| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,631 |
36,965 |
$1.61M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,991 |
17,654 |
$836K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,528 |
3,068 |
$264K |
| 87428 |
|
4,844 |
4,299 |
$250K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,440 |
4,808 |
$238K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,181 |
2,765 |
$213K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,347 |
2,644 |
$197K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
481 |
136 |
$159K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,761 |
1,545 |
$131K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,052 |
9,523 |
$96K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,895 |
1,503 |
$81K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,688 |
2,060 |
$72K |
| 76801 |
|
1,586 |
949 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
529 |
448 |
$43K |
| 92552 |
|
2,264 |
1,967 |
$41K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,256 |
897 |
$41K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
29 |
27 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,942 |
2,118 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,957 |
1,687 |
$33K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
915 |
443 |
$30K |
| 95886 |
|
377 |
298 |
$26K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
353 |
268 |
$26K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,172 |
5,481 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,110 |
900 |
$23K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
177 |
167 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
884 |
658 |
$19K |
| 64615 |
|
366 |
203 |
$18K |
| 96127 |
|
4,652 |
3,884 |
$18K |
| 59510 |
|
14 |
12 |
$17K |
| 96161 |
|
1,832 |
1,591 |
$16K |
| 73630 |
|
1,385 |
815 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,033 |
732 |
$10K |
| 59410 |
|
12 |
12 |
$9K |
| 96160 |
|
1,495 |
1,191 |
$9K |
| 0503F |
|
780 |
642 |
$9K |
| 76830 |
Ultrasound, transvaginal |
160 |
156 |
$8K |
| 99173 |
|
1,703 |
1,470 |
$7K |
| 11721 |
|
1,642 |
1,014 |
$6K |
| 81003 |
|
6,005 |
3,984 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
195 |
171 |
$5K |
| 51798 |
|
1,103 |
715 |
$5K |
| 95913 |
|
35 |
31 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
54 |
$4K |
| 87807 |
|
554 |
473 |
$4K |
| 93000 |
|
707 |
514 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
242 |
$4K |
| 20610 |
|
175 |
112 |
$4K |
| 83655 |
|
419 |
379 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
73 |
54 |
$3K |
| 99459 |
|
245 |
209 |
$3K |
| 99381 |
|
47 |
37 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
33 |
31 |
$2K |
| 73564 |
|
186 |
142 |
$2K |
| 81025 |
|
674 |
469 |
$2K |
| 80305 |
|
538 |
404 |
$2K |
| 99177 |
|
391 |
334 |
$2K |
| 85018 |
|
934 |
836 |
$2K |
| 92587 |
|
142 |
111 |
$2K |
| 59025 |
Fetal non-stress test |
85 |
49 |
$2K |
| 73110 |
|
109 |
83 |
$2K |
| 87430 |
|
167 |
160 |
$1K |
| 99441 |
|
93 |
74 |
$1K |
| 3008F |
|
20,830 |
15,850 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,665 |
1,175 |
$1K |
| 59430 |
|
45 |
37 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
71 |
$1K |
| 93018 |
|
228 |
166 |
$1K |
| 73030 |
|
119 |
98 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
575 |
419 |
$936.48 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
29 |
28 |
$910.67 |
| 3074F |
|
9,828 |
7,650 |
$901.04 |
| 90670 |
|
1,514 |
1,354 |
$780.18 |
| 3078F |
|
9,029 |
7,015 |
$760.99 |
| 93016 |
|
129 |
90 |
$716.50 |
| 97597 |
|
106 |
39 |
$707.54 |
| 52000 |
|
19 |
12 |
$704.24 |
| 3079F |
|
2,918 |
2,205 |
$676.02 |
| 90697 |
|
835 |
766 |
$653.26 |
| 90715 |
|
95 |
72 |
$642.44 |
| 90677 |
|
643 |
599 |
$619.65 |
| 99222 |
Initial hospital care, per day, moderate complexity |
22 |
13 |
$492.63 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
54 |
26 |
$406.10 |
| 36416 |
|
384 |
308 |
$336.97 |
| 99205 |
Prolong outpt/office vis |
19 |
13 |
$324.57 |
| 99307 |
|
34 |
31 |
$321.26 |
| 73620 |
|
26 |
17 |
$283.84 |
| 90686 |
|
530 |
478 |
$280.57 |
| 96380 |
|
13 |
13 |
$272.39 |
| 90680 |
|
974 |
889 |
$267.96 |
| 92015 |
Determination of refractive state |
70 |
67 |
$265.75 |
| 73610 |
|
19 |
12 |
$249.42 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
59 |
44 |
$225.75 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
71 |
53 |
$175.11 |
| 81002 |
|
113 |
79 |
$155.02 |
| 3077F |
|
611 |
438 |
$154.33 |
| 0500F |
|
730 |
596 |
$150.06 |
| 90734 |
|
81 |
58 |
$150.00 |
| 90716 |
|
49 |
45 |
$130.00 |
| 3075F |
|
934 |
698 |
$90.00 |
| 90707 |
|
69 |
63 |
$87.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
34 |
13 |
$83.03 |
| 90696 |
|
62 |
57 |
$70.80 |
| 90698 |
|
228 |
200 |
$69.19 |
| 90674 |
|
38 |
33 |
$59.58 |
| 90710 |
|
29 |
27 |
$39.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
36 |
27 |
$27.20 |
| 90688 |
|
22 |
13 |
$20.48 |
| 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) |
19 |
12 |
$20.39 |
| G0008 |
Administration of influenza virus vaccine |
19 |
14 |
$16.39 |
| 3080F |
|
74 |
58 |
$4.31 |
| 1036F |
|
17,792 |
12,860 |
$0.08 |
| 1125F |
|
1,572 |
1,155 |
$0.04 |
| 1160F |
|
18,541 |
13,723 |
$0.04 |
| 1159F |
|
18,439 |
13,649 |
$0.04 |
| 1126F |
|
1,763 |
1,445 |
$0.02 |
| 1034F |
|
4,529 |
3,296 |
$0.02 |
| 1035F |
|
1,029 |
716 |
$0.00 |
| 99024 |
|
1,150 |
700 |
$0.00 |
| 90723 |
|
162 |
150 |
$0.00 |
| 99000 |
|
142 |
113 |
$0.00 |
| 90744 |
|
71 |
65 |
$0.00 |
| 0501F |
|
102 |
90 |
$0.00 |
| 90619 |
|
27 |
24 |
$0.00 |
| 90651 |
|
19 |
12 |
$0.00 |
| 3061F |
|
15 |
13 |
$0.00 |
| 0502F |
|
7,675 |
4,864 |
$0.00 |
| 90633 |
|
338 |
308 |
$0.00 |
| 90648 |
|
313 |
286 |
$0.00 |
| 3725F |
|
97 |
76 |
$0.00 |
| 90661 |
|
129 |
123 |
$0.00 |
| 90685 |
|
31 |
27 |
$0.00 |