| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146,753 |
140,378 |
$22.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,312 |
33,001 |
$7.52M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
11,563 |
11,498 |
$4.70M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,872 |
9,699 |
$3.52M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,432 |
15,143 |
$3.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,624 |
14,537 |
$3.37M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67,327 |
66,510 |
$3.09M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,955 |
12,553 |
$2.50M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,626 |
9,471 |
$2.07M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,836 |
20,808 |
$1.90M |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26,757 |
26,509 |
$1.47M |
| 99441 |
|
34,915 |
32,894 |
$1.43M |
| 90670 |
|
5,060 |
5,019 |
$1.33M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,510 |
6,318 |
$1.21M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,243 |
4,202 |
$1.02M |
| 71046 |
Radiologic examination, chest; 2 views |
13,605 |
13,401 |
$961K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,554 |
1,539 |
$827K |
| 99215 |
Prolong outpt/office vis |
2,493 |
2,370 |
$702K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,883 |
1,654 |
$695K |
| 90686 |
|
22,229 |
22,113 |
$615K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,250 |
1,222 |
$546K |
| 92015 |
Determination of refractive state |
13,485 |
13,304 |
$522K |
| 99442 |
|
7,338 |
7,007 |
$514K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,043 |
2,030 |
$510K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,867 |
1,078 |
$492K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
658 |
653 |
$485K |
| 90677 |
|
918 |
903 |
$407K |
| 92002 |
|
2,202 |
2,178 |
$370K |
| 93000 |
|
9,936 |
9,728 |
$329K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,199 |
2,032 |
$326K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,108 |
802 |
$274K |
| 90651 |
|
842 |
837 |
$270K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
990 |
962 |
$251K |
| 59025 |
Fetal non-stress test |
2,074 |
1,159 |
$244K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
17,407 |
15,630 |
$238K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,173 |
2,111 |
$235K |
| 90723 |
|
2,242 |
2,207 |
$230K |
| 76801 |
|
691 |
673 |
$227K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
558 |
544 |
$217K |
| 76642 |
|
727 |
721 |
$187K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
563 |
559 |
$182K |
| 0001A |
|
4,453 |
4,431 |
$182K |
| 76830 |
Ultrasound, transvaginal |
485 |
481 |
$176K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
602 |
595 |
$156K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
387 |
380 |
$150K |
| 99078 |
|
2,209 |
525 |
$149K |
| 0002A |
|
3,525 |
3,524 |
$148K |
| 90962 |
|
993 |
944 |
$146K |
| 91320 |
|
956 |
952 |
$139K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
468 |
451 |
$122K |
| 73564 |
|
960 |
912 |
$115K |
| 90688 |
|
2,850 |
2,804 |
$99K |
| 93304 |
|
236 |
220 |
$96K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,978 |
550 |
$90K |
| 73630 |
|
1,149 |
1,067 |
$89K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
584 |
508 |
$89K |
| 71045 |
Radiologic examination, chest; single view |
9,519 |
8,003 |
$86K |
| 93325 |
|
1,193 |
1,106 |
$77K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
617 |
606 |
$76K |
| 99443 |
|
704 |
690 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
226 |
222 |
$74K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
317 |
310 |
$70K |
| 99460 |
|
429 |
388 |
$69K |
| 90656 |
|
2,250 |
2,228 |
$67K |
| 81002 |
|
5,141 |
3,803 |
$65K |
| 90648 |
|
2,336 |
2,311 |
$65K |
| 90681 |
|
435 |
428 |
$62K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,335 |
2,328 |
$60K |
| 90480 |
|
1,099 |
1,092 |
$56K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,171 |
789 |
$55K |
| 99205 |
Prolong outpt/office vis |
124 |
123 |
$55K |
| 77065 |
Tomosynthesis, mammo |
132 |
129 |
$51K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
465 |
461 |
$50K |
| 97151 |
|
356 |
355 |
$50K |
| 0004A |
|
1,037 |
1,036 |
$41K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
85 |
84 |
$41K |
| 0012A |
|
966 |
965 |
$40K |
| 0011A |
|
955 |
955 |
$39K |
| 70450 |
Computed tomography, head or brain; without contrast material |
442 |
425 |
$36K |
| 90832 |
Psychotherapy, 30 minutes with patient |
184 |
180 |
$33K |
| 98968 |
|
457 |
368 |
$32K |
| 90685 |
|
723 |
720 |
$32K |
| 90633 |
|
572 |
571 |
$29K |
| G0400 |
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels |
82 |
82 |
$29K |
| 73610 |
|
284 |
272 |
$29K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,562 |
1,485 |
$28K |
| 88141 |
|
267 |
267 |
$25K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
13 |
13 |
$25K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
56 |
54 |
$24K |
| 93321 |
|
344 |
318 |
$24K |
| 73030 |
|
235 |
213 |
$24K |
| J1380 |
Injection, estradiol valerate, up to 10 mg |
871 |
519 |
$23K |
| 90734 |
|
125 |
124 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
325 |
114 |
$23K |
| 0072A |
|
556 |
554 |
$22K |
| 88307 |
|
69 |
69 |
$22K |
| 0064A |
|
604 |
604 |
$22K |
| V2020 |
Frames, purchases |
1,264 |
1,219 |
$21K |
| 76770 |
|
50 |
49 |
$21K |
| 88342 |
|
161 |
159 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
692 |
665 |
$20K |
| 81025 |
|
657 |
645 |
$19K |
| 90647 |
|
517 |
508 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
79 |
77 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
204 |
75 |
$16K |
| 0360T |
|
55 |
52 |
$15K |
| 0071A |
|
386 |
385 |
$15K |
| 99462 |
|
172 |
120 |
$15K |
| 92134 |
|
274 |
266 |
$15K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
62 |
52 |
$14K |
| 0054A |
|
443 |
443 |
$14K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
58 |
51 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
36 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$13K |
| 76536 |
|
28 |
27 |
$13K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
99 |
93 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
301 |
247 |
$12K |
| 0124A |
|
372 |
367 |
$12K |
| 81001 |
|
885 |
846 |
$11K |
| 74018 |
|
168 |
153 |
$10K |
| 73110 |
|
143 |
130 |
$10K |
| 96417 |
|
72 |
55 |
$9K |
| 80051 |
|
342 |
322 |
$9K |
| 82565 |
|
414 |
397 |
$8K |
| 85027 |
|
304 |
294 |
$7K |
| 86580 |
|
185 |
177 |
$7K |
| 90474 |
|
236 |
232 |
$6K |
| 88341 |
|
14 |
12 |
$6K |
| 99417 |
Prolong home eval add 15m |
62 |
54 |
$6K |
| 90698 |
|
38 |
38 |
$6K |
| 73130 |
|
85 |
71 |
$5K |
| 98966 |
|
186 |
181 |
$5K |
| 31575 |
|
27 |
26 |
$5K |
| 99201 |
|
38 |
38 |
$5K |
| 77061 |
|
12 |
12 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
15 |
$4K |
| 90473 |
|
133 |
130 |
$4K |
| 76813 |
|
12 |
12 |
$4K |
| 84460 |
|
208 |
203 |
$4K |
| 84450 |
|
202 |
199 |
$4K |
| 94729 |
|
26 |
26 |
$4K |
| 84484 |
|
69 |
68 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
218 |
175 |
$3K |
| 11719 |
|
113 |
110 |
$3K |
| 92552 |
|
37 |
37 |
$3K |
| 84520 |
|
223 |
212 |
$3K |
| 82247 |
|
176 |
161 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
24 |
$3K |
| 90710 |
|
14 |
13 |
$3K |
| 85610 |
|
160 |
142 |
$3K |
| 97152 |
|
13 |
13 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
131 |
129 |
$2K |
| 82947 |
|
163 |
154 |
$2K |
| 98962 |
|
88 |
40 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 83690 |
|
88 |
86 |
$2K |
| 72100 |
|
19 |
19 |
$2K |
| 84075 |
|
103 |
101 |
$2K |
| 73140 |
|
25 |
24 |
$2K |
| J1000 |
Injection, depo-estradiol cypionate, up to 5 mg |
60 |
41 |
$2K |
| 85379 |
|
39 |
39 |
$2K |
| 90715 |
|
25 |
25 |
$2K |
| 94010 |
|
12 |
12 |
$1K |
| 90696 |
|
14 |
14 |
$924.00 |
| 99221 |
|
13 |
13 |
$919.36 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$900.00 |
| 96164 |
|
54 |
34 |
$816.00 |
| 98967 |
|
14 |
12 |
$798.00 |
| 96165 |
|
54 |
34 |
$752.00 |
| 85007 |
|
52 |
47 |
$735.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
52 |
47 |
$734.23 |
| 99188 |
|
24 |
24 |
$667.00 |
| 82150 |
|
27 |
27 |
$650.00 |
| 73080 |
|
14 |
12 |
$642.00 |
| 85730 |
|
26 |
26 |
$624.00 |
| 93272 |
|
12 |
12 |
$600.00 |
| 0134A |
|
26 |
26 |
$576.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
13 |
$533.84 |
| 81003 |
|
58 |
58 |
$522.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$507.00 |
| 85652 |
|
51 |
49 |
$500.00 |
| 90674 |
|
12 |
12 |
$495.00 |
| 77081 |
|
16 |
15 |
$480.00 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
13 |
13 |
$454.48 |
| 92558 |
|
19 |
16 |
$444.00 |
| 93016 |
|
12 |
12 |
$400.26 |
| 0053A |
|
17 |
17 |
$388.36 |
| 90662 |
|
31 |
30 |
$368.00 |
| 81000 |
|
21 |
20 |
$336.00 |
| 93018 |
|
12 |
12 |
$266.80 |
| 77080 |
|
12 |
12 |
$210.00 |
| 92227 |
|
917 |
899 |
$30.71 |
| 87428 |
|
46 |
44 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
29 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
16 |
12 |
$0.00 |
| 1159F |
|
120 |
120 |
$0.00 |
| 1160F |
|
120 |
120 |
$0.00 |