| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,674 |
4,649 |
$151K |
| 59025 |
Fetal non-stress test |
6,530 |
5,214 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,871 |
1,579 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,314 |
976 |
$65K |
| 99233 |
Prolong inpt eval add15 m |
632 |
182 |
$23K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,275 |
337 |
$22K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
856 |
759 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,029 |
890 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
183 |
176 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
406 |
309 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
152 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
140 |
131 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
632 |
274 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
114 |
72 |
$6K |
| 99221 |
|
75 |
74 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
289 |
93 |
$5K |
| 99205 |
Prolong outpt/office vis |
21 |
13 |
$2K |
| 90670 |
|
143 |
142 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
39 |
24 |
$1K |
| 90698 |
|
58 |
58 |
$959.18 |
| 0001A |
|
29 |
29 |
$896.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
136 |
118 |
$842.23 |
| 0002A |
|
22 |
22 |
$672.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$593.90 |
| 90686 |
|
26 |
26 |
$514.54 |
| 90685 |
|
28 |
26 |
$514.54 |
| 90680 |
|
29 |
29 |
$385.27 |
| 90633 |
|
15 |
15 |
$296.85 |
| 99307 |
|
348 |
306 |
$291.34 |
| 99173 |
|
71 |
66 |
$287.00 |
| 90700 |
|
14 |
14 |
$257.27 |
| 92551 |
|
46 |
43 |
$174.00 |
| 93000 |
|
27 |
15 |
$158.85 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
65 |
$86.00 |
| 81003 |
|
38 |
26 |
$33.00 |
| 96160 |
|
22 |
13 |
$26.46 |
| 1036F |
|
1,133 |
916 |
$0.00 |
| 3074F |
|
1,370 |
1,179 |
$0.00 |
| 1126F |
|
538 |
447 |
$0.00 |
| 1125F |
|
75 |
65 |
$0.00 |
| 59514 |
|
173 |
134 |
$0.00 |
| 3079F |
|
70 |
62 |
$0.00 |
| 1160F |
|
2,170 |
1,846 |
$0.00 |
| 1159F |
|
2,037 |
1,731 |
$0.00 |
| 3078F |
|
756 |
676 |
$0.00 |