| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,140 |
38,782 |
$2.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,191 |
40,576 |
$1.99M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,659 |
6,565 |
$513K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,538 |
5,294 |
$396K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31,892 |
13,475 |
$278K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
524 |
464 |
$249K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,986 |
2,956 |
$247K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,989 |
3,711 |
$244K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,597 |
2,450 |
$241K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,965 |
1,909 |
$221K |
| 99233 |
Prolong inpt eval add15 m |
3,778 |
1,481 |
$96K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,251 |
998 |
$95K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,939 |
3,256 |
$84K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,447 |
6,126 |
$80K |
| 99223 |
Prolong inpt eval add15 m |
1,377 |
1,190 |
$79K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
519 |
450 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
690 |
679 |
$59K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,651 |
1,540 |
$54K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
598 |
542 |
$53K |
| 90461 |
|
14,009 |
5,790 |
$50K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,663 |
905 |
$49K |
| 59430 |
|
636 |
605 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,083 |
1,043 |
$40K |
| 31231 |
|
296 |
283 |
$39K |
| 92567 |
|
3,148 |
2,886 |
$32K |
| 87428 |
|
1,149 |
1,079 |
$32K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,437 |
1,376 |
$31K |
| 92579 |
|
959 |
876 |
$28K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
346 |
100 |
$28K |
| 81002 |
|
11,048 |
8,164 |
$27K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,965 |
5,007 |
$22K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
590 |
505 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
395 |
382 |
$19K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
504 |
222 |
$18K |
| 76801 |
|
179 |
170 |
$15K |
| 99242 |
|
246 |
238 |
$14K |
| 92555 |
|
677 |
624 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
208 |
179 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
268 |
251 |
$11K |
| 92557 |
|
405 |
388 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
394 |
315 |
$10K |
| 87807 |
|
977 |
925 |
$10K |
| 93000 |
|
1,416 |
1,265 |
$10K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
42 |
42 |
$9K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
88 |
78 |
$9K |
| 99243 |
|
109 |
101 |
$8K |
| 81025 |
|
1,404 |
1,274 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
572 |
541 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
973 |
895 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
170 |
154 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
827 |
770 |
$7K |
| 59025 |
Fetal non-stress test |
294 |
224 |
$6K |
| 92587 |
|
354 |
318 |
$5K |
| 92558 |
|
769 |
712 |
$5K |
| 90686 |
|
2,846 |
2,755 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
73 |
51 |
$4K |
| 99215 |
Prolong outpt/office vis |
73 |
66 |
$4K |
| 92582 |
|
64 |
63 |
$4K |
| 99460 |
|
43 |
43 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
266 |
252 |
$3K |
| 99497 |
|
187 |
145 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
218 |
189 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
42 |
38 |
$2K |
| 76641 |
|
85 |
81 |
$2K |
| 95819 |
|
87 |
70 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
97 |
51 |
$1K |
| 94010 |
|
149 |
139 |
$1K |
| 99000 |
|
143 |
132 |
$1K |
| 87070 |
|
162 |
160 |
$1K |
| 99221 |
|
49 |
39 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 92553 |
|
47 |
40 |
$966.86 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
162 |
84 |
$941.94 |
| 11045 |
|
23 |
12 |
$932.26 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
25 |
$913.49 |
| 99205 |
Prolong outpt/office vis |
18 |
15 |
$872.63 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
31 |
29 |
$825.44 |
| 92511 |
|
29 |
28 |
$818.37 |
| 0012A |
|
67 |
67 |
$791.56 |
| 99152 |
|
104 |
89 |
$702.00 |
| 90670 |
|
3,326 |
3,252 |
$678.65 |
| 93886 |
|
27 |
25 |
$665.93 |
| 0011A |
|
51 |
50 |
$547.76 |
| 93970 |
|
30 |
25 |
$442.78 |
| 90671 |
|
191 |
189 |
$437.16 |
| 73110 |
|
26 |
24 |
$434.29 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
17 |
13 |
$419.40 |
| 85018 |
|
217 |
190 |
$332.10 |
| 73130 |
|
68 |
61 |
$291.30 |
| 90674 |
|
14 |
12 |
$157.68 |
| 92504 |
|
14 |
12 |
$140.20 |
| 92588 |
|
44 |
39 |
$128.15 |
| 94760 |
|
131 |
117 |
$105.46 |
| 90723 |
|
1,638 |
1,599 |
$88.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
25 |
$73.99 |
| 90672 |
|
91 |
85 |
$72.17 |
| 94729 |
|
12 |
12 |
$58.73 |
| 90633 |
|
944 |
928 |
$36.23 |
| 90661 |
|
14 |
14 |
$24.80 |
| 90648 |
|
2,832 |
2,765 |
$18.28 |
| 81000 |
|
12 |
12 |
$16.90 |
| 90715 |
|
29 |
26 |
$2.98 |
| 90677 |
|
732 |
722 |
$2.68 |
| 90697 |
|
595 |
584 |
$2.15 |
| 90619 |
|
51 |
49 |
$0.19 |
| 90651 |
|
210 |
206 |
$0.06 |
| 3074F |
|
14,473 |
13,832 |
$0.00 |
| 3008F |
|
34,955 |
31,965 |
$0.00 |
| 3079F |
|
1,765 |
1,709 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 3075F |
|
574 |
566 |
$0.00 |
| 3044F |
|
512 |
489 |
$0.00 |
| 3080F |
|
326 |
312 |
$0.00 |
| 96127 |
|
74 |
74 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |
| 99024 |
|
67 |
50 |
$0.00 |
| 90696 |
|
61 |
60 |
$0.00 |
| 90694 |
|
14 |
12 |
$0.00 |
| 3078F |
|
13,246 |
12,733 |
$0.00 |
| 90681 |
|
293 |
280 |
$0.00 |
| 90700 |
|
17 |
16 |
$0.00 |
| 3077F |
|
1,424 |
1,379 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 99499 |
|
56 |
41 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
30 |
25 |
$0.00 |
| 90710 |
|
128 |
124 |
$0.00 |
| 90734 |
|
28 |
26 |
$0.00 |