| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,847 |
46,625 |
$1.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,123 |
9,857 |
$477K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,723 |
3,477 |
$186K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,468 |
2,256 |
$185K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,264 |
5,925 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,654 |
1,570 |
$109K |
| 87428 |
|
3,271 |
3,025 |
$93K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,733 |
9,275 |
$89K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,442 |
2,331 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
561 |
540 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,675 |
3,316 |
$37K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,313 |
1,219 |
$33K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
459 |
153 |
$33K |
| 90686 |
|
2,905 |
2,791 |
$29K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,358 |
467 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
401 |
379 |
$16K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,133 |
1,820 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
426 |
376 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
535 |
472 |
$14K |
| 99215 |
Prolong outpt/office vis |
311 |
249 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
937 |
352 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
418 |
409 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
152 |
$13K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
487 |
175 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
161 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
418 |
409 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
378 |
308 |
$10K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
574 |
192 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
476 |
427 |
$9K |
| 76830 |
Ultrasound, transvaginal |
270 |
254 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
721 |
698 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
273 |
232 |
$5K |
| 20610 |
|
95 |
79 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
109 |
98 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
43 |
43 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
25 |
$1K |
| 90670 |
|
371 |
359 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
403 |
306 |
$1K |
| 87807 |
|
190 |
161 |
$1K |
| 98926 |
|
27 |
24 |
$785.97 |
| 73630 |
|
110 |
95 |
$749.87 |
| 74019 |
|
85 |
79 |
$746.71 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$738.12 |
| 95251 |
|
14 |
12 |
$701.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
26 |
$466.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
55 |
45 |
$447.14 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
51 |
$438.42 |
| 90656 |
|
58 |
52 |
$406.15 |
| 81003 |
|
359 |
314 |
$385.41 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
12 |
$381.72 |
| 90474 |
|
55 |
53 |
$343.00 |
| 99460 |
|
16 |
12 |
$276.96 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
13 |
$247.28 |
| 90710 |
|
12 |
12 |
$213.71 |
| 99462 |
|
21 |
12 |
$184.85 |
| 90648 |
|
416 |
397 |
$110.06 |
| 73564 |
|
15 |
12 |
$108.30 |
| 73610 |
|
15 |
12 |
$92.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
110 |
76 |
$35.74 |
| 90677 |
|
27 |
27 |
$0.12 |
| 90723 |
|
107 |
104 |
$0.00 |
| 90680 |
|
54 |
52 |
$0.00 |