| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
338,806 |
318,420 |
$12.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
336,195 |
319,048 |
$8.24M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111,290 |
110,875 |
$6.31M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67,683 |
67,492 |
$4.74M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35,405 |
34,209 |
$226K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,815 |
2,793 |
$179K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,565 |
751 |
$115K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
10,125 |
9,819 |
$75K |
| 0012A |
|
1,521 |
1,521 |
$56K |
| 81002 |
|
86,881 |
84,675 |
$56K |
| 99215 |
Prolong outpt/office vis |
862 |
847 |
$49K |
| 81025 |
|
58,846 |
57,377 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
6,780 |
6,693 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,279 |
2,248 |
$42K |
| 0011A |
|
1,276 |
1,276 |
$42K |
| 0001A |
|
1,147 |
1,147 |
$41K |
| L4386 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
435 |
431 |
$39K |
| 0002A |
|
950 |
950 |
$38K |
| 87070 |
|
38,285 |
35,806 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17,761 |
17,618 |
$35K |
| 29125 |
|
986 |
959 |
$30K |
| 12001 |
|
1,042 |
1,031 |
$29K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
851 |
837 |
$25K |
| 93000 |
|
3,152 |
3,137 |
$23K |
| 29540 |
|
2,704 |
2,673 |
$22K |
| S9083 |
Global fee urgent care centers |
2,742 |
2,212 |
$22K |
| 73630 |
|
2,774 |
2,748 |
$20K |
| 29515 |
|
595 |
585 |
$20K |
| 73610 |
|
2,713 |
2,679 |
$20K |
| 29530 |
|
1,114 |
1,102 |
$19K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
946 |
943 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,333 |
3,302 |
$17K |
| 73130 |
|
2,170 |
2,154 |
$17K |
| 29130 |
|
1,403 |
1,380 |
$17K |
| 10060 |
|
909 |
872 |
$16K |
| 0031A |
|
351 |
351 |
$13K |
| 73110 |
|
1,602 |
1,591 |
$12K |
| 73562 |
|
1,379 |
1,361 |
$11K |
| 29126 |
|
180 |
178 |
$10K |
| 73140 |
|
1,700 |
1,685 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17,666 |
17,090 |
$8K |
| L3260 |
Surgical boot/shoe, each |
390 |
388 |
$8K |
| 72100 |
|
808 |
800 |
$8K |
| 69210 |
|
1,098 |
1,086 |
$7K |
| 29260 |
|
312 |
310 |
$6K |
| 29105 |
|
158 |
155 |
$6K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
979 |
947 |
$6K |
| 73620 |
|
1,418 |
1,398 |
$6K |
| 73600 |
|
1,178 |
1,163 |
$6K |
| 82962 |
|
8,703 |
8,598 |
$5K |
| 90714 |
|
943 |
938 |
$5K |
| 11730 |
|
445 |
443 |
$5K |
| 12011 |
|
108 |
107 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
74 |
74 |
$5K |
| 99205 |
Prolong outpt/office vis |
60 |
60 |
$5K |
| 73030 |
|
701 |
698 |
$5K |
| 73120 |
|
957 |
951 |
$4K |
| 73560 |
|
735 |
731 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
96 |
96 |
$4K |
| 90674 |
|
141 |
141 |
$4K |
| J3490 |
Unclassified drugs |
3,100 |
3,021 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,346 |
3,225 |
$4K |
| 73100 |
|
616 |
610 |
$3K |
| 73080 |
|
431 |
423 |
$3K |
| 0064A |
|
71 |
71 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,839 |
3,728 |
$3K |
| 69209 |
|
447 |
440 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13,126 |
12,816 |
$3K |
| 0004A |
|
67 |
67 |
$3K |
| 99000 |
|
666 |
652 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,299 |
1,294 |
$2K |
| 73660 |
|
276 |
272 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
142 |
61 |
$2K |
| 29505 |
|
27 |
27 |
$2K |
| 73090 |
|
309 |
303 |
$2K |
| 73070 |
|
205 |
203 |
$2K |
| L3924 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf |
43 |
42 |
$2K |
| 72050 |
|
111 |
110 |
$2K |
| 29280 |
|
43 |
41 |
$1K |
| 90686 |
|
74 |
74 |
$1K |
| 0003A |
|
34 |
34 |
$1K |
| 17110 |
|
13 |
12 |
$1K |
| 0034A |
|
31 |
31 |
$1K |
| 80306 |
|
115 |
112 |
$1K |
| 0013A |
|
26 |
26 |
$1K |
| 73020 |
|
204 |
201 |
$1K |
| G9920 |
Screening performed and negative |
127,274 |
125,766 |
$867.68 |
| 29131 |
|
46 |
46 |
$862.42 |
| 11045 |
|
79 |
37 |
$705.63 |
| 72070 |
|
75 |
74 |
$664.28 |
| L3923 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
29 |
29 |
$639.16 |
| 71045 |
Radiologic examination, chest; single view |
438 |
437 |
$454.83 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
3,199 |
3,080 |
$451.95 |
| 73590 |
|
108 |
107 |
$402.15 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,185 |
1,174 |
$368.73 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,258 |
11,041 |
$306.95 |
| 72040 |
|
89 |
89 |
$299.88 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,733 |
6,598 |
$274.15 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
123 |
122 |
$239.45 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
43 |
42 |
$193.24 |
| 86308 |
|
63 |
63 |
$169.10 |
| 99384 |
|
1,074 |
1,073 |
$131.56 |
| 71020 |
|
13 |
12 |
$109.04 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,256 |
3,165 |
$102.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,353 |
2,293 |
$74.78 |
| 99383 |
|
1,854 |
1,852 |
$54.83 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
71 |
67 |
$54.82 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
426 |
420 |
$38.76 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
270 |
267 |
$31.07 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
12 |
12 |
$19.52 |
| 71101 |
|
67 |
67 |
$11.52 |
| 81003 |
|
107 |
107 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
17 |
17 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
5,539 |
5,497 |
$0.00 |
| 99188 |
|
237 |
237 |
$0.00 |
| 4004F |
|
83 |
83 |
$0.00 |
| 99382 |
|
289 |
288 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
262 |
257 |
$0.00 |
| 90756 |
|
145 |
145 |
$0.00 |
| 3078F |
|
147 |
143 |
$0.00 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
15 |
15 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$0.00 |
| 69200 |
|
26 |
26 |
$0.00 |
| 1036F |
|
59,302 |
54,779 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
55,330 |
51,182 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
38,425 |
35,810 |
$0.00 |
| 3075F |
|
114 |
112 |
$0.00 |
| 3074F |
|
194 |
189 |
$0.00 |
| 90688 |
|
86 |
86 |
$0.00 |
| 99385 |
|
692 |
691 |
$0.00 |
| 3079F |
|
184 |
181 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 73060 |
|
14 |
14 |
$0.00 |
| 12002 |
|
41 |
41 |
$0.00 |
| 73564 |
|
12 |
12 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |