| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362,399 |
342,477 |
$20.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254,592 |
246,897 |
$18.10M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
109,694 |
109,118 |
$2.80M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45,396 |
45,351 |
$2.41M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37,564 |
37,530 |
$2.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38,143 |
38,050 |
$2.10M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,278 |
6,271 |
$1.17M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14,884 |
14,862 |
$1.11M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16,058 |
16,021 |
$1.10M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,458 |
15,190 |
$766K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,157 |
5,154 |
$739K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,590 |
7,577 |
$689K |
| 92551 |
|
81,017 |
80,965 |
$590K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,853 |
6,790 |
$522K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,402 |
14,046 |
$494K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,245 |
1,228 |
$451K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42,240 |
41,900 |
$371K |
| 96127 |
|
103,092 |
102,006 |
$339K |
| 90461 |
|
16,237 |
16,205 |
$336K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
720 |
712 |
$284K |
| 11721 |
|
8,194 |
8,052 |
$242K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,007 |
1,999 |
$184K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,244 |
1,243 |
$126K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,482 |
1,090 |
$121K |
| 99215 |
Prolong outpt/office vis |
1,079 |
933 |
$111K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,588 |
2,554 |
$111K |
| 00812 |
|
528 |
524 |
$107K |
| 99385 |
|
1,337 |
1,329 |
$105K |
| 93000 |
|
8,116 |
8,047 |
$104K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,281 |
7,003 |
$94K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,669 |
1,617 |
$93K |
| 92134 |
|
2,827 |
2,684 |
$87K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,232 |
4,173 |
$83K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
185 |
183 |
$77K |
| 92250 |
|
1,879 |
1,823 |
$73K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,380 |
5,297 |
$68K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,143 |
1,140 |
$68K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,535 |
5,523 |
$65K |
| 99173 |
|
79,772 |
79,713 |
$62K |
| 90686 |
|
45,628 |
45,584 |
$60K |
| 36415 |
Collection of venous blood by venipuncture |
80,184 |
77,623 |
$59K |
| 90682 |
|
1,093 |
1,090 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,270 |
15,188 |
$55K |
| 92020 |
|
2,706 |
2,693 |
$54K |
| 97802 |
|
946 |
943 |
$42K |
| 76641 |
|
386 |
266 |
$41K |
| 0012A |
|
1,269 |
1,269 |
$40K |
| 99441 |
|
1,014 |
1,001 |
$39K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
575 |
287 |
$35K |
| 81025 |
|
8,290 |
8,163 |
$33K |
| 97597 |
|
651 |
257 |
$32K |
| 99442 |
|
611 |
596 |
$31K |
| 11056 |
|
735 |
730 |
$31K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
53 |
53 |
$31K |
| 0011A |
|
1,118 |
1,118 |
$30K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,585 |
671 |
$29K |
| 76830 |
Ultrasound, transvaginal |
331 |
330 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
987 |
982 |
$22K |
| 93015 |
|
348 |
348 |
$22K |
| 99386 |
|
246 |
245 |
$21K |
| 90791 |
Psychiatric diagnostic evaluation |
147 |
147 |
$21K |
| 99459 |
|
864 |
861 |
$19K |
| 90651 |
|
7,934 |
7,928 |
$18K |
| 90620 |
|
2,515 |
2,512 |
$18K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
190 |
166 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,171 |
2,170 |
$15K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
552 |
402 |
$15K |
| 76536 |
|
169 |
168 |
$15K |
| 81003 |
|
6,799 |
5,675 |
$12K |
| 83655 |
|
1,104 |
1,104 |
$11K |
| 76642 |
|
133 |
97 |
$11K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,013 |
461 |
$10K |
| 73562 |
|
284 |
231 |
$10K |
| 99443 |
|
116 |
116 |
$10K |
| 94060 |
|
235 |
235 |
$10K |
| 73630 |
|
350 |
300 |
$9K |
| 92083 |
|
165 |
165 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
118 |
109 |
$9K |
| 0064A |
|
402 |
402 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
706 |
685 |
$8K |
| J1756 |
Injection, iron sucrose, 1 mg |
545 |
267 |
$8K |
| 20550 |
|
190 |
188 |
$7K |
| 92133 |
|
235 |
235 |
$7K |
| 94010 |
|
359 |
359 |
$6K |
| 90677 |
|
1,620 |
1,619 |
$6K |
| 99383 |
|
79 |
79 |
$6K |
| 90715 |
|
930 |
930 |
$6K |
| 97014 |
|
1,051 |
487 |
$5K |
| 76857 |
|
151 |
151 |
$5K |
| 93224 |
|
65 |
65 |
$5K |
| 72100 |
|
193 |
193 |
$5K |
| 29540 |
|
442 |
428 |
$5K |
| 77080 |
|
164 |
163 |
$5K |
| 97803 |
|
209 |
205 |
$4K |
| 85018 |
|
2,127 |
2,126 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
46 |
46 |
$4K |
| 11900 |
|
114 |
112 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
65 |
36 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
45 |
25 |
$4K |
| 73030 |
|
152 |
140 |
$4K |
| 90656 |
|
3,106 |
3,106 |
$3K |
| 95117 |
|
524 |
367 |
$3K |
| 72050 |
|
83 |
83 |
$3K |
| 77065 |
Tomosynthesis, mammo |
24 |
24 |
$3K |
| 1126F |
|
271,785 |
263,698 |
$3K |
| 00813 |
|
13 |
13 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
37 |
37 |
$2K |
| 92002 |
|
39 |
39 |
$2K |
| 97010 |
|
1,433 |
656 |
$2K |
| 99406 |
|
452 |
430 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
250 |
248 |
$2K |
| 90673 |
|
42 |
42 |
$2K |
| 68761 |
|
36 |
12 |
$2K |
| 90670 |
|
10,300 |
10,260 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| 11730 |
|
27 |
27 |
$2K |
| 3074F |
|
6,147 |
5,972 |
$2K |
| 99188 |
|
194 |
194 |
$2K |
| 87634 |
|
138 |
136 |
$1K |
| 90746 |
|
27 |
27 |
$1K |
| 76813 |
|
13 |
13 |
$1K |
| 73610 |
|
42 |
40 |
$1K |
| 90688 |
|
471 |
471 |
$1K |
| 3078F |
|
5,329 |
5,217 |
$1K |
| 99051 |
|
513 |
497 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
99 |
88 |
$1K |
| 97161 |
|
39 |
39 |
$1K |
| 73130 |
|
37 |
27 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$930.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
208 |
181 |
$913.52 |
| 3079F |
|
3,535 |
3,433 |
$870.00 |
| 90633 |
|
4,365 |
4,359 |
$801.07 |
| 99384 |
|
26 |
26 |
$785.76 |
| 92202 |
|
63 |
63 |
$756.01 |
| 90734 |
|
6,279 |
6,273 |
$727.12 |
| 90474 |
|
89 |
89 |
$689.58 |
| 90710 |
|
597 |
597 |
$643.15 |
| 86580 |
|
86 |
86 |
$633.87 |
| 0031A |
|
17 |
17 |
$619.62 |
| 11100 |
|
15 |
15 |
$608.16 |
| 97162 |
|
25 |
25 |
$585.61 |
| 1125F |
|
33,594 |
32,633 |
$539.84 |
| 90716 |
|
128 |
126 |
$509.30 |
| 94726 |
|
13 |
13 |
$508.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
73 |
$456.80 |
| 95125 |
|
69 |
40 |
$440.57 |
| 92201 |
|
28 |
28 |
$401.22 |
| 92225 |
|
12 |
12 |
$388.78 |
| 99401 |
|
571 |
559 |
$357.12 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
135 |
133 |
$338.58 |
| 90707 |
|
134 |
132 |
$336.00 |
| 90723 |
|
4,711 |
4,698 |
$264.20 |
| 90744 |
|
66 |
66 |
$218.35 |
| 92015 |
Determination of refractive state |
2,227 |
2,210 |
$187.57 |
| 90647 |
|
5,911 |
5,894 |
$132.10 |
| 3077F |
|
797 |
776 |
$122.50 |
| 97035 |
|
19 |
12 |
$122.40 |
| 76514 |
|
13 |
13 |
$113.47 |
| 98925 |
|
14 |
13 |
$102.72 |
| 36416 |
|
5,032 |
5,000 |
$89.66 |
| 90680 |
|
3,028 |
3,018 |
$89.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
260 |
259 |
$82.72 |
| 1160F |
|
4,536 |
4,425 |
$65.00 |
| 94760 |
|
364 |
338 |
$49.11 |
| 96160 |
|
26 |
26 |
$42.79 |
| 90648 |
|
173 |
173 |
$35.70 |
| 82962 |
|
25 |
25 |
$33.75 |
| 3075F |
|
233 |
233 |
$32.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
25 |
25 |
$32.45 |
| 94150 |
|
14 |
12 |
$30.33 |
| 3080F |
|
42 |
42 |
$15.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$14.09 |
| 90662 |
|
40 |
39 |
$12.31 |
| 3044F |
|
78 |
75 |
$10.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
66 |
63 |
$7.68 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$1.40 |
| 0502F |
|
3,206 |
2,130 |
$0.00 |
| 90685 |
|
300 |
300 |
$0.00 |
| 90700 |
|
70 |
70 |
$0.00 |
| 90661 |
|
98 |
98 |
$0.00 |
| 1159F |
|
212 |
200 |
$0.00 |
| 1158F |
|
69 |
64 |
$0.00 |
| 3051F |
|
29 |
29 |
$0.00 |
| 3008F |
|
427,437 |
414,919 |
$0.00 |
| 90696 |
|
152 |
152 |
$0.00 |
| 1220F |
|
311 |
302 |
$0.00 |
| 1170F |
|
69 |
65 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 90654 |
|
12 |
12 |
$0.00 |