| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,733 |
22,718 |
$2.68M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,789 |
19,764 |
$1.63M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,921 |
4,814 |
$867K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
860 |
777 |
$252K |
| 99221 |
|
2,531 |
2,476 |
$246K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,341 |
1,337 |
$219K |
| 88312 |
|
2,168 |
2,166 |
$218K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,159 |
2,159 |
$207K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,612 |
1,611 |
$156K |
| A4550 |
Surgical trays |
693 |
673 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,226 |
1,226 |
$128K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
805 |
797 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,239 |
1,124 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,843 |
7,786 |
$107K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
921 |
920 |
$101K |
| 93000 |
|
5,411 |
5,221 |
$79K |
| 00731 |
|
438 |
438 |
$55K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,917 |
5,252 |
$47K |
| 99215 |
Prolong outpt/office vis |
252 |
246 |
$43K |
| 99223 |
Prolong inpt eval add15 m |
258 |
252 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,380 |
1,293 |
$33K |
| 81003 |
|
14,814 |
13,918 |
$30K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
612 |
586 |
$29K |
| G0008 |
Administration of influenza virus vaccine |
1,930 |
1,930 |
$28K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
86 |
83 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,457 |
779 |
$25K |
| 99222 |
Initial hospital care, per day, moderate complexity |
171 |
167 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
320 |
184 |
$23K |
| 51798 |
|
1,586 |
1,544 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
190 |
97 |
$19K |
| 99051 |
|
702 |
684 |
$19K |
| 76770 |
|
169 |
169 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,276 |
1,261 |
$18K |
| 92551 |
|
5,939 |
5,939 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
315 |
304 |
$15K |
| 00812 |
|
139 |
139 |
$14K |
| 52000 |
|
47 |
47 |
$13K |
| 96127 |
|
2,698 |
2,677 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,291 |
2,216 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
114 |
114 |
$12K |
| G0009 |
Administration of pneumococcal vaccine |
477 |
474 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
963 |
960 |
$7K |
| 80053 |
Comprehensive metabolic panel |
630 |
624 |
$6K |
| 93880 |
|
39 |
39 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
55 |
$6K |
| 93015 |
|
83 |
81 |
$5K |
| 4124F |
|
330 |
330 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
661 |
654 |
$5K |
| 97803 |
|
229 |
175 |
$5K |
| 99385 |
|
15 |
15 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
262 |
252 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 00811 |
|
12 |
12 |
$2K |
| 11102 |
|
18 |
18 |
$2K |
| 87070 |
|
139 |
138 |
$1K |
| 80050 |
General health panel |
32 |
32 |
$1K |
| 0071A |
|
28 |
28 |
$1K |
| 0072A |
|
27 |
27 |
$1K |
| 93224 |
|
13 |
13 |
$938.40 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$910.78 |
| S0285 |
Colonoscopy consultation performed prior to a screening colonoscopy procedure |
13 |
13 |
$899.47 |
| 94010 |
|
25 |
25 |
$796.39 |
| 85018 |
|
289 |
288 |
$663.56 |
| 0002A |
|
16 |
15 |
$618.15 |
| 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) |
41 |
41 |
$599.35 |
| 0001A |
|
13 |
13 |
$490.89 |
| 83655 |
|
36 |
36 |
$459.54 |
| 99177 |
|
140 |
140 |
$445.86 |
| 94060 |
|
25 |
25 |
$408.54 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$355.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
19 |
$344.40 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
20 |
18 |
$307.61 |
| 99173 |
|
5,209 |
5,204 |
$297.58 |
| 94729 |
|
26 |
26 |
$239.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$212.05 |
| 11721 |
|
13 |
13 |
$155.47 |
| 82728 |
|
12 |
12 |
$152.11 |
| 80061 |
Lipid panel |
13 |
13 |
$147.29 |
| 94726 |
|
13 |
13 |
$142.47 |
| 99050 |
|
14 |
14 |
$125.00 |
| 90686 |
|
605 |
603 |
$121.76 |
| 94760 |
|
7,899 |
7,546 |
$106.39 |
| 84439 |
|
12 |
12 |
$98.63 |
| 83550 |
|
13 |
13 |
$95.81 |
| 83540 |
|
14 |
14 |
$77.29 |
| 90461 |
|
24 |
24 |
$40.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
20 |
19 |
$37.20 |
| A7015 |
Aerosol mask, used with dme nebulizer |
20 |
18 |
$20.14 |
| 99000 |
|
1,698 |
1,634 |
$0.00 |
| 36416 |
|
463 |
452 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
498 |
480 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 3080F |
|
39 |
39 |
$0.00 |
| 1126F |
|
157 |
154 |
$0.00 |
| 3017F |
|
183 |
175 |
$0.00 |
| 3074F |
|
127 |
122 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 3079F |
|
70 |
69 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,019 |
3,889 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 1160F |
|
133 |
123 |
$0.00 |
| 3077F |
|
58 |
58 |
$0.00 |
| 90670 |
|
99 |
99 |
$0.00 |
| 1159F |
|
133 |
123 |
$0.00 |
| 1090F |
|
57 |
56 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |