| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,885 |
18,064 |
$730K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,210 |
7,094 |
$298K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,833 |
2,445 |
$143K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,157 |
8,120 |
$98K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
411 |
381 |
$61K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,884 |
1,579 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,037 |
2,963 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,716 |
1,635 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
485 |
460 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
4,386 |
3,776 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,199 |
1,111 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
311 |
289 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,572 |
1,485 |
$11K |
| 95819 |
|
52 |
44 |
$9K |
| 99205 |
Prolong outpt/office vis |
140 |
118 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
96 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
682 |
387 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
56 |
$4K |
| 0072A |
|
102 |
102 |
$4K |
| 0071A |
|
103 |
99 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
125 |
107 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
180 |
176 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
46 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
125 |
123 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
659 |
568 |
$3K |
| 73610 |
|
470 |
432 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
164 |
163 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
56 |
$2K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
12 |
12 |
$2K |
| 73110 |
|
408 |
344 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,668 |
1,492 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
25 |
$2K |
| 74018 |
|
304 |
277 |
$2K |
| 73562 |
|
291 |
270 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
81 |
$2K |
| 73630 |
|
319 |
292 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
57 |
57 |
$1K |
| 93000 |
|
209 |
180 |
$1K |
| 72100 |
|
144 |
133 |
$1K |
| 73130 |
|
191 |
166 |
$1K |
| 90461 |
|
214 |
169 |
$948.76 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$920.56 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
36 |
34 |
$825.97 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
14 |
$643.14 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
17 |
$632.31 |
| 87420 |
|
64 |
58 |
$571.74 |
| 71250 |
|
24 |
24 |
$484.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
41 |
$368.25 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$346.06 |
| 81003 |
|
208 |
197 |
$326.33 |
| 73080 |
|
48 |
41 |
$282.95 |
| 81025 |
|
37 |
36 |
$238.59 |
| 93976 |
|
14 |
13 |
$220.53 |
| 73030 |
|
33 |
31 |
$211.33 |
| T1015 |
Clinic visit/encounter, all-inclusive |
193 |
159 |
$205.71 |
| 74019 |
|
24 |
24 |
$193.12 |
| 81001 |
|
35 |
32 |
$84.86 |
| 73140 |
|
16 |
14 |
$78.28 |
| 81002 |
|
41 |
39 |
$77.20 |
| 73090 |
|
14 |
14 |
$76.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$73.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
59 |
56 |
$40.98 |
| 0064A |
|
14 |
14 |
$40.00 |
| 90686 |
|
17 |
12 |
$38.52 |
| 73560 |
|
14 |
13 |
$13.48 |
| 1159F |
|
92 |
84 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
637 |
539 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
1,481 |
951 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,372 |
1,233 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
380 |
333 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
17 |
14 |
$0.00 |