| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
789 |
632 |
$966K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,814 |
12,292 |
$888K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,574 |
6,836 |
$407K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,341 |
2,762 |
$372K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
1,857 |
1,439 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
981 |
663 |
$82K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
524 |
318 |
$65K |
| 76801 |
|
775 |
629 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
311 |
296 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
334 |
285 |
$38K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,522 |
1,283 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
602 |
291 |
$33K |
| 99222 |
Initial hospital care, per day, moderate complexity |
288 |
273 |
$30K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,396 |
391 |
$27K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
36 |
$26K |
| 99215 |
Prolong outpt/office vis |
320 |
291 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
220 |
171 |
$21K |
| 96127 |
|
6,004 |
5,052 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,455 |
1,766 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
175 |
150 |
$14K |
| 59025 |
Fetal non-stress test |
667 |
494 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
240 |
189 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
86 |
76 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
168 |
158 |
$6K |
| 99205 |
Prolong outpt/office vis |
34 |
25 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
321 |
275 |
$4K |
| 99441 |
|
164 |
142 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
45 |
27 |
$4K |
| 80061 |
Lipid panel |
250 |
229 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
25 |
$3K |
| 99221 |
|
40 |
38 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,168 |
1,035 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
74 |
56 |
$2K |
| 80053 |
Comprehensive metabolic panel |
240 |
224 |
$2K |
| 95251 |
|
133 |
115 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
15 |
14 |
$2K |
| 90715 |
|
54 |
49 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
29 |
12 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
115 |
55 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
150 |
135 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
113 |
104 |
$884.10 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
13 |
$867.86 |
| 81025 |
|
165 |
124 |
$838.58 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
52 |
41 |
$829.23 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
36 |
29 |
$723.92 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
36 |
29 |
$723.92 |
| 99442 |
|
14 |
12 |
$656.02 |
| 99243 |
|
22 |
15 |
$578.13 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
91 |
57 |
$549.55 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
13 |
$464.48 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
25 |
$330.82 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
87 |
60 |
$264.77 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$207.70 |
| 85027 |
|
31 |
30 |
$200.40 |
| 96161 |
|
214 |
139 |
$178.59 |
| 80050 |
General health panel |
14 |
14 |
$120.66 |
| 92551 |
|
61 |
48 |
$99.54 |
| 90723 |
|
13 |
12 |
$98.98 |
| 86803 |
|
17 |
16 |
$89.45 |
| 0500F |
|
1,907 |
1,505 |
$79.35 |
| 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) |
35 |
30 |
$75.39 |
| 87081 |
|
16 |
15 |
$65.25 |
| 82962 |
|
21 |
14 |
$39.19 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
15 |
$20.30 |
| 99173 |
|
61 |
48 |
$8.00 |
| 3074F |
|
7,035 |
5,754 |
$0.00 |
| 3079F |
|
2,276 |
1,876 |
$0.00 |
| 3075F |
|
387 |
311 |
$0.00 |
| 90677 |
|
15 |
14 |
$0.00 |
| 3078F |
|
5,235 |
4,295 |
$0.00 |
| 0502F |
|
296 |
275 |
$0.00 |
| 3077F |
|
15 |
13 |
$0.00 |