| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,057 |
12,770 |
$1.10M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,087 |
2,649 |
$355K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,460 |
2,879 |
$340K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,968 |
3,762 |
$330K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,671 |
4,207 |
$277K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,834 |
2,406 |
$255K |
| 99215 |
Prolong outpt/office vis |
1,956 |
1,640 |
$168K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,337 |
1,113 |
$113K |
| 99205 |
Prolong outpt/office vis |
918 |
762 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,485 |
1,354 |
$99K |
| 99243 |
|
1,331 |
1,087 |
$93K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
735 |
585 |
$40K |
| 90834 |
Psychotherapy, 45 minutes with patient |
624 |
442 |
$36K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
447 |
364 |
$34K |
| 87428 |
|
1,065 |
915 |
$26K |
| 99245 |
|
147 |
134 |
$20K |
| 99402 |
|
692 |
593 |
$20K |
| 92652 |
|
248 |
225 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
6,393 |
5,385 |
$16K |
| 76825 |
|
114 |
96 |
$16K |
| 93325 |
|
1,329 |
1,204 |
$16K |
| 93000 |
|
1,638 |
1,538 |
$15K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
148 |
138 |
$14K |
| 97802 |
|
666 |
574 |
$13K |
| 94375 |
|
494 |
459 |
$13K |
| 76820 |
|
296 |
119 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,441 |
1,302 |
$10K |
| 99051 |
|
764 |
699 |
$9K |
| 96112 |
|
180 |
124 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
109 |
96 |
$7K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
119 |
45 |
$7K |
| 92587 |
|
458 |
423 |
$7K |
| 92588 |
|
226 |
211 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
73 |
51 |
$5K |
| 92567 |
|
392 |
351 |
$4K |
| 76827 |
|
112 |
96 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
38 |
25 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
436 |
379 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
38 |
$4K |
| 87430 |
|
273 |
227 |
$3K |
| 99401 |
|
428 |
296 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
57 |
41 |
$2K |
| 87420 |
|
160 |
146 |
$2K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
25 |
15 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
47 |
46 |
$1K |
| 93321 |
|
85 |
80 |
$1K |
| 99443 |
|
33 |
22 |
$1K |
| 94070 |
|
20 |
20 |
$994.00 |
| 92579 |
|
28 |
26 |
$907.20 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
51 |
29 |
$668.85 |
| 93320 |
|
38 |
26 |
$562.51 |
| 99417 |
Prolong home eval add 15m |
167 |
135 |
$379.34 |
| 94728 |
|
12 |
12 |
$373.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$357.12 |
| 97803 |
|
14 |
14 |
$290.70 |
| 94010 |
|
13 |
13 |
$277.94 |
| 90686 |
|
385 |
342 |
$249.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
28 |
$184.80 |
| 95251 |
|
13 |
12 |
$122.36 |
| 85045 |
|
60 |
39 |
$115.61 |
| 0358T |
|
73 |
72 |
$32.46 |
| 36416 |
|
554 |
507 |
$32.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
63 |
41 |
$19.32 |
| 3075F |
|
157 |
130 |
$0.00 |
| 3008F |
|
3,065 |
2,538 |
$0.00 |
| 3079F |
|
398 |
339 |
$0.00 |
| 1126F |
|
256 |
198 |
$0.00 |
| 3074F |
|
2,861 |
2,405 |
$0.00 |
| 1125F |
|
107 |
81 |
$0.00 |
| 3044F |
|
70 |
41 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
17 |
12 |
$0.00 |
| 99000 |
|
19 |
14 |
$0.00 |
| 1159F |
|
11,459 |
9,848 |
$0.00 |
| 3078F |
|
2,672 |
2,240 |
$0.00 |
| 1160F |
|
3,325 |
2,772 |
$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) |
23 |
22 |
$0.00 |