| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,584 |
39,983 |
$2.25M |
| 90378 |
|
493 |
284 |
$1.01M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
2,073 |
1,977 |
$698K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,557 |
9,642 |
$687K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,485 |
8,254 |
$575K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
11,472 |
10,381 |
$412K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,137 |
1,049 |
$333K |
| 99460 |
|
4,119 |
3,862 |
$326K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,546 |
4,162 |
$325K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,495 |
4,340 |
$303K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,424 |
4,916 |
$297K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,577 |
14,069 |
$263K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,708 |
2,532 |
$252K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24,019 |
23,143 |
$243K |
| 54150 |
|
1,387 |
1,284 |
$192K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,390 |
2,313 |
$162K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,103 |
4,383 |
$147K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,497 |
876 |
$113K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,062 |
901 |
$90K |
| 87581 |
|
2,071 |
1,907 |
$86K |
| 99462 |
|
2,043 |
1,626 |
$68K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
741 |
510 |
$64K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,310 |
1,255 |
$62K |
| 90474 |
|
6,128 |
5,884 |
$60K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,441 |
1,341 |
$59K |
| 87486 |
|
1,438 |
1,340 |
$58K |
| 99215 |
Prolong outpt/office vis |
496 |
449 |
$46K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,159 |
4,292 |
$40K |
| 83655 |
|
3,045 |
2,920 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
1,770 |
1,003 |
$32K |
| W0037 |
|
10,767 |
10,767 |
$32K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
305 |
232 |
$29K |
| 85027 |
|
4,076 |
3,840 |
$27K |
| 74018 |
|
1,701 |
990 |
$27K |
| 87634 |
|
421 |
395 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
344 |
274 |
$23K |
| 93325 |
|
727 |
555 |
$19K |
| 36416 |
|
11,141 |
8,731 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,847 |
1,393 |
$15K |
| 99381 |
|
140 |
128 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,240 |
1,001 |
$11K |
| 82247 |
|
2,111 |
1,163 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,027 |
885 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,384 |
1,985 |
$9K |
| 93320 |
|
305 |
230 |
$9K |
| 99188 |
|
373 |
364 |
$9K |
| 17110 |
|
115 |
106 |
$9K |
| 80053 |
Comprehensive metabolic panel |
899 |
727 |
$8K |
| 81001 |
|
2,143 |
1,769 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
711 |
686 |
$6K |
| 99383 |
|
57 |
48 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
383 |
290 |
$5K |
| 99000 |
|
3,021 |
2,560 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
105 |
77 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,139 |
993 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
497 |
371 |
$3K |
| 90670 |
|
7,247 |
6,982 |
$3K |
| 90677 |
|
1,158 |
1,129 |
$3K |
| 90651 |
|
1,882 |
1,814 |
$3K |
| 80061 |
Lipid panel |
158 |
143 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
49 |
$2K |
| 99217 |
|
26 |
26 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
20 |
13 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
477 |
440 |
$1K |
| 86140 |
|
180 |
152 |
$783.51 |
| 90686 |
|
6,450 |
6,317 |
$759.19 |
| 90710 |
|
1,498 |
1,470 |
$576.24 |
| 90633 |
|
4,018 |
3,872 |
$574.24 |
| 90685 |
|
1,721 |
1,677 |
$489.77 |
| 96161 |
|
95 |
91 |
$245.91 |
| 90620 |
|
472 |
454 |
$160.75 |
| 90696 |
|
1,413 |
1,390 |
$152.28 |
| 90734 |
|
1,444 |
1,388 |
$131.42 |
| 90715 |
|
862 |
830 |
$120.56 |
| 86308 |
|
17 |
17 |
$83.26 |
| 81003 |
|
30 |
25 |
$81.72 |
| 96127 |
|
14 |
12 |
$72.28 |
| 90688 |
|
241 |
236 |
$27.11 |
| 90687 |
|
216 |
206 |
$14.00 |
| 90716 |
|
2,037 |
1,959 |
$0.00 |
| 90744 |
|
1,595 |
1,545 |
$0.00 |
| 90680 |
|
6,232 |
5,997 |
$0.00 |
| 90698 |
|
2,286 |
2,218 |
$0.00 |
| 90723 |
|
4,400 |
4,211 |
$0.00 |
| 90381 |
|
24 |
24 |
$0.00 |
| 90656 |
|
899 |
891 |
$0.00 |
| 90707 |
|
2,007 |
1,928 |
$0.00 |
| 90648 |
|
6,146 |
5,917 |
$0.00 |
| 90700 |
|
1,813 |
1,769 |
$0.00 |