| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,789 |
15,143 |
$606K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,913 |
4,501 |
$202K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,130 |
1,121 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
880 |
841 |
$59K |
| 87428 |
|
980 |
944 |
$47K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
39 |
39 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
278 |
262 |
$23K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,391 |
3,050 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
180 |
170 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,308 |
1,259 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,732 |
2,688 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,787 |
3,469 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,895 |
1,856 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
963 |
475 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
152 |
146 |
$11K |
| 99215 |
Prolong outpt/office vis |
164 |
147 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
127 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
112 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,134 |
902 |
$9K |
| 59430 |
|
87 |
82 |
$7K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
25 |
14 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
67 |
$6K |
| 76801 |
|
68 |
60 |
$5K |
| 81002 |
|
1,486 |
984 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
242 |
116 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
133 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
67 |
$3K |
| 81003 |
|
1,478 |
1,023 |
$2K |
| 90686 |
|
276 |
272 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$2K |
| 90715 |
|
72 |
71 |
$2K |
| 87807 |
|
151 |
147 |
$2K |
| 99381 |
|
29 |
27 |
$1K |
| 90474 |
|
175 |
171 |
$1K |
| 99001 |
|
112 |
101 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 93000 |
|
142 |
137 |
$1K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
15 |
12 |
$637.60 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
38 |
14 |
$628.44 |
| 90461 |
|
119 |
96 |
$435.58 |
| 80305 |
|
41 |
40 |
$369.12 |
| 99304 |
|
18 |
18 |
$345.10 |
| 90656 |
|
17 |
17 |
$294.72 |
| 64642 |
|
14 |
13 |
$281.86 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$277.52 |
| 99000 |
|
18 |
17 |
$169.60 |
| 99307 |
|
44 |
44 |
$153.63 |
| 90658 |
|
13 |
13 |
$143.84 |
| 81025 |
|
17 |
15 |
$111.84 |
| 99305 |
|
25 |
25 |
$107.28 |
| 99310 |
Prolong nursin fac eval 15m |
16 |
16 |
$101.98 |
| 95874 |
|
14 |
13 |
$56.94 |
| 64643 |
|
15 |
12 |
$45.46 |
| 99318 |
|
48 |
45 |
$41.26 |
| 90619 |
|
12 |
12 |
$0.04 |
| 90680 |
|
178 |
174 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
184 |
160 |
$0.00 |
| 3074F |
|
107 |
102 |
$0.00 |
| 90723 |
|
53 |
51 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33 |
24 |
$0.00 |
| 90670 |
|
442 |
437 |
$0.00 |
| 90648 |
|
232 |
230 |
$0.00 |
| 90633 |
|
86 |
86 |
$0.00 |
| 3078F |
|
92 |
89 |
$0.00 |
| 0502F |
|
134 |
105 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |