| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,276 |
35,641 |
$2.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,472 |
41,859 |
$2.50M |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
11,865 |
11,089 |
$397K |
| X5622 |
|
5,135 |
4,698 |
$312K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,995 |
3,797 |
$305K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,346 |
3,869 |
$276K |
| 99215 |
Prolong outpt/office vis |
2,428 |
2,193 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,907 |
2,776 |
$217K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,250 |
5,864 |
$212K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,756 |
2,585 |
$205K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,866 |
2,274 |
$200K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,521 |
2,358 |
$166K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,206 |
1,381 |
$164K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,909 |
9,443 |
$144K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,760 |
2,616 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,631 |
1,576 |
$134K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
3,910 |
3,121 |
$127K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,485 |
1,396 |
$126K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,408 |
1,312 |
$123K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,472 |
3,243 |
$118K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,904 |
3,758 |
$103K |
| 90461 |
|
3,940 |
3,648 |
$98K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
895 |
858 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,794 |
2,552 |
$87K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
919 |
873 |
$82K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,813 |
609 |
$81K |
| 36415 |
Collection of venous blood by venipuncture |
33,237 |
28,523 |
$78K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,033 |
954 |
$78K |
| 80053 |
Comprehensive metabolic panel |
9,215 |
8,504 |
$73K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,653 |
1,188 |
$72K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,775 |
10,690 |
$71K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,053 |
4,807 |
$66K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,282 |
1,173 |
$60K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,293 |
1,152 |
$60K |
| 92015 |
Determination of refractive state |
4,724 |
4,435 |
$59K |
| 90686 |
|
9,284 |
9,074 |
$59K |
| V2020 |
Frames, purchases |
1,810 |
1,559 |
$58K |
| 80050 |
General health panel |
1,190 |
1,131 |
$57K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
701 |
559 |
$56K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,328 |
2,121 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
846 |
665 |
$54K |
| 80061 |
Lipid panel |
5,465 |
5,228 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
2,979 |
2,373 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,764 |
2,639 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,839 |
3,967 |
$47K |
| 59410 |
|
97 |
72 |
$47K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,839 |
5,613 |
$44K |
| 59426 |
|
83 |
76 |
$43K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
788 |
693 |
$41K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
1,893 |
1,737 |
$40K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
95 |
93 |
$40K |
| 99243 |
|
450 |
409 |
$38K |
| 97161 |
|
617 |
579 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,128 |
1,087 |
$35K |
| 87507 |
|
114 |
82 |
$34K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
828 |
774 |
$34K |
| 99442 |
|
806 |
689 |
