| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
5,190 |
4,619 |
$461K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,438 |
2,390 |
$131K |
| 99245 |
|
765 |
761 |
$92K |
| 99233 |
Prolong inpt eval add15 m |
1,156 |
293 |
$81K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,257 |
1,122 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,296 |
1,224 |
$32K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
361 |
128 |
$27K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
354 |
346 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
155 |
150 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
730 |
613 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,292 |
1,229 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
98 |
93 |
$11K |
| 93975 |
|
58 |
55 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
49 |
48 |
$6K |
| 94375 |
|
659 |
452 |
$6K |
| 99199 |
Unlisted special service, procedure or report |
185 |
179 |
$4K |
| 0760 |
|
3,530 |
3,397 |
$4K |
| 73610 |
|
353 |
263 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
345 |
191 |
$3K |
| 74018 |
|
249 |
212 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
24 |
$2K |
| 73110 |
|
209 |
124 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
14 |
$1K |
| 99460 |
|
26 |
26 |
$1K |
| 73080 |
|
130 |
84 |
$1K |
| 93000 |
|
27 |
27 |
$1K |
| 93325 |
|
20 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
52 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$1K |
| 95115 |
|
133 |
88 |
$943.52 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
26 |
14 |
$911.00 |
| 73562 |
|
78 |
65 |
$775.87 |
| 93976 |
|
13 |
13 |
$619.58 |
| 99367 |
|
12 |
12 |
$610.80 |
| 73100 |
|
126 |
56 |
$591.45 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$544.66 |
| 76770 |
|
18 |
12 |
$495.28 |
| 73090 |
|
43 |
27 |
$382.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
249 |
216 |
$307.82 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
26 |
$205.24 |
| 73590 |
|
23 |
12 |
$180.82 |
| 73130 |
|
18 |
12 |
$178.16 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,791 |
1,701 |
$0.00 |
| 0510 |
|
2,658 |
2,525 |
$0.00 |
| J3490 |
Unclassified drugs |
48 |
40 |
$0.00 |
| 95012 |
|
69 |
67 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |