| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80,405 |
73,205 |
$5.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69,386 |
59,768 |
$3.81M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,749 |
10,020 |
$1.10M |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
27,735 |
26,124 |
$656K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,315 |
8,728 |
$631K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,595 |
5,192 |
$406K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,581 |
4,906 |
$372K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,443 |
1,981 |
$313K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,867 |
4,943 |
$287K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,263 |
2,085 |
$280K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,076 |
1,841 |
$252K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,630 |
13,523 |
$202K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,770 |
8,097 |
$179K |
| 99215 |
Prolong outpt/office vis |
2,006 |
1,768 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,051 |
1,952 |
$159K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,036 |
6,580 |
$130K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
144 |
127 |
$100K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,103 |
1,876 |
$95K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,421 |
1,026 |
$91K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,396 |
1,329 |
$88K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,420 |
1,598 |
$78K |
| 99222 |
Initial hospital care, per day, moderate complexity |
911 |
785 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
885 |
819 |
$73K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
541 |
178 |
$69K |
| 99233 |
Prolong inpt eval add15 m |
1,070 |
471 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,543 |
2,523 |
$68K |
| 99223 |
Prolong inpt eval add15 m |
536 |
506 |
$68K |
| 90686 |
|
5,588 |
5,185 |
$64K |
| D1351 |
Sealant - per tooth |
2,347 |
376 |
$61K |
| 99460 |
|
1,010 |
910 |
$60K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,674 |
875 |
$60K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
733 |
653 |
$58K |
| 99205 |
Prolong outpt/office vis |
426 |
387 |
$54K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
747 |
683 |
$52K |
| 90791 |
Psychiatric diagnostic evaluation |
489 |
457 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
638 |
602 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,359 |
3,913 |
$50K |
| 90834 |
Psychotherapy, 45 minutes with patient |
717 |
529 |
$43K |
| D0140 |
Limited oral evaluation - problem focused |
1,393 |
1,328 |
$42K |
| 92557 |
|
1,671 |
1,577 |
$41K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,526 |
1,469 |
$38K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
703 |
653 |
$37K |
| 92551 |
|
3,397 |
3,219 |
$35K |
| 92567 |
|
2,594 |
2,454 |
$34K |
| 88307 |
|
585 |
549 |
$33K |
| D1120 |
Prophylaxis - child |
942 |
923 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
3,381 |
3,023 |
$32K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
256 |
238 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
5,024 |
4,147 |
$30K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
963 |
887 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
333 |
306 |
$28K |
| 90670 |
|
3,663 |
3,320 |
$28K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
608 |
561 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
767 |
677 |
$27K |
| 99383 |
|
311 |
288 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
948 |
895 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
448 |
375 |
$25K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,230 |
1,186 |
$24K |
| 20610 |
|
612 |
500 |
$23K |
| 73630 |
|
2,002 |
1,397 |
$23K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,246 |
1,217 |
$22K |
| 59025 |
Fetal non-stress test |
854 |
499 |
$21K |
| 80305 |
|
1,648 |
974 |
$19K |
| 73610 |
|
1,630 |
1,158 |
$19K |
| 99221 |
|
298 |
253 |
$18K |
| 90671 |
|
96 |
90 |
$18K |
| 81003 |
|
2,433 |
1,998 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,010 |
1,903 |
$18K |
| 99385 |
|
207 |
192 |
$17K |
| 99384 |
|
177 |
167 |
$17K |
| 54150 |
|
261 |
225 |
$16K |
| 73564 |
|
930 |
555 |
$14K |
| 59430 |
|
60 |
56 |
$14K |
| 99381 |
|
202 |
188 |
$13K |
| 90715 |
|
752 |
682 |
$13K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,958 |
1,526 |
$13K |
| 99462 |
|
468 |
313 |
$12K |
| 90651 |
|
477 |
440 |
$12K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,105 |
867 |
$12K |
| 73110 |
|
964 |
596 |
$11K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
94 |
90 |
$11K |
| 81025 |
|
1,417 |
1,234 |
$11K |
| 73562 |
|
826 |
579 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,235 |
990 |
$11K |
| 73030 |
|
1,037 |
705 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
476 |
453 |
$10K |
| 88312 |
|
189 |
