| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,615 |
38,417 |
$329K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,092 |
2,057 |
$159K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
841 |
824 |
$69K |
| 76536 |
|
818 |
803 |
$64K |
| 76641 |
|
843 |
826 |
$62K |
| 0004A |
|
1,194 |
1,179 |
$46K |
| 99051 |
|
2,331 |
1,905 |
$45K |
| 96160 |
|
1,795 |
1,604 |
$43K |
| 0002A |
|
953 |
869 |
$36K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,164 |
2,136 |
$34K |
| 0001A |
|
1,096 |
976 |
$34K |
| 76770 |
|
389 |
379 |
$29K |
| 76830 |
Ultrasound, transvaginal |
381 |
381 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,321 |
6,186 |
$27K |
| 80061 |
Lipid panel |
1,944 |
1,923 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,941 |
2,833 |
$20K |
| 80053 |
Comprehensive metabolic panel |
1,860 |
1,827 |
$17K |
| 97803 |
|
885 |
873 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,655 |
1,611 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,332 |
1,313 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,304 |
1,292 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
307 |
292 |
$12K |
| 77080 |
|
286 |
281 |
$11K |
| 0071A |
|
260 |
260 |
$10K |
| 0072A |
|
253 |
253 |
$10K |
| 99441 |
|
2,458 |
2,319 |
$10K |
| 88142 |
|
527 |
522 |
$9K |
| 97802 |
|
475 |
466 |
$9K |
| 90686 |
|
2,859 |
2,713 |
$9K |
| 81001 |
|
2,444 |
2,393 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
109 |
109 |
$8K |
| 99442 |
|
1,285 |
1,192 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
897 |
872 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
237 |
235 |
$7K |
| 90670 |
|
991 |
947 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
349 |
345 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
579 |
549 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
249 |
247 |
$6K |
| 84153 |
|
329 |
324 |
$6K |
| 0003A |
|
120 |
119 |
$5K |
| 82274 |
|
312 |
308 |
$5K |
| 90461 |
|
231 |
219 |
$4K |
| 0031A |
|
111 |
111 |
$4K |
| 90651 |
|
949 |
898 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
359 |
290 |
$3K |
| 80074 |
|
74 |
73 |
$3K |
| 84439 |
|
310 |
308 |
$3K |
| 82043 |
|
472 |
468 |
$3K |
| 90734 |
|
571 |
543 |
$3K |
| 87590 |
|
152 |
151 |
$3K |
| 86631 |
|
166 |
165 |
$2K |
| 84478 |
|
434 |
432 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
336 |
328 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
141 |
130 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
75 |
$2K |
| 90707 |
|
530 |
491 |
$2K |
| 86038 |
|
156 |
153 |
$2K |
| 90716 |
|
408 |
367 |
$2K |
| 82465 |
|
428 |
426 |
$2K |
| 86592 |
|
435 |
427 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
119 |
119 |
$2K |
| 86580 |
|
193 |
189 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
114 |
91 |
$2K |
| 91307 |
|
513 |
498 |
$2K |
| 93000 |
|
469 |
460 |
$2K |
| 80076 |
|
288 |
287 |
$1K |
| 90647 |
|
376 |
369 |
$1K |
| 84479 |
|
266 |
266 |
$1K |
| 85730 |
|
247 |
240 |
$1K |
| 72120 |
|
56 |
56 |
$1K |
| 72040 |
|
51 |
51 |
$1K |
| 90633 |
|
419 |
401 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
57 |
53 |
$1K |
| 82947 |
|
339 |
338 |
$1K |
| 90715 |
|
353 |
341 |
$1K |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$1K |
| 85610 |
|
255 |
247 |
$947.70 |
| 90620 |
|
266 |
246 |
$943.80 |
| 84436 |
|
160 |
159 |
$943.20 |
| 85651 |
|
265 |
262 |
$886.83 |
| 84703 |
|
126 |
120 |
$872.07 |
| 86677 |
|
54 |
50 |
$719.68 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
39 |
39 |
$680.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
270 |
264 |
$571.10 |
| 84550 |
|
134 |
133 |
$566.64 |
| 86430 |
|
117 |
116 |
$557.59 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,117 |
1,100 |
$544.87 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,065 |
1,050 |
$473.80 |
| 71045 |
Radiologic examination, chest; single view |
53 |
53 |
$460.12 |
| 90723 |
|
111 |
106 |
$436.00 |
| 90685 |
|
241 |
239 |
$436.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
