| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110,300 |
84,654 |
$6.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,167 |
77,074 |
$5.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,419 |
8,159 |
$909K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,919 |
6,684 |
$698K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,581 |
4,570 |
$473K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33,241 |
28,981 |
$429K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,348 |
3,735 |
$422K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17,305 |
14,910 |
$399K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,994 |
4,766 |
$299K |
| 80050 |
General health panel |
6,497 |
5,796 |
$257K |
| 59426 |
|
3,085 |
2,049 |
$251K |
| 87428 |
|
7,011 |
5,890 |
$237K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,349 |
1,883 |
$197K |
| 59425 |
|
2,804 |
2,213 |
$180K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
3,284 |
2,724 |
$135K |
| 36415 |
Collection of venous blood by venipuncture |
49,462 |
40,807 |
$116K |
| 90791 |
Psychiatric diagnostic evaluation |
1,296 |
1,114 |
$111K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,038 |
3,541 |
$108K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
317 |
162 |
$102K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,222 |
4,325 |
$79K |
| 80061 |
Lipid panel |
11,325 |
9,615 |
$78K |
| 84443 |
Thyroid stimulating hormone (TSH) |
11,719 |
9,937 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,613 |
2,287 |
$77K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,086 |
765 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,961 |
16,126 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
769 |
662 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,544 |
3,781 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
917 |
577 |
$60K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
878 |
726 |
$57K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,512 |
996 |
$56K |
| 80053 |
Comprehensive metabolic panel |
13,718 |
11,492 |
$55K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,344 |
1,041 |
$50K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,097 |
8,574 |
$47K |
| 11721 |
|
5,160 |
3,477 |
$44K |
| V2020 |
Frames, purchases |
1,993 |
1,301 |
$43K |
| 95117 |
|
6,019 |
3,628 |
$43K |
| 92015 |
Determination of refractive state |
4,747 |
2,910 |
$42K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,420 |
2,181 |
$42K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,653 |
2,141 |
$35K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,243 |
1,018 |
$35K |
| 99205 |
Prolong outpt/office vis |
240 |
202 |
$30K |
| 93000 |
|
5,727 |
3,794 |
$29K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
408 |
286 |
$28K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,259 |
2,132 |
$28K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,400 |
494 |
$27K |
| 84439 |
|
4,884 |
4,194 |
$25K |
| 87088 |
|
4,749 |
3,811 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
2,503 |
1,589 |
$23K |
| 99215 |
Prolong outpt/office vis |
347 |
258 |
$23K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
716 |
595 |
$22K |
| 82607 |
|
2,496 |
2,108 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
295 |
187 |
$18K |
| 90474 |
|
1,270 |
1,162 |
$17K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,855 |
4,000 |
$16K |
| 87081 |
|
2,719 |
2,291 |
$15K |
| 84481 |
|
1,422 |
1,216 |
$14K |
| 92567 |
|
2,763 |
2,223 |
$13K |
| 81001 |
|
6,661 |
5,684 |
$13K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
34 |
12 |
$12K |
| 82728 |
|
1,324 |
1,137 |
$12K |
| 87186 |
|
1,814 |
1,477 |
$11K |
| 85027 |
|
2,256 |
2,006 |
$10K |
| 90686 |
|
8,438 |
8,135 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
99 |
80 |
$9K |
| 95115 |
|
1,278 |
739 |
$9K |
| 83550 |
|
1,756 |
1,476 |
$9K |
| 86592 |
|
2,818 |
2,574 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
704 |
313 |
$8K |
| 84702 |
|
774 |
505 |
$8K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
51 |
46 |
$7K |
| 83735 |
|
2,282 |
1,850 |
$7K |
| 86762 |
|
731 |
666 |
$7K |
| 83540 |
|
1,789 |
1,505 |
$7K |
| 82570 |
|
2,910 |
2,388 |
$7K |
| 84703 |
|
1,116 |
997 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
424 |
379 |
$7K |
| 82043 |
|
2,599 |
2,164 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
84 |
73 |
$7K |
| 92557 |
|
454 |
358 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
193 |
108 |
$6K |
| 99304 |
|
316 |
193 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
78 |
68 |
$6K |
| 80081 |
|
68 |
65 |
$6K |
| 86140 |
|
1,595 |
1,350 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
71 |
46 |
$5K |
| 94060 |
|
176 |
138 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
43 |
30 |
$5K |
| 81002 |
|
2,278 |
1,442 |
$5K |
| 76642 |
|
86 |
62 |
$5K |
| 90473 |
|
402 |
323 |
$5K |
| 83655 |
|
334 |
279 |
$5K |
| 90670 |
|
3,199 |
3,085 |
$4K |
| 84153 |
|
432 |
363 |
$4K |
| 87070 |
|
721 |
604 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
37 |
25 |
$4K |
| 84403 |
|
231 |
198 |
$4K |
| 81000 |
|
2,342 |
1,759 |
$4K |
| 95886 |
|
32 |
24 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
33 |
15 |
$4K |
| 82950 |
|
925 |
860 |
$3K |
| 85610 |
|
1,266 |
941 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
52 |
38 |
$3K |
| 0071A |
|
167 |
85 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
172 |
120 |
$3K |
| 99459 |
|
181 |
125 |
$3K |
| 36416 |
|
779 |
684 |
$3K |
| 87077 |
|
513 |
472 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
301 |
288 |
$3K |
| 73630 |
|
264 |
183 |
$3K |
| 95251 |
|
223 |
156 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
487 |
327 |
$3K |
| 99318 |
|
170 |
103 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
257 |
180 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
215 |
160 |
$3K |
| 85651 |
|
1,139 |
1,003 |
$3K |
| 80076 |
|
789 |
639 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
54 |
44 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$2K |
| 97802 |
|
29 |
26 |
$2K |
| 87340 |
|
397 |
355 |
$2K |
| 73562 |
|
103 |
88 |
$2K |
| 99443 |
|
225 |
77 |
$2K |
| 70486 |
|
20 |
12 |
$2K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
144 |
138 |
$2K |
| 85652 |
|
1,000 |
827 |
$2K |
| 17110 |
|
39 |
25 |
$2K |
| 93356 |
|
129 |
94 |
$2K |
| 80074 |
|
65 |
64 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
40 |
24 |
$2K |
| 0072A |
|
87 |
44 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
231 |
222 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
23 |
14 |
$2K |
| 90674 |
|
937 |
663 |
$2K |
| 73560 |
|
151 |
73 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
69 |
47 |
$1K |
| 51798 |
|
420 |
250 |
$1K |
| 99442 |
|
127 |
33 |
$1K |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$1K |
| 86803 |
|
139 |
128 |
$1K |
| 95249 |
|
56 |
46 |
$1K |
| 83001 |
|
92 |
88 |
$1K |
| 76536 |
|
21 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
41 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
614 |
460 |
$1K |
| 86850 |
|
272 |
250 |
