| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,345 |
14,608 |
$7.92M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12,870 |
11,041 |
$5.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,347 |
9,607 |
$4.44M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,286 |
3,691 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,420 |
3,701 |
$1.52M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,323 |
946 |
$490K |
| 99441 |
|
1,621 |
1,511 |
$437K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,001 |
933 |
$427K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,350 |
836 |
$422K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
900 |
790 |
$345K |
| 99215 |
Prolong outpt/office vis |
838 |
755 |
$334K |
| 99174 |
|
2,079 |
1,798 |
$291K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
709 |
331 |
$286K |
| 92015 |
Determination of refractive state |
1,452 |
1,345 |
$267K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,345 |
3,608 |
$259K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
417 |
366 |
$147K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
261 |
251 |
$137K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,789 |
3,134 |
$130K |
| 90832 |
Psychotherapy, 30 minutes with patient |
250 |
197 |
$72K |
| 0001A |
|
172 |
171 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
499 |
446 |
$63K |
| 0002A |
|
161 |
157 |
$54K |
| 99442 |
|
176 |
165 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
173 |
151 |
$49K |
| 92552 |
|
129 |
100 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
144 |
$28K |
| 96127 |
|
805 |
726 |
$26K |
| 0071A |
|
62 |
62 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
54 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,720 |
1,387 |
$19K |
| 99443 |
|
39 |
39 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
46 |
$17K |
| 92551 |
|
54 |
54 |
$17K |
| 0072A |
|
44 |
44 |
$11K |
| 92587 |
|
29 |
15 |
$10K |
| 97161 |
|
28 |
27 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$9K |
| 93000 |
|
464 |
377 |
$7K |
| 99382 |
|
63 |
48 |
$7K |
| 99606 |
|
30 |
15 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
44 |
$6K |
| 92002 |
|
34 |
33 |
$6K |
| 99381 |
|
24 |
24 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
92 |
78 |
$4K |
| 12001 |
|
14 |
12 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
458 |
409 |
$3K |
| 90732 |
|
24 |
14 |
$3K |
| 90651 |
|
104 |
89 |
$2K |
| 90686 |
|
921 |
831 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
13 |
$2K |
| 99383 |
|
19 |
16 |
$1K |
| 92250 |
|
19 |
19 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
561 |
425 |
$882.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
357 |
316 |
$519.00 |
| 99188 |
|
15 |
15 |
$455.00 |
| 90670 |
|
171 |
111 |
$427.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,744 |
3,459 |
$205.24 |
| 71046 |
Radiologic examination, chest; 2 views |
856 |
748 |
$2.00 |
| 83540 |
|
327 |
296 |
$0.00 |
| 81003 |
|
7,125 |
5,790 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
146 |
132 |
$0.00 |
| 80061 |
Lipid panel |
1,352 |
1,102 |
$0.00 |
| 80305 |
|
3,203 |
2,658 |
$0.00 |
| 81025 |
|
2,644 |
2,212 |
$0.00 |
| 90863 |
|
39 |
38 |
$0.00 |
| 87210 |
|
573 |
463 |
$0.00 |
| 86703 |
|
1,509 |
1,328 |
$0.00 |
| 84439 |
|
259 |
245 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,404 |
1,215 |
$0.00 |
| 82570 |
|
376 |
264 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,300 |
1,106 |
$0.00 |
| 85049 |
|
15 |
15 |
$0.00 |
| 85007 |
|
32 |
30 |
$0.00 |
| 85610 |
|
169 |
134 |
$0.00 |
| 90734 |
|
100 |
83 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
47 |
45 |
$0.00 |
| 82075 |
|
163 |
143 |
$0.00 |
| 90715 |
|
141 |
117 |
$0.00 |
| 80076 |
|
125 |
111 |
$0.00 |
| 83655 |
|
124 |
108 |
$0.00 |
| 90633 |
|
45 |
35 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
452 |
419 |
$0.00 |
| 86708 |
|
44 |
38 |
$0.00 |
| 99177 |
|
57 |
47 |
$0.00 |
| 87634 |
|
16 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
453 |
422 |
$0.00 |
| 85014 |
|
15 |
15 |
$0.00 |
| 90710 |
|
33 |
26 |
$0.00 |
| 86592 |
|
1,279 |
1,119 |
$0.00 |
| 82728 |
|
898 |
777 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,300 |
1,106 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,906 |
1,600 |
$0.00 |
| 86803 |
|
1,362 |
1,196 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,217 |
988 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,014 |
7,503 |
$0.00 |
| 87340 |
|
372 |
315 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
5,282 |
4,296 |
$0.00 |
| 86140 |
|
364 |
324 |
$0.00 |
| 90688 |
|
208 |
147 |
$0.00 |
| 82962 |
|
178 |
129 |
$0.00 |
| 85018 |
|
259 |
227 |
$0.00 |
| 82150 |
|
284 |
220 |
$0.00 |
| 86704 |
|
73 |
67 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,121 |
2,019 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,567 |
3,050 |
$0.00 |
| 81001 |
|
5,154 |
4,190 |
$0.00 |
| 82043 |
|
529 |
400 |
$0.00 |
| 90647 |
|
92 |
63 |
$0.00 |
| 82607 |
|
607 |
576 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,744 |
1,651 |
$0.00 |
| 85652 |
|
537 |
474 |
$0.00 |
| 83735 |
|
1,863 |
1,642 |
$0.00 |
| 83690 |
|
692 |
592 |
$0.00 |
| 80320 |
|
77 |
67 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| 82746 |
|
111 |
102 |
$0.00 |
| 91305 |
|
15 |
15 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
52 |
46 |
$0.00 |
| V5008 |
Hearing screening |
79 |
73 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$0.00 |
| 81015 |
|
438 |
410 |
$0.00 |
| 90656 |
|
48 |
46 |
$0.00 |
| 85008 |
|
31 |
29 |
$0.00 |
| 90723 |
|
103 |
68 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
13 |
12 |
$0.00 |
| 92310 |
|
13 |
13 |
$0.00 |
| 90696 |
|
26 |
21 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 92285 |
|
19 |
19 |
$0.00 |