| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,758 |
11,008 |
$702K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,960 |
12,876 |
$587K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,270 |
2,128 |
$160K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,629 |
1,583 |
$144K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,532 |
684 |
$129K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,183 |
1,154 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,012 |
1,947 |
$115K |
| 31231 |
|
1,087 |
1,042 |
$103K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,068 |
1,037 |
$79K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,026 |
851 |
$71K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
796 |
782 |
$68K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
758 |
747 |
$48K |
| 76830 |
Ultrasound, transvaginal |
643 |
632 |
$47K |
| 90686 |
|
2,371 |
2,356 |
$39K |
| 36415 |
Collection of venous blood by venipuncture |
13,563 |
12,367 |
$32K |
| 69210 |
|
1,469 |
1,009 |
$29K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$27K |
| 73630 |
|
1,338 |
987 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
512 |
488 |
$17K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
520 |
500 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,117 |
2,035 |
$16K |
| 92567 |
|
1,674 |
1,632 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,867 |
2,728 |
$15K |
| 95117 |
|
2,132 |
888 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
138 |
$12K |
| 11721 |
|
3,100 |
2,932 |
$12K |
| 80053 |
Comprehensive metabolic panel |
1,138 |
1,062 |
$10K |
| 59025 |
Fetal non-stress test |
298 |
212 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
99 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
522 |
502 |
$8K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
296 |
261 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
361 |
180 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
320 |
309 |
$5K |
| 80050 |
General health panel |
123 |
122 |
$5K |
| 80061 |
Lipid panel |
398 |
370 |
$5K |
| 99460 |
|
70 |
53 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
43 |
40 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
55 |
52 |
$4K |
| 92557 |
|
181 |
174 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
81 |
65 |
$4K |
| 95251 |
|
399 |
355 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
66 |
65 |
$3K |
| 95018 |
|
72 |
65 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
688 |
674 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
105 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
74 |
69 |
$3K |
| 82962 |
|
1,876 |
1,767 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
57 |
54 |
$3K |
| 73610 |
|
151 |
132 |
$3K |
| 86703 |
|
202 |
190 |
$2K |
| 90688 |
|
137 |
136 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
140 |
140 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
134 |
$2K |
| 84439 |
|
269 |
263 |
$2K |
| 76801 |
|
27 |
25 |
$2K |
| 87653 |
|
65 |
65 |
$2K |
| 99215 |
Prolong outpt/office vis |
41 |
36 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
54 |
53 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
155 |
$2K |
| 84481 |
|
119 |
117 |
$2K |
| 85027 |
|
247 |
236 |
$2K |
| 95886 |
|
25 |
24 |
$2K |
| 92579 |
|
51 |
51 |
$2K |
| 92555 |
|
99 |
98 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 86780 |
|
89 |
82 |
$1K |
| 99462 |
|
31 |
12 |
$1K |
| 73030 |
|
70 |
61 |
$1K |
| 73564 |
|
50 |
38 |
$970.68 |
| 82951 |
|
65 |
63 |
$847.25 |
| 73110 |
|
46 |
40 |
$841.35 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
34 |
12 |
$755.61 |
| 82728 |
|
55 |
53 |
$703.62 |
| 86762 |
|
54 |
50 |
$689.73 |
| 0071A |
|
15 |
15 |
$678.00 |
| 92582 |
|
14 |
13 |
$658.81 |
| 81001 |
|
199 |
189 |
$626.29 |
| 0072A |
|
14 |
14 |
$564.00 |
| 92588 |
|
27 |
26 |
$562.67 |
| 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) |
143 |
133 |
$562.62 |
| 87807 |
|
43 |
43 |
$562.29 |
| 94010 |
|
25 |
24 |
$538.70 |
| 20610 |
|
15 |
12 |
$485.10 |
| 11056 |
|
50 |
49 |
$471.42 |
| G0008 |
Administration of influenza virus vaccine |
35 |
35 |
$470.92 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
31 |
$451.74 |
| 87081 |
|
65 |
65 |
$374.13 |
| 90685 |
|
24 |
24 |
$356.84 |
| 86592 |
|
82 |
81 |
$320.95 |
| 90674 |
|
14 |
14 |
$310.00 |
| 73130 |
|
17 |
14 |
$269.90 |
| 73562 |
|
18 |
16 |
$257.03 |
| 90698 |
|
13 |
13 |
$253.12 |
| 90670 |
|
13 |
12 |
$248.41 |
| 90656 |
|
65 |
65 |
$244.23 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
73 |
68 |
$213.25 |
| 99201 |
|
12 |
12 |
$165.77 |
| 93000 |
|
12 |
12 |
$119.15 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
18 |
14 |
$85.28 |
| 88720 |
|
14 |
13 |
$49.59 |
| 94760 |
|
42 |
39 |
$15.09 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
34 |
33 |
$1.70 |
| 1159F |
|
1,272 |
1,165 |
$0.00 |
| 1160F |
|
1,273 |
1,165 |
$0.00 |
| 3078F |
|
2,945 |
2,722 |
$0.00 |
| 0502F |
|
413 |
319 |
$0.00 |
| 3077F |
|
52 |
50 |
$0.00 |
| 99499 |
|
17 |
17 |
$0.00 |
| 3074F |
|
3,303 |
3,046 |
$0.00 |
| 3008F |
|
3,016 |
2,866 |
$0.00 |
| 3079F |
|
481 |
458 |
$0.00 |
| 3075F |
|
50 |
48 |
$0.00 |
| 99000 |
|
1,692 |
1,634 |
$0.00 |
| 1036F |
|
896 |
747 |
$0.00 |
| 85008 |
|
28 |
28 |
$0.00 |
| 0500F |
|
12 |
12 |
$0.00 |