
| 99173 |
|
131 |
130 |
$405.19 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$324.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
385 |
379 |
$320.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
71 |
$287.78 |
| 90716 |
|
146 |
144 |
$210.90 |
| 90633 |
|
81 |
81 |
$197.02 |
| 99177 |
|
153 |
142 |
$147.23 |
| 90685 |
|
28 |
28 |
$145.88 |
| 87807 |
|
12 |
12 |
$108.64 |
| 99305 |
|
32 |
17 |
$82.61 |
| 96127 |
|
13 |
13 |
$69.45 |
| 90723 |
|
576 |
557 |
$40.00 |
| 85018 |
|
13 |
12 |
$24.06 |
| 81003 |
|
17 |
15 |
$19.52 |
| 90707 |
|
133 |
131 |
$0.02 |
| 94760 |
|
24 |
24 |
$0.00 |
| 99318 |
|
23 |
15 |
$0.00 |
| 90681 |
|
198 |
197 |
$0.00 |