$33K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
414 |
376 |
$33K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,991 |
4,538 |
$32K |
| 0001A |
|
830 |
822 |
$32K |
| 90715 |
|
1,641 |
1,556 |
$31K |
| 99222 |
Initial hospital care, per day, moderate complexity |
371 |
238 |
$31K |
| 17110 |
|
404 |
342 |
$30K |
| 0002A |
|
729 |
724 |
$29K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,214 |
1,162 |
$28K |
| 92551 |
|
4,247 |
4,131 |
$28K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
217 |
204 |
$27K |
| 99188 |
|
4,699 |
4,445 |
$27K |
| 99460 |
|
418 |
394 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,789 |
1,611 |
$26K |
| 81001 |
|
9,385 |
8,451 |
$25K |
| 90834 |
Psychotherapy, 45 minutes with patient |
410 |
286 |
$24K |
| 76801 |
|
236 |
202 |
$20K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,002 |
986 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
655 |
531 |
$18K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$17K |
| 81025 |
|
2,157 |
1,965 |
$17K |
| 83655 |
|
774 |
736 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,532 |
2,925 |
$16K |
| 85027 |
|
2,839 |
2,606 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
144 |
143 |
$16K |
| V5008 |
Hearing screening |
2,701 |
2,456 |
$15K |
| 99443 |
|
299 |
248 |
$15K |
| 86780 |
|
1,135 |
1,067 |
$14K |
| 85610 |
|
4,452 |
2,277 |
$14K |
| 96127 |
|
3,730 |
3,610 |
$14K |
| 90670 |
|
3,194 |
2,967 |
$14K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
330 |
260 |
$14K |
| 86140 |
|
2,784 |
2,544 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
164 |
153 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
105 |
81 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
988 |
601 |
$12K |
| 90651 |
|
845 |
791 |
$12K |
| 99441 |
|
399 |
364 |
$12K |
| 87088 |
|
1,675 |
1,444 |
$12K |
| 83013 |
|
156 |
154 |
$11K |
| 93000 |
|
1,144 |
1,038 |
$11K |
| G0008 |
Administration of influenza virus vaccine |
1,664 |
1,611 |
$10K |
| 99173 |
|
6,791 |
6,500 |
$10K |
| 87653 |
|
271 |
262 |
$9K |
| 76830 |
Ultrasound, transvaginal |
115 |
104 |
$9K |
| 97803 |
|
349 |
292 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,321 |
1,274 |
$9K |
| 20610 |
|
229 |
190 |
$9K |
| 99339 |
|
174 |
168 |
$9K |
| 85018 |
|
3,606 |
3,420 |
$8K |
| 0004A |
|
336 |
330 |
$8K |
| 92567 |
|
825 |
691 |
$8K |
| 74019 |
|
335 |
298 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
53 |
36 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
183 |
142 |
$8K |
| 82570 |
|
1,853 |
1,694 |
$7K |
| 87210 |
|
1,383 |
1,262 |
$7K |
| 82607 |
|
557 |
509 |
$7K |
| 84439 |
|
816 |
774 |
$7K |
| 92310 |
|
127 |
114 |
$7K |
| 11721 |
|
567 |
487 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
74 |
44 |
$7K |
| 90691 |
|
65 |
65 |
$7K |
| 73562 |
|
265 |
189 |
$6K |
| 73110 |
|
212 |
176 |
$6K |
| 92557 |
|
233 |
193 |
$6K |
| 90662 |
|
170 |
157 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
230 |
98 |
$6K |
| 36416 |
|
1,664 |
1,291 |
$5K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
44 |
43 |
$5K |
| 99242 |
|
81 |
73 |
$5K |
| 87340 |
|
524 |
470 |
$5K |
| 73630 |
|
265 |
209 |
$5K |
| 90732 |
|
76 |
75 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
91 |
55 |
$5K |
| 86803 |
|
346 |
332 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
68 |
57 |
$5K |
| 82043 |
|
967 |
922 |
$5K |
| 82728 |
|
371 |
342 |
$5K |
| 95911 |
|
26 |
24 |
$4K |
| 95886 |
|
27 |
27 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
100 |
65 |
$4K |
| 0071A |
|
104 |
97 |
$4K |
| 90473 |
|
252 |
240 |
$4K |
| 73610 |
|
178 |
151 |
$4K |
| 92133 |
|
151 |
145 |
$4K |
