| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66,578 |
61,162 |
$5.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68,634 |
65,478 |
$4.76M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12,846 |
12,541 |
$624K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,323 |
14,003 |
$401K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21,619 |
21,063 |
$312K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,538 |
1,538 |
$192K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,041 |
1,986 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,640 |
1,582 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,229 |
1,224 |
$114K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,108 |
1,108 |
$104K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,478 |
2,466 |
$89K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,516 |
6,092 |
$86K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,356 |
4,333 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
520 |
519 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
512 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
980 |
902 |
$44K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
702 |
688 |
$38K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
864 |
857 |
$32K |
| 99215 |
Prolong outpt/office vis |
356 |
355 |
$30K |
| 99233 |
Prolong inpt eval add15 m |
545 |
235 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,880 |
2,861 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
202 |
195 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
958 |
947 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
500 |
237 |
$17K |
| 87807 |
|
1,436 |
1,408 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
2,288 |
2,211 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
105 |
105 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
511 |
471 |
$9K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,036 |
1,013 |
$8K |
| 90473 |
|
410 |
410 |
$8K |
| 62323 |
|
99 |
97 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
170 |
170 |
$6K |
| 95251 |
|
249 |
249 |
$6K |
| 00126 |
|
37 |
37 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
42 |
42 |
$6K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
91 |
90 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
101 |
97 |
$5K |
| 92134 |
|
273 |
273 |
$5K |
| 99307 |
|
520 |
502 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
29 |
29 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
44 |
$5K |
| 90686 |
|
1,577 |
1,575 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
140 |
138 |
$4K |
| 72110 |
|
427 |
427 |
$4K |
| 92567 |
|
226 |
200 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
162 |
143 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
53 |
48 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
24 |
24 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
38 |
$2K |
| 31231 |
|
13 |
13 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,711 |
2,636 |
$2K |
| 51798 |
|
232 |
230 |
$1K |
| 90474 |
|
72 |
72 |
$1K |
| 86756 |
|
91 |
90 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
79 |
67 |
$1K |
| 92504 |
|
52 |
48 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
193 |
71 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
55 |
55 |
$1K |
| 62321 |
|
13 |
13 |
$840.18 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
116 |
116 |
$763.77 |
| 96127 |
|
196 |
196 |
$758.58 |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
30 |
$724.91 |
| 72050 |
|
65 |
64 |
$623.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
65 |
$553.60 |
| 97597 |
|
14 |
12 |
$505.50 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
477 |
446 |
$489.25 |
| 20610 |
|
13 |
13 |
$447.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
285 |
275 |
$446.29 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
234 |
229 |
$316.85 |
| 96381 |
|
12 |
12 |
$203.28 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
36 |
36 |
$163.24 |
| 81003 |
|
60 |
53 |
$122.00 |
| 90656 |
|
70 |
70 |
$104.65 |
| 90670 |
|
874 |
874 |
$0.00 |
| 90633 |
|
114 |
114 |
$0.00 |
| 96160 |
|
54 |
54 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90680 |
|
524 |
524 |
$0.00 |
| 90677 |
|
103 |
103 |
$0.00 |
| 90647 |
|
279 |
279 |
$0.00 |
| 90723 |
|
658 |
658 |
$0.00 |
| 90651 |
|
40 |
40 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |