| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68,256 |
60,221 |
$2.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,628 |
24,270 |
$1.36M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,675 |
8,393 |
$345K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,202 |
5,444 |
$318K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,846 |
3,701 |
$221K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,894 |
4,268 |
$181K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,287 |
5,719 |
$67K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,852 |
1,697 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
820 |
760 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
529 |
521 |
$30K |
| 76830 |
Ultrasound, transvaginal |
332 |
299 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,204 |
931 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
327 |
226 |
$21K |
| 99051 |
|
1,253 |
1,147 |
$18K |
| 99460 |
|
244 |
235 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
167 |
148 |
$15K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
186 |
175 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
215 |
162 |
$14K |
| 95251 |
|
759 |
711 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
174 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
4,514 |
3,757 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
178 |
177 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,153 |
2,026 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
115 |
$7K |
| 92567 |
|
676 |
633 |
$6K |
| 31575 |
|
95 |
89 |
$5K |
| 92557 |
|
246 |
225 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
33 |
29 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
692 |
640 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
141 |
136 |
$4K |
| 36416 |
|
2,367 |
2,110 |
$4K |
| 99177 |
|
306 |
298 |
$3K |
| 99215 |
Prolong outpt/office vis |
50 |
40 |
$3K |
| 90633 |
|
725 |
711 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
184 |
164 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
63 |
$2K |
| 90670 |
|
2,669 |
2,562 |
$2K |
| 90686 |
|
1,038 |
1,022 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
25 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
75 |
65 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
12 |
$2K |
| 90723 |
|
2,235 |
2,142 |
$1K |
| 99201 |
|
78 |
75 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
79 |
$1K |
| 87807 |
|
102 |
94 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
131 |
121 |
$1K |
| 99307 |
|
164 |
139 |
$993.41 |
| 96161 |
|
330 |
313 |
$956.83 |
| 59025 |
Fetal non-stress test |
35 |
27 |
$830.18 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$797.35 |
| 90647 |
|
1,886 |
1,807 |
$763.84 |
| 54150 |
|
13 |
13 |
$763.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
36 |
$593.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
100 |
79 |
$573.90 |
| 90681 |
|
1,338 |
1,277 |
$421.75 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$406.96 |
| 81002 |
|
214 |
206 |
$356.81 |
| 92579 |
|
15 |
15 |
$270.11 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
27 |
26 |
$176.52 |
| 81025 |
|
27 |
25 |
$170.08 |
| 99173 |
|
101 |
98 |
$134.30 |
| 51798 |
|
14 |
14 |
$120.98 |
| 96127 |
|
28 |
26 |
$110.03 |
| 90648 |
|
79 |
71 |
$90.00 |
| 90716 |
|
116 |
114 |
$80.14 |
| 90707 |
|
102 |
101 |
$80.12 |
| 90700 |
|
79 |
78 |
$70.12 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
22 |
12 |
$53.81 |
| 90677 |
|
420 |
398 |
$48.29 |
| 82962 |
|
25 |
24 |
$45.60 |
| 90710 |
|
12 |
12 |
$30.00 |
| 81003 |
|
14 |
12 |
$20.57 |
| 3046F |
|
28 |
26 |
$20.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
58 |
43 |
$19.14 |
| 90680 |
|
17 |
17 |
$10.00 |
| 3074F |
|
15,359 |
13,739 |
$1.64 |
| 3078F |
|
11,452 |
10,311 |
$1.53 |
| 3079F |
|
5,119 |
4,639 |
$0.71 |
| 90674 |
|
78 |
67 |
$0.31 |
| 3077F |
|
808 |
728 |
$0.19 |
| 3075F |
|
1,167 |
1,083 |
$0.10 |
| 90656 |
|
40 |
38 |
$0.03 |
| 3080F |
|
185 |
170 |
$0.02 |
| 1160F |
|
2,076 |
1,881 |
$0.00 |
| 1159F |
|
1,579 |
1,434 |
$0.00 |
| 1125F |
|
2,659 |
2,399 |
$0.00 |
| 1126F |
|
4,034 |
3,672 |
$0.00 |
| 3352F |
|
206 |
186 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
17 |
12 |
$0.00 |
| 3351F |
|
489 |
452 |
$0.00 |
| 99024 |
|
46 |
40 |
$0.00 |