| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,421 |
33,784 |
$1.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,603 |
11,284 |
$487K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,006 |
9,720 |
$329K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,893 |
2,753 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,020 |
2,675 |
$147K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,442 |
7,779 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,459 |
1,412 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,029 |
964 |
$68K |
| 99215 |
Prolong outpt/office vis |
1,928 |
1,619 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,754 |
1,564 |
$41K |
| 99233 |
Prolong inpt eval add15 m |
1,678 |
767 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,805 |
2,677 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
471 |
454 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,127 |
1,461 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
511 |
471 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
452 |
417 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
378 |
339 |
$16K |
| 95912 |
|
195 |
185 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
334 |
293 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
651 |
577 |
$13K |
| 95886 |
|
649 |
574 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
660 |
585 |
$12K |
| 85018 |
|
4,617 |
4,423 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
438 |
396 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
473 |
436 |
$10K |
| 81002 |
|
2,905 |
2,745 |
$8K |
| 87807 |
|
643 |
581 |
$8K |
| 92551 |
|
1,273 |
1,230 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,390 |
1,001 |
$7K |
| 92567 |
|
657 |
619 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
49 |
41 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
468 |
213 |
$6K |
| 92557 |
|
242 |
231 |
$6K |
| 87428 |
|
191 |
157 |
$6K |
| 76830 |
Ultrasound, transvaginal |
183 |
164 |
$5K |
| 99245 |
|
74 |
71 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
630 |
569 |
$4K |
| 69210 |
|
392 |
351 |
$4K |
| 99220 |
|
94 |
86 |
$4K |
| 99442 |
|
257 |
242 |
$4K |
| 59025 |
Fetal non-stress test |
204 |
132 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
160 |
107 |
$4K |
| 83655 |
|
291 |
278 |
$3K |
| 74018 |
|
601 |
507 |
$3K |
| 99173 |
|
1,259 |
1,225 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
259 |
238 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
36 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
26 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
156 |
137 |
$2K |
| 31575 |
|
63 |
54 |
$2K |
| 71250 |
|
88 |
78 |
$2K |
| 76641 |
|
54 |
43 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
90 |
80 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
16 |
$1K |
| 95819 |
|
76 |
66 |
$1K |
| 97597 |
|
134 |
62 |
$1K |
| 90686 |
|
1,183 |
1,139 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
102 |
95 |
$1K |
| 90670 |
|
1,633 |
1,560 |
$1K |
| 90658 |
|
166 |
149 |
$949.26 |
| 99307 |
|
273 |
218 |
$921.89 |
| 99443 |
|
36 |
33 |
$886.86 |
| 73630 |
|
125 |
109 |
$807.19 |
| 90633 |
|
240 |
229 |
$751.66 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
14 |
$725.39 |
| 31231 |
|
15 |
13 |
$714.59 |
| 90698 |
|
854 |
822 |
$659.88 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
204 |
185 |
$640.52 |
| 36415 |
Collection of venous blood by venipuncture |
282 |
253 |
$608.08 |
| 73610 |
|
92 |
83 |
$584.15 |
| 90685 |
|
531 |
520 |
$564.92 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
17 |
$523.38 |
| 99217 |
|
29 |
26 |
$504.93 |
| 99441 |
|
68 |
61 |
$435.83 |
| 71271 |
|
12 |
12 |
$378.36 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$356.30 |
| 73030 |
|
60 |
49 |
$303.22 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
12 |
$298.80 |
| 90680 |
|
503 |
480 |
$275.51 |
| 90744 |
|
413 |
401 |
$255.02 |
| 73130 |
|
37 |
27 |
$249.51 |
| 73564 |
|
29 |
25 |
$237.04 |
| 90671 |
|
61 |
51 |
$232.00 |
| 73502 |
|
40 |
36 |
$230.63 |
| 93971 |
|
16 |
16 |
$222.69 |
| 95816 |
|
13 |
12 |
$202.49 |
| H1000 |
Prenatal care, at-risk assessment |
13 |
13 |
$150.82 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
68 |
66 |
$117.13 |
| 96127 |
|
31 |
29 |
$106.83 |
| 90461 |
|
1,375 |
1,297 |
$90.78 |
| 73110 |
|
17 |
14 |
$90.16 |
| 36416 |
|
76 |
68 |
$72.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
13 |
$45.84 |
| 90734 |
|
72 |
65 |
$41.65 |
| 90707 |
|
12 |
12 |
$10.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
92 |
91 |
$8.53 |
| 90716 |
|
12 |
12 |
$5.25 |
| 94760 |
|
218 |
197 |
$1.40 |
| 3079F |
|
265 |
244 |
$0.03 |
| 90651 |
|
14 |
14 |
$0.01 |
| 3008F |
|
7,724 |
6,925 |
$0.00 |
| 3074F |
|
1,402 |
1,281 |
$0.00 |
| 3044F |
|
33 |
30 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
708 |
627 |
$0.00 |
| 97802 |
|
24 |
20 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 1126F |
|
281 |
245 |
$0.00 |
| 1170F |
|
290 |
267 |
$0.00 |
| 1101F |
|
35 |
30 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
24 |
20 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 3075F |
|
28 |
25 |
$0.00 |
| 1125F |
|
80 |
71 |
$0.00 |
| 3078F |
|
1,247 |
1,140 |
$0.00 |
| 1159F |
|
3,153 |
2,875 |
$0.00 |
| 1160F |
|
591 |
526 |
$0.00 |
| 3288F |
|
61 |
57 |
$0.00 |
| 0521F |
|
36 |
31 |
$0.00 |
| 3725F |
|
30 |
28 |
$0.00 |
| 3077F |
|
16 |
15 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |