| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,943 |
52,504 |
$2.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,884 |
35,827 |
$2.20M |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,146 |
2,661 |
$333K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,843 |
3,672 |
$164K |
| X5622 |
|
1,341 |
1,260 |
$138K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,416 |
3,322 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,251 |
2,202 |
$108K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,043 |
1,438 |
$100K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,365 |
1,354 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,841 |
1,695 |
$72K |
| 99215 |
Prolong outpt/office vis |
806 |
739 |
$70K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,279 |
1,226 |
$70K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,043 |
2,944 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,219 |
1,192 |
$55K |
| 90461 |
|
2,053 |
1,990 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,266 |
2,170 |
$46K |
| V2020 |
Frames, purchases |
1,446 |
1,400 |
$44K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,753 |
1,726 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
661 |
654 |
$42K |
| 99310 |
Prolong nursin fac eval 15m |
480 |
341 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
6,000 |
5,691 |
$39K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,377 |
1,297 |
$36K |
| 92015 |
Determination of refractive state |
2,791 |
2,751 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
374 |
363 |
$31K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,159 |
5,961 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,200 |
1,375 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,057 |
1,004 |
$26K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,277 |
1,256 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
839 |
818 |
$24K |
| 99607 |
|
657 |
543 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
4,386 |
3,670 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,418 |
1,372 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
422 |
396 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
859 |
841 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
277 |
197 |
$18K |
| 76830 |
Ultrasound, transvaginal |
789 |
756 |
$18K |
| 92551 |
|
2,818 |
2,741 |
$17K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
471 |
283 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
158 |
153 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,208 |
1,184 |
$15K |
| 73630 |
|
2,829 |
2,377 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,885 |
1,766 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
748 |
717 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
236 |
229 |
$13K |
| 99606 |
|
390 |
291 |
$12K |
| 99443 |
|
162 |
143 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
372 |
214 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
272 |
254 |
$11K |
| 99605 |
|
208 |
198 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
315 |
306 |
$9K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
81 |
78 |
$9K |
| 96130 |
|
87 |
70 |
$9K |
| 73610 |
|
1,432 |
1,278 |
$8K |
| 96127 |
|
2,123 |
2,083 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
152 |
149 |
$7K |
| 99205 |
Prolong outpt/office vis |
27 |
26 |
$7K |
| 99336 |
|
64 |
37 |
$6K |
| 76801 |
|
199 |
190 |
$6K |
| 99442 |
|
108 |
104 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
72 |
70 |
$5K |
| 99188 |
|
684 |
664 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
350 |
336 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
83 |
79 |
$4K |
| 73030 |
|
706 |
642 |
$4K |
| 99173 |
|
2,755 |
2,676 |
$4K |
| 73562 |
|
626 |
574 |
$4K |
| 20610 |
|
121 |
112 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
40 |
$3K |
| 73110 |
|
477 |
430 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
25 |
25 |
$2K |
| 73130 |
|
401 |
352 |
$2K |
| 69210 |
|
116 |
114 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
80 |
52 |
$2K |
| 90662 |
|
25 |
25 |
$1K |
| 17110 |
|
25 |
25 |
$1K |
| 92341 |
|
66 |
64 |
$1K |
| 99335 |
|
15 |
13 |
$1K |
| 96131 |
|
12 |
12 |
$1K |
| 73502 |
|
146 |
137 |
$1K |
| 99243 |
|
15 |
15 |
$979.44 |
| 99417 |
Prolong home eval add 15m |
15 |
14 |
$905.30 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
165 |
130 |
$873.57 |
| 99349 |
|
15 |
12 |
$790.56 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$767.31 |
| 99383 |
|
14 |
14 |
$694.71 |
| 72100 |
|
82 |
80 |
$629.95 |
| 74018 |
|
99 |
93 |
$605.59 |
| 73140 |
|
128 |
115 |
$585.22 |
| 76642 |
|
27 |
25 |
$538.74 |
| 72141 |
|
12 |
12 |
$531.70 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
174 |
160 |
$526.30 |
| 73221 |
|
13 |
13 |
$472.23 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$403.16 |
| 96136 |
|
12 |
12 |
$390.03 |
| 73564 |
|
49 |
39 |
$371.18 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$356.80 |
| 93971 |
|
31 |
25 |
$355.22 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$285.12 |
| 98940 |
|
22 |
13 |
$257.16 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
14 |
12 |
$229.60 |
| 99406 |
|
26 |
25 |
$212.72 |
| 73080 |
|
13 |
12 |
$72.48 |
| 96161 |
|
34 |
26 |
$48.22 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
57 |
$40.96 |
| 90686 |
|
1,394 |
1,375 |
$22.67 |
| 90677 |
|
80 |
78 |
$0.19 |
| 90670 |
|
864 |
845 |
$0.05 |
| 90723 |
|
630 |
606 |
$0.02 |
| 90647 |
|
639 |
615 |
$0.02 |
| 90680 |
|
446 |
432 |
$0.01 |
| 90651 |
|
163 |
155 |
$0.01 |
| 90633 |
|
384 |
369 |
$0.01 |
| 90688 |
|
15 |
15 |
$0.00 |
| 99024 |
|
728 |
562 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90696 |
|
42 |
40 |
$0.00 |
| 90656 |
|
87 |
81 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,339 |
958 |
$0.00 |
| 90734 |
|
83 |
73 |
$0.00 |
| 90710 |
|
47 |
45 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
24 |
$0.00 |
| 90715 |
|
34 |
30 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90685 |
|
71 |
70 |
$0.00 |