| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,888 |
46,470 |
$1.80M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
22,395 |
9,989 |
$1.22M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12,199 |
10,081 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,570 |
21,872 |
$1.15M |
| 59025 |
Fetal non-stress test |
9,195 |
6,596 |
$762K |
| G0378 |
Hospital observation service, per hour |
3,169 |
1,394 |
$761K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
3,023 |
2,495 |
$718K |
| 99215 |
Prolong outpt/office vis |
10,274 |
9,181 |
$466K |
| 93325 |
|
4,855 |
4,001 |
$465K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,319 |
3,050 |
$420K |
| G0379 |
Direct admission of patient for hospital observation care |
1,377 |
1,098 |
$349K |
| 93320 |
|
3,044 |
2,495 |
$317K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
10,912 |
8,767 |
$287K |
| 20610 |
|
2,228 |
1,780 |
$285K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
10,930 |
8,765 |
$284K |
| 64493 |
|
696 |
577 |
$265K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
9,791 |
7,660 |
$246K |
| 62323 |
|
952 |
803 |
$232K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
398 |
321 |
$222K |
| 20611 |
|
1,053 |
761 |
$220K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
296 |
241 |
$213K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,073 |
5,338 |
$174K |
| 76820 |
|
4,157 |
1,974 |
$141K |
| 76825 |
|
632 |
561 |
$120K |
| 93304 |
|
647 |
527 |
$111K |
| 76801 |
|
1,432 |
1,241 |
$107K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,623 |
1,372 |
$107K |
| T2101 |
Human breast milk processing, storage and distribution only |
4,528 |
317 |
$102K |
| 73564 |
|
1,263 |
1,005 |
$98K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,297 |
2,215 |
$96K |
| 01992 |
|
2,767 |
2,433 |
$90K |
| 80053 |
Comprehensive metabolic panel |
11,323 |
8,814 |
$88K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,030 |
2,528 |
$85K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
4,521 |
3,618 |
$78K |
| 64494 |
|
751 |
557 |
$76K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
85 |
74 |
$76K |
| 73030 |
|
1,066 |
776 |
$68K |
| 27096 |
|
715 |
412 |
$67K |
| 36415 |
Collection of venous blood by venipuncture |
32,456 |
25,112 |
$63K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,301 |
7,893 |
$56K |
| 93321 |
|
657 |
529 |
$55K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
939 |
670 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
802 |
647 |
$50K |
| 76830 |
Ultrasound, transvaginal |
897 |
799 |
$49K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
148 |
91 |
$42K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,047 |
3,011 |
$41K |
| 76827 |
|
732 |
632 |
$40K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
6,905 |
5,614 |
$39K |
| 17110 |
|
417 |
380 |
$34K |
| 64635 |
|
48 |
39 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
470 |
427 |
$31K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
910 |
633 |
$27K |
| 72100 |
|
597 |
525 |
$27K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,501 |
1,222 |
$26K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,198 |
998 |
$25K |
| 11102 |
|
225 |
206 |
$25K |
| 81025 |
|
5,095 |
4,120 |
$25K |
| 76000 |
|
1,336 |
1,181 |
$25K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
91 |
76 |
$23K |
| 90378 |
|
81 |
16 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
295 |
247 |
$23K |
| 72110 |
|
343 |
305 |
$22K |
| 74178 |
|
55 |
41 |
$21K |
| 72082 |
|
375 |
296 |
$21K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,043 |
2,467 |
$18K |
| 80061 |
Lipid panel |
1,871 |
1,548 |
$18K |
| 94760 |
|
9,498 |
7,054 |
$18K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
785 |
594 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,605 |
2,143 |
$17K |
| 72040 |
|
343 |
297 |
$16K |
| 76642 |
|
220 |
184 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
387 |
351 |
$15K |
| 0001A |
|
472 |
452 |
$15K |
| 64636 |
|
57 |
41 |
$14K |
| 86780 |
|
1,489 |
1,139 |
$14K |
| 0002A |
|
432 |
385 |
$13K |
| 11900 |
|
138 |
108 |
$13K |
| 86850 |
|
3,140 |
2,439 |
$12K |
| 11104 |
|
99 |
83 |
$12K |
| 80050 |
General health panel |
376 |
283 |
$11K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,558 |
6,222 |
$11K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,294 |
1,166 |
$10K |
| 64450 |
|
72 |
54 |
$10K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
10,382 |
8,450 |
$9K |
| 94761 |
|
2,983 |
1,522 |
$9K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
8,959 |
7,270 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
670 |
558 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
300 |
243 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
536 |
216 |
$7K |
| 80074 |
|
249 |
214 |
$7K |
| 90715 |
