| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,813 |
39,252 |
$500K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,821 |
1,764 |
$168K |
| Z1034 |
|
2,279 |
1,557 |
$133K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,344 |
1,341 |
$93K |
| 99384 |
|
426 |
409 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,583 |
6,020 |
$54K |
| 93000 |
|
2,112 |
2,089 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,715 |
1,685 |
$43K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
651 |
650 |
$39K |
| G9920 |
Screening performed and negative |
6,562 |
6,539 |
$29K |
| 92551 |
|
11,372 |
11,349 |
$27K |
| 97802 |
|
7,644 |
7,351 |
$26K |
| 99383 |
|
230 |
212 |
$23K |
| J3490 |
Unclassified drugs |
368 |
327 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,283 |
1,272 |
$21K |
| Z6410 |
|
888 |
715 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
764 |
675 |
$19K |
| Z1032 |
|
102 |
102 |
$17K |
| Z6500 |
|
109 |
109 |
$13K |
| 90686 |
|
2,258 |
2,249 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,385 |
5,355 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
6,867 |
6,287 |
$11K |
| 90714 |
|
486 |
480 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,109 |
1,086 |
$10K |
| 97803 |
|
8,860 |
8,374 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,661 |
1,562 |
$9K |
| 90674 |
|
583 |
574 |
$9K |
| 90688 |
|
711 |
710 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,253 |
5,894 |
$8K |
| 90756 |
|
492 |
489 |
$8K |
| 90716 |
|
863 |
862 |
$8K |
| 90651 |
|
1,256 |
1,245 |
$7K |
| 90633 |
|
919 |
917 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,109 |
3,751 |
$6K |
| 90715 |
|
760 |
754 |
$6K |
| 0011A |
|
159 |
159 |
$6K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,617 |
1,598 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
447 |
443 |
$6K |
| Z6406 |
|
291 |
258 |
$5K |
| 90734 |
|
865 |
858 |
$5K |
| 90658 |
|
266 |
266 |
$5K |
| Z6204 |
|
272 |
242 |
$5K |
| 0012A |
|
120 |
120 |
$5K |
| 90713 |
|
594 |
587 |
$5K |
| Z6400 |
|
249 |
248 |
$4K |
| 90744 |
|
419 |
413 |
$3K |
| 90707 |
|
331 |
329 |
$3K |
| S0197 |
Prenatal vitamins, 30-day supply |
2,118 |
1,571 |
$3K |
| Z6304 |
|
153 |
139 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,861 |
1,858 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
216 |
216 |
$3K |
| 76536 |
|
54 |
54 |
$3K |
| 90750 |
|
13 |
13 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
491 |
448 |
$2K |
| 0013A |
|
45 |
45 |
$2K |
| 93307 |
|
15 |
15 |
$2K |
| 93970 |
|
12 |
12 |
$2K |
| 90657 |
|
200 |
199 |
$1K |
| 90620 |
|
249 |
249 |
$773.91 |
| 3074F |
|
8,257 |
8,118 |
$711.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,387 |
5,113 |
$687.75 |
| 90649 |
|
90 |
90 |
$655.00 |
| 0003A |
|
16 |
16 |
$640.00 |
| 0001A |
|
13 |
13 |
$520.00 |
| 96127 |
|
124 |
124 |
$497.79 |
| 0002A |
|
12 |
12 |
$480.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
580 |
576 |
$462.55 |
| 99000 |
|
3,090 |
3,020 |
$450.78 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
150 |
130 |
$422.79 |
| 99497 |
|
28 |
28 |
$409.33 |
| Z6412 |
|
18 |
13 |
$368.20 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
14 |
13 |
$321.36 |
| 90670 |
|
102 |
102 |
$306.00 |
| 90656 |
|
37 |
37 |
$284.99 |
| 86580 |
|
2,125 |
2,105 |
$261.12 |
| 81003 |
|
3,853 |
3,777 |
$235.90 |
| 90710 |
|
25 |
25 |
$231.00 |
| 90647 |
|
63 |
63 |
$225.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$162.40 |
| 90671 |
|
38 |
38 |
$162.00 |
| 85018 |
|
2,167 |
2,146 |
$153.97 |
| 81025 |
|
470 |
464 |
$153.15 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
177 |
144 |
$132.63 |
| J3410 |
Injection, hydroxyzine hcl, up to 25 mg |
13 |
12 |
$129.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
263 |
257 |
$125.32 |
| H0049 |
Alcohol and/or drug screening |
934 |
930 |
$108.00 |
| 69210 |
|
106 |
106 |
$104.31 |
| 90700 |
|
15 |
15 |
$80.91 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,685 |
1,670 |
$78.60 |
| 99406 |
|
446 |
438 |
$73.20 |
| 90723 |
|
12 |
12 |
$72.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,046 |
1,003 |
$63.21 |
| 36415 |
Collection of venous blood by venipuncture |
4,237 |
4,137 |
$58.38 |
| 99447 |
|
852 |
719 |
$50.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
157 |
154 |
$46.69 |
| 90696 |
|
12 |
12 |
$45.00 |
| 96160 |
|
1,168 |
1,158 |
$43.18 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
789 |
711 |
$42.53 |
| 99407 |
|
129 |
129 |
$19.73 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
43 |
$17.66 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
14 |
$17.05 |
| 99173 |
|
7,819 |
7,807 |
$11.42 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
101 |
101 |
$0.00 |
| 3078F |
|
8,710 |
8,555 |
$0.00 |
| 1090F |
|
35 |
35 |
$0.00 |
| 99446 |
|
31 |
31 |
$0.00 |
| 1160F |
|
114 |
114 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
58 |
58 |
$0.00 |
| 99397 |
|
167 |
167 |
$0.00 |
| 3077F |
|
134 |
133 |
$0.00 |
| 1003F |
|
61 |
61 |
$0.00 |
| 1159F |
|
114 |
114 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
273 |
272 |
$0.00 |
| 99408 |
|
15 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$0.00 |
| 3046F |
|
26 |
26 |
$0.00 |
| G0141 |
Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician |
27 |
27 |
$0.00 |
| 3045F |
|
15 |
15 |
$0.00 |
| 3079F |
|
221 |
220 |
$0.00 |
| 3008F |
|
22,978 |
21,623 |
$0.00 |
| 3044F |
|
442 |
441 |
$0.00 |
| 3351F |
|
580 |
579 |
$0.00 |
| 94760 |
|
25 |
25 |
$0.00 |
| 1036F |
|
1,811 |
1,757 |
$0.00 |
| 1220F |
|
778 |
775 |
$0.00 |
| 88142 |
|
97 |
97 |
$0.00 |
| 88141 |
|
24 |
24 |
$0.00 |
| 96161 |
|
363 |
360 |
$0.00 |
| 1126F |
|
55 |
55 |
$0.00 |
| 3075F |
|
181 |
179 |
$0.00 |
| 1000F |
|
42 |
42 |
$0.00 |
| 3353F |
|
24 |
24 |
$0.00 |
| 1170F |
|
50 |
50 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
89 |
88 |
$0.00 |
| 99441 |
|
18 |
18 |
$0.00 |
| 81000 |
|
13 |
13 |
$0.00 |
| 1101F |
|
16 |
16 |
$0.00 |
| 99386 |
|
21 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 99385 |
|
17 |
17 |
$0.00 |
| 0545F |
|
13 |
13 |
$0.00 |