| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,258 |
57,595 |
$3.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,526 |
40,119 |
$2.85M |
| 59025 |
Fetal non-stress test |
19,798 |
13,664 |
$408K |
| 76830 |
Ultrasound, transvaginal |
3,117 |
2,997 |
$367K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,107 |
2,014 |
$288K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,525 |
2,279 |
$262K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,849 |
4,074 |
$152K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,892 |
1,676 |
$146K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,554 |
1,427 |
$146K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,948 |
2,514 |
$131K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
3,942 |
3,788 |
$128K |
| 76813 |
|
1,145 |
1,086 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,361 |
1,223 |
$116K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
246 |
218 |
$116K |
| 76818 |
|
1,139 |
418 |
$105K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,029 |
902 |
$75K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,350 |
2,271 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
429 |
385 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
429 |
405 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,831 |
1,606 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
611 |
540 |
$32K |
| 59514 |
|
154 |
134 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
373 |
354 |
$15K |
| 81025 |
|
3,057 |
2,787 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,071 |
1,688 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,934 |
1,711 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
774 |
727 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
99 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
621 |
559 |
$11K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
60 |
56 |
$9K |
| 99381 |
|
105 |
101 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,915 |
2,762 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
471 |
378 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
40 |
38 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
398 |
242 |
$3K |
| 90756 |
|
295 |
196 |
$3K |
| 90674 |
|
228 |
198 |
$3K |
| 99215 |
Prolong outpt/office vis |
18 |
15 |
$2K |
| 81002 |
|
2,489 |
1,828 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
745 |
609 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 99442 |
|
397 |
301 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$921.27 |
| 99441 |
|
498 |
384 |
$892.54 |
| 0012A |
|
324 |
313 |
$844.34 |
| 76820 |
|
54 |
12 |
$801.24 |
| 0011A |
|
268 |
262 |
$693.12 |
| 58300 |
|
12 |
12 |
$630.86 |
| 36416 |
|
234 |
195 |
$490.02 |
| 82962 |
|
667 |
505 |
$486.99 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
77 |
67 |
$438.39 |
| 90474 |
|
44 |
40 |
$429.39 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
17 |
15 |
$377.34 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
68 |
38 |
$323.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
113 |
92 |
$180.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
218 |
154 |
$179.20 |
| 93000 |
|
14 |
12 |
$151.13 |
| 90686 |
|
948 |
653 |
$141.96 |
| 93308 |
|
15 |
14 |
$138.89 |
| 87807 |
|
20 |
12 |
$89.98 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
54 |
41 |
$68.62 |
| 90734 |
|
235 |
222 |
$65.38 |
| 80053 |
Comprehensive metabolic panel |
40 |
36 |
$57.68 |
| 80061 |
Lipid panel |
14 |
12 |
$54.84 |
| 85018 |
|
31 |
29 |
$48.60 |
| 85014 |
|
31 |
29 |
$48.60 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
273 |
182 |
$25.39 |
| 90723 |
|
1,091 |
983 |
$0.00 |
| 90680 |
|
489 |
434 |
$0.00 |
| 90647 |
|
1,028 |
917 |
$0.00 |
| 0500F |
|
318 |
314 |
$0.00 |
| 1036F |
|
376 |
362 |
$0.00 |
| 0064A |
|
45 |
44 |
$0.00 |
| 3008F |
|
331 |
320 |
$0.00 |
| 91306 |
|
45 |
44 |
$0.00 |
| 3074F |
|
53 |
53 |
$0.00 |
| 90651 |
|
199 |
190 |
$0.00 |
| 80047 |
|
31 |
29 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
28 |
28 |
$0.00 |
| 90696 |
|
101 |
98 |
$0.00 |
| 90716 |
|
46 |
45 |
$0.00 |
| 0503F |
|
85 |
84 |
$0.00 |
| 90688 |
|
31 |
31 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 91301 |
|
21 |
20 |
$0.00 |
| 0502F |
|
21,465 |
15,557 |
$0.00 |
| 90670 |
|
1,384 |
1,258 |
$0.00 |
| 90700 |
|
56 |
50 |
$0.00 |
| 90681 |
|
142 |
131 |
$0.00 |
| 3078F |
|
95 |
92 |
$0.00 |
| 90685 |
|
43 |
36 |
$0.00 |
| 90633 |
|
505 |
465 |
$0.00 |
| 90707 |
|
34 |
33 |
$0.00 |
| 90715 |
|
156 |
147 |
$0.00 |
| 90710 |
|
105 |
100 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
25 |
$0.00 |