| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,041 |
34,318 |
$3.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,022 |
40,732 |
$2.56M |
| 59426 |
|
13,259 |
6,519 |
$1.14M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,349 |
11,246 |
$981K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,841 |
8,406 |
$738K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,647 |
8,245 |
$734K |
| 59425 |
|
7,955 |
5,824 |
$659K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,832 |
18,080 |
$648K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,284 |
4,675 |
$366K |
| 59410 |
|
365 |
301 |
$205K |
| 87634 |
|
3,198 |
2,856 |
$175K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,411 |
4,899 |
$167K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,331 |
10,697 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,317 |
1,251 |
$110K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,171 |
12,495 |
$101K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,166 |
1,005 |
$94K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,667 |
2,524 |
$93K |
| 99460 |
|
1,088 |
965 |
$81K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,182 |
1,064 |
$68K |
| D1206 |
Topical application of fluoride varnish |
2,620 |
2,477 |
$60K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,578 |
4,420 |
$52K |
| 87430 |
|
4,028 |
3,760 |
$47K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,050 |
1,497 |
$45K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
838 |
460 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,536 |
1,368 |
$41K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,189 |
1,057 |
$39K |
| 99219 |
|
426 |
351 |
$39K |
| 90461 |
|
13,892 |
12,605 |
$31K |
| 76830 |
Ultrasound, transvaginal |
481 |
398 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
232 |
195 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
517 |
427 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
277 |
237 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
176 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
177 |
125 |
$15K |
| 59515 |
|
15 |
12 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
734 |
726 |
$12K |
| 81025 |
|
2,368 |
2,011 |
$12K |
| 92551 |
|
1,272 |
1,148 |
$10K |
| 99462 |
|
294 |
250 |
$10K |
| 99215 |
Prolong outpt/office vis |
107 |
77 |
$10K |
| 96127 |
|
4,295 |
3,852 |
$10K |
| 76857 |
|
363 |
280 |
$9K |
| 87807 |
|
691 |
627 |
$9K |
| 87400 |
|
423 |
391 |
$8K |
| 96161 |
|
5,566 |
5,040 |
$8K |
| 76801 |
|
79 |
72 |
$7K |
| 90670 |
|
7,792 |
7,387 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
338 |
311 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
272 |
271 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
27 |
27 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
327 |
276 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
365 |
316 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,576 |
3,216 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
100 |
71 |
$4K |
| 99401 |
|
170 |
131 |
$3K |
| 74018 |
|
157 |
137 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
48 |
40 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
63 |
43 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
65 |
44 |
$2K |
| 99173 |
|
969 |
887 |
$2K |
| 98926 |
|
68 |
52 |
$2K |
| 99459 |
|
349 |
328 |
$2K |
| 59200 |
|
164 |
142 |
$2K |
| 90677 |
|
972 |
906 |
$1K |
| 90686 |
|
4,258 |
4,039 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
30 |
$1K |
| 59025 |
Fetal non-stress test |
72 |
53 |
$948.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
66 |
$906.57 |
| 81002 |
|
338 |
296 |
$817.32 |
| 59430 |
|
424 |
381 |
$775.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,733 |
1,479 |
$671.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77 |
77 |
$507.54 |
| 69210 |
|
14 |
13 |
$433.20 |
| 90648 |
|
8,897 |
8,421 |
$364.40 |
| 99051 |
|
14 |
14 |
$310.00 |
| 90716 |
|
597 |
575 |
$282.00 |
| 96380 |
|
12 |
12 |
$217.20 |
| 90707 |
|
584 |
562 |
$163.33 |
| 90671 |
|
48 |
44 |
$144.00 |
| 86308 |
|
17 |
14 |
$77.85 |
| 99307 |
|
37 |
19 |
$63.72 |
| 90696 |
|
311 |
305 |
$55.82 |
| 90656 |
|
157 |
157 |
$50.16 |
| 87210 |
|
16 |
12 |
$40.32 |
| 80305 |
|
18 |
13 |
$34.63 |
| 90700 |
|
479 |
441 |
$30.75 |
| 90633 |
|
2,328 |
2,236 |
$10.54 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
22 |
13 |
$4.80 |
| J3490 |
Unclassified drugs |
505 |
487 |
$0.49 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
217 |
174 |
$0.05 |
| 90723 |
|
6,885 |
6,553 |
$0.04 |
| 90710 |
|
290 |
285 |
$0.00 |
| 90681 |
|
2,907 |
2,794 |
$0.00 |
| 90380 |
|
103 |
74 |
$0.00 |
| 90734 |
|
30 |
27 |
$0.00 |
| 90685 |
|
42 |
42 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
51 |
47 |
$0.00 |
| 90680 |
|
1,551 |
1,413 |
$0.00 |
| G9231 |
Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period |
1,118 |
699 |
$0.00 |
| 99024 |
|
461 |
391 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
851 |
788 |
$0.00 |
| 91307 |
|
18 |
15 |
$0.00 |
| 90651 |
|
106 |
100 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
45 |
45 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
21 |
21 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |
| 99000 |
|
53 |
45 |
$0.00 |