| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135,757 |
128,122 |
$4.79M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80,710 |
75,156 |
$3.88M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31,062 |
29,843 |
$2.27M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15,343 |
14,447 |
$1.58M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
11,692 |
11,132 |
$1.21M |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26,634 |
25,178 |
$1.21M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,046 |
24,935 |
$1.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,201 |
11,921 |
$936K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17,818 |
17,217 |
$903K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,004 |
11,502 |
$898K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,196 |
6,054 |
$474K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,555 |
7,264 |
$373K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,657 |
5,425 |
$253K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,670 |
3,444 |
$229K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,424 |
2,355 |
$205K |
| 36415 |
Collection of venous blood by venipuncture |
57,790 |
53,749 |
$161K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,370 |
13,760 |
$139K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,570 |
8,216 |
$134K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,158 |
5,914 |
$133K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,140 |
1,421 |
$128K |
| 87634 |
|
1,370 |
1,314 |
$107K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,553 |
10,311 |
$104K |
| 90461 |
|
14,697 |
14,104 |
$99K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,774 |
5,625 |
$95K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,191 |
1,375 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,423 |
3,249 |
$93K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,150 |
1,027 |
$90K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,141 |
1,266 |
$83K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,646 |
1,502 |
$76K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,949 |
1,515 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
848 |
830 |
$68K |
| 96127 |
|
4,924 |
3,990 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
696 |
688 |
$63K |
| 0002A |
|
1,697 |
1,664 |
$60K |
| 71046 |
Radiologic examination, chest; 2 views |
4,282 |
4,122 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,241 |
5,991 |
$58K |
| 90686 |
|
10,432 |
10,096 |
$58K |
| 0001A |
|
1,764 |
1,739 |
$53K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,263 |
836 |
$50K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,266 |
3,359 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
484 |
468 |
$44K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,148 |
940 |
$39K |
| 81001 |
|
8,185 |
7,793 |
$34K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
969 |
373 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
736 |
717 |
$29K |
| 98926 |
|
889 |
478 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,314 |
698 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
340 |
305 |
$20K |
| 90670 |
|
6,753 |
6,488 |
$18K |
| 73630 |
|
1,107 |
1,036 |
$16K |
| 99173 |
|
6,776 |
6,646 |
$14K |
| 87210 |
|
2,349 |
2,249 |
$14K |
| 81025 |
|
1,619 |
1,555 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
182 |
150 |
$13K |
| 69210 |
|
350 |
316 |
$12K |
| 59025 |
Fetal non-stress test |
464 |
379 |
$12K |
| 73610 |
|
689 |
643 |
$10K |
| 99215 |
Prolong outpt/office vis |
157 |
147 |
$10K |
| 99220 |
|
104 |
102 |
$10K |
| 73562 |
|
649 |
592 |
$10K |
| 76830 |
Ultrasound, transvaginal |
208 |
206 |
$10K |
| 80061 |
Lipid panel |
636 |
618 |
$9K |
| 73130 |
|
613 |
575 |
$9K |
| 85018 |
|
3,032 |
2,986 |
$9K |
| 87420 |
|
546 |
533 |
$9K |
| 85027 |
|
1,207 |
1,169 |
$8K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
74 |
12 |
$8K |
| 90651 |
|
490 |
467 |
$8K |
| 99460 |
|
135 |
121 |
$8K |
| 0071A |
|
190 |
185 |
$7K |
| 0072A |
|
180 |
176 |
$7K |
| 95886 |
|
196 |
161 |
$7K |
| 72100 |
|
329 |
324 |
$6K |
| 81003 |
|
2,124 |
