| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,465 |
22,019 |
$1.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,120 |
15,998 |
$656K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,603 |
3,091 |
$213K |
| 59426 |
|
2,074 |
1,030 |
$118K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,277 |
2,669 |
$99K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,739 |
4,048 |
$97K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
752 |
717 |
$97K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,989 |
1,593 |
$95K |
| 59425 |
|
1,632 |
1,079 |
$76K |
| 99205 |
Prolong outpt/office vis |
475 |
429 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,089 |
3,013 |
$55K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
890 |
781 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,313 |
3,713 |
$35K |
| 99215 |
Prolong outpt/office vis |
741 |
623 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
473 |
374 |
$24K |
| 93320 |
|
745 |
712 |
$22K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,125 |
973 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
422 |
393 |
$21K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
466 |
361 |
$21K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,826 |
3,384 |
$19K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
721 |
358 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,382 |
2,169 |
$16K |
| 93325 |
|
774 |
739 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
641 |
577 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
253 |
232 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
350 |
267 |
$14K |
| 76801 |
|
463 |
345 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
597 |
481 |
$13K |
| 93000 |
|
1,162 |
1,109 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
224 |
209 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,638 |
2,193 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
5,306 |
4,191 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
561 |
455 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
259 |
245 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
298 |
266 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
188 |
152 |
$6K |
| 73630 |
|
857 |
749 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
79 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
100 |
78 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
216 |
73 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
75 |
32 |
$4K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
405 |
325 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
143 |
123 |
$3K |
| 20610 |
|
128 |
114 |
$3K |
| 81025 |
|
1,720 |
1,195 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
49 |
$2K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
76 |
57 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
75 |
69 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
36 |
28 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
45 |
39 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
480 |
354 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
242 |
172 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
13 |
$1K |
| 74018 |
|
187 |
173 |
$1K |
| 73562 |
|
168 |
159 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$1K |
| 87807 |
|
256 |
207 |
$1K |
| 90682 |
|
39 |
34 |
$1K |
| 99220 |
|
15 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
106 |
104 |
$914.84 |
| 00160 |
|
14 |
14 |
$830.22 |
| 73610 |
|
132 |
126 |
$802.97 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
246 |
195 |
$788.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
651 |
457 |
$766.40 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
12 |
$719.27 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
146 |
100 |
$658.67 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
35 |
30 |
$608.49 |
| 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) |
927 |
857 |
$581.10 |
| 11721 |
|
130 |
114 |
$578.39 |
| 81003 |
|
714 |
579 |
$511.60 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$493.61 |
| 90686 |
|
70 |
59 |
$475.74 |
| 73030 |
|
61 |
53 |
$377.04 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
39 |
26 |
$344.66 |
| 99223 |
Prolong inpt eval add15 m |
23 |
14 |
$335.44 |
| 73130 |
|
41 |
38 |
$331.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
20 |
$295.82 |
| 88304 |
|
38 |
29 |
$246.10 |
| 93321 |
|
12 |
12 |
$235.49 |
| 99173 |
|
72 |
63 |
$125.06 |
| 88141 |
|
18 |
12 |
$45.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
294 |
238 |
$41.88 |
| 90715 |
|
34 |
25 |
$35.64 |
| 81002 |
|
33 |
18 |
$17.85 |
| 3008F |
|
11,322 |
9,538 |
$0.00 |
| 3074F |
|
6,187 |
5,064 |
$0.00 |
| 3066F |
|
797 |
615 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
375 |
335 |
$0.00 |
| 3080F |
|
354 |
259 |
$0.00 |
| 3075F |
|
1,224 |
995 |
$0.00 |
| 3079F |
|
1,846 |
1,480 |
$0.00 |
| 3044F |
|
634 |
444 |
$0.00 |
| 4010F |
|
1,911 |
1,483 |
$0.00 |
| 3061F |
|
403 |
320 |
$0.00 |
| 99422 |
|
13 |
12 |
$0.00 |
| 3078F |
|
5,801 |
4,755 |
$0.00 |
| 1159F |
|
26,640 |
20,258 |
$0.00 |
| 3077F |
|
652 |
501 |
$0.00 |
| 1160F |
|
15,686 |
12,131 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$0.00 |
| 90734 |
|
20 |
12 |
$0.00 |
| 99421 |
|
12 |
12 |
$0.00 |