| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,295 |
43,013 |
$586K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,667 |
7,619 |
$315K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,025 |
11,045 |
$304K |
| 59514 |
|
1,032 |
1,021 |
$266K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
555 |
555 |
$256K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,178 |
4,174 |
$246K |
| 99460 |
|
2,726 |
2,675 |
$194K |
| 99381 |
|
1,407 |
1,407 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,432 |
9,403 |
$132K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,693 |
5,088 |
$113K |
| 99462 |
|
1,764 |
1,422 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,182 |
8,825 |
$81K |
| Z1034 |
|
1,253 |
773 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,378 |
4,364 |
$48K |
| 99233 |
Prolong inpt eval add15 m |
1,195 |
369 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,089 |
1,088 |
$36K |
| 59425 |
|
1,256 |
801 |
$35K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
802 |
472 |
$33K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,102 |
1,004 |
$31K |
| Z1032 |
|
238 |
238 |
$29K |
| 92551 |
|
4,502 |
4,494 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,954 |
5,170 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
915 |
285 |
$18K |
| 99215 |
Prolong outpt/office vis |
397 |
381 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,300 |
1,299 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
269 |
259 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
298 |
294 |
$9K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
428 |
258 |
$9K |
| G9920 |
Screening performed and negative |
3,717 |
3,700 |
$8K |
| 76801 |
|
268 |
221 |
$8K |
| 92552 |
|
913 |
900 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
111 |
107 |
$7K |
| 90670 |
|
1,373 |
1,340 |
$7K |
| 20610 |
|
223 |
172 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
135 |
132 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
115 |
114 |
$6K |
| 99205 |
Prolong outpt/office vis |
117 |
117 |
$5K |
| 99441 |
|
861 |
839 |
$5K |
| 99173 |
|
5,216 |
5,199 |
$5K |
| 99221 |
|
136 |
134 |
$4K |
| 90648 |
|
1,074 |
1,042 |
$4K |
| 90686 |
|
1,372 |
1,369 |
$4K |
| 90723 |
|
577 |
567 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,091 |
978 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,059 |
1,058 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
450 |
445 |
$2K |
| 90461 |
|
1,944 |
1,932 |
$2K |
| 90681 |
|
234 |
232 |
$2K |
| 99463 |
|
81 |
78 |
$2K |
| 90633 |
|
453 |
421 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
21 |
21 |
$1K |
| 88720 |
|
319 |
275 |
$1K |
| 96160 |
|
4,292 |
4,268 |
$850.48 |
| 1126F |
|
1,797 |
1,600 |
$808.50 |
| 90658 |
|
540 |
540 |
$796.00 |
| 90655 |
|
151 |
149 |
$680.20 |
| 97802 |
|
538 |
526 |
$631.05 |
| 92587 |
|
422 |
422 |
$611.58 |
| 73565 |
|
49 |
49 |
$573.90 |
| 99442 |
|
883 |
828 |
$533.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
28 |
$532.44 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
560 |
547 |
$374.68 |
| 59025 |
Fetal non-stress test |
35 |
13 |
$374.00 |
| 92081 |
|
376 |
372 |
$368.82 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
199 |
199 |
$331.90 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
51 |
$292.60 |
| 90700 |
|
138 |
129 |
$251.00 |
| 90707 |
|
188 |
182 |
$214.00 |
| 90716 |
|
147 |
142 |
$208.00 |
| 11721 |
|
12 |
12 |
$207.25 |
| 90696 |
|
85 |
84 |
$197.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
43 |
$174.50 |
| G9919 |
Screening performed and positive and provision of recommendations |
116 |
116 |
$174.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
54 |
$166.81 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
87 |
85 |
$153.93 |
| 90656 |
|
17 |
17 |
$153.00 |
| 99051 |
|
4,004 |
3,937 |
$145.39 |
| 73110 |
|
12 |
12 |
$144.06 |
| 73610 |
|
12 |
12 |
$142.57 |
| 90697 |
|
25 |
25 |
$139.78 |
| 90680 |
|
28 |
27 |
$135.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
155 |
149 |
$121.09 |
| 96112 |
|
12 |
12 |
$116.57 |
| 90647 |
|
43 |
42 |
$114.00 |
| 90710 |
|
64 |
62 |
$93.00 |
| 90651 |
|
27 |
27 |
$80.00 |
| 90734 |
|
51 |
50 |
$79.00 |
| 90685 |
|
27 |
25 |
$70.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
92 |
$37.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$30.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$25.18 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
79 |
78 |
$21.18 |
| 96127 |
|
138 |
138 |
$19.00 |
| 92060 |
|
16 |
16 |
$11.54 |
| 88150 |
|
65 |
65 |
$11.50 |
| 90649 |
|
55 |
54 |
$9.00 |
| 87070 |
|
128 |
127 |
$7.43 |
| 0501F |
|
267 |
197 |
$0.00 |
| 3079F |
|
19 |
14 |
$0.00 |
| 3351F |
|
394 |
306 |
$0.00 |
| 3074F |
|
376 |
303 |
$0.00 |
| 99443 |
|
40 |
37 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$0.00 |
| 1111F |
|
64 |
63 |
$0.00 |
| 81002 |
|
197 |
147 |
$0.00 |
| 1158F |
|
249 |
224 |
$0.00 |
| 3078F |
|
356 |
292 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
367 |
349 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$0.00 |