172 |
$9K |
| 76641 |
|
490 |
330 |
$9K |
| 92579 |
|
300 |
292 |
$9K |
| 76830 |
Ultrasound, transvaginal |
379 |
363 |
$9K |
| 31575 |
|
98 |
93 |
$8K |
| 82962 |
|
1,442 |
1,316 |
$8K |
| 90680 |
|
1,707 |
1,548 |
$8K |
| 83655 |
|
683 |
622 |
$8K |
| 99217 |
|
178 |
165 |
$8K |
| 90474 |
|
963 |
866 |
$8K |
| 88304 |
|
884 |
826 |
$8K |
| 73130 |
|
785 |
515 |
$8K |
| 90698 |
|
2,632 |
2,393 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
160 |
145 |
$7K |
| 0002A |
|
178 |
169 |
$7K |
| D1110 |
Prophylaxis - adult |
146 |
140 |
$7K |
| 0001A |
|
162 |
155 |
$7K |
| 90473 |
|
320 |
302 |
$6K |
| 73140 |
|
528 |
290 |
$6K |
| 20611 |
|
94 |
78 |
$6K |
| 73502 |
|
457 |
325 |
$6K |
| 99382 |
|
73 |
67 |
$6K |
| 87210 |
|
869 |
452 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
146 |
131 |
$5K |
| 0072A |
|
256 |
157 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
78 |
77 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
110 |
104 |
$5K |
| 99219 |
|
61 |
58 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
394 |
325 |
$5K |
| 71271 |
|
149 |
123 |
$5K |
| 99386 |
|
41 |
40 |
$5K |
| 87807 |
|
380 |
351 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
110 |
90 |
$4K |
| 96137 |
|
47 |
44 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
127 |
95 |
$4K |
| 72110 |
|
397 |
344 |
$4K |
| 69210 |
|
152 |
149 |
$4K |
| 20550 |
|
164 |
73 |
$4K |
| 51798 |
|
237 |
200 |
$4K |
| 94060 |
|
419 |
400 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
213 |
195 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
175 |
165 |
$4K |
| 96131 |
|
46 |
44 |
$4K |
| 77066 |
Tomosynthesis, mammo |
113 |
106 |
$3K |
| 76770 |
|
145 |
131 |
$3K |
| 76536 |
|
185 |
178 |
$3K |
| 0071A |
|
178 |
107 |
$3K |
| 0004A |
|
103 |
95 |
$3K |
| 96130 |
|
46 |
44 |
$3K |
| 90633 |
|
1,230 |
1,102 |
$3K |
| 88342 |
|
126 |
111 |
$3K |
| 85018 |
|
835 |
762 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
26 |
19 |
$3K |
| 71250 |
|
74 |
74 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
47 |
47 |
$3K |
| 0054A |
|
96 |
75 |
$3K |
| 96127 |
|
760 |
707 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
64 |
61 |
$2K |
| 90750 |
|
27 |
26 |
$2K |
| 99173 |
|
834 |
765 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
16 |
$2K |
| 73221 |
|
53 |
43 |
$2K |
| 99401 |
|
63 |
46 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
71 |
66 |
$2K |
| 74018 |
|
287 |
251 |
$2K |
| 94760 |
|
181 |
156 |
$2K |
| 90744 |
|
970 |
890 |
$2K |
| 99495 |
|
12 |
12 |
$2K |
| 94726 |
|
201 |
187 |
$2K |
| 0124A |
|
160 |
123 |
$2K |
| 73080 |
|
144 |
76 |
$1K |
| 93975 |
|
38 |
38 |
$1K |
| 73560 |
|
177 |
99 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
19 |
14 |
$1K |
| 99406 |
|
81 |
69 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
130 |
117 |
$1K |
| 94729 |
|
188 |
174 |
$1K |
| 73590 |
|
117 |
62 |
$1K |
| 96136 |
|
46 |
44 |
$1K |
| 88302 |
|
159 |
146 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
39 |
38 |
$1K |
| 0003A |
|
23 |
23 |
$1K |
| 90648 |
|
294 |
270 |
$908.78 |
| 90662 |
|
12 |
12 |
$900.39 |
| 74019 |
|
99 |
77 |
$817.02 |
| 90707 |
|
491 |
440 |
$657.77 |
| 94010 |
|
25 |
24 |
$649.43 |
| 90653 |
|
23 |
19 |
$648.25 |
| 90723 |
|
186 |
170 |
$646.59 |
| 95886 |
|
12 |
12 |
$616.44 |
| 99188 |
|
31 |
31 |
$610.50 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
14 |
12 |
$569.96 |
| 83518 |
|
30 |
22 |
$563.60 |
| 90716 |
|
471 |
417 |
$554.69 |
| 69209 |
|
50 |
41 |
$499.15 |
| 76882 |
|
32 |
27 |
$493.24 |
| 90710 |
|
440 |
413 |
$492.84 |
| 93000 |
|
79 |
67 |
$480.73 |
| 36415 |
Collection of venous blood by venipuncture |
174 |
167 |
$466.94 |
| 72050 |
|
37 |
27 |
$458.47 |
| D1353 |
|
40 |
14 |
$435.00 |
| 93971 |
|
29 |
27 |
$419.48 |
| 90685 |
|
30 |
26 |
$415.57 |
| 81002 |
|
163 |
127 |
$393.45 |
| 73650 |
|
27 |
12 |
$296.96 |
| 76775 |
|
15 |
15 |
$286.99 |
| 73522 |
|
26 |
25 |
$278.34 |
| 73090 |
|
25 |
14 |
$274.58 |
| 72100 |
|
31 |
25 |
$269.41 |
| 99177 |
|
27 |
24 |
$236.53 |
| 93016 |
|
20 |
19 |
$230.23 |
| 92587 |
|
13 |
13 |
$183.10 |
| 99172 |
|
38 |
38 |
$176.00 |
| 90734 |
|
250 |
236 |
$174.88 |
| 0134A |
|
18 |
15 |
$173.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
13 |
$137.12 |
| 93018 |
|
12 |
12 |
$135.42 |
| 88720 |
|
30 |
25 |
$133.28 |
| 99000 |
|
187 |
169 |
$121.37 |
| 77080 |
|
14 |
14 |
$98.30 |
| 0154A |
|
33 |
13 |
$88.00 |
| 99442 |
|
13 |
13 |
$84.60 |
| 72040 |
|
12 |
12 |
$80.25 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
45 |
38 |
$67.54 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
12 |
$59.41 |
| 90696 |
|
437 |
410 |
$26.40 |
| 91307 |
|
374 |
236 |
$0.00 |
| 91305 |
|
156 |
118 |
$0.00 |
| D0190 |
|
681 |
659 |
$0.00 |
| 91312 |
|
55 |
44 |
$0.00 |
| 90700 |
|
247 |
205 |
$0.00 |
| 91300 |
|
561 |
498 |
$0.00 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
14 |
12 |
$0.00 |