| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65,863 |
59,369 |
$4.87M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
8,076 |
7,182 |
$2.08M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13,321 |
11,715 |
$1.83M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14,482 |
13,334 |
$1.74M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
5,734 |
5,448 |
$1.40M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
698 |
570 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,874 |
19,397 |
$1.03M |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
175 |
102 |
$709K |
| 99205 |
Prolong outpt/office vis |
2,674 |
2,499 |
$380K |
| 78268 |
|
5,810 |
5,453 |
$373K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,317 |
2,037 |
$323K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,795 |
4,554 |
$308K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,741 |
1,871 |
$273K |
| 49452 |
|
323 |
300 |
$240K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,161 |
1,044 |
$203K |
| 99215 |
Prolong outpt/office vis |
1,811 |
1,581 |
$177K |
| 97802 |
|
2,811 |
2,614 |
$160K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,785 |
1,313 |
$140K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,366 |
15,206 |
$132K |
| 74018 |
|
8,894 |
8,196 |
$130K |
| 91035 |
|
275 |
268 |
$116K |
| 97803 |
|
2,812 |
2,744 |
$109K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,256 |
1,210 |
$103K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,341 |
1,270 |
$83K |
| 96415 |
|
1,411 |
1,059 |
$69K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,345 |
3,014 |
$57K |
| 99243 |
|
571 |
524 |
$56K |
| 80076 |
|
7,982 |
7,077 |
$54K |
| 85652 |
|
13,694 |
11,976 |
$54K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,999 |
6,225 |
$48K |
| 36415 |
Collection of venous blood by venipuncture |
22,226 |
19,678 |
$45K |
| 78267 |
|
5,810 |
5,453 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,042 |
918 |
$31K |
| 88342 |
|
1,108 |
1,002 |
$28K |
| 84439 |
|
2,719 |
2,542 |
$22K |
| 85730 |
|
3,036 |
2,805 |
$17K |
| 86003 |
|
645 |
507 |
$15K |
| 85610 |
|
3,040 |
2,809 |
$11K |
| 99245 |
|
67 |
52 |
$10K |
| 99402 |
|
184 |
171 |
$10K |
| 91110 |
|
18 |
13 |
$10K |
| 83516 |
|
540 |
432 |
$9K |
| 91120 |
|
18 |
12 |
$7K |
| 99253 |
|
70 |
65 |
$6K |
| 86140 |
|
2,319 |
2,052 |
$6K |
| 81025 |
|
718 |
560 |
$4K |
| 43235 |
|
30 |
26 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
41 |
40 |
$3K |
| 83690 |
|
739 |
684 |
$3K |
| 82150 |
|
734 |
678 |
$3K |
| 91122 |
|
18 |
12 |
$3K |
| 76981 |
|
38 |
37 |
$3K |
| 82785 |
|
360 |
268 |
$2K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
74 |
69 |
$2K |
| 84436 |
|
1,156 |
968 |
$2K |
| 99235 |
|
16 |
12 |
$2K |
| 82784 |
|
252 |
220 |
$2K |
| 80050 |
General health panel |
148 |
129 |
$2K |
| 80053 |
Comprehensive metabolic panel |
485 |
426 |
$1K |
| 82977 |
|
606 |
525 |
$1K |
| 80305 |
|
103 |
89 |
$984.65 |
| 83735 |
|
159 |
134 |
$850.29 |
| 81003 |
|
348 |
308 |
$678.37 |
| 3008F |
|
1,132 |
908 |
$456.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
27 |
$303.80 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
47 |
47 |
$277.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$221.97 |
| 84155 |
|
172 |
146 |
$200.10 |
| 82272 |
|
38 |
37 |
$127.79 |
| 82607 |
|
14 |
12 |
$49.82 |
| 36416 |
|
18 |
15 |
$32.44 |
| 99499 |
|
571 |
480 |
$0.00 |