| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,983 |
39,156 |
$2.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,354 |
42,441 |
$2.48M |
| 87428 |
|
6,502 |
6,165 |
$370K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,160 |
5,766 |
$368K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,064 |
3,737 |
$320K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,376 |
3,311 |
$261K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,319 |
2,171 |
$199K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,754 |
1,688 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,387 |
1,363 |
$82K |
| 80050 |
General health panel |
1,859 |
1,795 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
927 |
905 |
$53K |
| 99493 |
|
592 |
569 |
$52K |
| 99215 |
Prolong outpt/office vis |
549 |
517 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,910 |
5,610 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,186 |
11,786 |
$46K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
28 |
27 |
$43K |
| 71046 |
Radiologic examination, chest; 2 views |
2,942 |
2,293 |
$42K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
458 |
387 |
$30K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,100 |
1,084 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,768 |
6,547 |
$24K |
| 80061 |
Lipid panel |
1,990 |
1,910 |
$23K |
| 87430 |
|
1,469 |
1,410 |
$22K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
726 |
690 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
429 |
417 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
726 |
690 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
741 |
684 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
11,887 |
10,803 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,802 |
2,683 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
289 |
275 |
$18K |
| 80053 |
Comprehensive metabolic panel |
2,892 |
2,738 |
$17K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,305 |
2,187 |
$17K |
| 99492 |
|
185 |
176 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,306 |
1,248 |
$16K |
| 74018 |
|
1,096 |
853 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,411 |
3,228 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,177 |
413 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,745 |
1,436 |
$13K |
| 76830 |
Ultrasound, transvaginal |
388 |
346 |
$13K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
286 |
101 |
$12K |
| 99494 |
|
272 |
258 |
$11K |
| 87081 |
|
3,181 |
3,061 |
$10K |
| 90651 |
|
619 |
603 |
$10K |
| 90686 |
|
3,066 |
2,967 |
$9K |
| 82607 |
|
680 |
649 |
$9K |
| 90715 |
|
609 |
590 |
$8K |
| 82728 |
|
677 |
642 |
$8K |
| 87480 |
|
439 |
415 |
$7K |
| 87510 |
|
439 |
415 |
$7K |
| 96127 |
|
3,205 |
2,911 |
$7K |
| 87660 |
|
436 |
414 |
$7K |
| 99460 |
|
75 |
73 |
$7K |
| 17110 |
|
103 |
97 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
748 |
365 |
$6K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
240 |
91 |
$6K |
| 83550 |
|
764 |
721 |
$6K |
| 84439 |
|
914 |
871 |
$6K |
| 81001 |
|
1,663 |
1,568 |
$6K |
| 99383 |
|
89 |
89 |
$6K |
| 99384 |
|
79 |
77 |
$6K |
| 73630 |
|
418 |
336 |
$6K |
| 87186 |
|
579 |
562 |
$5K |
| 59025 |
Fetal non-stress test |
203 |
135 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
368 |
229 |
$5K |
| 73562 |
|
336 |
252 |
$5K |
| 87088 |
|
517 |
505 |
$5K |
| 87420 |
|
308 |
293 |
$5K |
| 81025 |
|
599 |
571 |
$4K |
| 99385 |
|
65 |
63 |
$4K |
| 83540 |
|
810 |
766 |
$4K |
| 81002 |
|
1,543 |
1,444 |
$4K |
| 86780 |
|
435 |
426 |
$4K |
| 91320 |
|
34 |
34 |
$4K |
| 84481 |
|
217 |
207 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
761 |
290 |
$4K |
| 90677 |
|
318 |
311 |
$4K |
| 99495 |
|
121 |
117 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
36 |
36 |
$3K |
| 90661 |
|
186 |
186 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
74 |
64 |
$3K |
| 73610 |
|
213 |
182 |
$3K |
| 87150 |
|
170 |
166 |
$3K |
| 82043 |
|
544 |
523 |
$3K |
| 99459 |
|
192 |
189 |
$3K |
| 90474 |
|
1,113 |
1,083 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
171 |
103 |
$2K |
| 93000 |
|
295 |
285 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
207 |
200 |
$2K |
| 90619 |
|
347 |
342 |
$2K |
| 84403 |
|
62 |
56 |
$2K |
| 86140 |
|
332 |
316 |
$2K |
| 82570 |
|
544 |
523 |
$2K |
| 0001A |
|
56 |
44 |
$2K |
| 99381 |
|
27 |
25 |
$2K |
| 73110 |
|
81 |
69 |
$1K |
| 73130 |
|
68 |
54 |
$1K |
| 85651 |
|
335 |
324 |
$1K |
| 84153 |
|
72 |
67 |
$1K |
| 83690 |
|
166 |
157 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
25 |
$1K |
| 72110 |
|
42 |
39 |
$1K |
| 76641 |
|
19 |
13 |
$977.99 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
65 |
63 |
$976.73 |
| 87070 |
|
100 |
95 |
$954.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
485 |
410 |
$917.93 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
13 |
$912.00 |
| 80305 |
|
159 |
147 |
$868.94 |
| 76770 |
|
15 |
15 |
$808.45 |
| 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) |
1,014 |
933 |
$701.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
168 |
164 |
$641.60 |
| 73030 |
|
41 |
36 |
$597.04 |
| 0071A |
|
20 |
15 |
$560.00 |
| 90480 |
|
38 |
38 |
$558.68 |
| 86803 |
|
58 |
55 |
$522.93 |
| 95251 |
|
24 |
24 |
$517.95 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$516.61 |
| 86762 |
|
38 |
38 |
$478.44 |
| 90671 |
|
482 |
469 |
$451.72 |
| 36416 |
|
205 |
181 |
$423.06 |
| 90656 |
|
152 |
152 |
$397.65 |
| 90710 |
|
775 |
753 |
$344.16 |
| 87280 |
|
59 |
55 |
$319.49 |
| 87340 |
|
31 |
27 |
$273.43 |
| 86850 |
|
38 |
38 |
$263.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
72 |
50 |
$245.87 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
50 |
49 |
$239.62 |
| 90698 |
|
1,195 |
1,158 |
$213.02 |
| 94762 |
|
14 |
14 |
$197.26 |
| 88720 |
|
63 |
52 |
$192.52 |
| 90680 |
|
1,146 |
1,116 |
$174.17 |
| 82950 |
|
43 |
41 |
$142.56 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
27 |
27 |
$127.78 |
| 97010 |
|
124 |
51 |
$118.43 |
| 97014 |
|
55 |
24 |
$100.26 |
| 84702 |
|
20 |
15 |
$97.78 |
| 82150 |
|
17 |
16 |
$97.13 |
| 90633 |
|
891 |
863 |
$92.24 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
83 |
74 |
$87.50 |
| 86900 |
|
25 |
25 |
$63.50 |
| 90696 |
|
215 |
211 |
$57.11 |
| 86431 |
|
12 |
12 |
$56.16 |
| 86901 |
|
25 |
25 |
$56.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$52.55 |
| 84480 |
|
13 |
12 |
$51.44 |
| 92567 |
|
45 |
39 |
$45.25 |
| 90670 |
|
1,931 |
1,872 |
$41.44 |
| 0352U |
|
261 |
242 |
$36.37 |
| G0008 |
Administration of influenza virus vaccine |
75 |
60 |
$28.80 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
13 |
$12.16 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
28 |
12 |
$9.55 |
| 90697 |
|
1,023 |
994 |
$0.00 |
| 90744 |
|
111 |
109 |
$0.00 |
| 1111F |
|
309 |
302 |
$0.00 |
| 91307 |
|
28 |
21 |
$0.00 |
| 3044F |
|
36 |
30 |
$0.00 |
| 91300 |
|
116 |
87 |
$0.00 |
| 90685 |
|
42 |
41 |
$0.00 |
| 90734 |
|
47 |
47 |
$0.00 |
| 99152 |
|
24 |
24 |
$0.00 |
| 90662 |
|
50 |
37 |
$0.00 |
| 99173 |
|
21 |
20 |
$0.00 |