| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,452 |
26,681 |
$802K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,185 |
2,941 |
$707K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,515 |
21,988 |
$515K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,577 |
5,421 |
$495K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,170 |
2,114 |
$250K |
| J2357 |
Injection, omalizumab, 5 mg |
172 |
142 |
$245K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,547 |
2,517 |
$214K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,545 |
4,473 |
$173K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,161 |
1,058 |
$162K |
| 95117 |
|
9,542 |
5,646 |
$117K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,195 |
2,292 |
$115K |
| 94060 |
|
3,372 |
3,306 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,759 |
1,715 |
$92K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,318 |
1,258 |
$87K |
| 71046 |
Radiologic examination, chest; 2 views |
8,480 |
8,046 |
$83K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
751 |
740 |
$80K |
| 92587 |
|
3,664 |
3,567 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,261 |
3,133 |
$72K |
| 92567 |
|
4,708 |
4,594 |
$66K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,327 |
1,273 |
$51K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,293 |
2,259 |
$37K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
873 |
850 |
$36K |
| 20610 |
|
1,087 |
971 |
$35K |
| 80053 |
Comprehensive metabolic panel |
4,473 |
3,831 |
$28K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
41 |
31 |
$24K |
| 93000 |
|
2,334 |
2,177 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
376 |
357 |
$22K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
100 |
97 |
$21K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,100 |
798 |
$20K |
| J0897 |
Injection, denosumab, 1 mg |
59 |
57 |
$20K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
262 |
125 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,971 |
4,984 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,686 |
1,648 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
601 |
596 |
$16K |
| 99205 |
Prolong outpt/office vis |
170 |
164 |
$15K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
948 |
915 |
$15K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
621 |
601 |
$15K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
308 |
206 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
467 |
451 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,705 |
1,267 |
$10K |
| 99201 |
|
402 |
383 |
$10K |
| 90961 |
|
485 |
458 |
$10K |
| 73630 |
|
639 |
568 |
$9K |
| 74018 |
|
713 |
692 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
510 |
489 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
509 |
489 |
$9K |
| 84439 |
|
1,145 |
1,113 |
$8K |
| 82728 |
|
463 |
453 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,069 |
1,053 |
$7K |
| J1756 |
Injection, iron sucrose, 1 mg |
149 |
89 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
79 |
$6K |
| 87481 |
|
637 |
617 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
385 |
384 |
$6K |
| 87660 |
|
301 |
294 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
478 |
175 |
$5K |
| 87634 |
|
79 |
79 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
27 |
27 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
592 |
567 |
$4K |
| 81001 |
|
1,082 |
844 |
$4K |
| 99215 |
Prolong outpt/office vis |
99 |
94 |
$4K |
| 80069 |
|
1,038 |
996 |
$3K |
| 92588 |
|
58 |
58 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
178 |
157 |
$3K |
| 97161 |
|
104 |
94 |
$3K |
| 71250 |
|
46 |
44 |
$3K |
| 85027 |
|
441 |
426 |
$3K |
| 99460 |
|
44 |
44 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
204 |
186 |
$3K |
| 17110 |
|
54 |
49 |
$3K |
| 90686 |
|
155 |
144 |
$2K |
| 51798 |
|
373 |
348 |
$2K |
| 87510 |
|
301 |
294 |
$2K |
| 87480 |
|
301 |
294 |
$2K |
| 11721 |
|
1,243 |
1,190 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
378 |
366 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
388 |
380 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
177 |
176 |
$2K |
| 73610 |
|
124 |
116 |
$2K |
| 85652 |
|
1,091 |
1,057 |
$2K |
| 73564 |
|
84 |
71 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 83540 |
|
862 |
824 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
37 |
36 |
$2K |
| 93296 |
|
124 |
121 |
$2K |
| 83970 |
|
231 |
228 |
$1K |
| 52000 |
|
27 |
26 |
$1K |
| 84702 |
|
165 |
126 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
337 |
319 |
$1K |
| 42830 |
|
12 |
12 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
446 |
390 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
26 |
$988.06 |
| 70450 |
Computed tomography, head or brain; without contrast material |
29 |
26 |
$986.58 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$964.00 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$953.50 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$881.59 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
24 |
$849.04 |
| 92557 |
|
24 |
24 |
$796.15 |
| 96160 |
|
64 |
63 |
$790.97 |
| 80061 |
Lipid panel |
67 |
67 |
$788.84 |
| 95115 |
|
70 |
38 |
$729.11 |
| 86780 |
|
70 |
69 |
$728.90 |
| 93227 |
|
56 |
37 |
$716.15 |
| 92504 |
|
71 |
57 |
$677.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
48 |
$653.13 |
| 69210 |
|
39 |
39 |
$593.01 |
| 85007 |
|
294 |
281 |
$585.28 |
| 0012A |
|
75 |
75 |
$574.79 |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
24 |
$549.42 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
18 |
16 |
$502.25 |
| 73130 |
|
28 |
26 |
$483.75 |
| 92555 |
|
41 |
40 |
$459.48 |
| 87150 |
|
12 |
12 |
$418.68 |
| 81025 |
|
62 |
60 |
$406.77 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
26 |
26 |
$362.75 |
| 87807 |
|
24 |
24 |
$344.90 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
16 |
16 |
$337.81 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
107 |
103 |
$298.44 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$280.78 |
| 73110 |
|
15 |
14 |
$267.18 |
| 0011A |
|
83 |
82 |
$256.27 |
| 97802 |
|
14 |
13 |
$255.28 |
| V2020 |
Frames, purchases |
19 |
12 |
$225.60 |
| 96161 |
|
18 |
14 |
$222.52 |
| 92552 |
|
13 |
13 |
$202.63 |
| 93294 |
|
25 |
25 |
$182.93 |
| 36415 |
Collection of venous blood by venipuncture |
15,630 |
13,937 |
$179.31 |
| 95251 |
|
30 |
25 |
$175.96 |
| 77080 |
|
25 |
25 |
$160.97 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29 |
24 |
$133.16 |
| 82746 |
|
12 |
12 |
$123.55 |
| 93017 |
|
15 |
14 |
$111.10 |
| 82607 |
|
13 |
12 |
$108.26 |
| 86850 |
|
14 |
14 |
$74.66 |
| 86762 |
|
13 |
13 |
$74.66 |
| 93016 |
|
16 |
15 |
$68.93 |
| 94729 |
|
13 |
13 |
$68.58 |
| 92015 |
Determination of refractive state |
19 |
16 |
$63.00 |
| 96127 |
|
28 |
28 |
$61.46 |
| 81003 |
|
44 |
43 |
$60.93 |
| 81002 |
|
27 |
27 |
$24.91 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
172 |
163 |
$20.91 |
| 20552 |
|
15 |
14 |
$19.91 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
445 |
420 |
$18.09 |
| 1159F |
|
22,296 |
20,961 |
$0.02 |
| 3008F |
|
6,840 |
6,407 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
213 |
204 |
$0.01 |
| 3074F |
|
9,830 |
9,260 |
$0.00 |
| 3075F |
|
337 |
311 |
$0.00 |
| 3017F |
|
154 |
147 |
$0.00 |
| 99000 |
|
24 |
24 |
$0.00 |
| 3079F |
|
385 |
364 |
$0.00 |
| 3014F |
|
32 |
27 |
$0.00 |
| 4274F |
|
6,097 |
5,665 |
$0.00 |
| 3078F |
|
8,957 |
8,420 |
$0.00 |
| 4004F |
|
119 |
112 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
45 |
44 |
$0.00 |