| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82,275 |
70,838 |
$4.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,513 |
58,363 |
$2.92M |
| 59426 |
|
4,179 |
1,751 |
$324K |
| 59425 |
|
4,823 |
3,557 |
$319K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,176 |
9,356 |
$225K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,748 |
2,527 |
$135K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14,552 |
12,074 |
$123K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,267 |
3,915 |
$115K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24,795 |
20,960 |
$108K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,793 |
7,982 |
$106K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,998 |
2,752 |
$87K |
| 99215 |
Prolong outpt/office vis |
1,341 |
1,230 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,086 |
824 |
$75K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,835 |
1,918 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
739 |
671 |
$57K |
| 20610 |
|
1,847 |
1,568 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,771 |
3,351 |
$42K |
| 87428 |
|
1,430 |
1,280 |
$39K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
437 |
363 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
745 |
646 |
$23K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
257 |
233 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
990 |
891 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
229 |
202 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
311 |
295 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
907 |
841 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,042 |
2,791 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
464 |
428 |
$14K |
| G0127 |
Trimming of dystrophic nails, any number |
2,440 |
2,075 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
132 |
122 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,679 |
1,382 |
$12K |
| 90686 |
|
1,197 |
1,076 |
$11K |
| 80305 |
|
1,283 |
1,008 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,373 |
1,253 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
419 |
381 |
$7K |
| 94726 |
|
1,102 |
1,033 |
$7K |
| 90688 |
|
766 |
730 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
75 |
$7K |
| 94060 |
|
1,004 |
940 |
$6K |
| 59430 |
|
34 |
29 |
$6K |
| 93016 |
|
555 |
509 |
$5K |
| 94729 |
|
1,105 |
1,034 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
242 |
129 |
$5K |
| 95251 |
|
236 |
206 |
$4K |
| 87807 |
|
443 |
407 |
$4K |
| 93018 |
|
567 |
522 |
$4K |
| 11750 |
|
37 |
24 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
105 |
72 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,215 |
1,075 |
$3K |
| 73630 |
|
188 |
158 |
$3K |
| 99205 |
Prolong outpt/office vis |
27 |
24 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
115 |
109 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
40 |
39 |
$2K |
| 51701 |
|
115 |
94 |
$2K |
| 99305 |
|
71 |
60 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
15 |
14 |
$2K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
26 |
26 |
$1K |
| 90474 |
|
117 |
101 |
$1K |
| 0004A |
|
135 |
126 |
$1K |
| 00731 |
|
71 |
70 |
$1K |
| 90480 |
|
147 |
74 |
$1K |
| 0002A |
|
51 |
49 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
24 |
$1K |
| 99460 |
|
12 |
12 |
$917.01 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$838.16 |
| 0003A |
|
139 |
137 |
$821.41 |
| 90670 |
|
233 |
223 |
$819.46 |
| 81025 |
|
261 |
227 |
$757.63 |
| 93298 |
|
53 |
52 |
$752.97 |
| 93458 |
|
14 |
12 |
$743.45 |
| 90715 |
|
38 |
33 |
$661.95 |
| 81001 |
|
463 |
403 |
$652.51 |
| 99307 |
|
55 |
49 |
$624.38 |
| 96127 |
|
164 |
153 |
$589.14 |
| 91320 |
|
17 |
14 |
$574.36 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
94 |
87 |
$535.99 |
| 93971 |
|
48 |
45 |
$501.70 |
| 95806 |
|
12 |
12 |
$477.87 |
| 81003 |
|
635 |
511 |
$469.99 |
| 99462 |
|
16 |
13 |
$458.70 |
| 0001A |
|
19 |
17 |
$446.52 |
| 73562 |
|
12 |
12 |
$385.27 |
| 90656 |
|
53 |
52 |
$358.74 |
| 0064A |
|
46 |
45 |
$334.89 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
30 |
14 |
$333.37 |
| 74018 |
|
12 |
12 |
$239.16 |
| 93244 |
|
12 |
12 |
$225.10 |
| 0124A |
|
117 |
72 |
$221.40 |
| 88142 |
|
46 |
22 |
$219.20 |
| 94010 |
|
55 |
44 |
$195.29 |
| 93272 |
|
13 |
12 |
$191.84 |
| 11720 |
|
15 |
12 |
$130.33 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
361 |
330 |
$91.04 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
58 |
57 |
$77.45 |
| 0013A |
|
20 |
19 |
$74.42 |
| 0134A |
|
30 |
17 |
$73.80 |
| 99051 |
|
1,684 |
1,501 |
$48.82 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
44 |
43 |
$0.00 |
| 90633 |
|
29 |
29 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18 |
13 |
$0.00 |
| 90671 |
|
13 |
12 |
$0.00 |
| 0298T |
|
12 |
12 |
$0.00 |
| 3008F |
|
2,221 |
2,037 |
$0.00 |
| 90697 |
|
18 |
15 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
18 |
13 |
$0.00 |
| 90680 |
|
107 |
102 |
$0.00 |
| 99406 |
|
42 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
256 |
234 |
$0.00 |
| 90698 |
|
119 |
116 |
$0.00 |
| 90677 |
|
55 |
51 |
$0.00 |
| 90744 |
|
29 |
26 |
$0.00 |