| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,169 |
4,255 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,052 |
2,162 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
896 |
846 |
$39K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
494 |
193 |
$23K |
| 87428 |
|
390 |
337 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
212 |
193 |
$14K |
| 99215 |
Prolong outpt/office vis |
217 |
206 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
596 |
568 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
491 |
469 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
242 |
222 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
301 |
290 |
$9K |
| 76775 |
|
437 |
430 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,293 |
1,037 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
756 |
170 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
136 |
73 |
$6K |
| 20610 |
|
289 |
205 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
688 |
632 |
$5K |
| 73140 |
|
161 |
129 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
160 |
118 |
$4K |
| 99205 |
Prolong outpt/office vis |
70 |
65 |
$4K |
| 73110 |
|
200 |
168 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
160 |
100 |
$3K |
| 76801 |
|
169 |
158 |
$3K |
| 93000 |
|
345 |
335 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
168 |
155 |
$3K |
| 73130 |
|
113 |
93 |
$3K |
| 74018 |
|
472 |
398 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
232 |
223 |
$2K |
| 93297 |
|
170 |
167 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
39 |
12 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
71 |
69 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
137 |
133 |
$2K |
| 76376 |
|
312 |
272 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
193 |
140 |
$998.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
42 |
$866.75 |
| 99000 |
|
93 |
92 |
$859.12 |
| 73610 |
|
128 |
126 |
$616.60 |
| 73630 |
|
78 |
73 |
$311.06 |
| 76536 |
|
20 |
17 |
$285.56 |
| 73562 |
|
18 |
13 |
$282.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
18 |
$244.64 |
| 73100 |
|
19 |
12 |
$226.74 |
| 73030 |
|
42 |
40 |
$178.46 |
| 87807 |
|
18 |
18 |
$157.30 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
14 |
$67.96 |
| 73560 |
|
12 |
12 |
$62.22 |
| 81002 |
|
18 |
17 |
$25.68 |
| 90461 |
|
13 |
12 |
$25.67 |
| 73090 |
|
15 |
13 |
$12.88 |
| 73502 |
|
14 |
13 |
$9.69 |
| 99024 |
|
493 |
372 |
$0.00 |
| 90677 |
|
65 |
60 |
$0.00 |
| 90680 |
|
15 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
24 |
$0.00 |
| 99497 |
|
47 |
37 |
$0.00 |