| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
223,979 |
187,105 |
$24.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126,373 |
109,859 |
$1.41M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12,233 |
8,340 |
$798K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
990 |
953 |
$717K |
| 76830 |
Ultrasound, transvaginal |
6,340 |
6,022 |
$465K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,015 |
8,635 |
$449K |
| 99000 |
|
55,812 |
50,409 |
$403K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
9,144 |
2,466 |
$361K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,401 |
3,195 |
$305K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,608 |
29,827 |
$301K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,826 |
2,310 |
$294K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,220 |
2,608 |
$286K |
| 36415 |
Collection of venous blood by venipuncture |
38,720 |
35,806 |
$277K |
| 76801 |
|
3,984 |
3,598 |
$268K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,645 |
1,507 |
$244K |
| 99223 |
Prolong inpt eval add15 m |
2,191 |
1,980 |
$232K |
| 76641 |
|
2,904 |
2,409 |
$186K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,505 |
2,434 |
$185K |
| 59514 |
|
232 |
172 |
$151K |
| 76857 |
|
3,491 |
3,337 |
$146K |
| 76536 |
|
2,043 |
1,977 |
$143K |
| 80053 |
Comprehensive metabolic panel |
17,537 |
15,880 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,465 |
8,091 |
$122K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,240 |
6,116 |
$109K |
| 80061 |
Lipid panel |
12,654 |
11,732 |
$108K |
| 90686 |
|
6,981 |
6,747 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,303 |
10,896 |
$99K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,798 |
15,008 |
$99K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,594 |
5,712 |
$84K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,048 |
893 |
$82K |
| 99173 |
|
8,239 |
7,911 |
$81K |
| 92551 |
|
8,201 |
7,875 |
$78K |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,719 |
8,144 |
$74K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,509 |
1,210 |
$70K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,170 |
1,041 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,062 |
3,818 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,722 |
3,481 |
$65K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,602 |
1,302 |
$64K |
| 90670 |
|
2,774 |
2,594 |
$63K |
| 90461 |
|
3,988 |
3,814 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,653 |
4,465 |
$61K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,539 |
7,995 |
$56K |
| 94760 |
|
2,839 |
2,422 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,008 |
1,851 |
$51K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
771 |
747 |
$42K |
| 99233 |
Prolong inpt eval add15 m |
446 |
193 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,793 |
2,686 |
$39K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,053 |
4,377 |
$38K |
| 77066 |
Tomosynthesis, mammo |
603 |
542 |
$38K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,724 |
2,618 |
$33K |
| 90633 |
|
1,436 |
1,328 |
$33K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
586 |
529 |
$32K |
| 90723 |
|
1,706 |
1,610 |
$32K |
| 90647 |
|
1,603 |
1,511 |
$30K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,577 |
1,391 |
$30K |
| 90715 |
|
1,396 |
1,302 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,534 |
2,178 |
$29K |
| 76770 |
|
401 |
387 |
$27K |
| 90651 |
|
488 |
479 |
$27K |
| 76820 |
|
917 |
427 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
829 |
785 |
$26K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,671 |
1,299 |
$26K |
| 99222 |
Initial hospital care, per day, moderate complexity |
338 |
286 |
$24K |
| 93971 |
|
960 |
447 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,668 |
1,443 |
$23K |
| 90681 |
|
858 |
793 |
$23K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,574 |
1,393 |
$22K |
| 59025 |
Fetal non-stress test |
1,120 |
877 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,457 |
1,357 |
$21K |
| 93320 |
|
1,036 |
889 |
$20K |
| 96127 |
|
5,986 |
5,600 |
$19K |
| 76821 |
|
286 |
142 |
$18K |
| 84439 |
|
2,934 |
2,721 |
$17K |
| 93325 |
|
1,135 |
974 |
$17K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,782 |
