| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,123 |
28,813 |
$840K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,348 |
20,507 |
$735K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
358 |
357 |
$268K |
| 59426 |
|
420 |
418 |
$213K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,115 |
2,916 |
$181K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,458 |
2,286 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,407 |
3,163 |
$126K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,119 |
2,088 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,895 |
2,684 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
839 |
831 |
$67K |
| 59430 |
|
280 |
265 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,697 |
1,558 |
$45K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,417 |
1,259 |
$36K |
| 99385 |
|
419 |
400 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,249 |
1,135 |
$33K |
| 76830 |
Ultrasound, transvaginal |
1,359 |
1,312 |
$32K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
541 |
531 |
$30K |
| 59025 |
Fetal non-stress test |
1,714 |
1,029 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,240 |
1,207 |
$24K |
| 76801 |
|
732 |
665 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
899 |
863 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
533 |
526 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
226 |
225 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
447 |
444 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
335 |
278 |
$11K |
| 59514 |
|
14 |
14 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
598 |
564 |
$6K |
| 99381 |
|
106 |
106 |
$6K |
| 58300 |
|
105 |
104 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
217 |
174 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
271 |
263 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
83 |
75 |
$4K |
| 90715 |
|
232 |
228 |
$4K |
| 76818 |
|
103 |
55 |
$3K |
| 90686 |
|
603 |
598 |
$3K |
| 99219 |
|
33 |
29 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
463 |
450 |
$2K |
| 99386 |
|
15 |
15 |
$2K |
| 99496 |
|
12 |
12 |
$1K |
| 81025 |
|
210 |
205 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 57454 |
|
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
56 |
$763.29 |
| G0008 |
Administration of influenza virus vaccine |
69 |
68 |
$722.55 |
| 99218 |
|
14 |
14 |
$668.04 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$660.57 |
| 90651 |
|
134 |
134 |
$630.76 |
| 76820 |
|
36 |
24 |
$518.04 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
12 |
$399.74 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
109 |
98 |
$385.00 |
| 90688 |
|
72 |
72 |
$270.69 |
| 90670 |
|
1,104 |
1,100 |
$219.29 |
| 99442 |
|
26 |
21 |
$215.63 |
| 81003 |
|
302 |
281 |
$187.62 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
52 |
52 |
$121.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
39 |
$91.84 |
| 93000 |
|
12 |
12 |
$38.04 |
| 90707 |
|
76 |
76 |
$0.00 |
| 90633 |
|
463 |
459 |
$0.00 |
| 0502F |
|
3,555 |
1,927 |
$0.00 |
| 3078F |
|
154 |
150 |
$0.00 |
| 90734 |
|
70 |
70 |
$0.00 |
| 90681 |
|
321 |
319 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
47 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 3077F |
|
36 |
35 |
$0.00 |
| 90461 |
|
172 |
166 |
$0.00 |
| 87660 |
|
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |
| 90723 |
|
1,050 |
1,045 |
$0.00 |
| 0500F |
|
211 |
211 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,904 |
4,339 |
$0.00 |
| 90647 |
|
890 |
887 |
$0.00 |
| 3008F |
|
247 |
240 |
$0.00 |
| 3079F |
|
81 |
79 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
102 |
97 |
$0.00 |
| 90716 |
|
60 |
60 |
$0.00 |
| 3074F |
|
226 |
219 |
$0.00 |
| 3080F |
|
43 |
41 |
$0.00 |
| 87480 |
|
12 |
12 |
$0.00 |
| 87510 |
|
12 |
12 |
$0.00 |
| 3044F |
|
29 |
29 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 1111F |
|
15 |
14 |
$0.00 |