| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,754 |
11,853 |
$670K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,188 |
10,828 |
$354K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
752 |
574 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,375 |
787 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
371 |
298 |
$19K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
50 |
12 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
404 |
278 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
257 |
85 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
47 |
38 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,456 |
632 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
67 |
65 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
85 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
25 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
12 |
$1K |
| 93018 |
|
48 |
25 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$955.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
13 |
$610.10 |
| 93016 |
|
48 |
25 |
$562.85 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
13 |
$554.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
50 |
$399.49 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
366 |
190 |
$251.93 |
| 11721 |
|
38 |
37 |
$218.32 |
| 90688 |
|
15 |
14 |
$187.21 |
| 36415 |
Collection of venous blood by venipuncture |
73 |
61 |
$135.00 |
| 1036F |
|
9,836 |
7,728 |
$16.54 |
| 3078F |
|
6,299 |
5,125 |
$0.53 |
| 3008F |
|
13,577 |
10,821 |
$0.02 |
| 3079F |
|
763 |
623 |
$0.00 |
| 3074F |
|
7,603 |
6,145 |
$0.00 |
| 1126F |
|
68 |
49 |
$0.00 |
| 1034F |
|
226 |
173 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |
| 1125F |
|
58 |
47 |
$0.00 |
| 1160F |
|
4,246 |
3,448 |
$0.00 |
| 0502F |
|
2,151 |
1,319 |
$0.00 |
| 1159F |
|
3,199 |
2,657 |
$0.00 |
| 3725F |
|
100 |
88 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |