| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,888 |
11,177 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,807 |
3,106 |
$499K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,432 |
2,147 |
$404K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,291 |
1,245 |
$184K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,483 |
1,325 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
839 |
815 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,652 |
1,578 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
203 |
201 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
176 |
170 |
$23K |
| 90461 |
|
782 |
678 |
$22K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
349 |
327 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
137 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,231 |
1,180 |
$13K |
| 99215 |
Prolong outpt/office vis |
54 |
51 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
181 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
934 |
788 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
707 |
648 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
27 |
$5K |
| 99243 |
|
26 |
25 |
$5K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
13 |
13 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$3K |
| 99201 |
|
44 |
44 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$2K |
| 80053 |
Comprehensive metabolic panel |
60 |
50 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
76 |
64 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
35 |
25 |
$1K |
| 80305 |
|
99 |
80 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$965.90 |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
15 |
$930.15 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$920.82 |
| 84443 |
Thyroid stimulating hormone (TSH) |
23 |
22 |
$891.50 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
14 |
$672.84 |
| 99307 |
|
15 |
12 |
$465.38 |
| 80061 |
Lipid panel |
12 |
12 |
$400.88 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
13 |
$298.21 |
| 87581 |
|
13 |
13 |
$298.21 |
| 87486 |
|
13 |
13 |
$298.21 |
| 36415 |
Collection of venous blood by venipuncture |
130 |
98 |
$279.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$182.05 |
| 73562 |
|
14 |
13 |
$156.48 |
| 73630 |
|
14 |
12 |
$141.42 |
| 90686 |
|
27 |
27 |
$45.06 |
| 85018 |
|
15 |
14 |
$30.81 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
70 |
53 |
$26.26 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
17 |
$0.16 |
| 90670 |
|
247 |
246 |
$0.00 |
| 90661 |
|
17 |
17 |
$0.00 |
| 90647 |
|
57 |
55 |
$0.00 |
| 90723 |
|
104 |
103 |
$0.00 |
| 90680 |
|
51 |
51 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
14 |
$0.00 |