| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,211 |
25,290 |
$4.83M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,167 |
17,873 |
$3.07M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,324 |
7,867 |
$1.86M |
| 90791 |
Psychiatric diagnostic evaluation |
1,394 |
1,261 |
$1.33M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,172 |
7,510 |
$1.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,866 |
6,391 |
$1.13M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,730 |
3,588 |
$1.08M |
| 36415 |
Collection of venous blood by venipuncture |
26,256 |
23,235 |
$1.01M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,369 |
5,190 |
$809K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,846 |
1,933 |
$724K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,557 |
3,441 |
$694K |
| 80053 |
Comprehensive metabolic panel |
12,348 |
11,593 |
$671K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,758 |
3,333 |
$630K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,401 |
3,388 |
$531K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
717 |
716 |
$426K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,466 |
2,356 |
$405K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,449 |
7,051 |
$373K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,936 |
2,870 |
$363K |
| 92551 |
|
3,563 |
3,560 |
$324K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
771 |
771 |
$304K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,051 |
2,049 |
$291K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,605 |
5,540 |
$278K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,054 |
2,022 |
$269K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,034 |
1,025 |
$268K |
| 81025 |
|
8,084 |
7,588 |
$250K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,824 |
1,781 |
$234K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,176 |
3,608 |
$218K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,343 |
1,338 |
$187K |
| 86850 |
|
2,800 |
2,601 |
$176K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,080 |
1,058 |
$167K |
| 88141 |
|
6,756 |
6,747 |
$167K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,551 |
1,531 |
$165K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,734 |
3,425 |
$161K |
| 88307 |
|
1,760 |
1,676 |
$153K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,290 |
4,569 |
$145K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
640 |
605 |
$145K |
| 80050 |
General health panel |
5,462 |
5,410 |
$138K |
| 99051 |
|
3,996 |
3,675 |
$131K |
| 90686 |
|
5,347 |
5,338 |
$120K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
912 |
753 |
$117K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
673 |
665 |
$115K |
| 99173 |
|
3,950 |
3,942 |
$113K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,061 |
5,006 |
$97K |
| 80061 |
Lipid panel |
7,409 |
7,324 |
$94K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,049 |
1,049 |
$94K |
| 86900 |
|
2,796 |
2,600 |
$86K |
| 86481 |
|
2,114 |
2,101 |
$84K |
| 86901 |
|
2,797 |
2,600 |
$82K |
| 90651 |
|
982 |
980 |
$81K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,012 |
1,926 |
$76K |
| 88142 |
|
4,511 |
4,500 |
$66K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,180 |
2,172 |
$66K |
| 90715 |
|
1,972 |
1,969 |
$63K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,028 |
896 |
$63K |
| 90677 |
|
508 |
507 |
$57K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
4,127 |
3,474 |
$54K |
| 76801 |
|
378 |
329 |
$52K |
| 90670 |
|
2,029 |
2,027 |
$44K |
| S9485 |
Crisis intervention mental health services, per diem |
35 |
26 |
$44K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
143 |
139 |
$40K |
| 83655 |
|
3,242 |
3,229 |
$39K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
601 |
601 |
$39K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,754 |
1,746 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
6,249 |
5,669 |
$32K |
| 0002A |
|