$1K |
| 90680 |
|
1,294 |
1,255 |
$1K |
| 99381 |
|
14 |
12 |
$997.99 |
| 99177 |
|
286 |
195 |
$993.76 |
| 99385 |
|
59 |
51 |
$935.19 |
| 87653 |
|
27 |
25 |
$925.32 |
| 73130 |
|
42 |
28 |
$918.77 |
| 90723 |
|
1,889 |
1,806 |
$912.53 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
31 |
12 |
$889.32 |
| 96127 |
|
209 |
171 |
$848.86 |
| 97161 |
|
12 |
12 |
$829.93 |
| 73030 |
|
72 |
39 |
$769.62 |
| 73564 |
|
44 |
29 |
$753.25 |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
12 |
$747.92 |
| 90661 |
|
157 |
144 |
$717.57 |
| 94727 |
|
32 |
28 |
$712.58 |
| 97803 |
|
15 |
13 |
$702.42 |
| 84146 |
|
45 |
44 |
$696.09 |
| 11102 |
|
15 |
12 |
$683.09 |
| 85730 |
|
156 |
132 |
$670.85 |
| 31575 |
|
26 |
13 |
$665.01 |
| 85018 |
|
244 |
217 |
$641.39 |
| 93015 |
|
35 |
16 |
$637.39 |
| 73502 |
|
38 |
25 |
$633.73 |
| 94729 |
|
17 |
16 |
$629.40 |
| 95806 |
|
16 |
15 |
$580.22 |
| 82565 |
|
320 |
294 |
$525.91 |
| 99383 |
|
14 |
14 |
$480.00 |
| 90715 |
|
47 |
44 |
$454.94 |
| 82746 |
|
53 |
43 |
$437.98 |
| 86901 |
|
287 |
266 |
$415.07 |
| 82044 |
|
124 |
113 |
$407.71 |
| 83525 |
|
75 |
69 |
$382.43 |
| 90688 |
|
385 |
375 |
$370.79 |
| 59025 |
Fetal non-stress test |
22 |
14 |
$350.61 |
| 17000 |
|
13 |
12 |
$340.02 |
| 90647 |
|
1,625 |
1,544 |
$334.58 |
| 84550 |
|
109 |
94 |
$311.78 |
| 86701 |
|
42 |
40 |
$298.07 |
| 84156 |
|
129 |
100 |
$287.39 |
| 83970 |
|
17 |
16 |
$275.36 |
| 0064A |
|
26 |
17 |
$260.47 |
| 86900 |
|
178 |
162 |
$249.28 |
| 82550 |
|
84 |
75 |
$248.70 |
| 73610 |
|
14 |
12 |
$219.44 |
| 92551 |
|
782 |
654 |
$214.25 |
| 87210 |
|
139 |
121 |
$203.70 |
| 86235 |
|
14 |
13 |
$197.66 |
| 74018 |
|
24 |
13 |
$181.98 |
| 3044F |
|
309 |
236 |
$180.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
28 |
12 |
$146.37 |
| 90633 |
|
642 |
607 |
$139.96 |
| 81025 |
|
69 |
66 |
$121.09 |
| J7050 |
Infusion, normal saline solution, 250 cc |
379 |
175 |
$92.69 |
| 80069 |
|
15 |
15 |
$79.83 |
| 83690 |
|
14 |
13 |
$74.27 |
| 11100 |
|
118 |
116 |
$71.64 |
| 99173 |
|
652 |
575 |
$55.09 |
| 82951 |
|
13 |
13 |
$54.05 |
| 82248 |
|
17 |
13 |
$50.20 |
| 99401 |
|
15 |
12 |
$37.60 |
| 82310 |
|
16 |
13 |
$36.68 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
164 |
109 |
$24.83 |
| 82952 |
|
12 |
12 |
$16.46 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
47 |
31 |
$3.12 |
| 90672 |
|
253 |
237 |
$0.23 |
| 90648 |
|
403 |
362 |
$0.11 |
| 3078F |
|
2,800 |
2,411 |
$0.00 |
| 1160F |
|
162 |
88 |
$0.00 |
| 1159F |
|
162 |
88 |
$0.00 |
| 99051 |
|
73 |
71 |
$0.00 |
| 90734 |
|
37 |
36 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
136 |
123 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
123 |
115 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
44 |
44 |
$0.00 |
| 90700 |
|
16 |
13 |
$0.00 |
| 3077F |
|
32 |
25 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 99307 |
|
124 |
12 |
$0.00 |
| 3008F |
|
24,720 |
19,178 |
$0.00 |
| 90677 |
|
483 |
372 |
$0.00 |
| 3074F |
|
5,959 |
4,959 |
$0.00 |
| 1036F |
|
20,717 |
15,864 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
149 |
100 |
$0.00 |
| 3079F |
|
1,303 |
1,012 |
$0.00 |
| 4010F |
|
800 |
529 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
81 |
78 |
$0.00 |
| 90716 |
|
36 |
36 |
$0.00 |
| 99024 |
|
37 |
35 |
$0.00 |
| 90651 |
|
41 |
39 |
$0.00 |
| 3075F |
|
63 |
55 |
$0.00 |
| 91307 |
|
48 |
46 |
$0.00 |
| 99402 |
|
67 |
59 |
$0.00 |
| 1170F |
|
33 |
33 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 1125F |
|
16 |
13 |
$0.00 |
| 91301 |
|
15 |
12 |
$0.00 |