| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,608 |
16,376 |
$1.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,598 |
9,446 |
$822K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,161 |
3,985 |
$272K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,706 |
3,558 |
$247K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,516 |
3,360 |
$229K |
| 90686 |
|
4,450 |
4,251 |
$81K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,012 |
985 |
$60K |
| 90670 |
|
2,767 |
2,714 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
886 |
812 |
$55K |
| 99233 |
Prolong inpt eval add15 m |
1,163 |
246 |
$50K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,014 |
1,881 |
$41K |
| 90648 |
|
1,806 |
1,769 |
$35K |
| 80053 |
Comprehensive metabolic panel |
2,783 |
2,662 |
$32K |
| 99205 |
Prolong outpt/office vis |
177 |
169 |
$30K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
573 |
197 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,005 |
2,859 |
$28K |
| 90680 |
|
1,314 |
1,293 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,356 |
1,095 |
$24K |
| 80061 |
Lipid panel |
1,687 |
1,620 |
$22K |
| 81003 |
|
8,097 |
7,587 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
322 |
261 |
$21K |
| 93000 |
|
1,103 |
1,058 |
$20K |
| 99173 |
|
3,950 |
3,788 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,009 |
963 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,296 |
1,211 |
$16K |
| 90461 |
|
250 |
249 |
$15K |
| 90633 |
|
792 |
767 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
409 |
322 |
$15K |
| 90723 |
|
750 |
738 |
$15K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
296 |
259 |
$13K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
757 |
721 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
373 |
353 |
$11K |
| 0001A |
|
263 |
254 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
461 |
442 |
$9K |
| 87070 |
|
955 |
881 |
$9K |
| 90688 |
|
540 |
528 |
$9K |
| 99460 |
|
119 |
109 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
354 |
308 |
$9K |
| 83655 |
|
574 |
553 |
$8K |
| 90651 |
|
423 |
407 |
$8K |
| 0071A |
|
178 |
173 |
$7K |
| 0072A |
|
137 |
136 |
$5K |
| 81001 |
|
1,361 |
1,310 |
$5K |
| 90698 |
|
241 |
239 |
$5K |
| 90710 |
|
246 |
239 |
$5K |
| 99382 |
|
75 |
72 |
$4K |
| 90756 |
|
199 |
169 |
$4K |
| 0002A |
|
110 |
109 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
62 |
61 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
511 |
474 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
41 |
$3K |
| 87807 |
|
282 |
269 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,645 |
1,532 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
80 |
62 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
113 |
47 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
254 |
250 |
$3K |
| 90734 |
|
126 |
125 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
307 |
252 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
199 |
193 |
$2K |
| 84439 |
|
260 |
253 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
14 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
14 |
$2K |
| 31575 |
|
33 |
27 |
$2K |
| 99383 |
|
29 |
25 |
$2K |
| 87210 |
|
341 |
301 |
$1K |
| 90744 |
|
53 |
52 |
$1K |
| 0011A |
|
30 |
25 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
16 |
$958.20 |
| 90696 |
|
52 |
50 |
$949.92 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$935.00 |
| 99223 |
Prolong inpt eval add15 m |
38 |
29 |
$932.59 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$852.00 |
| 90685 |
|
45 |
45 |
$850.97 |
| 90700 |
|
39 |
39 |
$771.81 |
| 93015 |
|
12 |
12 |
$731.64 |
| 85027 |
|
166 |
148 |
$720.59 |
| 0012A |
|
18 |
18 |
$720.00 |
| 87220 |
|
302 |
265 |
$689.92 |
| 90672 |
|
33 |
33 |
$653.07 |
| 99462 |
|
16 |
13 |
$526.50 |
| 99442 |
|
189 |
137 |
$511.99 |
| 85044 |
|
104 |
101 |
$484.39 |
| 90716 |
|
24 |
23 |
$455.17 |
| 90707 |
|
24 |
23 |
$455.17 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$316.53 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
34 |
12 |
$260.02 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$260.00 |
| 81025 |
|
100 |
89 |
$258.58 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25 |
18 |
$240.00 |
| 96127 |
|
55 |
52 |
$170.04 |
| 96367 |
|
38 |
12 |
$161.16 |
| 82947 |
|
43 |
42 |
$160.00 |
| 36416 |
|
69 |
54 |
$112.50 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$110.00 |
| 82550 |
|
13 |
12 |
$88.00 |
| 81002 |
|
46 |
44 |
$87.00 |
| 85018 |
|
27 |
27 |
$65.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
37 |
13 |
$8.47 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
47 |
30 |
$0.00 |
| 4025F |
|
966 |
858 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
17 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
86 |
70 |
$0.00 |
| 59426 |
|
76 |
41 |
$0.00 |