913 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,120 |
913 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
359 |
326 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
388 |
339 |
$15K |
| 90698 |
|
277 |
219 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
547 |
507 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,172 |
1,124 |
$14K |
| 87430 |
|
6,722 |
4,937 |
$14K |
| 80050 |
General health panel |
402 |
395 |
$13K |
| 90649 |
|
282 |
270 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
171 |
169 |
$12K |
| 81025 |
|
740 |
648 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
613 |
485 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
330 |
281 |
$10K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
534 |
524 |
$10K |
| 90632 |
|
137 |
134 |
$10K |
| 90707 |
|
322 |
294 |
$9K |
| 90710 |
|
399 |
365 |
$9K |
| 90716 |
|
340 |
319 |
$8K |
| 90733 |
|
361 |
314 |
$8K |
| 77080 |
|
409 |
399 |
$8K |
| 99381 |
|
754 |
716 |
$8K |
| 54150 |
|
121 |
99 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
236 |
219 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
378 |
331 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
250 |
236 |
$7K |
| 90744 |
|
96 |
64 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
1,064 |
983 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
335 |
297 |
$6K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
159 |
152 |
$5K |
| 87400 |
|
1,906 |
348 |
$5K |
| 90685 |
|
76 |
54 |
$4K |
| 90696 |
|
278 |
263 |
$4K |
| 86769 |
|
316 |
109 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
105 |
52 |
$3K |
| 69210 |
|
101 |
94 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
81 |
79 |
$3K |
| 77065 |
Tomosynthesis, mammo |
66 |
54 |
$3K |
| 99385 |
|
111 |
106 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
332 |
298 |
$2K |
| 90680 |
|
43 |
28 |
$2K |
| 99383 |
|
89 |
87 |
$2K |
| 90656 |
|
463 |
437 |
$2K |
| 0011A |
|
325 |
222 |
$2K |
| 0012A |
|
211 |
181 |
$2K |
| 90620 |
|
51 |
49 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
367 |
353 |
$1K |
| 81001 |
|
324 |
309 |
$1K |
| 81002 |
|
1,158 |
1,034 |
$1K |
| 90700 |
|
173 |
168 |
$1K |
| 99217 |
|
26 |
25 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
68 |
67 |
$1K |
| 99384 |
|
34 |
33 |
$958.86 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,206 |
1,971 |
$899.56 |
| 90732 |
|
77 |
55 |
$849.28 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
152 |
144 |
$785.49 |
| 0031A |
|
52 |
30 |
$750.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
144 |
124 |
$695.15 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,629 |
3,024 |
$681.00 |
| 99441 |
|
199 |
166 |
$627.79 |
| 85018 |
|
277 |
267 |
$559.39 |
| 0004A |
|
24 |
24 |
$400.00 |
| 0064A |
|
70 |
68 |
$360.00 |
| 0002A |
|
78 |
72 |
$360.00 |
| 85014 |
|
162 |
159 |
$334.22 |
| 99307 |
|
923 |
870 |
$321.17 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$287.32 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$278.06 |
| 99305 |
|
213 |
197 |
$273.96 |
| 85610 |
|
55 |
37 |
$244.91 |
| 0071A |
|
104 |
104 |
$240.00 |
| 80069 |
|
50 |
48 |
$233.49 |
| 0072A |
|
88 |
88 |
$160.00 |
| 0001A |
|
64 |
61 |
$160.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
167 |
163 |
$139.54 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$136.98 |
| 99442 |
|
49 |
45 |
$103.93 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
130 |
113 |
$84.60 |
| 87210 |
|
14 |
12 |
$62.88 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
2,324 |
2,070 |
$3.21 |
| H0033 |
Oral medication administration, direct observation |
106 |
94 |
$0.00 |
| 90677 |
|
403 |
385 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
178 |
80 |
$0.00 |
| 90636 |
|
119 |
115 |
$0.00 |
| 96131 |
|
32 |
26 |
$0.00 |
| 87807 |
|
147 |
142 |
$0.00 |
| 3075F |
|
17 |
17 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
728 |
674 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
56 |
54 |
$0.00 |
| 96137 |
|
72 |
55 |
$0.00 |
| 90746 |
|
32 |
31 |
$0.00 |
| 99348 |
|
14 |
14 |
$0.00 |
| 90734 |
|
129 |
128 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
27 |
26 |
$0.00 |
| 96130 |
|
54 |
43 |
$0.00 |
| 96136 |
|
53 |
42 |
$0.00 |