| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,215 |
4,671 |
$177K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,152 |
938 |
$63K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,145 |
1,570 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,350 |
1,217 |
$32K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
276 |
248 |
$30K |
| 94010 |
|
995 |
973 |
$20K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
211 |
199 |
$19K |
| 95117 |
|
1,608 |
837 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
977 |
248 |
$15K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
82 |
68 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
316 |
233 |
$12K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,758 |
1,666 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
123 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
44 |
38 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,441 |
943 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
837 |
778 |
$3K |
| 90961 |
|
221 |
199 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
62 |
61 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
121 |
117 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
62 |
61 |
$2K |
| 43235 |
|
31 |
24 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$1K |
| 93296 |
|
109 |
98 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$840.00 |
| 80053 |
Comprehensive metabolic panel |
134 |
125 |
$769.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$735.67 |
| 90686 |
|
46 |
42 |
$729.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
44 |
$611.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
23 |
$513.82 |
| 84443 |
Thyroid stimulating hormone (TSH) |
69 |
66 |
$485.33 |
| 93295 |
|
12 |
12 |
$225.09 |
| 36415 |
Collection of venous blood by venipuncture |
3,432 |
2,830 |
$133.80 |
| 87430 |
|
12 |
12 |
$75.00 |
| 81001 |
|
29 |
26 |
$57.68 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
14 |
14 |
$13.92 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |