| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69,645 |
62,141 |
$4.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,617 |
32,873 |
$3.48M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25,923 |
23,822 |
$3.08M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,672 |
5,715 |
$578K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,020 |
3,256 |
$531K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,036 |
7,496 |
$505K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,164 |
6,580 |
$479K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,777 |
3,566 |
$345K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,171 |
4,648 |
$338K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,803 |
2,577 |
$288K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,250 |
2,927 |
$264K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,462 |
2,941 |
$262K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,886 |
15,133 |
$241K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15,232 |
8,819 |
$230K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,683 |
1,545 |
$211K |
| 90962 |
|
2,522 |
2,365 |
$196K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,284 |
3,035 |
$186K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
22,301 |
17,453 |
$163K |
| 71045 |
Radiologic examination, chest; single view |
23,156 |
15,315 |
$162K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,764 |
1,665 |
$159K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
732 |
620 |
$143K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,980 |
1,808 |
$139K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,768 |
2,458 |
$116K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,622 |
1,425 |
$115K |
| 99215 |
Prolong outpt/office vis |
831 |
685 |
$110K |
| 92015 |
Determination of refractive state |
7,239 |
6,328 |
$105K |
| 71046 |
Radiologic examination, chest; 2 views |
7,826 |
7,236 |
$90K |
| 99223 |
Prolong inpt eval add15 m |
338 |
314 |
$86K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
470 |
447 |
$82K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,815 |
1,694 |
$75K |
| 99233 |
Prolong inpt eval add15 m |
789 |
353 |
$73K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,124 |
1,909 |
$68K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
440 |
359 |
$66K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,031 |
1,892 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
626 |
578 |
$61K |
| 90837 |
Psychotherapy, 53 minutes with patient |
662 |
434 |
$60K |
| 92134 |
|
4,669 |
2,939 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
721 |
690 |
$48K |
| 96131 |
|
265 |
247 |
$48K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
319 |
286 |
$45K |
| 99221 |
|
417 |
375 |
$40K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
366 |
340 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
384 |
372 |
$38K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
924 |
823 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,606 |
1,470 |
$36K |
| 96130 |
|
330 |
312 |
$36K |
| 95018 |
|
184 |
163 |
$32K |
| 80053 |
Comprehensive metabolic panel |
386 |
361 |
$29K |
| 99222 |
Initial hospital care, per day, moderate complexity |
176 |
157 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
531 |
490 |
$26K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
981 |
373 |
$22K |
| 95117 |
|
1,993 |
959 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
128 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
294 |
241 |
$18K |
| 81002 |
|
5,778 |
3,680 |
$17K |
| 92567 |
|
1,105 |
994 |
$15K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
62 |
52 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
548 |
467 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
83 |
79 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
119 |
111 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