|
254 |
203 |
$7K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
169 |
148 |
$7K |
| 87210 |
|
2,323 |
1,418 |
$7K |
| 85027 |
|
1,383 |
1,138 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
335 |
297 |
$6K |
| 71250 |
|
48 |
40 |
$6K |
| 70355 |
|
105 |
76 |
$6K |
| 86900 |
|
3,136 |
2,439 |
$6K |
| 76942 |
|
343 |
294 |
$5K |
| 86901 |
|
3,131 |
2,429 |
$5K |
| 86803 |
|
460 |
382 |
$5K |
| 0071A |
|
159 |
132 |
$5K |
| 82607 |
|
380 |
351 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
12 |
$5K |
| 76818 |
|
62 |
53 |
$5K |
| 70250 |
|
61 |
51 |
$5K |
| 87081 |
|
893 |
723 |
$5K |
| 74018 |
|
62 |
51 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
64 |
52 |
$4K |
| 72020 |
|
61 |
51 |
$4K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
2,096 |
1,810 |
$4K |
| 86592 |
|
1,267 |
1,107 |
$4K |
| J7318 |
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg |
19 |
15 |
$4K |
| 95117 |
|
305 |
145 |
$4K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
356 |
274 |
$4K |
| 0072A |
|
106 |
89 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
66 |
54 |
$3K |
| 85660 |
|
788 |
659 |
$3K |
| 86038 |
|
319 |
297 |
$3K |
| 86762 |
|
289 |
251 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
58 |
49 |
$3K |
| 62321 |
|
15 |
12 |
$3K |
| 90678 |
|
40 |
27 |
$3K |
| 90651 |
|
13 |
13 |
$3K |
| 87340 |
|
383 |
293 |
$3K |
| 01940 |
|
19 |
13 |
$3K |
| 86140 |
|
587 |
437 |
$2K |
| 17000 |
|
57 |
53 |
$2K |
| 0004A |
|
70 |
64 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,000 |
820 |
$2K |
| 0003A |
|
65 |
56 |
$2K |
| 83516 |
|
292 |
102 |
$2K |
| 90686 |
|
160 |
141 |
$2K |
| 93246 |
|
58 |
50 |
$2K |
| 94762 |
|
66 |
37 |
$2K |
| 86364 |
|
307 |
128 |
$2K |
| 73110 |
|
33 |
27 |
$2K |
| 77066 |
Tomosynthesis, mammo |
32 |
28 |
$2K |
| 76810 |
|
14 |
13 |
$2K |
| 90656 |
|
317 |
166 |
$2K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
409 |
241 |
$2K |
| 82784 |
|
202 |
143 |
$1K |
| 88342 |
|
33 |
25 |
$1K |
| 20552 |
|
55 |
40 |
$1K |
| 84156 |
|
448 |
321 |
$1K |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
1,017 |
701 |
$1K |
| 77080 |
|
18 |
15 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
207 |
158 |
$1K |
| 72120 |
|
26 |
26 |
$1K |
| 82977 |
|
250 |
168 |
$1K |
| 83615 |
|
246 |
189 |
$1K |
| 97161 |
|
16 |
16 |
$1K |
| 77062 |
|
14 |
14 |
$930.12 |
| 80177 |
|
101 |
82 |
$861.25 |
| 84439 |
|
161 |
105 |
$847.88 |
| 85651 |
|
253 |
153 |
$814.50 |
| 76641 |
|
12 |
12 |
$800.49 |
| 84550 |
|
238 |
177 |
$787.64 |
| 01400 |
|
14 |
14 |
$761.70 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$681.24 |
| 72050 |
|
17 |
12 |
$655.40 |
| 82962 |
|
406 |
344 |
$564.12 |
| 86258 |
|
88 |
40 |
$519.00 |
| 82570 |
|
137 |
93 |
$497.28 |
| J2704 |
Injection, propofol, 10 mg |
2,074 |
1,270 |
$483.97 |
| 01160 |
|
19 |
16 |
$472.18 |
| 81000 |
|
132 |
124 |
$470.73 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$398.85 |
| 81003 |
|
456 |
377 |
$394.78 |
| 85610 |
|
143 |
98 |
$368.94 |
| 86703 |
|
33 |
31 |
$360.36 |
| 64415 |
|
331 |
223 |
$359.35 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,534 |
1,110 |
$331.12 |
| 82728 |
|
31 |
28 |
$302.59 |
| 96112 |
|
212 |
179 |
$299.88 |
| 86706 |
|
43 |
16 |
$279.24 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
775 |
511 |
$268.52 |
| 83690 |
|
45 |
38 |
$254.93 |
| 88312 |
|
26 |
12 |
$240.40 |
| 83993 |
|
12 |
12 |
$235.56 |
| 82785 |
|
19 |
13 |
$197.52 |
| 80076 |
|
27 |
24 |
$196.08 |
| 86790 |
|
22 |
18 |
$193.20 |
| 0052A |
|
18 |
12 |
$158.51 |
| 86704 |
|
18 |
14 |
$144.60 |
| 85730 |
|
68 |
38 |
$126.21 |
| 87070 |
|
14 |
14 |
$112.06 |
| A9698 |
Non-radioactive contrast imaging material, not otherwise classified, per study |
29 |
24 |
$95.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
203 |
149 |
$62.39 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
326 |
285 |
$52.04 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
58 |
44 |
$47.39 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
804 |
531 |
$33.82 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
597 |
460 |
$31.62 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
950 |
603 |
$27.15 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
18 |
$27.04 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
509 |
415 |
$2.41 |
| 91300 |
|
1,006 |
886 |
$0.00 |
| C1729 |
Catheter, drainage |
217 |
125 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
185 |
164 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
101 |
52 |
$0.00 |
| 64447 |
|
73 |
37 |
$0.00 |
| 01830 |
|
35 |
28 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
17 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
113 |
100 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
195 |
168 |
$0.00 |
| 91307 |
|
204 |
167 |
$0.00 |