| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,775 |
38,789 |
$2.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,318 |
33,434 |
$1.86M |
| 99215 |
Prolong outpt/office vis |
3,164 |
2,839 |
$228K |
| 87428 |
|
5,221 |
4,987 |
$212K |
| 99233 |
Prolong inpt eval add15 m |
7,040 |
1,979 |
$179K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
270 |
268 |
$160K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,776 |
1,753 |
$145K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,755 |
5,620 |
$126K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,245 |
1,222 |
$123K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,408 |
6,149 |
$84K |
| 59514 |
|
200 |
182 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,165 |
1,426 |
$74K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
16,017 |
12,126 |
$54K |
| 90961 |
|
1,584 |
1,492 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,011 |
2,570 |
$36K |
| 99243 |
|
355 |
353 |
$32K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
223 |
163 |
$27K |
| 92015 |
Determination of refractive state |
1,800 |
1,761 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
447 |
428 |
$24K |
| 99205 |
Prolong outpt/office vis |
204 |
192 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
314 |
297 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
200 |
192 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,306 |
423 |
$21K |
| 95816 |
|
643 |
617 |
$16K |
| 59430 |
|
180 |
170 |
$15K |
| 81002 |
|
4,192 |
2,809 |
$12K |
| 92567 |
|
982 |
923 |
$12K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
90 |
89 |
$11K |
| 92579 |
|
278 |
258 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
243 |
238 |
$10K |
| 92060 |
|
181 |
176 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
517 |
476 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
101 |
$7K |
| 90962 |
|
204 |
201 |
$6K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
63 |
16 |
$6K |
| 77014 |
|
248 |
37 |
$6K |
| 73110 |
|
159 |
110 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
405 |
380 |
$5K |
| 76801 |
|
51 |
50 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
343 |
326 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
80 |
$4K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
226 |
204 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
168 |
165 |
$3K |
| 93793 |
|
2,645 |
1,682 |
$3K |
| 80053 |
Comprehensive metabolic panel |
437 |
390 |
$3K |
| 95886 |
|
25 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
219 |
201 |
$2K |
| 92557 |
|
61 |
59 |
$2K |
| 85027 |
|
448 |
411 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
986 |
885 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
383 |
368 |
$2K |
| 99305 |
|
38 |
38 |
$1K |
| 85610 |
|
2,575 |
1,649 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
139 |
116 |
$1K |
| 87420 |
|
124 |
116 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
26 |
$1K |
| 90715 |
|
39 |
39 |
$1K |
| 90674 |
|
74 |
71 |
$1K |
| 73564 |
|
33 |
31 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
41 |
40 |
$959.34 |
| 29075 |
|
16 |
13 |
$949.52 |
| 93000 |
|
146 |
136 |
$926.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
82 |
82 |
$920.10 |
| 73610 |
|
34 |
30 |
$793.44 |
| 64493 |
|
14 |
12 |
$773.39 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$707.66 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
83 |
80 |
$599.90 |
| 81003 |
|
436 |
415 |
$585.02 |
| 80061 |
Lipid panel |
97 |
97 |
$529.93 |
| 82607 |
|
47 |
47 |
$527.13 |
| 73562 |
|
18 |
17 |
$503.05 |
| 82746 |
|
45 |
45 |
$497.69 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$465.24 |
| 93016 |
|
128 |
128 |
$438.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
683 |
631 |
$433.39 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
62 |
60 |
$415.03 |
| 82728 |
|
38 |
38 |
$388.94 |
| 95970 |
|
37 |
37 |
$251.64 |
| 93018 |
|
133 |
133 |
$249.31 |
| 90686 |
|
27 |
26 |
$184.50 |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
24 |
$180.22 |
| 90688 |
|
13 |
13 |
$178.79 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
12 |
$160.31 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
15 |
$149.59 |
| 82570 |
|
28 |
26 |
$110.67 |
| 99310 |
Prolong nursin fac eval 15m |
12 |
12 |
$100.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$65.28 |
| 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) |
27 |
27 |
$47.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$25.39 |
| 3078F |
|
17,889 |
15,417 |
$0.00 |
| 1159F |
|
19,358 |
17,184 |
$0.00 |
| 1160F |
|
19,352 |
17,180 |
$0.00 |
| 0502F |
|
81 |
76 |
$0.00 |
| 3077F |
|
60 |
52 |
$0.00 |
| 3725F |
|
902 |
863 |
$0.00 |
| 3008F |
|
26,754 |
22,846 |
$0.00 |
| 1036F |
|
21,228 |
17,790 |
$0.00 |
| 3074F |
|
19,888 |
16,927 |
$0.00 |
| 3075F |
|
763 |
657 |
$0.00 |
| 3079F |
|
3,135 |
2,662 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,490 |
1,297 |
$0.00 |
| 1125F |
|
2,548 |
2,443 |
$0.00 |
| 1034F |
|
732 |
641 |
$0.00 |
| 1035F |
|
12 |
12 |
$0.00 |
| 1126F |
|
1,725 |
1,614 |
$0.00 |
| 3080F |
|
28 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |