| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
32,246 |
10,504 |
$1.15M |
| H1000 |
Prenatal care, at-risk assessment |
21,735 |
14,773 |
$1.05M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,231 |
1,207 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,074 |
17,419 |
$967K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,417 |
29,627 |
$958K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32,505 |
11,178 |
$698K |
| 99223 |
Prolong inpt eval add15 m |
5,923 |
4,273 |
$342K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,334 |
1,850 |
$154K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,096 |
4,004 |
$113K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,264 |
3,273 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,394 |
1,091 |
$93K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
784 |
698 |
$92K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,425 |
1,745 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,949 |
1,108 |
$87K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,100 |
1,629 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,603 |
632 |
$56K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,078 |
349 |
$53K |
| 99220 |
|
964 |
682 |
$50K |
| 59514 |
|
700 |
409 |
$49K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
707 |
486 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,416 |
485 |
$31K |
| 76830 |
Ultrasound, transvaginal |
516 |
359 |
$29K |
| 99215 |
Prolong outpt/office vis |
298 |
237 |
$27K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,054 |
6,411 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,693 |
11,334 |
$25K |
| 90461 |
|
3,001 |
957 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
163 |
87 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
375 |
227 |
$17K |
| 92587 |
|
815 |
792 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,577 |
5,252 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
582 |
414 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,703 |
597 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
527 |
387 |
$14K |
| 99255 |
|
72 |
64 |
$11K |
| 80053 |
Comprehensive metabolic panel |
12,602 |
8,612 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
371 |
251 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,339 |
341 |
$9K |
| 59430 |
|
43 |
42 |
$7K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
48 |
28 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
143 |
77 |
$7K |
| 92552 |
|
355 |
343 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
21,734 |
14,808 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
43 |
37 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
559 |
497 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$6K |
| 93000 |
|
1,694 |
1,073 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,841 |
3,398 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
833 |
419 |
$4K |
| 81003 |
|
5,463 |
4,215 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
381 |
207 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
285 |
190 |
$4K |
| 87428 |
|
90 |
88 |
$4K |
| 99188 |
|
467 |
184 |
$3K |
| 80061 |
Lipid panel |
5,186 |
3,626 |
$3K |
| 82947 |
|
842 |
798 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,093 |
1,397 |
$3K |
| 82378 |
|
635 |
424 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
103 |
87 |
$2K |
| 99305 |
|
412 |
141 |
$2K |
| 82607 |
|
2,114 |
1,413 |
$2K |
| 99401 |
|
71 |
65 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$2K |
| 59025 |
Fetal non-stress test |
58 |
50 |
$2K |
| 96127 |
|
1,409 |
551 |
$2K |
| 82948 |
|
465 |
450 |
$2K |
| 99051 |
|
