| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,753 |
16,571 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,557 |
11,000 |
$37K |
| 3008F |
|
29,820 |
27,056 |
$34K |
| 1159F |
|
19,248 |
17,238 |
$32K |
| 1126F |
|
13,034 |
11,830 |
$24K |
| 1160F |
|
16,031 |
14,414 |
$23K |
| 3074F |
|
31,343 |
28,851 |
$17K |
| 3078F |
|
30,711 |
28,138 |
$17K |
| 1125F |
|
8,702 |
8,075 |
$14K |
| 99215 |
Prolong outpt/office vis |
909 |
899 |
$5K |
| 99499 |
|
3,269 |
2,780 |
$5K |
| 1000F |
|
923 |
869 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
820 |
797 |
$4K |
| 0012A |
|
176 |
152 |
$2K |
| 1170F |
|
710 |
687 |
$2K |
| 0064A |
|
72 |
72 |
$2K |
| 3288F |
|
638 |
612 |
$2K |
| 3077F |
|
1,403 |
1,314 |
$2K |
| 3079F |
|
3,995 |
3,796 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,868 |
4,633 |
$1K |
| 0011A |
|
201 |
181 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,907 |
1,813 |
$1K |
| 3075F |
|
1,288 |
1,241 |
$914.13 |
| 1090F |
|
164 |
157 |
$898.79 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
204 |
197 |
$766.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
584 |
540 |
$429.65 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
939 |
874 |
$310.99 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
120 |
$296.25 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
68 |
64 |
$285.94 |
| 80053 |
Comprehensive metabolic panel |
3,442 |
3,327 |
$238.09 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$212.07 |
| 11721 |
|
53 |
53 |
$184.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
227 |
226 |
$170.82 |
| 99442 |
|
546 |
502 |
$170.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
478 |
307 |
$169.16 |
| 82565 |
|
267 |
256 |
$149.38 |
| 99397 |
|
199 |
188 |
$142.22 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
34 |
27 |
$138.23 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
24 |
$136.06 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
376 |
366 |
$132.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
219 |
$109.62 |
| 94010 |
|
43 |
42 |
$107.46 |
| 93224 |
|
13 |
13 |
$106.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
258 |
252 |
$103.90 |
| 81003 |
|
2,447 |
2,357 |
$99.44 |
| 36415 |
Collection of venous blood by venipuncture |
5,261 |
4,922 |
$86.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
934 |
673 |
$61.14 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
69 |
62 |
$52.66 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
14 |
$50.97 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
58 |
51 |
$46.93 |
| 71046 |
Radiologic examination, chest; 2 views |
129 |
128 |
$34.88 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
26 |
25 |
$8.84 |
| 83690 |
|
24 |
24 |
$6.89 |
| 85610 |
|
475 |
422 |
$3.14 |
| 82746 |
|
293 |
292 |
$0.00 |
| 98962 |
|
27 |
24 |
$0.00 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
182 |
176 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
52 |
46 |
$0.00 |
| 84153 |
|
273 |
273 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
741 |
709 |
$0.00 |
| 90686 |
|
44 |
44 |
$0.00 |
| A0999 |
Unlisted ambulance service |
460 |
381 |
$0.00 |
| 1111F |
|
834 |
808 |
$0.00 |
| 86850 |
|
24 |
24 |
$0.00 |
| 81000 |
|
228 |
227 |
$0.00 |
| 82728 |
|
165 |
162 |
$0.00 |
| 76825 |
|
13 |
13 |
$0.00 |
| 1036F |
|
170 |
150 |
$0.00 |
| 82043 |
|
743 |
742 |
$0.00 |
| 86695 |
|
53 |
53 |
$0.00 |
| 86592 |
|
448 |
446 |
$0.00 |
| 3080F |
|
185 |
177 |
$0.00 |
| 87081 |
|
84 |
83 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
181 |
177 |
$0.00 |
| 84480 |
|
196 |
194 |
$0.00 |
| 86704 |
|
212 |
210 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
240 |
177 |
$0.00 |
| 3044F |
|
111 |
109 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,244 |
2,235 |
$0.00 |
| 86706 |
|
242 |
240 |
$0.00 |
| 85018 |
|
364 |
342 |
$0.00 |
| 99443 |
|
59 |
58 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,373 |
2,356 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
236 |
212 |
$0.00 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
99 |
50 |
$0.00 |
| 86901 |
|
38 |
38 |
$0.00 |
| 64483 |
|
77 |
77 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,660 |
1,653 |
$0.00 |
| 98967 |
|
103 |
89 |
$0.00 |
| 92551 |
|
631 |
630 |
$0.00 |
| 86803 |
|
395 |
391 |
$0.00 |
| 80324 |
|
13 |
13 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
968 |
942 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
340 |
325 |
$0.00 |
| 85652 |
|
416 |
401 |
$0.00 |
| 84703 |
|
14 |
13 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
26 |
26 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
140 |
126 |
$0.00 |
| 80349 |
|
29 |
29 |
$0.00 |
| 84436 |
|
273 |
272 |
$0.00 |
| 85730 |
|
313 |
298 |
$0.00 |
| 81001 |
|
1,235 |
1,210 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
25 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 83550 |
|
226 |
222 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
369 |
369 |
$0.00 |
| 82962 |
|
77 |
75 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
109 |
105 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
42 |
41 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
539 |
536 |
$0.00 |
| 83001 |
|
51 |
51 |
$0.00 |
| 82607 |
|
508 |
505 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
216 |
214 |
$0.00 |
| 88142 |
|
72 |
72 |
$0.00 |
| 76820 |
|
134 |
115 |
$0.00 |
| 82950 |
|
147 |
146 |
$0.00 |
| 85027 |
|
280 |
277 |
$0.00 |
| 86140 |
|
135 |
114 |
$0.00 |
| 86762 |
|
70 |
70 |
$0.00 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$0.00 |
| 83735 |
|
103 |
93 |
$0.00 |
| 84479 |
|
130 |
129 |
$0.00 |
| 64484 |
|
77 |
77 |
$0.00 |
| 90688 |
|
44 |
44 |
$0.00 |
| 83002 |
|
27 |
27 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
68 |
$0.00 |
| 80320 |
|
13 |
13 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
63 |
52 |
$0.00 |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$0.00 |
| 84075 |
|
12 |
12 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$0.00 |
| 87088 |
|
248 |
241 |
$0.00 |
| 87070 |
|
144 |
140 |
$0.00 |
| 87340 |
|
353 |
351 |
$0.00 |
| 36000 |
|
76 |
73 |
$0.00 |
| 64493 |
|
35 |
26 |
$0.00 |
| 86225 |
|
12 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
13 |
$0.00 |
| 64494 |
|
35 |
26 |
$0.00 |
| 87077 |
|
36 |
36 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 80051 |
|
18 |
18 |
$0.00 |
| 91301 |
|
198 |
192 |
$0.00 |
| 80358 |
|
22 |
22 |
$0.00 |
| 80368 |
|
12 |
12 |
$0.00 |
| 83880 |
|
12 |
12 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$0.00 |
| K0001 |
Standard wheelchair |
67 |
66 |
$0.00 |
| A6260 |
Wound cleansers, any type, any size |
42 |
24 |
$0.00 |
| 80345 |
|
13 |
13 |
$0.00 |
| A4554 |
Disposable underpads, all sizes |
77 |
49 |
$0.00 |
| 82274 |
|
206 |
203 |
$0.00 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
261 |
260 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
973 |
947 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
440 |
428 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,624 |
3,321 |
$0.00 |
| 82947 |
|
115 |
114 |
$0.00 |
| 80061 |
Lipid panel |
2,404 |
2,392 |
$0.00 |
| 59425 |
|
86 |
57 |
$0.00 |
| 72275 |
|
42 |
42 |
$0.00 |
| 83655 |
|
226 |
226 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
553 |
527 |
$0.00 |
| 93325 |
|
199 |
175 |
$0.00 |
| 84460 |
|
72 |
71 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
299 |
294 |
$0.00 |
| 80365 |
|
157 |
156 |
$0.00 |
| 82570 |
|
502 |
501 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
58 |
$0.00 |
| 82247 |
|
12 |
12 |
$0.00 |
| 87186 |
|
172 |
167 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
390 |
390 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
52 |
52 |
$0.00 |
| 80074 |
|
130 |
128 |
$0.00 |
| 84481 |
|
130 |
130 |
$0.00 |
| 83970 |
|
424 |
422 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
200 |
199 |
$0.00 |
| 84550 |
|
280 |
279 |
$0.00 |
| 83540 |
|
254 |
250 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
554 |
451 |
$0.00 |
| 86431 |
|
111 |
109 |
$0.00 |
| 1158F |
|
566 |
524 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
123 |
$0.00 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
85 |
81 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |
| 84702 |
|
219 |
197 |
$0.00 |
| 99173 |
|
591 |
591 |
$0.00 |
| 84439 |
|
1,013 |
1,007 |
$0.00 |
| 93976 |
|
156 |
131 |
$0.00 |
| 90670 |
|
39 |
39 |
$0.00 |
| 84403 |
|
88 |
85 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
81 |
$0.00 |
| 84295 |
|
26 |
26 |
$0.00 |
| T4541 |
Incontinence product, disposable underpad, large, each |
79 |
75 |
$0.00 |
| 86900 |
|
26 |
26 |
$0.00 |
| 3725F |
|
145 |
125 |
$0.00 |
| 86038 |
|
131 |
128 |
$0.00 |
| 81025 |
|
132 |
130 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
72 |
62 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
107 |
94 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
410 |
299 |
$0.00 |
| 80337 |
|
12 |
12 |
$0.00 |
| 84520 |
|
51 |
51 |
$0.00 |
| 80326 |
|
12 |
12 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 82248 |
|
86 |
85 |
$0.00 |
| 86708 |
|
191 |
189 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
103 |
99 |
$0.00 |
| 82785 |
|
32 |
32 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
137 |
137 |
$0.00 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
57 |
57 |
$0.00 |
| 86696 |
|
55 |
55 |
$0.00 |
| 80346 |
|
38 |
38 |
$0.00 |
| 80076 |
|
171 |
170 |
$0.00 |
| 80361 |
|
130 |
128 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
71 |
$0.00 |
| 77003 |
|
48 |
35 |
$0.00 |
| 80338 |
|
12 |
12 |
$0.00 |
| 84100 |
|
44 |
41 |
$0.00 |
| 86003 |
|
94 |
94 |
$0.00 |
| 76821 |
|
64 |
53 |
$0.00 |
| 80354 |
|
12 |
12 |
$0.00 |
| 85045 |
|
12 |
12 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
221 |
193 |
$0.00 |
| 87481 |
|
12 |
12 |
$0.00 |
| 84156 |
|
24 |
24 |
$0.00 |
| 99001 |
|
12 |
12 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$0.00 |
| 82310 |
|
13 |
13 |
$0.00 |
| 83992 |
|
12 |
12 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
42 |
41 |
$0.00 |
| E0601 |
Continuous positive airway pressure (cpap) device |
90 |
90 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
30 |
$0.00 |
| 90649 |
|
28 |
28 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 80323 |
|
12 |
12 |
$0.00 |
| 92081 |
|
13 |
13 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
12 |
12 |
$0.00 |
| 64495 |
|
34 |
25 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$0.00 |
| 80370 |
|
12 |
12 |
$0.00 |
| 80377 |
|
12 |
12 |
$0.00 |