| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2350 |
Injection, ocrelizumab, 1 mg |
294 |
237 |
$7.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122,163 |
102,668 |
$5.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,455 |
56,871 |
$3.17M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
223,510 |
191,635 |
$1.56M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
2,720 |
1,100 |
$1.45M |
| J2323 |
Injection, natalizumab, 1 mg |
239 |
212 |
$1.41M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
25,915 |
23,481 |
$953K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
9,272 |
8,704 |
$788K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16,539 |
15,404 |
$745K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32,822 |
13,888 |
$744K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,567 |
11,434 |
$570K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
9,773 |
9,379 |
$511K |
| 59025 |
Fetal non-stress test |
19,273 |
13,486 |
$501K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,503 |
7,843 |
$440K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,018 |
4,532 |
$390K |
| 99233 |
Prolong inpt eval add15 m |
11,265 |
5,262 |
$336K |
| 76801 |
|
7,227 |
6,852 |
$270K |
| 76830 |
Ultrasound, transvaginal |
4,976 |
4,702 |
$228K |
| 76813 |
|
4,275 |
4,079 |
$217K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,595 |
4,122 |
$217K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,958 |
2,548 |
$214K |
| 20610 |
|
4,452 |
3,427 |
$180K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,489 |
2,420 |
$172K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,605 |
1,512 |
$160K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,511 |
4,191 |
$154K |
| 93000 |
|
13,160 |
11,761 |
$148K |
| 99223 |
Prolong inpt eval add15 m |
2,304 |
2,016 |
$148K |
| 95886 |
|
2,901 |
2,663 |
$137K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
9,267 |
4,607 |
$135K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,443 |
3,083 |
$131K |
| 99215 |
Prolong outpt/office vis |
1,950 |
1,619 |
$129K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,307 |
1,086 |
$124K |
| 93295 |
|
3,268 |
2,839 |
$110K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,443 |
3,074 |
$96K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,066 |
2,566 |
$92K |
| 64612 |
|
701 |
516 |
$89K |
| 93296 |
|
6,677 |
5,827 |
$86K |
| 95720 |
|
589 |
248 |
$66K |
| H1000 |
Prenatal care, at-risk assessment |
466 |
379 |
$61K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
908 |
846 |
$57K |
| 20611 |
|
1,116 |
781 |
$56K |
| 93016 |
|
3,108 |
2,858 |
$53K |
| 81025 |
|
6,594 |
6,093 |
$46K |
| 64616 |
|
728 |
525 |
$45K |
| 99254 |
|
569 |
526 |
$41K |
| 99241 |
|
1,629 |
1,564 |
$37K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,667 |
2,296 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,259 |
2,125 |
$35K |
| 99205 |
Prolong outpt/office vis |
387 |
347 |
$35K |
| 64615 |
|
303 |
280 |
$34K |
| 93018 |
|
3,182 |
2,935 |
$32K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,290 |
893 |
$32K |
| 99243 |
|
684 |
595 |
$30K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
1,874 |
1,503 |
$29K |
| 93970 |
|
1,152 |
1,071 |
$27K |
| 93297 |
|
2,085 |
1,754 |
$27K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
451 |
169 |
$25K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
588 |
553 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
271 |
261 |
$21K |
| 73562 |
|
1,051 |
877 |
$20K |
| 11721 |
|
1,395 |
1,233 |
$20K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,762 |
1,394 |
$20K |
| 93971 |
|
1,189 |
1,098 |
$19K |
| 95910 |
|
190 |
182 |
$17K |
| 95816 |
|
704 |
624 |
$17K |
| 93298 |
|
889 |
773 |
$17K |
| 93294 |
|
1,070 |
884 |
$17K |
| 99255 |
|
180 |
155 |
$17K |
| 99253 |
|
314 |
306 |
$16K |
| 96415 |
|
338 |
265 |
$15K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,426 |
2,137 |
$14K |
| 73630 |
|
711 |
581 |
$12K |
| 95951 |
|
123 |
52 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
274 |
207 |
$12K |
| 95819 |
|
546 |
499 |
$11K |
| 99078 |
|
276 |
210 |
$11K |
| 81002 |
|
4,045 |
3,690 |
$10K |
| 95718 |
|
120 |
94 |
$10K |
| 72110 |
|
284 |
262 |
$9K |
| 43775 |
|
16 |
13 |
$9K |
| 95911 |
|
93 |
86 |
$9K |
| 76820 |
|
360 |
295 |
$8K |
| 96367 |
|
347 |
274 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
503 |
474 |
$7K |
| 99234 |
|
110 |
89 |
$6K |
| 76506 |
|
217 |
175 |
$6K |
| 64405 |
|
87 |
60 |
$5K |
| 99242 |
|
156 |
149 |
$5K |
| 99459 |
|
247 |
234 |
$4K |
| 99218 |
|
107 |
107 |
$4K |
| 73564 |
|
230 |
203 |
$4K |
| 22853 |
|
13 |
12 |
$4K |
| 54150 |
|
67 |
62 |
$4K |
| 93793 |
|
794 |
435 |
$3K |
| 95909 |
|
41 |
39 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
188 |
38 |
$3K |
| 61783 |
|
26 |
24 |
$3K |
| 68761 |
|
90 |
27 |
$3K |
| 20550 |
|
108 |
64 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
375 |
291 |
$2K |
| 83861 |
|
161 |
88 |
$2K |
| 99245 |
|
30 |
27 |
$2K |
| 73610 |
|
121 |
96 |
$2K |
| 64644 |
|
43 |
24 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
59 |
$2K |
| 73030 |
|
81 |
74 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
733 |
632 |
$2K |
| 96127 |
|
251 |
224 |
$2K |
| 99343 |
|
29 |
28 |
$2K |
| 85610 |
|
786 |
508 |
$2K |
| 99442 |
|
74 |
72 |
$2K |
| 93285 |
|
47 |
42 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
29 |
24 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
62 |
$1K |
| 59430 |
|
13 |
13 |
$1K |
| 93356 |
|
146 |
132 |
$1K |
| 73502 |
|
84 |
56 |
$1K |
| 93312 |
|
13 |
12 |
$1K |
| 93880 |
|
51 |
46 |
$1K |
| 87210 |
|
229 |
219 |
$1K |
| 99251 |
|
42 |
42 |
$1K |
| 96101 |
|
18 |
18 |
$976.31 |
| 95908 |
|
16 |
16 |
$966.54 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
180 |
140 |
$878.16 |
| 51798 |
|
136 |
121 |
$855.08 |
| 99219 |
|
12 |
12 |
$803.40 |
| 73560 |
|
41 |
37 |
$760.61 |
| 99443 |
|
26 |
26 |
$749.00 |
| 99349 |
|
35 |
30 |
$727.58 |
| 90686 |
|
51 |
36 |
$704.23 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$683.16 |
| 99221 |
|
28 |
27 |
$620.17 |
| 97597 |
|
108 |
77 |
$590.78 |
| 93299 |
|
45 |
39 |
$541.73 |
| 64450 |
|
96 |
48 |
$505.15 |
| 90870 |
|
23 |
13 |
$468.82 |
| 72050 |
|
13 |
13 |
$365.56 |
| 93308 |
|
23 |
17 |
$355.96 |
| 72114 |
|
15 |
12 |
$355.27 |
| 99201 |
|
31 |
31 |
$330.92 |
| 72100 |
|
15 |
14 |
$308.57 |
| 73130 |
|
13 |
12 |
$266.52 |
| 93320 |
|
13 |
12 |
$212.08 |
| 20553 |
|
64 |
38 |
$201.87 |
| 94060 |
|
16 |
15 |
$158.52 |
| 99406 |
|
14 |
12 |
$120.74 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
520 |
374 |
$106.10 |
| 94726 |
|
17 |
16 |
$67.54 |
| 94729 |
|
17 |
16 |
$63.78 |
| 85018 |
|
52 |
49 |
$59.76 |
| 93325 |
|
13 |
12 |
$46.19 |
| 3017F |
|
705 |
641 |
$0.00 |
| 99024 |
|
2,471 |
1,525 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
291 |
263 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
624 |
558 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
379 |
347 |
$0.00 |
| 1036F |
|
875 |
772 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
14 |
12 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
12 |
12 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
15 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,501 |
2,220 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
481 |
426 |
$0.00 |
| 4040F |
|
142 |
128 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
83 |
74 |
$0.00 |
| 20936 |
|
27 |
25 |
$0.00 |
| 96102 |
|
17 |
17 |
$0.00 |
| 4004F |
|
14 |
12 |
$0.00 |
| 20930 |
|
44 |
41 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
40 |
36 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
77 |
69 |
$0.00 |