722 |
720 |
$30K |
| 90633 |
|
1,420 |
1,420 |
$30K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
795 |
786 |
$26K |
| 0001A |
|
718 |
717 |
$25K |
| 76830 |
Ultrasound, transvaginal |
580 |
576 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
3,426 |
3,388 |
$23K |
| 90680 |
|
1,155 |
1,155 |
$23K |
| G0378 |
Hospital observation service, per hour |
486 |
480 |
$20K |
| 90707 |
|
614 |
612 |
$19K |
| 86769 |
|
529 |
526 |
$18K |
| 90716 |
|
600 |
600 |
$18K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,706 |
5,156 |
$17K |
| 85610 |
|
4,916 |
4,669 |
$17K |
| 90697 |
|
707 |
707 |
$17K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,882 |
1,843 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,962 |
3,873 |
$15K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,232 |
1,371 |
$14K |
| 76820 |
|
279 |
154 |
$12K |
| 90656 |
|
471 |
468 |
$11K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
65 |
65 |
$11K |
| 90698 |
|
580 |
580 |
$10K |
| 90648 |
|
562 |
562 |
$10K |
| 70486 |
|
220 |
217 |
$10K |
| 99215 |
Prolong outpt/office vis |
59 |
56 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
68 |
$9K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
336 |
276 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
27 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
210 |
206 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
129 |
57 |
$7K |
| 80076 |
|
527 |
505 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
141 |
141 |
$7K |
| 76818 |
|
58 |
24 |
$7K |
| 90723 |
|
360 |
360 |
$6K |
| 83880 |
|
235 |
221 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
397 |
388 |
$6K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,982 |
1,753 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,672 |
6,908 |
$6K |
| 0003A |
|
112 |
112 |
$5K |
| 83021 |
|
511 |
510 |
$5K |
| 90734 |
|
248 |
248 |
$5K |
| 90710 |
|
223 |
223 |
$5K |
| 0071A |
|
103 |
103 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,675 |
3,476 |
$4K |
| 90744 |
|
241 |
241 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,982 |
14,463 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
951 |
864 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
5,422 |
5,393 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
46 |
39 |
$4K |
| 90674 |
|
141 |
140 |
$4K |
| 90696 |
|
179 |
179 |
$4K |
| 87631 |
|
56 |
56 |
$4K |
| 0072A |
|
77 |
77 |
$4K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
1,688 |
1,406 |
$3K |
| 88304 |
|
247 |
232 |
$3K |
| J2704 |
Injection, propofol, 10 mg |
1,612 |
1,157 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,686 |
3,565 |
$3K |
| 90700 |
|
161 |
161 |
$3K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
134 |
97 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,831 |
6,777 |
$3K |
| 73562 |
|
806 |
795 |
$3K |
| 73630 |
|
429 |
416 |
$2K |
| 88312 |
|
64 |
52 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
911 |
805 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,873 |
2,657 |
$2K |
| 84702 |
|
2,295 |
1,959 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
844 |
397 |
$2K |
| 96367 |
|
123 |
92 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,792 |
1,751 |
$2K |
| 99385 |
|
14 |
14 |
$2K |
| 93017 |
|
12 |
12 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
38 |
38 |
$1K |
| 90681 |
|
74 |
74 |
$1K |
| 0054A |
|
29 |
29 |
$1K |
| 97802 |
|
113 |
113 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
57 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
919 |
898 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,202 |
1,022 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
359 |
331 |
$1K |
| 84439 |
|
2,165 |
2,126 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
23 |
12 |
$1K |
| 73610 |
|
473 |
435 |
$955.87 |
| 82607 |
|
666 |
662 |
$872.98 |
| 95117 |
|
24 |
24 |
$849.60 |
| 85027 |
|
4,112 |
3,863 |
$753.12 |
| 73030 |
|
314 |
304 |
$708.14 |
