| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144,880 |
130,117 |
$5.28M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61,092 |
54,073 |
$3.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,114 |
52,515 |
$2.54M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27,632 |
25,801 |
$1.94M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28,045 |
24,481 |
$1.73M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,402 |
11,542 |
$841K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20,257 |
18,757 |
$678K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,896 |
11,110 |
$502K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29,622 |
13,453 |
$340K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,342 |
3,937 |
$332K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,282 |
3,724 |
$313K |
| 92587 |
|
8,803 |
7,879 |
$189K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,879 |
2,681 |
$188K |
| 87430 |
|
16,704 |
15,472 |
$148K |
| 96161 |
|
11,252 |
9,450 |
$130K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,174 |
1,014 |
$126K |
| 99215 |
Prolong outpt/office vis |
1,477 |
1,222 |
$115K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,570 |
2,450 |
$107K |
| 96160 |
|
9,410 |
8,054 |
$104K |
| 99174 |
|
9,681 |
8,699 |
$79K |
| 95117 |
|
7,160 |
3,918 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,255 |
1,156 |
$69K |
| 71046 |
Radiologic examination, chest; 2 views |
3,438 |
3,303 |
$59K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
385 |
349 |
$58K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,149 |
3,329 |
$48K |
| 92567 |
|
3,647 |
3,445 |
$43K |
| 90670 |
|
13,874 |
12,330 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,107 |
2,971 |
$39K |
| 30140 |
|
160 |
140 |
$39K |
| 99177 |
|
7,263 |
6,495 |
$38K |
| 74018 |
|
2,015 |
1,953 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
18,330 |
16,584 |
$33K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
194 |
189 |
$32K |
| 99383 |
|
399 |
309 |
$28K |
| 92552 |
|
1,934 |
1,819 |
$28K |
| 87807 |
|
3,167 |
2,966 |
$26K |
| 92551 |
|
2,872 |
2,442 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,055 |
4,609 |
$24K |
| 96127 |
|
5,632 |
5,140 |
$23K |
| 90671 |
|
5,541 |
4,813 |
$22K |
| 81001 |
|
7,246 |
6,637 |
$17K |
| 00160 |
|
124 |
120 |
$15K |
| 90651 |
|
1,292 |
1,042 |
$13K |
| 90723 |
|
11,341 |
9,988 |
$12K |
| 90680 |
|
9,702 |
8,528 |
$10K |
| 85018 |
|
4,329 |
4,173 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,550 |
1,415 |
$8K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
55 |
53 |
$8K |
| 84481 |
|
1,250 |
1,145 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
12 |
$6K |
| 90686 |
|
7,256 |
6,694 |
$6K |
| 90734 |
|
709 |
589 |
$6K |
| 80053 |
Comprehensive metabolic panel |
2,241 |
2,069 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
403 |
302 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
229 |
188 |
$5K |
| 85014 |
|
2,551 |
2,366 |
$5K |
| 90648 |
|
19,252 |
17,026 |
$4K |
| 99381 |
|
69 |
48 |
$4K |
| 84439 |
|
1,515 |
1,377 |
$4K |
| 90674 |
|
2,989 |
2,633 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
170 |
163 |
$4K |
| 99384 |
|
44 |
27 |
$4K |
| 90688 |
|
5,156 |
4,745 |
$4K |
| 90633 |
|
5,019 |
4,571 |
$4K |
| 76536 |
|
104 |
102 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
233 |
202 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
78 |
70 |
$3K |
| 90710 |
|
494 |
432 |
$3K |
| 73630 |
|
178 |
170 |
$3K |
| 86140 |
|
1,941 |
1,775 |
$3K |
| 95251 |
|
213 |
194 |
$3K |
| 92557 |
|
115 |
107 |
$3K |
| 99460 |
|
52 |
51 |
$3K |
| 99382 |
|
40 |
24 |
$2K |
| 80061 |
Lipid panel |
275 |
263 |
$2K |
| 96380 |
|
107 |
87 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
990 |
917 |
$2K |
| 31575 |
|
26 |
25 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
37 |
$2K |
| 85652 |
|
1,974 |
1,801 |
$2K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
13 |
13 |
$2K |
| 99417 |
Prolong home eval add 15m |
53 |
38 |
$1K |
| 90661 |
|
1,434 |
1,267 |
$1K |
| 90716 |
|
482 |
451 |
$1K |
| 70486 |
|
13 |
13 |
$1K |
| 80305 |
|
2,125 |
2,035 |
$1K |
| 31231 |
|
13 |
12 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
96 |
84 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
75 |
$1K |
| 00126 |
|
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
243 |
181 |
$979.03 |
| 95886 |
|
13 |
13 |
$954.34 |
| 11721 |
|
150 |
123 |
$875.11 |
| 76641 |
|
12 |
12 |
$847.00 |
| 93000 |
|
87 |
79 |
$710.17 |
| 73130 |
|
59 |
49 |
$703.96 |
| 90707 |
|
394 |
367 |
$680.70 |
| 92588 |
|
13 |
12 |
$653.78 |
| 95115 |
|
78 |
54 |
$642.90 |
| 90696 |
|
364 |
317 |
$632.64 |
| 96103 |
|
96 |
89 |
$539.65 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
29 |
27 |
$531.58 |
| 73610 |
|
32 |
29 |
$465.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
30 |
$390.43 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$371.56 |
| 85730 |
|
101 |
93 |
$336.41 |
| 90715 |
|
226 |
178 |
$329.52 |
| 90620 |
|
26 |
25 |
$275.06 |
| 81025 |
|
45 |
43 |
$174.20 |
| 90700 |
|
361 |
326 |
$160.93 |
| 3074F |
|
11,289 |
9,891 |
$130.00 |
| 3078F |
|
10,719 |
9,385 |
$110.00 |
| 94760 |
|
201 |
179 |
$90.40 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
25 |
$79.74 |
| 99173 |
|
12 |
12 |
$61.07 |
| 82570 |
|
16 |
15 |
$44.88 |
| 3079F |
|
97 |
94 |
$40.00 |
| 85610 |
|
18 |
17 |
$31.85 |
| 1159F |
|
21,927 |
19,431 |
$10.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
13 |
$9.76 |
| 82043 |
|
15 |
14 |
$8.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
24 |
$4.27 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
75 |
66 |
$3.56 |
| 90656 |
|
87 |
83 |
$0.12 |
| 90381 |
|
23 |
17 |
$0.01 |
| 3008F |
|
7,393 |
6,921 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,328 |
4,479 |
$0.00 |
| 99024 |
|
555 |
497 |
$0.00 |
| 1036F |
|
282 |
233 |
$0.00 |
| 3048F |
|
14 |
12 |
$0.00 |
| 3075F |
|
25 |
25 |
$0.00 |
| 4274F |
|
3,448 |
3,014 |
$0.00 |
| 99072 |
|
352 |
332 |
$0.00 |