| 92341 |
|
141 |
131 |
$4K |
| 83690 |
|
574 |
531 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
53 |
30 |
$4K |
| 93793 |
|
681 |
457 |
$3K |
| 98968 |
|
131 |
81 |
$3K |
| 90734 |
|
810 |
766 |
$3K |
| 87077 |
|
482 |
402 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
531 |
464 |
$3K |
| 96161 |
|
2,119 |
1,943 |
$3K |
| 87186 |
|
444 |
376 |
$3K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
25 |
25 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
293 |
263 |
$3K |
| 86762 |
|
197 |
189 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
66 |
31 |
$3K |
| 83550 |
|
341 |
309 |
$3K |
| 0072A |
|
64 |
64 |
$3K |
| 80306 |
|
154 |
123 |
$3K |
| 83540 |
|
418 |
370 |
$2K |
| 87081 |
|
362 |
324 |
$2K |
| 92593 |
|
87 |
81 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
30 |
18 |
$2K |
| 99462 |
|
88 |
65 |
$2K |
| 99140 |
|
106 |
61 |
$2K |
| 00812 |
|
13 |
13 |
$2K |
| 83970 |
|
41 |
40 |
$2K |
| 99374 |
|
271 |
257 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
45 |
44 |
$2K |
| 87581 |
|
44 |
43 |
$2K |
| 87486 |
|
44 |
43 |
$2K |
| 92370 |
|
68 |
65 |
$2K |
| 0064A |
|
40 |
39 |
$2K |
| 73130 |
|
77 |
54 |
$2K |
| 82950 |
|
317 |
299 |
$1K |
| 99217 |
|
27 |
25 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
40 |
39 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
40 |
39 |
$1K |
| 99417 |
Prolong home eval add 15m |
41 |
40 |
$1K |
| 83014 |
|
154 |
152 |
$1K |
| 84153 |
|
80 |
66 |
$1K |
| 97802 |
|
27 |
26 |
$1K |
| 90620 |
|
76 |
68 |
$1K |
| 95251 |
|
39 |
39 |
$1K |
| 97162 |
|
13 |
13 |
$952.36 |
| 83516 |
|
59 |
24 |
$906.51 |
| 81003 |
|
465 |
399 |
$902.67 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
545 |
474 |
$786.03 |
| 82565 |
|
173 |
154 |
$772.07 |
| 90716 |
|
467 |
414 |
$768.81 |
| 85379 |
|
65 |
61 |
$651.82 |
| 84156 |
|
194 |
178 |
$644.48 |
| 90707 |
|
380 |
324 |
$638.65 |
| 88720 |
|
148 |
104 |
$630.72 |
| 83735 |
|
99 |
86 |
$597.01 |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
15 |
14 |
$554.40 |
| 84702 |
|
37 |
28 |
$552.30 |
| 85651 |
|
163 |
134 |
$546.80 |
| 84550 |
|
144 |
118 |
$520.24 |
| 82784 |
|
49 |
37 |
$494.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
61 |
43 |
$493.77 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
250 |
179 |
$446.73 |
| 84460 |
|
80 |
75 |
$436.88 |
| 85652 |
|
154 |
148 |
$426.53 |
| 82150 |
|
76 |
64 |
$420.76 |
| 69209 |
|
27 |
26 |
$386.81 |
| 82947 |
|
101 |
91 |
$384.91 |
| 82746 |
|
27 |
26 |
$360.72 |
| 86038 |
|
35 |
28 |
$345.36 |
| 72100 |
|
12 |
12 |
$339.86 |
| 90714 |
|
13 |
13 |
$328.40 |
| 73140 |
|
14 |
12 |
$319.11 |
| 73030 |
|
13 |
12 |
$311.27 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
13 |
12 |
$299.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
237 |
231 |
$289.76 |
| 98967 |
|
12 |
12 |
$286.62 |
| 87070 |
|
38 |
29 |
$263.61 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
55 |
41 |
$220.00 |
| 84450 |
|
40 |
37 |
$212.48 |
| 80076 |
|
25 |
25 |
$197.18 |
| 87807 |
|
12 |
12 |
$164.76 |
| 90672 |
|
165 |
164 |
$137.93 |
| 85007 |
|
41 |
28 |
$106.63 |
| 86580 |
|
16 |
12 |
$104.68 |
| 90647 |
|
2,351 |
2,178 |
$82.37 |
| 86308 |
|
12 |
12 |
$68.42 |
| 84132 |
|
14 |
13 |
$59.90 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
92 |
86 |
$24.50 |
| 90633 |
|
1,573 |
1,466 |
$1.15 |
| 90723 |
|
2,404 |
2,216 |
$1.11 |
| 90710 |
|
447 |
412 |
$0.34 |
| 90696 |
|
436 |
404 |
$0.33 |
| 90700 |
|
375 |
342 |
$0.18 |
| 90681 |
|
1,167 |
1,055 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,394 |
1,258 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
13 |
13 |
$0.00 |