| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,884 |
3,162 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,634 |
5,390 |
$125K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15,096 |
13,494 |
$81K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,328 |
1,263 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
989 |
596 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
788 |
316 |
$18K |
| 93971 |
|
1,602 |
1,443 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
271 |
249 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
197 |
$13K |
| 93970 |
|
1,022 |
873 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
274 |
61 |
$8K |
| 81003 |
|
5,862 |
3,791 |
$7K |
| 81002 |
|
3,649 |
2,280 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,779 |
2,997 |
$5K |
| 87210 |
|
1,388 |
1,142 |
$5K |
| 20610 |
|
206 |
84 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
68 |
49 |
$3K |
| 99221 |
|
84 |
80 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
243 |
101 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
329 |
272 |
$3K |
| 87220 |
|
1,310 |
1,079 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,037 |
2,335 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
233 |
97 |
$2K |
| 81025 |
|
734 |
488 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
192 |
115 |
$1K |
| 58300 |
|
26 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
69 |
65 |
$856.63 |
| 73564 |
|
23 |
12 |
$252.00 |
| 99307 |
|
34 |
30 |
$172.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
12 |
$78.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
13 |
$50.00 |
| 99000 |
|
24 |
13 |
$38.50 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
55 |
38 |
$4.00 |
| 1159F |
|
86 |
68 |
$0.00 |
| 0502F |
|
1,826 |
1,246 |
$0.00 |
| 3078F |
|
3,788 |
2,838 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,194 |
3,193 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
204 |
185 |
$0.00 |
| 1160F |
|
157 |
116 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
165 |
151 |
$0.00 |
| 3288F |
|
155 |
102 |
$0.00 |
| 59510 |
|
19 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,318 |
997 |
$0.00 |
| 3074F |
|
5,060 |
3,727 |
$0.00 |
| 3079F |
|
583 |
444 |
$0.00 |
| 0500F |
|
16 |
13 |
$0.00 |
| 3008F |
|
4,011 |
3,001 |
$0.00 |
| 0501F |
|
1,913 |
1,342 |
$0.00 |
| 2000F |
|
613 |
457 |
$0.00 |
| 1170F |
|
377 |
268 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
230 |
118 |
$0.00 |
| 76801 |
|
44 |
37 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
230 |
195 |
$0.00 |
| 1125F |
|
180 |
124 |
$0.00 |
| 1126F |
|
165 |
149 |
$0.00 |
| 59514 |
|
15 |
12 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
47 |
29 |
$0.00 |
| 3075F |
|
30 |
30 |
$0.00 |
| 3044F |
|
17 |
12 |
$0.00 |
| 0503F |
|
19 |
16 |
$0.00 |