| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,707 |
20,867 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,797 |
23,011 |
$814K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,140 |
6,081 |
$186K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,386 |
1,385 |
$90K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,347 |
3,194 |
$77K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
665 |
619 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,074 |
2,040 |
$25K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
729 |
594 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
261 |
245 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
370 |
370 |
$18K |
| 99051 |
|
1,208 |
1,195 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
140 |
140 |
$13K |
| 87400 |
|
1,163 |
617 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,360 |
1,307 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
153 |
$9K |
| 20553 |
|
275 |
247 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
128 |
127 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,972 |
3,723 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
86 |
86 |
$6K |
| 87081 |
|
1,055 |
1,042 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
67 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
258 |
162 |
$5K |
| 99173 |
|
225 |
225 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
270 |
266 |
$3K |
| 80053 |
Comprehensive metabolic panel |
442 |
435 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
652 |
601 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
51 |
51 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
64 |
50 |
$3K |
| 90686 |
|
194 |
192 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
56 |
56 |
$2K |
| 98966 |
|
240 |
240 |
$2K |
| 76813 |
|
38 |
38 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
97 |
49 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
242 |
234 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
38 |
38 |
$877.20 |
| 81002 |
|
725 |
671 |
$809.26 |
| 17110 |
|
13 |
13 |
$781.27 |
| 20610 |
|
32 |
25 |
$724.21 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$572.88 |
| 95251 |
|
38 |
37 |
$535.23 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
51 |
51 |
$511.61 |
| 76820 |
|
25 |
12 |
$452.46 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
84 |
81 |
$452.40 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
70 |
69 |
$438.39 |
| 93000 |
|
74 |
74 |
$398.37 |
| 80061 |
Lipid panel |
104 |
102 |
$370.75 |
| ATP14 |
|
369 |
361 |
$364.04 |
| ATP08 |
|
414 |
399 |
$299.27 |
| 95806 |
|
13 |
13 |
$286.71 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
13 |
$259.30 |
| 97597 |
|
22 |
16 |
$233.55 |
| 94060 |
|
14 |
13 |
$205.69 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$193.41 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$131.98 |
| 51798 |
|
24 |
24 |
$126.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$112.47 |
| 90653 |
|
29 |
29 |
$79.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
830 |
807 |
$74.98 |
| 81001 |
|
38 |
37 |
$67.88 |
| 85027 |
|
14 |
13 |
$54.94 |
| ATP11 |
|
45 |
45 |
$27.33 |
| ATP17 |
|
58 |
57 |
$21.47 |
| 99000 |
|
16 |
16 |
$19.00 |
| ATP05 |
|
54 |
54 |
$16.12 |
| 96127 |
|
29 |
29 |
$2.47 |
| 90656 |
|
61 |
61 |
$0.00 |