597 |
130 |
$2K |
| 82728 |
|
1,494 |
1,032 |
$1K |
| 76813 |
|
15 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 82962 |
|
886 |
838 |
$1K |
| 87220 |
|
420 |
364 |
$1K |
| 97802 |
|
63 |
58 |
$1K |
| 76801 |
|
32 |
17 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
45 |
33 |
$947.88 |
| 3074F |
|
7,587 |
6,456 |
$943.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,369 |
511 |
$904.06 |
| 81025 |
|
181 |
160 |
$865.16 |
| 81002 |
|
3,396 |
2,037 |
$831.85 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
17 |
$798.90 |
| 87210 |
|
409 |
354 |
$794.88 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
283 |
159 |
$694.83 |
| 85018 |
|
1,322 |
403 |
$627.91 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,789 |
1,242 |
$592.09 |
| 84439 |
|
1,618 |
1,173 |
$570.45 |
| 81001 |
|
2,792 |
1,993 |
$569.50 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
13 |
$557.76 |
| 99221 |
|
19 |
13 |
$551.07 |
| 94060 |
|
22 |
12 |
$471.85 |
| 83550 |
|
1,234 |
823 |
$458.55 |
| 71046 |
Radiologic examination, chest; 2 views |
85 |
58 |
$448.61 |
| 83970 |
|
309 |
193 |
$392.44 |
| 83655 |
|
151 |
42 |
$360.88 |
| 97803 |
|
14 |
13 |
$343.20 |
| 94760 |
|
1,115 |
817 |
$321.60 |
| 82746 |
|
437 |
291 |
$287.85 |
| 83540 |
|
1,252 |
831 |
$275.35 |
| 99173 |
|
3,788 |
1,622 |
$248.35 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
33 |
25 |
$247.38 |
| 85027 |
|
265 |
193 |
$244.63 |
| 95117 |
|
34 |
13 |
$231.38 |
| 96367 |
|
75 |
52 |
$183.80 |
| 90670 |
|
1,958 |
689 |
$180.07 |
| 82570 |
|
1,239 |
932 |
$155.01 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
83 |
44 |
$146.08 |
| 93296 |
|
17 |
12 |
$133.79 |
| 90686 |
|
801 |
639 |
$118.96 |
| 92551 |
|
2,732 |
1,054 |
$116.68 |
| 93016 |
|
16 |
13 |
$98.53 |
| 85610 |
|
679 |
364 |
$93.84 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
52 |
43 |
$78.39 |
| 83735 |
|
234 |
149 |
$68.11 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
46 |
26 |
$66.96 |
| 84153 |
|
51 |
33 |
$65.85 |
| 82043 |
|
792 |
592 |
$63.95 |
| 99497 |
|
83 |
54 |
$59.82 |
| 90474 |
|
14 |
12 |
$58.50 |
| 96161 |
|
449 |
132 |
$53.55 |
| 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) |
1,938 |
1,497 |
$39.39 |
| 86140 |
|
188 |
118 |
$24.39 |
| 85652 |
|
81 |
41 |
$12.53 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
17 |
13 |
$7.18 |
| 80069 |
|
36 |
28 |
$6.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
29 |
24 |
$3.39 |
| 3008F |
|
9,405 |
7,274 |
$0.00 |
| 1036F |
|
11,686 |
8,397 |
$0.00 |
| 1125F |
|
733 |
558 |
$0.00 |
| 36416 |
|
1,836 |
458 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
140 |
104 |
$0.00 |
| 3079F |
|
475 |
436 |
$0.00 |
| 1126F |
|
919 |
465 |
$0.00 |
| 90716 |
|
462 |
131 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
165 |
143 |
$0.00 |
| 90723 |
|
958 |
223 |
$0.00 |
| 90651 |
|
184 |
42 |
$0.00 |
| 1034F |
|
37 |
33 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |
| 90680 |
|
852 |
210 |
$0.00 |
| 3075F |
|
21 |
16 |
$0.00 |
| 90698 |
|
58 |
37 |
$0.00 |
| 90697 |
|
75 |
15 |
$0.00 |
| 90696 |
|
82 |
18 |
$0.00 |
| 99024 |
|
14 |
12 |
$0.00 |
| 3078F |
|
6,111 |
5,207 |
$0.00 |
| 1160F |
|
3,202 |
2,485 |
$0.00 |
| 90648 |
|
1,396 |
372 |
$0.00 |
| 1159F |
|
3,188 |
2,459 |
$0.00 |
| 3725F |
|
509 |
370 |
$0.00 |
| 90707 |
|
524 |
144 |
$0.00 |
| 90734 |
|
128 |
41 |
$0.00 |
| 90633 |
|
379 |
80 |
$0.00 |
| 99177 |
|
783 |
305 |
$0.00 |
| 84550 |
|
43 |
27 |
$0.00 |
| 3077F |
|
70 |
58 |
$0.00 |
| 90700 |
|
18 |
18 |
$0.00 |
| 3288F |
|
28 |
26 |
$0.00 |
| 90715 |
|
71 |
15 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
14 |
$0.00 |