| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,447 |
7,497 |
$520K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,633 |
5,110 |
$259K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
122 |
90 |
$89K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,701 |
527 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
506 |
501 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
496 |
480 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
333 |
302 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
296 |
295 |
$26K |
| 99215 |
Prolong outpt/office vis |
310 |
274 |
$26K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
803 |
293 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
304 |
283 |
$21K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
607 |
221 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
364 |
363 |
$15K |
| 64402 |
|
96 |
44 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
171 |
154 |
$11K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
378 |
313 |
$11K |
| 64615 |
|
96 |
90 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
119 |
$10K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
63 |
57 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
124 |
103 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
97 |
38 |
$8K |
| 97803 |
|
184 |
147 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
154 |
145 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
208 |
75 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
123 |
107 |
$7K |
| 64400 |
|
85 |
38 |
$6K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
172 |
156 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
414 |
413 |
$6K |
| 31231 |
|
37 |
34 |
$5K |
| 64405 |
|
95 |
44 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
145 |
67 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
44 |
42 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
46 |
26 |
$4K |
| 64505 |
|
53 |
28 |
$4K |
| 64450 |
|
95 |
44 |
$4K |
| 92015 |
Determination of refractive state |
353 |
310 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
25 |
25 |
$3K |
| 92557 |
|
110 |
105 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
90 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
914 |
845 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
46 |
41 |
$2K |
| 20553 |
|
95 |
44 |
$2K |
| 90670 |
|
353 |
353 |
$2K |
| 92134 |
|
100 |
90 |
$2K |
| 20611 |
|
55 |
37 |
$2K |
| 97162 |
|
30 |
29 |
$2K |
| 90688 |
|
311 |
311 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
75 |
45 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
206 |
165 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
113 |
108 |
$2K |
| 94060 |
|
56 |
52 |
$2K |
| 95910 |
|
13 |
13 |
$2K |
| 92567 |
|
170 |
167 |
$2K |
| 76942 |
|
44 |
33 |
$2K |
| 95909 |
|
15 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
52 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
21 |
21 |
$2K |
| 94729 |
|
57 |
54 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
192 |
167 |
$1K |
| 90685 |
|
221 |
220 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
69 |
69 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
15 |
14 |
$1K |
| 94726 |
|
42 |
40 |
$1K |
| 90680 |
|
195 |
195 |
$1K |
| 80050 |
General health panel |
33 |
33 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
18 |
18 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
59 |
15 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
50 |
50 |
$1K |
| 90698 |
|
175 |
175 |
$1K |
| 97802 |
|
12 |
12 |
$1K |
| D9999 |
Unspecified adjunctive procedure, by report |
50 |
50 |
$1K |
| 52000 |
|
16 |
12 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
48 |
47 |
$964.55 |
| 95886 |
|
16 |
15 |
$960.30 |
| 80305 |
|
73 |
66 |
$928.68 |
| 80061 |
Lipid panel |
63 |
63 |
$890.78 |
| 11100 |
|
14 |
12 |
$866.54 |
| 95806 |
|
17 |
14 |
$862.19 |
| 99201 |
|
31 |
28 |
$861.03 |
| 95885 |
|
12 |
12 |
$837.15 |
| 69210 |
|
42 |
25 |
$818.85 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
24 |
17 |
$805.15 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
49 |
17 |
$799.90 |
| 71046 |
Radiologic examination, chest; 2 views |
63 |
63 |
$763.55 |
| 97161 |
|
13 |
13 |
$747.82 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
33 |
18 |
$729.61 |
| 96367 |
|
26 |
12 |
$717.31 |
| 95811 |
|
13 |
13 |
$712.31 |
| 92504 |
|
31 |
30 |
$687.68 |
| 90633 |
|
106 |
106 |
$665.66 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
172 |
130 |
$631.68 |
| 87081 |
|
72 |
72 |
$564.99 |
| 85610 |
|
293 |
129 |
$550.97 |
| 90648 |
|
86 |
86 |
$533.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
28 |
$508.27 |
| 90744 |
|
76 |
76 |
$471.43 |
| 93000 |
|
52 |
44 |
$441.56 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
14 |
13 |
$416.36 |
| 97014 |
|
43 |
13 |
$403.65 |
| 80076 |
|
46 |
40 |
$389.16 |
| 51798 |
|
53 |
44 |
$362.43 |
| 80047 |
|
33 |
30 |
$346.27 |
| 93296 |
|
38 |
31 |
$346.01 |
| 82962 |
|
214 |
184 |
$313.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
36 |
$312.02 |
| 36416 |
|
230 |
200 |
$299.23 |
| 90723 |
|
42 |
42 |
$281.84 |
| 82607 |
|
15 |
15 |
$268.05 |
| 82746 |
|
14 |
14 |
$244.02 |
| 82728 |
|
15 |
15 |
$242.40 |
| 80069 |
|
27 |
24 |
$227.66 |
| 87276 |
|
15 |
15 |
$214.50 |
| 82310 |
|
33 |
30 |
$208.39 |
| 70210 |
|
14 |
14 |
$188.62 |
| 92550 |
|
17 |
14 |
$166.09 |
| 84439 |
|
15 |
15 |
$162.08 |
| 73630 |
|
14 |
12 |
$158.79 |
| 83550 |
|
15 |
15 |
$155.40 |
| 93016 |
|
14 |
12 |
$150.21 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$121.32 |
| 81002 |
|
62 |
54 |
$116.97 |
| 83540 |
|
15 |
15 |
$115.20 |
| 82570 |
|
12 |
12 |
$75.86 |
| 90710 |
|
12 |
12 |
$75.12 |
| 84156 |
|
12 |
12 |
$53.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$52.80 |
| 81001 |
|
12 |
12 |
$46.83 |
| 94760 |
|
36 |
35 |
$23.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
37 |
31 |
$11.40 |