| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,832 |
44,821 |
$2.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,822 |
18,504 |
$1.19M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,144 |
6,735 |
$542K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,469 |
6,408 |
$511K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33,690 |
15,168 |
$351K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,443 |
3,419 |
$290K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,299 |
2,144 |
$182K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,341 |
1,314 |
$120K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,943 |
8,444 |
$107K |
| 87428 |
|
1,586 |
1,486 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,057 |
2,849 |
$71K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,797 |
1,726 |
$65K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,561 |
1,380 |
$61K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
581 |
546 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,130 |
5,194 |
$50K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
88 |
86 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,466 |
1,396 |
$48K |
| 90461 |
|
9,272 |
8,100 |
$40K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,408 |
3,338 |
$30K |
| 76818 |
|
265 |
138 |
$22K |
| 99381 |
|
252 |
238 |
$19K |
| 81025 |
|
3,083 |
2,836 |
$18K |
| 83655 |
|
1,544 |
1,513 |
$14K |
| 59430 |
|
157 |
150 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
178 |
165 |
$9K |
| 92551 |
|
1,474 |
1,442 |
$6K |
| 87807 |
|
560 |
533 |
$6K |
| 99460 |
|
71 |
68 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
88 |
81 |
$5K |
| 76821 |
|
74 |
38 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
81 |
78 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
61 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
351 |
270 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
69 |
$3K |
| 99383 |
|
36 |
36 |
$3K |
| 99215 |
Prolong outpt/office vis |
36 |
29 |
$2K |
| 90715 |
|
119 |
115 |
$2K |
| 76820 |
|
73 |
38 |
$2K |
| 81002 |
|
836 |
733 |
$2K |
| 86580 |
|
3,124 |
3,073 |
$2K |
| 96160 |
|
936 |
889 |
$2K |
| 99463 |
|
13 |
13 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
12 |
$1K |
| 81003 |
|
942 |
857 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
29 |
$1K |
| 80061 |
Lipid panel |
107 |
105 |
$1K |
| 20610 |
|
25 |
24 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
122 |
$1K |
| 96380 |
|
51 |
51 |
$984.04 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
39 |
37 |
$936.06 |
| 99152 |
|
126 |
103 |
$771.25 |
| 99318 |
|
28 |
28 |
$685.58 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,029 |
992 |
$583.57 |
| 85018 |
|
359 |
326 |
$423.71 |
| 90677 |
|
1,330 |
1,321 |
$260.23 |
| 94726 |
|
29 |
29 |
$244.09 |
| 82947 |
|
74 |
73 |
$238.18 |
| 90688 |
|
17 |
17 |
$198.67 |
| 94729 |
|
29 |
29 |
$168.55 |
| 93000 |
|
12 |
12 |
$119.68 |
| 3074F |
|
40,040 |
34,191 |
$118.02 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
13 |
$87.69 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
15 |
$82.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
14 |
$79.84 |
| 90686 |
|
3,287 |
3,250 |
$70.52 |
| 84030 |
|
152 |
151 |
$19.50 |
| 3078F |
|
35,830 |
31,159 |
$18.02 |
| 90697 |
|
907 |
896 |
$2.90 |
| 90630 |
|
237 |
230 |
$0.40 |
| 90619 |
|
76 |
75 |
$0.39 |
| 90756 |
|
113 |
106 |
$0.31 |
| 90381 |
|
35 |
35 |
$0.10 |
| 90689 |
|
15 |
14 |
$0.08 |
| 90656 |
|
222 |
222 |
$0.02 |
| 3008F |
|
47,512 |
41,931 |
$0.02 |
| 1036F |
|
45,413 |
37,985 |
$0.01 |
| 99173 |
|
5,080 |
5,005 |
$0.00 |
| 1160F |
|
27,502 |
23,212 |
$0.00 |
| 90670 |
|
3,685 |
3,641 |
$0.00 |
| 1159F |
|
17,785 |
15,188 |
$0.00 |
| 90700 |
|
140 |
137 |
$0.00 |
| 90648 |
|
277 |
275 |
$0.00 |
| 90633 |
|
1,805 |
1,782 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
573 |
536 |
$0.00 |
| 3077F |
|
465 |
450 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
50 |
$0.00 |
| 90710 |
|
645 |
636 |
$0.00 |
| 90655 |
|
59 |
59 |
$0.00 |
| 3725F |
|
192 |
181 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
59 |
55 |
$0.00 |
| 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) |
77 |
69 |
$0.00 |
| 90685 |
|
59 |
57 |
$0.00 |
| 90658 |
|
84 |
84 |
$0.00 |
| 90734 |
|
27 |
26 |
$0.00 |
| 90621 |
|
13 |
12 |
$0.00 |
| 1126F |
|
2,616 |
2,470 |
$0.00 |
| 3080F |
|
43 |
42 |
$0.00 |
| 3079F |
|
4,253 |
3,572 |
$0.00 |
| 1034F |
|
2,066 |
1,699 |
$0.00 |
| 90744 |
|
913 |
900 |
$0.00 |
| 90698 |
|
2,121 |
2,096 |
$0.00 |
| 1125F |
|
2,750 |
2,615 |
$0.00 |
| 90651 |
|
359 |
354 |
$0.00 |
| 90680 |
|
3,319 |
3,287 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90657 |
|
16 |
16 |
$0.00 |
| 3075F |
|
657 |
587 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$0.00 |
| 3048F |
|
62 |
61 |
$0.00 |
| 36416 |
|
75 |
74 |
$0.00 |
| 90723 |
|
30 |
30 |
$0.00 |
| 99024 |
|
226 |
212 |
$0.00 |
| 90696 |
|
28 |
27 |
$0.00 |
| 96127 |
|
149 |
100 |
$0.00 |
| 3066F |
|
13 |
12 |
$0.00 |
| 1111F |
|
86 |
75 |
$0.00 |