| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,157 |
11,968 |
$933K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,989 |
7,314 |
$849K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,502 |
1,401 |
$149K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,162 |
1,155 |
$105K |
| 87110 |
|
4,497 |
4,444 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
703 |
642 |
$74K |
| 76820 |
|
644 |
486 |
$65K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
460 |
338 |
$56K |
| 76801 |
|
262 |
256 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
394 |
392 |
$37K |
| 81025 |
|
3,283 |
3,212 |
$26K |
| 88142 |
|
1,134 |
1,124 |
$23K |
| 90461 |
|
336 |
305 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
188 |
187 |
$21K |
| 87428 |
|
297 |
286 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
928 |
922 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
548 |
547 |
$14K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
76 |
76 |
$13K |
| 76830 |
Ultrasound, transvaginal |
117 |
116 |
$10K |
| 87510 |
|
444 |
430 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
114 |
113 |
$7K |
| 59025 |
Fetal non-stress test |
196 |
134 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
64 |
64 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$6K |
| 80306 |
|
254 |
166 |
$4K |
| 99382 |
|
26 |
26 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
176 |
$3K |
| 99381 |
|
12 |
12 |
$2K |
| 99441 |
|
34 |
31 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
62 |
$1K |
| 99173 |
|
27 |
27 |
$943.41 |
| 81002 |
|
361 |
344 |
$918.20 |
| 87070 |
|
87 |
85 |
$677.45 |
| 83655 |
|
38 |
38 |
$567.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
40 |
$532.48 |
| 87807 |
|
33 |
33 |
$513.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$394.63 |
| 80305 |
|
28 |
28 |
$339.35 |
| 92587 |
|
12 |
12 |
$298.88 |
| 85018 |
|
100 |
100 |
$285.47 |
| 90686 |
|
29 |
29 |
$235.42 |
| 96127 |
|
12 |
12 |
$208.91 |
| 90658 |
|
16 |
16 |
$146.99 |
| 87081 |
|
12 |
12 |
$79.95 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$36.05 |
| 0501F |
|
15 |
15 |
$0.00 |
| 90680 |
|
16 |
16 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 90473 |
|
35 |
35 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 90670 |
|
85 |
84 |
$0.00 |
| 90671 |
|
32 |
32 |
$0.00 |