| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,851 |
23,560 |
$1.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,414 |
19,347 |
$866K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,408 |
7,741 |
$562K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,840 |
5,057 |
$460K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,583 |
1,793 |
$343K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,921 |
3,045 |
$283K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
6,273 |
3,111 |
$208K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,079 |
2,434 |
$167K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,116 |
1,918 |
$165K |
| 99215 |
Prolong outpt/office vis |
4,163 |
2,927 |
$140K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
819 |
638 |
$130K |
| 92250 |
|
5,049 |
3,421 |
$122K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
184 |
172 |
$103K |
| 92060 |
|
3,583 |
2,592 |
$95K |
| 95117 |
|
12,788 |
5,005 |
$94K |
| 76801 |
|
1,230 |
1,085 |
$88K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,152 |
1,688 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,272 |
1,137 |
$68K |
| 59430 |
|
745 |
710 |
$67K |
| 59514 |
|
149 |
130 |
$64K |
| 99205 |
Prolong outpt/office vis |
802 |
746 |
$64K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,801 |
11,480 |
$61K |
| 80053 |
Comprehensive metabolic panel |
12,310 |
8,957 |
$60K |
| 92285 |
|
3,483 |
2,121 |
$49K |
| 82728 |
|
5,687 |
4,696 |
$37K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
773 |
718 |
$32K |
| 94010 |
|
1,597 |
1,338 |
$28K |
| 83550 |
|
5,723 |
4,720 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
234 |
206 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
564 |
330 |
$21K |
| 94060 |
|
808 |
493 |
$20K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
1,504 |
512 |
$19K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
256 |
119 |
$16K |
| 83540 |
|
5,722 |
4,719 |
$15K |
| 94664 |
|
2,454 |
1,659 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
552 |
437 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
257 |
204 |
$12K |
| 96417 |
|
796 |
315 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
138 |
128 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,857 |
1,054 |
$7K |
| 95012 |
|
735 |
547 |
$7K |
| J1453 |
Injection, fosaprepitant, 1 mg |
489 |
163 |
$6K |
| 82950 |
|
1,395 |
1,243 |
$5K |
| 54150 |
|
38 |
38 |
$5K |
| 82607 |
|
642 |
543 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
472 |
364 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
64 |
50 |
$3K |
| 83615 |
|
1,181 |
976 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
16 |
16 |
$3K |
| 95024 |
|
509 |
402 |
$3K |
| 80050 |
General health panel |
118 |
90 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
61 |
54 |
$3K |
| 98960 |
|
929 |
406 |
$2K |
| 96367 |
|
854 |
417 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
941 |
513 |
$2K |
| 96160 |
|
169 |
142 |
$2K |
| 95115 |
|
285 |
112 |
$2K |
| 76820 |
|
31 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
51 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
5,798 |
4,286 |
$1K |
| 73562 |
|
147 |
113 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,473 |
1,065 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
752 |
362 |
$1K |
| 96401 |
|
137 |
73 |
$911.45 |
| 90688 |
|
116 |
86 |
$820.98 |
| 92567 |
|
64 |
64 |
$810.11 |
| 84439 |
|
133 |
110 |
$808.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
55 |
$735.04 |
| 89190 |
|
256 |
192 |
$676.94 |
| 82746 |
|
125 |
100 |
$672.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
42 |
$667.44 |
| 81001 |
|
338 |
280 |
$664.94 |
| 86140 |
|
709 |
654 |
$606.41 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
436 |
221 |
$524.77 |
| 96415 |
|
38 |
25 |
$515.25 |
| J9045 |
Injection, carboplatin, 50 mg |
20 |
13 |
$509.72 |
| 96377 |
|
112 |
57 |
$499.84 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
820 |
701 |
$425.61 |
| 87660 |
|
34 |
29 |
$409.80 |
| 87510 |
|
34 |
29 |
$407.35 |
| 87480 |
|
34 |
29 |
$407.35 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
69 |
55 |
$407.25 |
| 84702 |
|
41 |
29 |
$383.36 |
| 85652 |
|
707 |
651 |
$318.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
61 |
$262.77 |
| 92015 |
Determination of refractive state |
160 |
139 |
$254.24 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
115 |
68 |
$250.79 |
| 82378 |
|
16 |
12 |
$226.56 |
| 80061 |
Lipid panel |
72 |
69 |
$205.09 |
| 20610 |
|
80 |
65 |
$192.38 |
| 73030 |
|
87 |
72 |
$176.67 |
| J1756 |
Injection, iron sucrose, 1 mg |
26 |
12 |
$175.01 |
| 84481 |
|
21 |
17 |
$157.12 |
| 92202 |
|
33 |
19 |
$152.13 |
| 73630 |
|
13 |
12 |
$98.00 |
| 92083 |
|
17 |
14 |
$69.45 |
| 81025 |
|
17 |
12 |
$66.91 |
| 73560 |
|
18 |
14 |
$37.64 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
40 |
24 |
$34.24 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
852 |
428 |
$7.86 |
| J3490 |
Unclassified drugs |
638 |
362 |
$6.60 |
| 85007 |
|
58 |
36 |
$2.49 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,493 |
444 |
$0.00 |
| 1126F |
|
349 |
270 |
$0.00 |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
87 |
38 |
$0.00 |
| 99024 |
|
53 |
38 |
$0.00 |
| J2505 |
Injection, pegfilgrastim, 6 mg |
32 |
24 |
$0.00 |
| 1125F |
|
84 |
71 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 73502 |
|
16 |
15 |
$0.00 |
| 1160F |
|
670 |
545 |
$0.00 |
| 1159F |
|
670 |
545 |
$0.00 |