475 |
471 |
$426.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
136 |
$407.39 |
| 90696 |
|
81 |
71 |
$396.00 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$387.68 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$348.45 |
| 72100 |
|
12 |
12 |
$347.93 |
| 92015 |
Determination of refractive state |
12 |
12 |
$324.00 |
| 90657 |
|
79 |
79 |
$316.00 |
| 90621 |
|
86 |
80 |
$316.00 |
| 90656 |
|
41 |
37 |
$300.01 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
44 |
44 |
$289.98 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
61 |
61 |
$273.85 |
| 99347 |
|
15 |
15 |
$246.60 |
| 83655 |
|
19 |
19 |
$237.42 |
| 90832 |
Psychotherapy, 30 minutes with patient |
957 |
921 |
$237.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
100 |
98 |
$204.00 |
| 87400 |
|
60 |
54 |
$166.04 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
126 |
126 |
$165.00 |
| 90700 |
|
39 |
39 |
$152.00 |
| 86900 |
|
51 |
51 |
$144.27 |
| 3078F |
|
7,027 |
6,549 |
$127.60 |
| 87045 |
|
12 |
12 |
$108.00 |
| 3074F |
|
8,481 |
7,902 |
$98.00 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
95 |
$79.92 |
| 86140 |
|
18 |
18 |
$70.20 |
| 90791 |
Psychiatric diagnostic evaluation |
159 |
154 |
$60.00 |
| 87205 |
|
13 |
13 |
$52.91 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
30 |
$47.38 |
| 90698 |
|
13 |
13 |
$44.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,268 |
1,105 |
$40.21 |
| 99401 |
|
2,600 |
2,512 |
$24.53 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
156 |
154 |
$23.69 |
| 3079F |
|
5,040 |
4,766 |
$11.76 |
| 99406 |
|
18 |
18 |
$11.72 |
| 96127 |
|
1,919 |
1,870 |
$8.46 |
| 4060F |
|
230 |
229 |
$0.04 |
| 91300 |
|
3,500 |
2,966 |
$0.04 |
| 99173 |
|
2,652 |
2,619 |
$0.04 |
| 91303 |
|
110 |
110 |
$0.02 |
| 2000F |
|
12,622 |
11,581 |
$0.00 |
| 2010F |
|
12,153 |
11,150 |
$0.00 |
| 3044F |
|
1,312 |
1,275 |
$0.00 |
| 3008F |
|
15,184 |
14,292 |
$0.00 |
| 3075F |
|
1,963 |
1,897 |
$0.00 |
| 1125F |
|
7,234 |
6,926 |
$0.00 |
| 3048F |
|
1,917 |
1,869 |
$0.00 |
| 1170F |
|
4,678 |
4,395 |
$0.00 |
| 3014F |
|
280 |
274 |
$0.00 |
| 88150 |
|
95 |
93 |
$0.00 |
| 3017F |
|
1,139 |
1,082 |
$0.00 |
| 2001F |
|
18,128 |
16,672 |
$0.00 |
| 1126F |
|
12,525 |
11,719 |
$0.00 |
| 90674 |
|
19 |
19 |
$0.00 |
| 3080F |
|
1,377 |
1,320 |
$0.00 |
| 3060F |
|
323 |
318 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29 |
26 |
$0.00 |
| 90697 |
|
17 |
17 |
$0.00 |
| 3049F |
|
1,028 |
990 |
$0.00 |
| 3052F |
|
59 |
58 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
995 |
980 |
$0.00 |
| 1030F |
|
44 |
44 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
80 |
74 |
$0.00 |
| 3061F |
|
360 |
355 |
$0.00 |
| 99368 |
|
13 |
13 |
$0.00 |
| 90677 |
|
129 |
129 |
$0.00 |
| 90619 |
|
166 |
154 |
$0.00 |
| 4000F |
|
34 |
34 |
$0.00 |
| 1111F |
|
18 |
16 |
$0.00 |
| 96112 |
|
310 |
310 |
$0.00 |
| 99408 |
|
1,340 |
1,325 |
$0.00 |
| 1159F |
|
20,017 |
18,597 |
$0.00 |
| 1160F |
|
19,844 |
18,445 |
$0.00 |
| 3050F |
|
1,024 |
1,001 |
$0.00 |
| 3342F |
|
86 |
86 |
$0.00 |
| 3288F |
|
420 |
416 |
$0.00 |
| 0521F |
|
5,022 |
4,787 |
$0.00 |
| 3051F |
|
269 |
263 |
$0.00 |
| 3077F |
|
3,145 |
3,016 |
$0.00 |
| 4035F |
|
10,196 |
9,549 |
$0.00 |
| 2028F |
|
67 |
66 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
1,085 |
1,073 |
$0.00 |
| 1158F |
|
148 |
143 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
89 |
89 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
126 |
124 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
182 |
181 |
$0.00 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
15 |
15 |
$0.00 |
| 3725F |
|
20 |
20 |
$0.00 |
| 3046F |
|
56 |
55 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |
| 90671 |
|
30 |
28 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
71 |
54 |
$0.00 |
| 3045F |
|
13 |
13 |
$0.00 |
| 4005F |
|
30 |
30 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$0.00 |
| 3095F |
|
18 |
18 |
$0.00 |