| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,747 |
6,831 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,036 |
6,756 |
$199K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,368 |
4,232 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,235 |
2,200 |
$151K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,990 |
1,868 |
$129K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
68 |
52 |
$111K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,372 |
5,611 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
329 |
321 |
$26K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,309 |
1,135 |
$26K |
| 93880 |
|
429 |
348 |
$20K |
| 90837 |
Psychotherapy, 53 minutes with patient |
284 |
177 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
814 |
313 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
262 |
142 |
$14K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
72 |
72 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
679 |
205 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
272 |
250 |
$12K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
213 |
199 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
515 |
337 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
209 |
204 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
123 |
108 |
$8K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
119 |
107 |
$7K |
| 99215 |
Prolong outpt/office vis |
173 |
143 |
$5K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
99 |
26 |
$4K |
| 93298 |
|
624 |
526 |
$3K |
| 93000 |
|
302 |
266 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
107 |
101 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$2K |
| 87807 |
|
180 |
164 |
$2K |
| 80053 |
Comprehensive metabolic panel |
157 |
133 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
41 |
36 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
39 |
12 |
$1K |
| 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 |
345 |
303 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
58 |
54 |
$1K |
| 0072A |
|
27 |
27 |
$1K |
| 0071A |
|
27 |
27 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
40 |
36 |
$992.64 |
| 99070 |
|
182 |
116 |
$990.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
13 |
12 |
$948.33 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$931.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$840.74 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
169 |
142 |
$836.71 |
| 93018 |
|
79 |
65 |
$777.63 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
15 |
$733.80 |
| 87088 |
|
54 |
51 |
$696.39 |
| 87428 |
|
20 |
19 |
$541.48 |
| 99222 |
Initial hospital care, per day, moderate complexity |
23 |
16 |
$482.40 |
| 59025 |
Fetal non-stress test |
17 |
12 |
$464.88 |
| 81000 |
|
121 |
111 |
$401.72 |
| 81025 |
|
76 |
65 |
$392.14 |
| 85027 |
|
41 |
33 |
$390.06 |
| 84703 |
|
37 |
32 |
$368.59 |
| 90686 |
|
921 |
906 |
$352.72 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$344.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
19 |
$341.92 |
| 71046 |
Radiologic examination, chest; 2 views |
31 |
30 |
$305.05 |
| 80306 |
|
16 |
14 |
$303.75 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
30 |
26 |
$222.34 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
13 |
$208.05 |
| 87420 |
|
14 |
12 |
$184.94 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13 |
12 |
$136.44 |
| 94060 |
|
13 |
12 |
$132.77 |
| 86141 |
|
17 |
13 |
$124.95 |
| 90688 |
|
160 |
147 |
$95.14 |
| 94618 |
|
14 |
14 |
$82.25 |
| 71045 |
Radiologic examination, chest; single view |
14 |
13 |
$64.65 |
| 93016 |
|
16 |
12 |
$58.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
39 |
$57.09 |
| 90680 |
|
558 |
547 |
$50.46 |
| 85007 |
|
15 |
13 |
$36.01 |
| 90723 |
|
249 |
243 |
$28.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
132 |
97 |
$25.87 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
80 |
69 |
$24.97 |
| J7050 |
Infusion, normal saline solution, 250 cc |
57 |
28 |
$23.10 |
| 36415 |
Collection of venous blood by venipuncture |
488 |
405 |
$16.74 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
131 |
94 |
$16.70 |
| 90670 |
|
1,301 |
1,276 |
$16.35 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
163 |
106 |
$14.09 |
| 90633 |
|
255 |
241 |
$5.62 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
20 |
12 |
$5.06 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
23 |
14 |
$0.06 |
| 90647 |
|
282 |
275 |
$0.01 |
| 91307 |
|
57 |
55 |
$0.01 |
| 3008F |
|
8,955 |
7,392 |
$0.00 |
| 1036F |
|
7,884 |
6,348 |
$0.00 |
| 3079F |
|
397 |
336 |
$0.00 |
| 3074F |
|
4,505 |
3,719 |
$0.00 |
| 1034F |
|
172 |
154 |
$0.00 |
| 1126F |
|
1,003 |
821 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
115 |
80 |
$0.00 |
| 99000 |
|
52 |
48 |
$0.00 |
| 90698 |
|
203 |
196 |
$0.00 |
| 3075F |
|
41 |
37 |
$0.00 |
| 1125F |
|
40 |
36 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
22 |
13 |
$0.00 |
| 1160F |
|
6,528 |
5,349 |
$0.00 |
| 1159F |
|
5,262 |
4,323 |
$0.00 |
| 3078F |
|
4,274 |
3,558 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90685 |
|
402 |
385 |
$0.00 |
| 3077F |
|
203 |
177 |
$0.00 |
| 3725F |
|
317 |
267 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
26 |
21 |
$0.00 |