479 |
458 |
$11K |
| 92587 |
|
1,197 |
571 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
273 |
253 |
$11K |
| 99460 |
|
125 |
120 |
$11K |
| 0002A |
|
350 |
295 |
$10K |
| 77334 |
|
26 |
12 |
$10K |
| 90474 |
|
553 |
536 |
$9K |
| 99406 |
|
781 |
700 |
$8K |
| 11721 |
|
906 |
802 |
$8K |
| 0001A |
|
265 |
258 |
$7K |
| 96127 |
|
1,826 |
1,705 |
$6K |
| 96101 |
|
42 |
29 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
287 |
248 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
35 |
25 |
$6K |
| 73630 |
|
803 |
636 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
210 |
192 |
$5K |
| 90670 |
|
2,498 |
2,365 |
$5K |
| 76830 |
Ultrasound, transvaginal |
238 |
210 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
101 |
92 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
537 |
527 |
$5K |
| 0004A |
|
60 |
50 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
33 |
30 |
$3K |
| 0003A |
|
44 |
24 |
$3K |
| 99429 |
|
66 |
61 |
$3K |
| 92002 |
|
34 |
33 |
$3K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
30 |
29 |
$3K |
| 96139 |
|
42 |
40 |
$2K |
| 90686 |
|
2,928 |
2,783 |
$2K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
16 |
16 |
$2K |
| 76642 |
|
56 |
39 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
113 |
$2K |
| 74018 |
|
210 |
196 |
$2K |
| 99217 |
|
17 |
14 |
$2K |
| 69210 |
|
71 |
66 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
12 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
12 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
25 |
13 |
$2K |
| 96138 |
|
44 |
42 |
$1K |
| 73030 |
|
138 |
117 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
15 |
12 |
$1K |
| 88342 |
|
26 |
24 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
19 |
15 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
105 |
56 |
$1K |
| 92557 |
|
25 |
24 |
$1K |
| 92060 |
|
41 |
18 |
$983.97 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$946.04 |
| 88304 |
|
62 |
50 |
$850.08 |
| 93976 |
|
12 |
12 |
$828.10 |
| 96161 |
|
284 |
259 |
$695.19 |
| 95800 |
|
15 |
14 |
$646.97 |
| 92588 |
|
55 |
24 |
$626.92 |
| 36415 |
Collection of venous blood by venipuncture |
1,176 |
990 |
$607.90 |
| 92550 |
|
24 |
24 |
$526.99 |
| 73110 |
|
60 |
49 |
$503.92 |
| 74019 |
|
40 |
37 |
$479.23 |
| 92136 |
|
17 |
12 |
$468.87 |
| 0012A |
|
13 |
13 |
$460.32 |
| 0072A |
|
39 |
38 |
$458.43 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
14 |
$453.02 |
| 73130 |
|
40 |
37 |
$445.20 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
16 |
16 |
$415.20 |
| 73610 |
|
47 |
39 |
$411.61 |
| 93294 |
|
28 |
26 |
$404.35 |
| 99152 |
|
26 |
24 |
$361.90 |
| 0011A |
|
15 |
15 |
$340.29 |
| 90677 |
|
372 |
367 |
$301.67 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74 |
67 |
$284.61 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
12 |
$258.06 |
| 93018 |
|
32 |
29 |
$257.99 |
| 99441 |
|
13 |
13 |
$226.79 |
| 80061 |
Lipid panel |
26 |
25 |
$222.18 |
| 93971 |
|
16 |
14 |
$220.01 |
| 73562 |
|
37 |
28 |
$199.77 |
| 0071A |
|
16 |
16 |
$198.24 |
| 94726 |
|
28 |
28 |
$174.68 |
| 93016 |
|
13 |
13 |
$173.01 |
| 94729 |
|
30 |
30 |
$133.93 |
| 72100 |
|
13 |
12 |
$120.13 |
| 90656 |
|
174 |
171 |
$65.91 |
| J3490 |
Unclassified drugs |
17 |
13 |
$1.71 |
| 90671 |
|
28 |
26 |
$0.16 |
| 90633 |
|
198 |
185 |
$0.00 |
| 3078F |
|
274 |
246 |
$0.00 |
| 91300 |
|
887 |
638 |
$0.00 |
| 90710 |
|
79 |
77 |
$0.00 |
| 90685 |
|
99 |
96 |
$0.00 |
| 3074F |
|
301 |
259 |
$0.00 |
| 90697 |
|
428 |
421 |
$0.00 |
| 90647 |
|
597 |
573 |
$0.00 |
| 90680 |
|
555 |
537 |
$0.00 |
| 90723 |
|
816 |
771 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$0.00 |
| 99000 |
|
24 |
24 |
$0.00 |
| 81001 |
|
15 |
14 |
$0.00 |
| 91301 |
|
33 |
31 |
$0.00 |
| 90651 |
|
41 |
41 |
$0.00 |
| 91307 |
|
69 |
65 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 85027 |
|
13 |
12 |
$0.00 |