| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,217 |
23,389 |
$1.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,828 |
5,536 |
$544K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,699 |
1,685 |
$151K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,139 |
1,129 |
$136K |
| 94010 |
|
6,932 |
6,203 |
$127K |
| 71046 |
Radiologic examination, chest; 2 views |
7,023 |
6,372 |
$123K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,195 |
1,187 |
$95K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,189 |
5,865 |
$81K |
| 92567 |
|
4,444 |
4,204 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
505 |
500 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
461 |
457 |
$36K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
336 |
333 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,535 |
1,303 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,670 |
4,526 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,437 |
3,125 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
552 |
530 |
$23K |
| 93000 |
|
2,484 |
2,371 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,603 |
1,591 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
227 |
221 |
$17K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
234 |
233 |
$16K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,808 |
2,593 |
$15K |
| 80061 |
Lipid panel |
1,466 |
1,435 |
$15K |
| 72100 |
|
726 |
719 |
$15K |
| 93224 |
|
294 |
287 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,607 |
1,575 |
$12K |
| 73560 |
|
667 |
455 |
$12K |
| 20610 |
|
415 |
377 |
$11K |
| 74018 |
|
701 |
677 |
$11K |
| 90688 |
|
667 |
659 |
$11K |
| 83721 |
|
1,410 |
1,382 |
$10K |
| 84450 |
|
2,453 |
2,418 |
$10K |
| 92081 |
|
510 |
499 |
$10K |
| 82947 |
|
3,133 |
3,094 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,523 |
4,350 |
$9K |
| 81003 |
|
5,519 |
5,187 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,201 |
1,168 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
581 |
575 |
$9K |
| G0008 |
Administration of influenza virus vaccine |
994 |
986 |
$8K |
| 90756 |
|
289 |
289 |
$7K |
| 93880 |
|
70 |
67 |
$7K |
| 92551 |
|
1,031 |
1,018 |
$7K |
| 84703 |
|
1,096 |
1,051 |
$6K |
| 83880 |
|
240 |
232 |
$6K |
| 82607 |
|
513 |
504 |
$6K |
| 84439 |
|
731 |
722 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
255 |
252 |
$5K |
| 84520 |
|
1,674 |
1,641 |
$5K |
| 84480 |
|
360 |
355 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
470 |
461 |
$4K |
| 82240 |
|
307 |
292 |
$4K |
| 86580 |
|
854 |
841 |
$4K |
| 85013 |
|
786 |
772 |
$4K |
| 82962 |
|
1,433 |
1,331 |
$4K |
| 82746 |
|
278 |
267 |
$3K |
| 93978 |
|
26 |
25 |
$3K |
| 70220 |
|
126 |
117 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
64 |
$2K |
| 99406 |
|
280 |
273 |
$2K |
| 85651 |
|
566 |
558 |
$2K |
| 73030 |
|
46 |
41 |
$793.36 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
436 |
394 |
$624.73 |
| 73130 |
|
19 |
15 |
$521.40 |
| 72040 |
|
13 |
12 |
$271.22 |
| 96160 |
|
87 |
87 |
$227.38 |
| 99490 |
Ccm add 20min |
13 |
13 |
$206.15 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
28 |
$192.06 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,228 |
1,218 |
$145.00 |
| 90734 |
|
61 |
61 |
$132.30 |
| 83550 |
|
18 |
18 |
$110.16 |
| 83540 |
|
18 |
18 |
$87.45 |
| 99407 |
|
16 |
12 |
$81.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
99 |
90 |
$76.65 |
| 90715 |
|
28 |
28 |
$68.31 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
15 |
15 |
$54.75 |
| 84478 |
|
12 |
12 |
$53.56 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
687 |
678 |
$45.00 |
| 90686 |
|
175 |
174 |
$20.55 |
| 3008F |
|
168 |
167 |
$0.13 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,412 |
1,389 |
$0.00 |
| 3074F |
|
71 |
71 |
$0.00 |
| 90651 |
|
132 |
131 |
$0.00 |
| 3079F |
|
83 |
83 |
$0.00 |
| 4037F |
|
57 |
56 |
$0.00 |
| 3075F |
|
17 |
17 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 99173 |
|
640 |
637 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
38 |
36 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |