| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
22,352 |
5,717 |
$8.18M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
57,012 |
12,875 |
$6.45M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
56,167 |
37,417 |
$4.40M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
17,038 |
16,680 |
$3.28M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
9,767 |
1,690 |
$3.22M |
| 92650 |
|
62,730 |
55,638 |
$3.12M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
50,849 |
45,299 |
$2.95M |
| 99460 |
|
32,408 |
31,719 |
$2.63M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
36,522 |
35,524 |
$2.27M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
20,797 |
5,469 |
$2.23M |
| 92586 |
|
32,514 |
32,279 |
$2.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,769 |
33,275 |
$2.08M |
| 76820 |
|
22,934 |
14,226 |
$1.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,490 |
12,906 |
$1.16M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13,721 |
12,371 |
$942K |
| 99468 |
|
1,037 |
1,004 |
$879K |
| 99462 |
|
14,896 |
12,825 |
$533K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,402 |
2,366 |
$348K |
| 99243 |
|
2,670 |
2,632 |
$264K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,560 |
1,535 |
$209K |
| 76821 |
|
1,701 |
1,025 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,201 |
1,199 |
$127K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,374 |
2,306 |
$117K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,262 |
1,246 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,003 |
972 |
$101K |
| 99464 |
|
1,437 |
1,388 |
$94K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
861 |
848 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,375 |
2,206 |
$87K |
| 76813 |
|
788 |
769 |
$76K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,223 |
1,020 |
$66K |
| 54150 |
|
629 |
604 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
524 |
524 |
$55K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
960 |
484 |
$48K |
| 76825 |
|
390 |
372 |
$48K |
| 99463 |
|
455 |
441 |
$43K |
| 99245 |
|
230 |
225 |
$38K |
| 93325 |
|
360 |
344 |
$34K |
| 99215 |
Prolong outpt/office vis |
350 |
320 |
$33K |
| 99429 |
|
2,217 |
1,378 |
$28K |
| 76827 |
|
330 |
316 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
238 |
238 |
$27K |
| 99242 |
|
301 |
299 |
$24K |
| 99241 |
|
500 |
493 |
$22K |
| 93976 |
|
219 |
72 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
226 |
219 |
$21K |
| 76818 |
|
436 |
307 |
$20K |
| 99477 |
|
50 |
49 |
$16K |
| 99478 |
|
115 |
39 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
513 |
513 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
631 |
618 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
541 |
539 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
234 |
231 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
101 |
100 |
$6K |
| 76801 |
|
69 |
68 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
339 |
299 |
$5K |
| 59025 |
Fetal non-stress test |
137 |
90 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
89 |
66 |
$3K |
| 87428 |
|
40 |
39 |
$3K |
| 99205 |
Prolong outpt/office vis |
18 |
16 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
22 |
22 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
99 |
95 |
$2K |
| 83655 |
|
173 |
173 |
$2K |
| 96127 |
|
188 |
188 |
$2K |
| 81002 |
|
364 |
258 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
36 |
$1K |
| 99221 |
|
12 |
12 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,648 |
2,545 |
$739.20 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
65 |
63 |
$731.85 |
| 96160 |
|
183 |
180 |
$716.73 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
54 |
$506.71 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
22 |
22 |
$404.18 |
| 99406 |
|
17 |
17 |
$231.59 |
| 90474 |
|
12 |
12 |
$145.20 |
| 81000 |
|
16 |
15 |
$66.57 |
| 90686 |
|
435 |
411 |
$44.06 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$9.17 |
| 90723 |
|
338 |
338 |
$0.00 |
| 90716 |
|
142 |
142 |
$0.00 |
| 90680 |
|
60 |
60 |
$0.00 |
| 3074F |
|
195 |
133 |
$0.00 |
| 36416 |
|
149 |
149 |
$0.00 |
| 90647 |
|
342 |
342 |
$0.00 |
| 97802 |
|
635 |
635 |
$0.00 |
| 90651 |
|
42 |
42 |
$0.00 |
| 92551 |
|
43 |
43 |
$0.00 |
| 90688 |
|
46 |
46 |
$0.00 |
| 90697 |
|
40 |
40 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
55 |
55 |
$0.00 |
| 90620 |
|
17 |
15 |
$0.00 |
| 90681 |
|
160 |
160 |
$0.00 |
| 97803 |
|
71 |
71 |
$0.00 |
| 99173 |
|
280 |
280 |
$0.00 |
| 90670 |
|
617 |
614 |
$0.00 |
| 90633 |
|
182 |
182 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 3078F |
|
168 |
112 |
$0.00 |
| 90707 |
|
152 |
152 |
$0.00 |
| BADDE |
|
34 |
34 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| ONACC |
|
34 |
34 |
$0.00 |
| 0502F |
|
47 |
33 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |