| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161,696 |
146,971 |
$8.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116,413 |
103,349 |
$7.17M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
11,271 |
10,152 |
$1.32M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16,214 |
15,545 |
$708K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,043 |
6,876 |
$548K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16,164 |
15,429 |
$539K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
6,111 |
5,829 |
$480K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,478 |
5,900 |
$455K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33,128 |
15,621 |
$444K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,313 |
5,015 |
$367K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,901 |
3,013 |
$331K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,678 |
3,603 |
$284K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20,311 |
19,011 |
$277K |
| 3078F |
|
46,544 |
44,384 |
$179K |
| 3074F |
|
44,134 |
41,994 |
$170K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,535 |
1,444 |
$134K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,716 |
8,273 |
$126K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,435 |
1,401 |
$120K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,631 |
1,508 |
$111K |
| 80053 |
Comprehensive metabolic panel |
21,361 |
17,519 |
$109K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,889 |
17,171 |
$107K |
| 99215 |
Prolong outpt/office vis |
1,163 |
1,028 |
$91K |
| 71046 |
Radiologic examination, chest; 2 views |
4,164 |
3,961 |
$91K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,946 |
1,817 |
$89K |
| 80061 |
Lipid panel |
9,990 |
9,266 |
$87K |
| 95886 |
|
1,314 |
1,130 |
$84K |
| 90686 |
|
7,224 |
6,941 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,683 |
2,440 |
$75K |
| 27096 |
|
1,036 |
973 |
$73K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,234 |
5,146 |
$73K |
| 64635 |
|
404 |
295 |
$66K |
| 76830 |
Ultrasound, transvaginal |
727 |
659 |
$64K |
| 90670 |
|
4,623 |
4,404 |
$63K |
| 36415 |
Collection of venous blood by venipuncture |
38,404 |
33,463 |
$52K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,134 |
1,141 |
$49K |
| 62323 |
|
761 |
736 |
$48K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,276 |
1,158 |
$46K |
| 3075F |
|
10,926 |
10,558 |
$45K |
| 99188 |
|
2,170 |
2,101 |
$44K |
| 90648 |
|
4,214 |
3,993 |
$43K |
| 3077F |
|
11,103 |
10,703 |
$42K |
| 90723 |
|
3,524 |
3,355 |
$42K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,060 |
6,550 |
$39K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
832 |
744 |
$38K |
| 80050 |
General health panel |
2,984 |
2,800 |
$38K |
| 64493 |
|
462 |
377 |
$38K |
| 90677 |
|
716 |
689 |
$34K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,146 |
2,915 |
$33K |
| 99233 |
Prolong inpt eval add15 m |
724 |
295 |
$28K |
| 3079F |
|
9,136 |
8,826 |
$26K |
| 87634 |
|
366 |
357 |
$25K |
| 90633 |
|
2,111 |
2,060 |
$24K |
| 4010F |
|
10,567 |
9,815 |
$23K |
| 64494 |
|
449 |
375 |
$21K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
197 |
180 |
$19K |
| 90681 |
|
1,392 |
1,313 |
$17K |
| 20553 |
|
484 |
459 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
248 |
223 |
$16K |
| 90651 |
|
767 |
751 |
$15K |
| 82728 |
|
1,783 |
1,630 |
$14K |
| 90710 |
|
1,031 |
1,003 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
181 |
179 |
$14K |
| 99442 |
|
406 |
358 |
$14K |
| 73630 |
|
620 |
584 |
$14K |
| 82607 |
|
1,434 |
1,318 |
$13K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,139 |
891 |
$13K |
| 3080F |
|
3,420 |
3,342 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
854 |
785 |
$12K |
| 81003 |
|
6,227 |
5,819 |
$12K |
| 83550 |
|
2,507 |
2,275 |
$12K |
| 73610 |
|
455 |
432 |
$11K |
| 87807 |
|
817 |
794 |
$10K |
| 73130 |
|
378 |
367 |
$10K |
| 95913 |
|
68 |
66 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,543 |
1,502 |
$9K |
| 83540 |
|
2,540 |
2,304 |
$9K |
| 99335 |
|
498 |
411 |
$9K |
| 94729 |
|
300 |
280 |
$8K |
| 95117 |
|
1,162 |
483 |
$8K |
| 90734 |
|
522 |
507 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
216 |
61 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
523 |
479 |
$7K |
| 90674 |
|
280 |
270 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,074 |
993 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
84 |
$6K |
| 99443 |
|
105 |
97 |
$6K |
| 94726 |
|
225 |
210 |
$6K |
| 81025 |
|
943 |
863 |
$6K |
| 94060 |
|
229 |
212 |
$6K |
| 99205 |
Prolong outpt/office vis |
51 |
46 |
$6K |
| 85027 |
|
1,431 |
1,329 |
$6K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
99 |
56 |
$6K |
| 76818 |
|
50 |
24 |
$5K |
| 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) |
501 |
465 |
$5K |
| 73562 |
|
166 |
154 |
$5K |
| 99221 |
|
164 |
105 |
$5K |
| 90647 |
|
461 |
441 |
$5K |
| 95912 |
|
27 |
27 |
$4K |
| 90696 |
|
336 |
334 |
$4K |
| 73110 |
|
141 |
133 |
$4K |
| 90700 |
|
339 |
333 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
64 |
61 |
$4K |
| 72100 |
|
146 |
139 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,814 |
7,579 |
$3K |
| 90680 |
|
256 |
243 |
$3K |
| 99441 |
|
149 |
122 |
$3K |
| 90715 |
|
171 |
165 |
$3K |
| 90707 |
|
196 |
190 |
$3K |
| 99348 |
|
116 |
114 |
$2K |
| 84439 |
|
488 |
453 |
$2K |
| 99386 |
|
31 |
27 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
12 |
12 |
$2K |
| 90716 |
|
149 |
147 |
$2K |
| 90620 |
|
83 |
80 |
$2K |
| 59025 |
Fetal non-stress test |
57 |
25 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20 |
17 |
$2K |
| 83615 |
|
474 |
431 |
$2K |
| 99406 |
|
210 |
203 |
$2K |
| 95811 |
|
31 |
30 |
$1K |
| 95910 |
|
12 |
12 |
$1K |
| 3044F |
|
353 |
328 |
$1K |
| 73030 |
|
56 |
53 |
$1K |
| 86308 |
|
228 |
226 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,572 |
1,473 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
24 |
$1K |
| 81002 |
|
396 |
379 |
$1K |
| 64636 |
|
33 |
13 |
$1K |
| 94618 |
|
53 |
52 |
$1K |
| 90461 |
|
3,790 |
3,681 |
$921.94 |
| 86318 |
|
84 |
81 |
$910.20 |
| 83735 |
|
212 |
125 |
$889.15 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
114 |
93 |
$839.97 |
| 64495 |
|
13 |
13 |
$830.31 |
| 0352U |
|
32 |
27 |
$801.15 |
| 95806 |
|
25 |
25 |
$697.40 |
| 82746 |
|
68 |
63 |
$653.46 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
25 |
$645.20 |
| 99201 |
|
22 |
22 |
$569.41 |
| 90661 |
|
32 |
29 |
$491.47 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26 |
25 |
$394.77 |
| 81001 |
|
158 |
144 |
$381.28 |
| 85007 |
|
129 |
118 |
$365.41 |
| 0011A |
|
13 |
13 |
$335.20 |
| 90688 |
|
30 |
30 |
$327.26 |
| 74018 |
|
13 |
12 |
$292.72 |
| 94010 |
|
27 |
26 |
$256.18 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
197 |
162 |
$218.56 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
112 |
111 |
$213.95 |
| 93000 |
|
12 |
12 |
$147.51 |
| G0008 |
Administration of influenza virus vaccine |
310 |
245 |
$145.73 |
| 85018 |
|
62 |
60 |
$124.69 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
31 |
26 |
$123.10 |
| 84481 |
|
13 |
12 |
$104.99 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
35 |
28 |
$98.46 |
| 85014 |
|
16 |
16 |
$34.56 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$23.16 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
12 |
$20.19 |
| 36416 |
|
13 |
13 |
$8.41 |
| 0502F |
|
525 |
278 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |