| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
41,035 |
36,892 |
$1.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,277 |
22,565 |
$1.22M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19,889 |
15,784 |
$1.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,950 |
9,888 |
$567K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,336 |
3,820 |
$356K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,710 |
3,395 |
$314K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,887 |
9,953 |
$270K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,733 |
4,412 |
$212K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,077 |
2,829 |
$201K |
| 59426 |
|
2,622 |
1,191 |
$179K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,304 |
1,317 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,355 |
1,247 |
$115K |
| 59410 |
|
185 |
152 |
$115K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,107 |
2,015 |
$115K |
| 59425 |
|
1,772 |
1,194 |
$114K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,660 |
2,259 |
$107K |
| 99460 |
|
1,669 |
1,445 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,084 |
3,501 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
649 |
625 |
$62K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,413 |
4,046 |
$57K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15,333 |
11,294 |
$47K |
| 99233 |
Prolong inpt eval add15 m |
1,151 |
485 |
$45K |
| 99222 |
Initial hospital care, per day, moderate complexity |
584 |
541 |
$37K |
| 99381 |
|
423 |
403 |
$31K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,565 |
538 |
$31K |
| 92551 |
|
3,625 |
3,315 |
$29K |
| 81025 |
|
5,901 |
4,796 |
$29K |
| 99462 |
|
785 |
635 |
$26K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,295 |
458 |
$25K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
472 |
358 |
$22K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
756 |
664 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
840 |
811 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,855 |
1,741 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
302 |
254 |
$14K |
| 20610 |
|
492 |
392 |
$14K |
| 99477 |
|
41 |
40 |
$12K |
| 81002 |
|
6,467 |
5,078 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,619 |
1,151 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
144 |
116 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
243 |
207 |
$9K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
327 |
147 |
$8K |
| 73560 |
|
684 |
499 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$7K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
95 |
79 |
$7K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
70 |
27 |
$7K |
| 99292 |
|
273 |
120 |
$6K |
| 99173 |
|
4,233 |
3,857 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
100 |
$6K |
| 99384 |
|
51 |
48 |
$5K |
| 90686 |
|
2,766 |
2,544 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,753 |
2,375 |
$4K |
| 96161 |
|
2,687 |
2,578 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
58 |
55 |
$4K |
| 73565 |
|
325 |
301 |
$4K |
| 93227 |
|
260 |
245 |
$3K |
| 99051 |
|
399 |
330 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
446 |
209 |
$3K |
| 96367 |
|
394 |
170 |
$3K |
| 99382 |
|
28 |
28 |
$2K |
| 43235 |
|
64 |
62 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
56 |
52 |
$2K |
| 95816 |
|
98 |
81 |
$2K |
| 96160 |
|
909 |
867 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
56 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$1K |
| 90715 |
|
304 |
289 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
54 |
35 |
$1K |
| 94060 |
|
164 |
160 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
426 |
377 |
$885.57 |
| J9299 |
Injection, nivolumab, 1 mg |
19 |
12 |
$883.32 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
62 |
59 |
$727.32 |
| 45381 |
|
25 |
13 |
$610.20 |
| 99221 |
|
34 |
30 |
$593.58 |
| J1750 |
Injection, iron dextran, 50 mg |
30 |
13 |
$568.43 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
25 |
$541.23 |
| 94618 |
|
50 |
42 |
$490.06 |
| 90670 |
|
2,957 |
2,881 |
$370.00 |
| 99442 |
|
23 |
19 |
$263.38 |
| 99454 |
|
41 |
39 |
$245.02 |
| 90651 |
|
796 |
723 |
$227.93 |
| 99441 |
|
46 |
31 |
$227.12 |
| J3489 |
Injection, zoledronic acid, 1 mg |
16 |
12 |
$209.67 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
396 |
171 |
$176.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
26 |
$170.45 |
| 94010 |
|
12 |
12 |
$147.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
358 |
159 |
$139.40 |
| 96415 |
|
28 |
15 |
$120.85 |
| J7050 |
Infusion, normal saline solution, 250 cc |
504 |
226 |
$104.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
169 |
149 |
$95.24 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
394 |
189 |
$71.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
542 |
377 |
$66.38 |
| 93018 |
|
27 |
25 |
$63.95 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
144 |
61 |
$43.70 |
| S0028 |
Injection, famotidine, 20 mg |
108 |
46 |
$33.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
70 |
$29.55 |
| 93016 |
|
14 |
13 |
$19.35 |
| 99458 |
|
28 |
26 |
$14.42 |
| 99457 |
|
28 |
26 |
$11.19 |
| 90648 |
|
542 |
503 |
$11.15 |
| 3074F |
|
10,042 |
7,055 |
$0.00 |
| 90698 |
|
1,816 |
1,784 |
$0.00 |
| 3080F |
|
293 |
193 |
$0.00 |
| 3079F |
|
2,182 |
1,728 |
$0.00 |
| 3075F |
|
660 |
531 |
$0.00 |
| 90680 |
|
1,838 |
1,816 |
$0.00 |
| 90696 |
|
118 |
94 |
$0.00 |
| 90716 |
|
573 |
560 |
$0.00 |
| 90744 |
|
978 |
970 |
$0.00 |
| 90723 |
|
117 |
117 |
$0.00 |
| 90656 |
|
22 |
22 |
$0.00 |
| 3078F |
|
9,597 |
6,810 |
$0.00 |
| 90734 |
|
400 |
382 |
$0.00 |
| 90707 |
|
563 |
549 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,042 |
916 |
$0.00 |
| 90710 |
|
478 |
386 |
$0.00 |
| 3077F |
|
950 |
714 |
$0.00 |
| 90685 |
|
772 |
710 |
$0.00 |
| 90700 |
|
746 |
675 |
$0.00 |
| 90633 |
|
1,594 |
1,471 |
$0.00 |
| 90713 |
|
100 |
100 |
$0.00 |