| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
415,985 |
234,160 |
$2.51M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,773 |
2,700 |
$1.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,355 |
22,372 |
$1.10M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,097 |
11,518 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,367 |
13,561 |
$990K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,005 |
9,491 |
$902K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,717 |
5,493 |
$535K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
4,731 |
1,123 |
$424K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,201 |
7,022 |
$413K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,552 |
9,034 |
$362K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18,523 |
17,470 |
$356K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,130 |
2,030 |
$305K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,977 |
3,837 |
$303K |
| 99215 |
Prolong outpt/office vis |
2,476 |
2,278 |
$256K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,573 |
2,422 |
$255K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,122 |
2,672 |
$233K |
| 99233 |
Prolong inpt eval add15 m |
4,732 |
2,220 |
$227K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,147 |
2,918 |
$215K |
| 99460 |
|
3,163 |
3,069 |
$191K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,373 |
548 |
$189K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,056 |
1,940 |
$187K |
| 99243 |
|
1,775 |
1,704 |
$161K |
| 59025 |
Fetal non-stress test |
6,569 |
4,677 |
$156K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,739 |
4,488 |
$141K |
| 99245 |
|
580 |
568 |
$102K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,994 |
11,219 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,511 |
1,432 |
$98K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,345 |
1,075 |
$86K |
| 99462 |
|
2,453 |
2,097 |
$70K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
739 |
658 |
$68K |
| 90474 |
|
3,082 |
2,901 |
$60K |
| 99217 |
|
1,030 |
1,004 |
$59K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
438 |
246 |
$55K |
| 97803 |
|
1,357 |
1,347 |
$52K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
336 |
329 |
$49K |
| 99381 |
|
499 |
483 |
$48K |
| 99219 |
|
443 |
427 |
$44K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
415 |
397 |
$40K |
| D1206 |
Topical application of fluoride varnish |
2,928 |
2,880 |
$39K |
| 97802 |
|
437 |
434 |
$32K |
| 99252 |
|
545 |
528 |
$31K |
| 90791 |
Psychiatric diagnostic evaluation |
405 |
397 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
526 |
475 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
271 |
254 |
$23K |
| 76820 |
|
697 |
472 |
$23K |
| 93320 |
|
738 |
656 |
$23K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
286 |
251 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,631 |
1,591 |
$19K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
369 |
350 |
$18K |
| 96127 |
|
3,660 |
3,595 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
172 |
$15K |
| 93325 |
|
914 |
819 |
$15K |
| 99254 |
|
113 |
106 |
$15K |
| 96161 |
|
3,869 |
3,730 |
$14K |
| 94664 |
|
1,420 |
1,376 |
$14K |
| 93000 |
|
1,088 |
1,049 |
$14K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
44 |
13 |
$14K |
| 99220 |
|
102 |
100 |
$13K |
| 92551 |
|
9,246 |
8,705 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,409 |
2,935 |
$12K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
774 |
481 |
$10K |
| 99218 |
|
197 |
182 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
732 |
502 |
$9K |
| 92567 |
|
978 |
707 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
320 |
318 |
$9K |
| 96040 |
|
263 |
257 |
$9K |
| 90651 |
|
462 |
421 |
$8K |
| 99401 |
|
907 |
770 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
239 |
187 |
$5K |
| 96160 |
|
1,411 |
1,390 |
$5K |
| A4590 |
Special casting material (e.g., fiberglass) |
263 |
171 |
$5K |
| 90686 |
|
9,139 |
8,853 |
$5K |
| 76825 |
|
29 |
25 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
65 |
64 |
$4K |
| 99251 |
|
88 |
79 |
$3K |
| 73630 |
|
228 |
165 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
41 |
37 |
$2K |
| 93971 |
|
197 |
188 |
$2K |
| 93970 |
|
140 |
137 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
147 |
122 |
$2K |
| 76821 |
|
31 |
27 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 73610 |
|
130 |
83 |
$2K |
| 93296 |
|
174 |
169 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
12 |
$2K |
| 72100 |
|
101 |
84 |
$2K |
| 76827 |
|
29 |
25 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
14 |
12 |
$1K |
| 81025 |
|
200 |
171 |
$1K |
| 82962 |
|
401 |
396 |
$1K |
| 29075 |
|
19 |
16 |
$953.52 |
| 93880 |
|
41 |
40 |
$950.45 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
13 |
$893.24 |
| 73110 |
|
40 |
33 |
$860.52 |
| 69210 |
|
26 |
24 |
$847.24 |
| 20610 |
|
43 |
25 |
$667.79 |
| 99442 |
|
22 |
14 |
$613.70 |
| 73130 |
|
32 |
25 |
$596.54 |
| 81003 |
|
335 |
222 |
$511.57 |
| 73090 |
|
18 |
13 |
$353.77 |
| 90620 |
|
28 |
28 |
$339.90 |
| 90715 |
|
117 |
74 |
$316.16 |
| 93283 |
|
12 |
12 |
$297.69 |
| 93295 |
|
15 |
15 |
$296.86 |
| 99358 |
Prolong nursin fac eval 15m |
192 |
95 |
$262.39 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
53 |
37 |
$201.93 |
| 73030 |
|
16 |
12 |
$169.86 |
| 94010 |
|
13 |
13 |
$87.49 |
| 99173 |
|
9,851 |
9,275 |
$59.31 |
| 87210 |
|
19 |
14 |
$52.65 |
| 82570 |
|
17 |
12 |
$51.04 |
| 81001 |
|
17 |
12 |
$31.28 |
| 90680 |
|
3,104 |
2,920 |
$0.00 |
| 90647 |
|
3,776 |
3,533 |
$0.00 |
| 90723 |
|
3,783 |
3,557 |
$0.00 |
| 90696 |
|
75 |
73 |
$0.00 |
| 90716 |
|
175 |
156 |
$0.00 |
| 96150 |
|
13 |
12 |
$0.00 |
| 90670 |
|
5,197 |
4,888 |
$0.00 |
| 90633 |
|
907 |
861 |
$0.00 |
| 90734 |
|
140 |
133 |
$0.00 |
| 90700 |
|
72 |
67 |
$0.00 |
| 90685 |
|
475 |
469 |
$0.00 |
| 90710 |
|
49 |
48 |
$0.00 |
| 90707 |
|
161 |
141 |
$0.00 |
| 99354 |
|
15 |
13 |
$0.00 |