| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,337 |
59,526 |
$3.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,732 |
31,633 |
$2.39M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,409 |
9,934 |
$970K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,416 |
9,379 |
$873K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,829 |
6,226 |
$560K |
| 59425 |
|
5,320 |
4,355 |
$380K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,257 |
12,568 |
$319K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27,141 |
23,854 |
$305K |
| 59426 |
|
3,763 |
2,287 |
$284K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,135 |
1,937 |
$174K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
16,580 |
11,855 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,141 |
4,403 |
$132K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,967 |
1,799 |
$128K |
| 80305 |
|
8,762 |
5,914 |
$92K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,750 |
1,546 |
$80K |
| 99215 |
Prolong outpt/office vis |
1,368 |
1,174 |
$80K |
| 87428 |
|
2,345 |
2,025 |
$64K |
| 90474 |
|
4,364 |
3,831 |
$49K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
8,234 |
6,328 |
$45K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,239 |
983 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,861 |
2,451 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
573 |
528 |
$30K |
| 81003 |
|
17,353 |
12,393 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,273 |
3,782 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
876 |
351 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
10,281 |
8,820 |
$23K |
| 36416 |
|
6,515 |
5,668 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
536 |
509 |
$16K |
| 83655 |
|
1,405 |
1,197 |
$15K |
| 99188 |
|
1,381 |
1,133 |
$14K |
| 20610 |
|
564 |
399 |
$12K |
| 96127 |
|
3,622 |
3,072 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
105 |
95 |
$10K |
| 90473 |
|
839 |
729 |
$10K |
| 99205 |
Prolong outpt/office vis |
115 |
98 |
$10K |
| 90686 |
|
10,633 |
9,461 |
$9K |
| 90670 |
|
5,951 |
5,253 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
697 |
410 |
$9K |
| 99306 |
Prolong nursin fac eval 15m |
298 |
208 |
$8K |
| 95251 |
|
482 |
414 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
367 |
297 |
$7K |
| 92551 |
|
1,403 |
1,253 |
$7K |
| 59025 |
Fetal non-stress test |
514 |
365 |
$7K |
| 99305 |
|
475 |
399 |
$6K |
| 81025 |
|
1,235 |
1,035 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
244 |
196 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
153 |
124 |
$5K |
| 99173 |
|
4,118 |
3,687 |
$4K |
| 59430 |
|
65 |
56 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
955 |
827 |
$4K |
| 99459 |
|
223 |
201 |
$3K |
| 99383 |
|
33 |
32 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
558 |
355 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
234 |
165 |
$3K |
| 0071A |
|
123 |
85 |
$3K |
| 90723 |
|
4,746 |
4,138 |
$3K |
| 85018 |
|
1,116 |
997 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
675 |
520 |
$2K |
| 90680 |
|
4,290 |
3,764 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
91 |
65 |
$2K |
| 90480 |
|
293 |
157 |
$2K |
| 11721 |
|
283 |
191 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
35 |
28 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
69 |
26 |
$2K |
| 0072A |
|
70 |
44 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
105 |
96 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
46 |
38 |
$1K |
| 90716 |
|
1,173 |
1,016 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 90647 |
|
4,253 |
3,767 |
$956.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
397 |
328 |
$914.05 |
| 93016 |
|
74 |
62 |
$863.91 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$839.44 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
244 |
191 |
$723.92 |
| 96132 |
|
16 |
12 |
$692.07 |
| 90707 |
|
1,150 |
1,003 |
$660.62 |
| 96380 |
|
67 |
64 |
$636.30 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
13 |
$621.37 |
| 90677 |
|
637 |
604 |
$548.83 |
| 0073A |
|
12 |
12 |
$442.80 |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
14 |
12 |
$420.00 |
| 93018 |
|
60 |
50 |
$409.90 |
| 94060 |
|
24 |
12 |
$368.79 |
| 96161 |
|
158 |
97 |
$338.18 |
| 0003A |
|
16 |
12 |
$334.89 |
| 94010 |
|
29 |
27 |
$286.91 |
| 73030 |
|
14 |
13 |
$276.54 |
| 87807 |
|
24 |
24 |
$251.36 |
| 90633 |
|
1,678 |
1,458 |
$241.41 |
| 93000 |
|
30 |
26 |
$234.59 |
| 97750 |
|
18 |
17 |
$222.91 |
| 80061 |
Lipid panel |
45 |
38 |
$199.38 |
| 90656 |
|
436 |
398 |
$198.13 |
| 99497 |
|
15 |
12 |
$147.52 |
| 99441 |
|
54 |
25 |
$114.42 |
| 96160 |
|
42 |
39 |
$84.28 |
| 90672 |
|
944 |
799 |
$27.84 |
| 90651 |
|
83 |
76 |
$5.71 |
| 3074F |
|
10,794 |
9,147 |
$0.00 |
| 3079F |
|
1,283 |
1,135 |
$0.00 |
| 3008F |
|
2,353 |
1,952 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 90660 |
|
42 |
40 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
14 |
$0.00 |
| 90381 |
|
21 |
20 |
$0.00 |
| 91307 |
|
295 |
223 |
$0.00 |
| 1125F |
|
276 |
242 |
$0.00 |
| 91319 |
|
33 |
12 |
$0.00 |
| 3075F |
|
28 |
25 |
$0.00 |
| 91318 |
|
52 |
38 |
$0.00 |
| 1126F |
|
38 |
33 |
$0.00 |
| 90620 |
|
27 |
25 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 3078F |
|
8,475 |
7,062 |
$0.00 |
| 1159F |
|
15,334 |
13,436 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
59 |
$0.00 |
| 1160F |
|
1,463 |
1,236 |
$0.00 |
| 90715 |
|
156 |
133 |
$0.00 |
| 90734 |
|
74 |
70 |
$0.00 |
| 90380 |
|
24 |
20 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 3077F |
|
20 |
12 |
$0.00 |
| 91300 |
|
15 |
13 |
$0.00 |
| 90685 |
|
16 |
15 |
$0.00 |