| Code | Description | Claims | Beneficiaries | Total Paid |
| 21299 |
|
10,180 |
5,431 |
$52.78M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
3,634 |
1,947 |
$4.65M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,969 |
4,965 |
$906K |
| D9222 |
|
4,972 |
4,968 |
$618K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,083 |
1,877 |
$324K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
246 |
235 |
$284K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,503 |
1,357 |
$216K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,129 |
1,102 |
$192K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
703 |
682 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
177 |
$32K |
| 99441 |
|
158 |
155 |
$28K |
| 99385 |
|
140 |
137 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
43 |
38 |
$19K |
| 99000 |
|
1,493 |
1,335 |
$12K |
| 58558 |
|
12 |
12 |
$12K |
| 54161 |
|
13 |
13 |
$9K |
| 76830 |
Ultrasound, transvaginal |
97 |
92 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
738 |
725 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
722 |
709 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
20 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,597 |
1,463 |
$4K |
| 76641 |
|
100 |
64 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
684 |
681 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
479 |
476 |
$3K |
| 80053 |
Comprehensive metabolic panel |
1,172 |
1,139 |
$2K |
| 80061 |
Lipid panel |
831 |
818 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
891 |
882 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,249 |
1,203 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
912 |
901 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
15 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
57 |
57 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$964.56 |
| 81001 |
|
1,058 |
1,013 |
$559.69 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
22 |
$466.97 |
| 84481 |
|
122 |
120 |
$448.44 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$437.82 |
| 72110 |
|
13 |
13 |
$436.84 |
| 81025 |
|
179 |
173 |
$416.46 |
| 86592 |
|
471 |
467 |
$412.78 |
| 93000 |
|
224 |
216 |
$373.23 |
| 83735 |
|
416 |
407 |
$368.92 |
| 84100 |
|
425 |
415 |
$344.60 |
| 76942 |
|
43 |
38 |
$275.00 |
| 84439 |
|
277 |
272 |
$268.92 |
| 82607 |
|
304 |
299 |
$183.61 |
| 81002 |
|
342 |
328 |
$155.90 |
| 82728 |
|
161 |
156 |
$127.21 |
| 82746 |
|
227 |
222 |
$105.44 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$70.18 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
61 |
61 |
$59.83 |
| 83550 |
|
147 |
142 |
$57.64 |
| 83540 |
|
147 |
142 |
$53.24 |
| 88142 |
|
14 |
14 |
$51.78 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
55 |
52 |
$46.63 |
| 87625 |
|
20 |
20 |
$40.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
28 |
28 |
$33.94 |
| 85652 |
|
73 |
71 |
$6.04 |
| 82043 |
|
12 |
12 |
$3.21 |
| 82570 |
|
12 |
12 |
$2.01 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
42 |
42 |
$0.00 |
| 86038 |
|
12 |
12 |
$0.00 |
| 86235 |
|
12 |
12 |
$0.00 |
| 86200 |
|
13 |
13 |
$0.00 |
| 85610 |
|
12 |
12 |
$0.00 |
| 84480 |
|
12 |
12 |
$0.00 |
| 82550 |
|
12 |
12 |
$0.00 |