2,049 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
91 |
66 |
$6K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
211 |
182 |
$6K |
| 80050 |
General health panel |
126 |
122 |
$5K |
| 80053 |
Comprehensive metabolic panel |
401 |
393 |
$5K |
| 91320 |
|
61 |
53 |
$5K |
| 99205 |
Prolong outpt/office vis |
71 |
67 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
127 |
51 |
$4K |
| 0003A |
|
117 |
115 |
$4K |
| 90480 |
|
134 |
131 |
$4K |
| 90677 |
|
1,002 |
989 |
$4K |
| 90734 |
|
371 |
347 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
47 |
44 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
242 |
234 |
$4K |
| 90698 |
|
5,846 |
5,588 |
$4K |
| 99221 |
|
75 |
72 |
$4K |
| 90710 |
|
262 |
244 |
$4K |
| 90656 |
|
743 |
739 |
$3K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
30 |
12 |
$3K |
| 86738 |
|
214 |
209 |
$3K |
| 85651 |
|
662 |
647 |
$3K |
| 36416 |
|
3,189 |
2,708 |
$3K |
| 73110 |
|
191 |
184 |
$3K |
| 85610 |
|
678 |
406 |
$3K |
| 90619 |
|
247 |
241 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
89 |
80 |
$3K |
| 74018 |
|
187 |
181 |
$3K |
| 82044 |
|
439 |
434 |
$3K |
| 95912 |
|
31 |
25 |
$3K |
| 0004A |
|
61 |
60 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
144 |
134 |
$2K |
| 73030 |
|
159 |
144 |
$2K |
| 94010 |
|
150 |
138 |
$2K |
| 82962 |
|
826 |
715 |
$2K |
| 99219 |
|
27 |
25 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
15 |
$2K |
| 87081 |
|
231 |
218 |
$2K |
| 86308 |
|
243 |
237 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
351 |
231 |
$2K |
| 3074F |
|
336 |
317 |
$1K |
| 99188 |
|
109 |
105 |
$1K |
| 94060 |
|
75 |
73 |
$1K |
| 54150 |
|
14 |
14 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 94726 |
|
87 |
84 |
$1K |
| 90633 |
|
2,062 |
1,992 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
25 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 99307 |
|
145 |
112 |
$1K |
| 94760 |
|
791 |
742 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
117 |
112 |
$1K |
| 3078F |
|
290 |
279 |
$1K |
| 94729 |
|
77 |
74 |
$1K |
| 90696 |
|
212 |
201 |
$1K |
| 92523 |
|
13 |
13 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$1K |
| 64615 |
|
12 |
12 |
$992.40 |
| 84439 |
|
110 |
110 |
$977.40 |
| 3079F |
|
157 |
151 |
$866.76 |
| 85652 |
|
229 |
224 |
$835.04 |
| 90621 |
|
35 |
34 |
$817.31 |
| 20611 |
|
15 |
13 |
$638.25 |
| 99217 |
|
12 |
12 |
$637.03 |
| 81000 |
|
165 |
154 |
$611.07 |
| 90715 |
|
209 |
195 |
$604.59 |
| 83655 |
|
37 |
36 |
$602.69 |
| 73502 |
|
25 |
25 |
$551.40 |
| 3075F |
|
93 |
89 |
$467.54 |
| 0124A |
|
14 |
14 |
$448.80 |
| 99442 |
|
12 |
12 |
$436.92 |
| 90716 |
|
132 |
122 |
$392.92 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
32 |
26 |
$386.24 |
| 3044F |
|
50 |
50 |
$343.77 |
| 97535 |
Self-care/home management training, each 15 minutes |
24 |
12 |
$340.16 |
| 0011A |
|
20 |
19 |
$334.32 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$322.44 |
| 90707 |
|
108 |
99 |
$301.59 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
13 |
$269.90 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
24 |
24 |
$231.04 |
| 71100 |
|
14 |
13 |
$229.42 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$206.81 |
| 99406 |
|
62 |
54 |
$196.10 |
| 90685 |
|
233 |
227 |
$189.57 |
| 73140 |
|
15 |
12 |
$160.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
49 |
$157.77 |
| 3077F |
|
26 |
26 |
$124.18 |
| 81002 |
|
25 |
24 |
$62.28 |
| T1015 |
Clinic visit/encounter, all-inclusive |
28 |
26 |
$54.74 |
| 99490 |
Ccm add 20min |
13 |
12 |
$39.02 |
| 90744 |
|
1,613 |
1,542 |
$31.83 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
15 |
$7.20 |
| 90680 |
|
3,838 |
3,674 |
$0.47 |
| 99075 |
|
33 |
29 |
$0.00 |
| 90662 |
|
31 |
30 |
$0.00 |
| 90672 |
|
20 |
12 |
$0.00 |
| 91300 |
|
521 |
507 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 91312 |
|
44 |
44 |
$0.00 |
| 90681 |
|
94 |
93 |
$0.00 |
| 3008F |
|
511 |
503 |
$0.00 |
| 90697 |
|
875 |
859 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
75 |
64 |
$0.00 |
| 91307 |
|
374 |
349 |
$0.00 |
| 91305 |
|
31 |
30 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |