| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145,387 |
128,602 |
$5.71M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,850 |
45,772 |
$2.70M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49,642 |
38,114 |
$2.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21,819 |
18,213 |
$1.53M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21,097 |
17,658 |
$1.31M |
| 96160 |
|
80,471 |
37,953 |
$1.13M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40,372 |
27,920 |
$1000K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15,028 |
13,973 |
$692K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,031 |
6,856 |
$557K |
| 96161 |
|
34,795 |
17,852 |
$442K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,099 |
3,832 |
$382K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12,426 |
11,636 |
$335K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,549 |
3,357 |
$242K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
53,768 |
40,451 |
$219K |
| 92551 |
|
23,101 |
19,120 |
$183K |
| 99173 |
|
22,022 |
18,194 |
$161K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,354 |
1,139 |
$102K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,178 |
4,488 |
$102K |
| 71046 |
Radiologic examination, chest; 2 views |
5,651 |
5,071 |
$96K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,039 |
979 |
$93K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,741 |
8,004 |
$89K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,428 |
1,239 |
$79K |
| 99401 |
|
2,970 |
2,100 |
$68K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,244 |
989 |
$64K |
| 96127 |
|
14,989 |
8,934 |
$56K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
60 |
39 |
$55K |
| 36415 |
Collection of venous blood by venipuncture |
26,379 |
22,002 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,675 |
1,447 |
$47K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,130 |
1,806 |
$47K |
| 74018 |
|
2,856 |
2,586 |
$46K |
| 99381 |
|
602 |
510 |
$44K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
4,710 |
3,910 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
618 |
503 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,838 |
3,208 |
$29K |
| 81025 |
|
5,606 |
4,717 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
408 |
369 |
$27K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,154 |
986 |
$27K |
| 90674 |
|
2,944 |
2,447 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
294 |
237 |
$22K |
| 99383 |
|
239 |
218 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,610 |
1,256 |
$20K |
| 76830 |
Ultrasound, transvaginal |
362 |
328 |
$20K |
| 99177 |
|
3,289 |
2,723 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
325 |
281 |
$15K |
| 90686 |
|
13,374 |
10,596 |
$15K |
| 83655 |
|
1,209 |
1,139 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
438 |
367 |
$14K |
| 90670 |
|
13,746 |
11,436 |
$13K |
| 85018 |
|
5,745 |
4,484 |
$12K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
61 |
59 |
$10K |
| 90715 |
|
280 |
247 |
$10K |
| 99460 |
|
185 |
170 |
$9K |
| 36416 |
|
7,454 |
5,966 |
$8K |
| 88720 |
|
1,432 |
1,146 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
139 |
119 |
$6K |
| 99382 |
|
74 |
66 |
$6K |
| 72100 |
|
312 |
268 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
122 |
102 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
76 |
74 |
$5K |
| 90677 |
|
1,442 |
1,310 |
$5K |
| 87428 |
|
98 |
91 |
$5K |
| 80061 |
Lipid panel |
904 |
756 |
$5K |
| 85027 |
|
1,321 |
1,192 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
60 |
50 |
$3K |
| 73562 |
|
163 |
130 |
$3K |
| 99384 |
|
31 |
28 |
$3K |
| 0503F |
|
497 |
388 |
$3K |
| 90710 |
|
230 |
159 |
$2K |
| 90680 |
|
8,103 |
6,675 |
$2K |
| 90723 |
|
8,386 |
7,307 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
369 |
305 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
848 |
701 |
$2K |
| 3074F |
|
86,866 |
74,242 |
$2K |
| 99051 |
|
1,033 |
968 |
$2K |
| 3078F |
|
77,011 |
66,086 |
$2K |
| 0071A |
|
49 |
38 |
$2K |
| 96380 |
|
87 |
83 |
$2K |
| 80053 |
Comprehensive metabolic panel |
400 |
352 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
93 |
$2K |
| 76642 |
|
43 |
26 |
$2K |
| 3079F |
|
13,172 |
10,837 |
$1K |
| 99385 |
|
22 |
14 |
$1K |
| 73630 |
|
94 |
81 |
$1K |
| 90633 |
|
4,445 |
3,642 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
202 |
183 |
$1K |
| 82950 |
|
354 |
314 |
$1K |
| 90647 |
|
9,626 |
8,103 |
$1K |
| 90756 |
|
144 |
53 |
$1K |
| 80050 |
General health panel |
50 |
38 |
$1K |
| 81003 |
|
849 |
703 |
$1K |
| 91322 |
|
20 |
13 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
32 |
$1K |
| 99243 |
|
12 |
12 |
$982.55 |
| 90480 |
|
44 |
37 |
$931.22 |
| 90474 |
|
120 |
104 |
$924.99 |
| 99462 |
|
31 |
31 |
$790.62 |
| 90696 |
|
270 |
185 |
$756.17 |
| 0072A |
|
19 |
15 |
$652.92 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$637.35 |
| 76857 |
|
14 |
14 |
$618.76 |
| 72020 |
|
49 |
40 |
$596.13 |
| 73610 |
|
28 |
26 |
$592.36 |
| 99174 |
|
75 |
73 |
$573.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
372 |
294 |
$565.26 |
| 93000 |
|
52 |
42 |
$545.22 |
| 90716 |
|
840 |
689 |
$525.55 |
| 90661 |
|
1,055 |
970 |
$447.62 |
| 94760 |
|
916 |
825 |
$435.03 |
| 3075F |
|
2,456 |
1,979 |
$391.19 |
| 99442 |
|
28 |
15 |
$365.19 |
| 99459 |
|
22 |
21 |
$331.56 |
| 0500F |
|
79 |
63 |
$330.29 |
| 90651 |
|
256 |
212 |
$311.77 |
| 0501F |
|
777 |
624 |
$264.00 |
| 73030 |
|
20 |
14 |
$258.37 |
| 81002 |
|
118 |
103 |
$238.86 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
88 |
81 |
$224.23 |
| 73620 |
|
13 |
12 |
$217.75 |
| 72040 |
|
15 |
12 |
$210.48 |
| 3077F |
|
777 |
608 |
$180.00 |
| 90681 |
|
232 |
229 |
$165.56 |
| 90734 |
|
73 |
61 |
$157.76 |
| 90707 |
|
830 |
686 |
$106.94 |
| 3080F |
|
434 |
360 |
$100.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
95 |
62 |
$90.00 |
| 84439 |
|
12 |
12 |
$80.26 |
| 90700 |
|
391 |
351 |
$68.12 |
| 90461 |
|
330 |
198 |
$56.30 |
| 87220 |
|
14 |
13 |
$47.74 |
| 87210 |
|
14 |
13 |
$47.58 |
| 80076 |
|
17 |
13 |
$34.36 |
| G0008 |
Administration of influenza virus vaccine |
69 |
55 |
$10.50 |
| 99000 |
|
4,453 |
3,911 |
$9.42 |
| 3008F |
|
76,991 |
63,990 |
$0.06 |
| 90381 |
|
69 |
65 |
$0.05 |
| 1036F |
|
66,175 |
54,359 |
$0.05 |
| 99499 |
|
147 |
131 |
$0.03 |
| 1160F |
|
74,545 |
62,164 |
$0.03 |
| 1159F |
|
70,127 |
58,718 |
$0.03 |
| 1125F |
|
4,906 |
4,014 |
$0.02 |
| 0502F |
|
3,513 |
2,239 |
$0.00 |
| 3725F |
|
3,508 |
3,034 |
$0.00 |
| 3342F |
|
106 |
87 |
$0.00 |
| 90685 |
|
320 |
290 |
$0.00 |
| 90658 |
|
133 |
127 |
$0.00 |
| 1126F |
|
7,487 |
6,176 |
$0.00 |
| 1034F |
|
2,496 |
1,931 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |
| 3341F |
|
17 |
13 |
$0.00 |
| 90694 |
|
17 |
12 |
$0.00 |