| 86077 |
|
14 |
12 |
$703.57 |
| 76813 |
|
13 |
12 |
$702.13 |
| 82570 |
|
937 |
903 |
$673.58 |
| 86762 |
|
959 |
955 |
$653.95 |
| 72100 |
|
102 |
102 |
$650.86 |
| 82728 |
|
846 |
835 |
$640.39 |
| 86780 |
|
4,691 |
4,639 |
$605.92 |
| 86803 |
|
1,934 |
1,926 |
$564.86 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
66 |
63 |
$548.80 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
23 |
23 |
$497.67 |
| 87088 |
|
3,919 |
3,728 |
$488.93 |
| 85730 |
|
5,042 |
4,802 |
$468.79 |
| 90647 |
|
26 |
26 |
$464.10 |
| 81001 |
|
8,564 |
8,223 |
$463.31 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
427 |
411 |
$460.03 |
| 73130 |
|
464 |
422 |
$436.34 |
| 90619 |
|
16 |
16 |
$401.60 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
64 |
64 |
$393.65 |
| 90688 |
|
14 |
14 |
$388.22 |
| 86003 |
|
211 |
105 |
$378.37 |
| 85007 |
|
3,643 |
3,567 |
$372.05 |
| J7510 |
Prednisolone oral, per 5 mg |
210 |
201 |
$369.35 |
| 83735 |
|
1,612 |
1,333 |
$366.87 |
| 86765 |
|
272 |
271 |
$364.93 |
| 87340 |
|
2,048 |
2,039 |
$345.50 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
41 |
28 |
$342.94 |
| J2060 |
Injection, lorazepam, 2 mg |
307 |
278 |
$331.63 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
301 |
250 |
$295.78 |
| 73080 |
|
26 |
25 |
$294.27 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,084 |
2,814 |
$287.88 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
162 |
154 |
$274.98 |
| 72170 |
|
13 |
13 |
$268.10 |
| 73110 |
|
302 |
269 |
$267.60 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
803 |
788 |
$258.64 |
| 82043 |
|
578 |
576 |
$249.13 |
| 81003 |
|
6,114 |
4,932 |
$247.85 |
| 86580 |
|
31 |
31 |
$216.32 |
| J1815 |
Injection, insulin, per 5 units |
89 |
64 |
$211.66 |
| 73552 |
|
12 |
12 |
$196.18 |
| J7050 |
Infusion, normal saline solution, 250 cc |
233 |
181 |
$186.27 |
| 83540 |
|
493 |
486 |
$184.53 |
| 84100 |
|
999 |
851 |
$170.36 |
| 82947 |
|
4,993 |
2,983 |
$157.86 |
| 86706 |
|
278 |
275 |
$155.42 |
| 83550 |
|
339 |
335 |
$143.21 |
| 86787 |
|
310 |
308 |
$115.92 |
| 84153 |
|
91 |
91 |
$114.02 |
| 73140 |
|
70 |
66 |
$98.09 |
| 74018 |
|
12 |
12 |
$98.09 |
| 84481 |
|
287 |
283 |
$97.44 |
| 82746 |
|
139 |
139 |
$88.20 |
| 88300 |
|
13 |
13 |
$61.33 |
| 87070 |
|
724 |
709 |
$60.02 |
| 86735 |
|
44 |
44 |
$56.55 |
| 87077 |
|
514 |
412 |
$35.68 |
| 84703 |
|
416 |
392 |
$33.67 |
| 83605 |
|
1,829 |
1,552 |
$32.47 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
74 |
74 |
$32.42 |
| 86140 |
|
499 |
487 |
$31.08 |
| 73590 |
|
92 |
90 |
$30.64 |
| 82465 |
|
253 |
253 |
$30.45 |
| 85651 |
|
337 |
326 |
$29.89 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
17 |
14 |
$29.76 |
| 80164 |
|
44 |
43 |
$27.08 |
| 82150 |
|
261 |
256 |
$25.92 |
| 83690 |
|
3,078 |
2,947 |
$24.04 |
| 82950 |
|
264 |
264 |
$23.75 |
| 82270 |
|
14 |
13 |
$21.90 |
| J1630 |
Injection, haloperidol, up to 5 mg |
15 |
13 |
$21.30 |
| 82550 |
|
1,332 |
1,113 |
$19.92 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
129 |
129 |
$15.16 |
| 87186 |
|
317 |
280 |
$13.53 |
| 86704 |
|
45 |
45 |
$12.05 |
| 80320 |
|
2,573 |
2,393 |
$10.75 |
| 81002 |
|
87 |
81 |
$10.54 |
| 97803 |
|
50 |
50 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
676 |
668 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
270 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
160 |
158 |
$0.00 |
| 82010 |
|
52 |
50 |
$0.00 |
| 82247 |
|
22 |
12 |
$0.00 |
| 87081 |
|
90 |
90 |
$0.00 |
| 96376 |
|
58 |
41 |
$0.00 |
| 94761 |
|
4,355 |
4,212 |
$0.00 |
| 87040 |
|
346 |
213 |
$0.00 |
| 73090 |
|
57 |
55 |
$0.00 |
| 82553 |
|
170 |
138 |
$0.00 |
| 84484 |
|
4,309 |
3,493 |
$0.00 |
| 94760 |
|
5,151 |
4,909 |
$0.00 |
| 81514 |
|
453 |
445 |
$0.00 |
| 85379 |
|
56 |
56 |
$0.00 |
| 85018 |
|
37 |
37 |
$0.00 |
| 86695 |
|
19 |
12 |
$0.00 |
| 86592 |
|
36 |
35 |
$0.00 |
| 97010 |
|
156 |
53 |
$0.00 |
| 36416 |
|
17 |
13 |
$0.00 |
| 80178 |
|
15 |
15 |
$0.00 |