| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65,458 |
53,642 |
$4.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68,789 |
56,882 |
$3.27M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,808 |
13,198 |
$1.45M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,263 |
10,236 |
$1.16M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42,923 |
25,158 |
$665K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,348 |
4,911 |
$489K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,229 |
1,509 |
$328K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,628 |
1,494 |
$161K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,510 |
5,742 |
$152K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,644 |
11,658 |
$128K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,570 |
4,483 |
$106K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,986 |
11,341 |
$72K |
| 36415 |
Collection of venous blood by venipuncture |
13,212 |
9,541 |
$51K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,170 |
5,800 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
2,854 |
2,348 |
$43K |
| 80053 |
Comprehensive metabolic panel |
12,379 |
9,835 |
$37K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,615 |
2,337 |
$35K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,421 |
3,376 |
$33K |
| 99243 |
|
404 |
364 |
$32K |
| 80061 |
Lipid panel |
7,544 |
5,965 |
$25K |
| 99490 |
Ccm add 20min |
16,112 |
11,808 |
$24K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,161 |
1,642 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
493 |
448 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
235 |
218 |
$20K |
| 99381 |
|
229 |
189 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
841 |
284 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,763 |
2,552 |
$16K |
| 87807 |
|
1,453 |
1,289 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,260 |
330 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
522 |
495 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,383 |
3,501 |
$11K |
| 82728 |
|
1,284 |
1,043 |
$10K |
| 84439 |
|
2,729 |
2,238 |
$10K |
| 90461 |
|
981 |
836 |
$8K |
| 92567 |
|
695 |
604 |
$8K |
| 99051 |
|
2,253 |
2,182 |
$8K |
| 99310 |
Prolong nursin fac eval 15m |
614 |
375 |
$8K |
| 81001 |
|
3,582 |
2,870 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
82 |
76 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
90 |
$7K |
| H1000 |
Prenatal care, at-risk assessment |
107 |
74 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
154 |
144 |
$6K |
| 82607 |
|
953 |
752 |
$5K |
| 99215 |
Prolong outpt/office vis |
141 |
130 |
$5K |
| 81002 |
|
1,868 |
1,551 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
158 |
115 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
16 |
16 |
$4K |
| 85027 |
|
802 |
756 |
$3K |
| 83550 |
|
1,384 |
1,100 |
$3K |
| 83540 |
|
1,520 |
1,213 |
$3K |
| 87634 |
|
43 |
41 |
$3K |
| 82746 |
|
637 |
510 |
$3K |
| 92557 |
|
171 |
159 |
$2K |
| 81003 |
|
880 |
726 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
418 |
342 |
$2K |
| 81025 |
|
341 |
227 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
918 |
663 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
481 |
219 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
26 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
66 |
39 |
$1K |
| 96127 |
|
761 |
547 |
$1K |
| 85018 |
|
567 |
507 |
$1K |
| 93000 |
|
217 |
149 |
$1K |
| 99460 |
|
15 |
12 |
$972.99 |
| 82570 |
|
1,170 |
901 |
$841.21 |
| 99307 |
|
205 |
138 |
$806.59 |
| 90686 |
|
3,767 |
3,468 |
$680.58 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
128 |
110 |
$645.74 |
| 99457 |
|
120 |
100 |
$645.38 |
| 83655 |
|
70 |
67 |
$644.40 |
| 99458 |
|
61 |
52 |
$538.55 |
| 85651 |
|
367 |
291 |
$530.17 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
19 |
16 |
$511.10 |
| 73630 |
|
26 |
25 |
$505.79 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$491.25 |
| 96161 |
|
431 |
344 |
$489.38 |
| 99188 |
|
31 |
29 |
$438.23 |
| 99454 |
|
61 |
53 |
$422.90 |
| 82043 |
|
703 |
552 |
$403.96 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
329 |
233 |
$348.89 |
| 74018 |
|
12 |
12 |
$345.48 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
12 |
$330.16 |
| 80050 |
General health panel |
15 |
12 |
$325.94 |
| 90677 |
|
1,270 |
1,224 |
$325.00 |
| 81000 |
|
121 |
113 |
$292.40 |
| 83970 |
|
29 |
12 |
$271.22 |
| 90670 |
|
6,202 |
5,196 |
$241.54 |
| 85610 |
|
199 |
149 |
$237.00 |
| 1159F |
|
20,562 |
17,532 |
$229.55 |
| 87070 |
|
29 |
27 |
$211.26 |
| 90651 |
|
293 |
274 |
$202.00 |
| 90633 |
|
2,851 |
2,383 |
$160.04 |
| 85730 |
|
50 |
38 |
$127.64 |
| 83690 |
|
30 |
26 |
$122.68 |
| 87081 |
|
49 |
43 |
$117.88 |
| 90698 |
|
4,331 |
3,503 |
$116.02 |
| 86308 |
|
24 |
24 |
$113.64 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
30 |
24 |
$101.67 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16 |
13 |
$93.81 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$77.94 |
| 82248 |
|
16 |
12 |
$74.99 |
| 90744 |
|
1,286 |
1,023 |
$72.03 |
| 90710 |
|
528 |
480 |
$64.00 |
| 90734 |
|
119 |
115 |
$64.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
240 |
126 |
$52.26 |
| 3008F |
|
41,008 |
32,695 |
$48.27 |
| 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) |
795 |
680 |
$42.33 |
| J7510 |
Prednisolone oral, per 5 mg |
65 |
59 |
$41.59 |
| 90697 |
|
736 |
688 |
$35.00 |
| 83735 |
|
139 |
118 |
$33.48 |
| 84100 |
|
154 |
122 |
$32.45 |
| 82274 |
|
31 |
12 |
$26.73 |
| 90680 |
|
3,752 |
3,151 |
$25.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
12 |
$21.18 |
| 94760 |
|
1,672 |
1,560 |
$20.00 |
| 84156 |
|
33 |
24 |
$11.08 |
| 90688 |
|
143 |
110 |
$10.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
221 |
193 |
$1.03 |
| 1160F |
|
19,338 |
16,623 |
$0.00 |
| 3078F |
|
13,959 |
11,992 |
$0.00 |
| 90707 |
|
191 |
171 |
$0.00 |
| 99173 |
|
1,396 |
1,238 |
$0.00 |
| 90700 |
|
79 |
78 |
$0.00 |
| 90685 |
|
97 |
90 |
$0.00 |
| 3725F |
|
531 |
387 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
46 |
41 |
$0.00 |
| 90671 |
|
14 |
12 |
$0.00 |
| 90715 |
|
75 |
70 |
$0.00 |
| 96160 |
|
24 |
12 |
$0.00 |
| 90648 |
|
54 |
53 |
$0.00 |
| 3288F |
|
24 |
17 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$0.00 |
| 92552 |
|
29 |
29 |
$0.00 |
| 3074F |
|
14,868 |
13,182 |
$0.00 |
| 90656 |
|
300 |
300 |
$0.00 |
| 90696 |
|
118 |
108 |
$0.00 |
| 1126F |
|
611 |
510 |
$0.00 |
| 1125F |
|
852 |
671 |
$0.00 |
| 1036F |
|
365 |
337 |
$0.00 |
| 1034F |
|
33 |
31 |
$0.00 |
| 92551 |
|
484 |
423 |
$0.00 |
| 3079F |
|
416 |
357 |
$0.00 |
| 90716 |
|
149 |
149 |
$0.00 |
| 90619 |
|
59 |
56 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
13 |
12 |
$0.00 |
| 1101F |
|
20 |
14 |
$0.00 |
| 1170F |
|
24 |
17 |
$0.00 |