| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,181 |
35,984 |
$1.49M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,446 |
7,937 |
$118K |
| D0330 |
Panoramic radiographic image |
2,458 |
2,363 |
$114K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,381 |
984 |
$114K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,327 |
4,110 |
$99K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,720 |
2,622 |
$92K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,477 |
1,385 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,342 |
1,150 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,594 |
2,590 |
$63K |
| 90837 |
Psychotherapy, 53 minutes with patient |
900 |
630 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
604 |
215 |
$45K |
| 90834 |
Psychotherapy, 45 minutes with patient |
736 |
602 |
$39K |
| 99222 |
Initial hospital care, per day, moderate complexity |
430 |
411 |
$28K |
| 90832 |
Psychotherapy, 30 minutes with patient |
687 |
550 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
606 |
557 |
$27K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,294 |
749 |
$27K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
3,152 |
1,168 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
404 |
390 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
347 |
330 |
$21K |
| 98943 |
|
1,316 |
746 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
511 |
486 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
263 |
239 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
4,643 |
4,265 |
$15K |
| D5110 |
|
28 |
27 |
$14K |
| 80305 |
|
1,422 |
1,245 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,104 |
908 |
$13K |
| D7140 |
Extraction, erupted tooth or exposed root |
174 |
96 |
$13K |
| 98942 |
|
440 |
290 |
$11K |
| D1110 |
Prophylaxis - adult |
213 |
210 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
333 |
292 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
111 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
95 |
94 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
110 |
104 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
74 |
26 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
282 |
277 |
$7K |
| D5120 |
|
14 |
14 |
$7K |
| 90723 |
|
151 |
147 |
$7K |
| 90710 |
|
55 |
52 |
$6K |
| 96127 |
|
2,137 |
2,010 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
177 |
89 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
49 |
48 |
$4K |
| 90680 |
|
70 |
69 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
469 |
450 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,636 |
939 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
124 |
52 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
93 |
80 |
$3K |
| 90461 |
|
39 |
39 |
$2K |
| 90647 |
|
169 |
166 |
$2K |
| 90674 |
|
92 |
92 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
45 |
$2K |
| 99307 |
|
16 |
16 |
$2K |
| 92250 |
|
28 |
27 |
$1K |
| 90633 |
|
55 |
55 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
89 |
85 |
$747.68 |
| 90688 |
|
63 |
59 |
$703.15 |
| 98968 |
|
45 |
12 |
$671.00 |
| 99442 |
|
35 |
31 |
$603.98 |
| 81025 |
|
111 |
84 |
$566.13 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
12 |
$535.30 |
| 90696 |
|
12 |
12 |
$528.00 |
| 90686 |
|
23 |
22 |
$427.02 |
| 90658 |
|
14 |
13 |
$230.44 |
| 99441 |
|
29 |
27 |
$223.83 |
| 99406 |
|
48 |
44 |
$181.44 |
| 81003 |
|
1,399 |
843 |
$158.59 |
| 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) |
258 |
246 |
$135.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
15 |
$105.80 |
| 97014 |
|
45 |
29 |
$89.04 |
| 97124 |
|
1,169 |
712 |
$80.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
129 |
122 |
$75.38 |
| 82962 |
|
26 |
25 |
$71.61 |
| 81002 |
|
67 |
62 |
$69.18 |
| 97010 |
|
52 |
32 |
$65.45 |
| 36416 |
|
15 |
13 |
$26.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$24.20 |
| 90734 |
|
13 |
13 |
$3.33 |
| 99000 |
|
108 |
100 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
64 |
$0.00 |
| D0383 |
|
13 |
13 |
$0.00 |