| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,948 |
43,853 |
$1.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,931 |
8,058 |
$471K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,692 |
5,100 |
$162K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,913 |
14,344 |
$150K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,671 |
1,471 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,194 |
1,133 |
$87K |
| 87430 |
|
5,516 |
5,189 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,829 |
2,713 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
929 |
902 |
$69K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,225 |
3,718 |
$61K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,376 |
5,794 |
$52K |
| 80076 |
|
3,172 |
2,936 |
$34K |
| 90461 |
|
1,314 |
1,268 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
397 |
381 |
$33K |
| 80061 |
Lipid panel |
2,375 |
2,215 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,604 |
374 |
$30K |
| 76830 |
Ultrasound, transvaginal |
509 |
468 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
888 |
722 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
8,914 |
7,973 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
486 |
395 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
893 |
823 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
425 |
346 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
295 |
274 |
$18K |
| 81001 |
|
4,792 |
4,441 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
824 |
780 |
$15K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
519 |
454 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
175 |
168 |
$13K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
922 |
861 |
$13K |
| 84702 |
|
611 |
475 |
$12K |
| 83655 |
|
708 |
676 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,323 |
1,177 |
$10K |
| 87807 |
|
708 |
658 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
164 |
140 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
121 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
268 |
97 |
$8K |
| 99051 |
|
824 |
805 |
$7K |
| 90686 |
|
693 |
661 |
$7K |
| 76801 |
|
112 |
106 |
$7K |
| 84439 |
|
677 |
642 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,376 |
978 |
$6K |
| 59025 |
Fetal non-stress test |
240 |
164 |
$6K |
| 84703 |
|
572 |
536 |
$6K |
| 92551 |
|
423 |
398 |
$5K |
| 93000 |
|
219 |
211 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
153 |
131 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
295 |
276 |
$4K |
| 59430 |
|
119 |
81 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
306 |
264 |
$4K |
| 87220 |
|
670 |
619 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
77 |
74 |
$4K |
| 99050 |
|
136 |
131 |
$3K |
| 97802 |
|
394 |
374 |
$3K |
| 99215 |
Prolong outpt/office vis |
62 |
56 |
$2K |
| 96127 |
|
642 |
603 |
$2K |
| 90670 |
|
700 |
673 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
22 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
29 |
12 |
$1K |
| 94060 |
|
29 |
28 |
$1K |
| 99188 |
|
66 |
61 |
$1K |
| 90633 |
|
696 |
670 |
$1K |
| 36416 |
|
7,561 |
6,827 |
$870.80 |
| 90723 |
|
555 |
535 |
$796.66 |
| 81003 |
|
883 |
788 |
$791.18 |
| 82950 |
|
159 |
138 |
$742.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
68 |
60 |
$640.62 |
| 85651 |
|
94 |
83 |
$561.08 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$552.26 |
| 83690 |
|
39 |
39 |
$474.16 |
| 82150 |
|
38 |
38 |
$393.41 |
| 86677 |
|
25 |
25 |
$392.07 |
| 99201 |
|
14 |
13 |
$387.94 |
| 90647 |
|
443 |
424 |
$372.40 |
| 99000 |
|
428 |
392 |
$274.16 |
| 90681 |
|
185 |
175 |
$237.53 |
| 90734 |
|
144 |
142 |
$227.81 |
| 90685 |
|
48 |
47 |
$125.81 |
| 96161 |
|
41 |
37 |
$112.38 |
| 90620 |
|
22 |
22 |
$55.25 |
| 90715 |
|
52 |
52 |
$55.20 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
13 |
$44.80 |
| 90651 |
|
49 |
49 |
$36.80 |
| 90710 |
|
29 |
28 |
$18.40 |
| G0008 |
Administration of influenza virus vaccine |
45 |
40 |
$9.84 |
| 99497 |
|
13 |
12 |
$3.29 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
318 |
280 |
$0.00 |
| 99024 |
|
62 |
53 |
$0.00 |
| 1170F |
|
18 |
16 |
$0.00 |
| 0518F |
|
18 |
16 |
$0.00 |
| 3288F |
|
18 |
16 |
$0.00 |
| 1124F |
|
16 |
14 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 90672 |
|
24 |
23 |
$0.00 |