| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,882 |
27,554 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,996 |
20,094 |
$1.04M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
20,770 |
7,768 |
$416K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19,878 |
7,398 |
$385K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,139 |
4,101 |
$345K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,158 |
4,759 |
$210K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,263 |
2,271 |
$183K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
11,956 |
4,552 |
$167K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,404 |
2,824 |
$162K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,371 |
1,682 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,880 |
1,350 |
$107K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
5,004 |
1,918 |
$103K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,248 |
3,241 |
$86K |
| 87428 |
|
1,740 |
1,440 |
$86K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,000 |
1,388 |
$45K |
| 97161 |
|
944 |
796 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,800 |
3,118 |
$33K |
| 99177 |
|
4,749 |
3,186 |
$24K |
| 96160 |
|
2,168 |
1,576 |
$23K |
| 96127 |
|
6,108 |
4,425 |
$19K |
| 96161 |
|
1,299 |
900 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
270 |
200 |
$17K |
| 20610 |
|
525 |
273 |
$16K |
| 76830 |
Ultrasound, transvaginal |
250 |
226 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
222 |
186 |
$14K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
78 |
66 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
559 |
375 |
$11K |
| 92558 |
|
2,706 |
1,755 |
$9K |
| 41010 |
|
94 |
67 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,008 |
615 |
$8K |
| 20611 |
|
304 |
153 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
791 |
288 |
$7K |
| 73610 |
|
424 |
297 |
$6K |
| 73110 |
|
413 |
248 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
939 |
393 |
$6K |
| 73562 |
|
236 |
167 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
21 |
17 |
$4K |
| 73560 |
|
233 |
143 |
$3K |
| 73630 |
|
166 |
125 |
$2K |
| 81025 |
|
420 |
341 |
$2K |
| 87807 |
|
202 |
172 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
54 |
47 |
$2K |
| 73130 |
|
108 |
76 |
$2K |
| 99385 |
|
19 |
18 |
$1K |
| 92551 |
|
259 |
175 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
25 |
$1K |
| 81003 |
|
804 |
557 |
$1K |
| 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) |
564 |
359 |
$1K |
| 90677 |
|
1,263 |
799 |
$1K |
| 99173 |
|
377 |
260 |
$1K |
| 99381 |
|
15 |
13 |
$956.55 |
| 83655 |
|
94 |
57 |
$949.17 |
| 90670 |
|
448 |
305 |
$852.48 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
78 |
63 |
$839.27 |
| 99490 |
Ccm add 20min |
208 |
176 |
$788.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,347 |
884 |
$734.91 |
| 85018 |
|
356 |
203 |
$712.92 |
| 36415 |
Collection of venous blood by venipuncture |
781 |
480 |
$633.41 |
| 72100 |
|
32 |
25 |
$536.88 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
17 |
13 |
$522.63 |
| 81002 |
|
271 |
174 |
$498.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
424 |
250 |
$476.30 |
| 90686 |
|
539 |
391 |
$456.87 |
| 73030 |
|
41 |
28 |
$445.41 |
| 90461 |
|
165 |
90 |
$384.28 |
| 90734 |
|
20 |
12 |
$365.62 |
| 3074F |
|
16,309 |
11,925 |
$261.74 |
| 3078F |
|
15,055 |
11,079 |
$250.88 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
88 |
41 |
$232.20 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
30 |
14 |
$230.26 |
| 97014 |
|
111 |
27 |
$210.14 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
98 |
77 |
$150.37 |
| 90648 |
|
1,500 |
976 |
$134.43 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
71 |
40 |
$125.60 |
| 90674 |
|
65 |
50 |
$120.40 |
| 90723 |
|
758 |
483 |
$110.04 |
| 3077F |
|
294 |
196 |
$40.00 |
| 3079F |
|
992 |
608 |
$40.00 |
| 90661 |
|
493 |
320 |
$36.21 |
| 90633 |
|
135 |
91 |
$35.05 |
| 99024 |
|
1,969 |
1,306 |
$31.17 |
| 3080F |
|
118 |
78 |
$10.00 |
| 3075F |
|
326 |
197 |
$10.00 |
| 90671 |
|
22 |
14 |
$0.06 |
| 1036F |
|
31,249 |
19,968 |
$0.04 |
| 1159F |
|
40,022 |
27,303 |
$0.03 |
| 1160F |
|
40,047 |
27,321 |
$0.02 |
| 3008F |
|
56,443 |
40,194 |
$0.02 |
| 1034F |
|
1,529 |
934 |
$0.02 |
| 90656 |
|
18 |
18 |
$0.01 |
| 3725F |
|
6,141 |
4,064 |
$0.00 |
| 99499 |
|
88 |
85 |
$0.00 |
| 0502F |
|
491 |
299 |
$0.00 |
| 90681 |
|
52 |
26 |
$0.00 |
| 1125F |
|
5,370 |
3,970 |
$0.00 |
| 1126F |
|
1,616 |
1,099 |
$0.00 |
| 99000 |
|
485 |
356 |
$0.00 |
| 90698 |
|
71 |
49 |
$0.00 |
| 90680 |
|
27 |
24 |
$0.00 |
| 97010 |
|
50 |
14 |
$0.00 |