| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,953 |
74,082 |
$2.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,922 |
24,259 |
$1.08M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,213 |
6,934 |
$485K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,218 |
5,912 |
$369K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,826 |
6,296 |
$296K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,516 |
4,176 |
$223K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,396 |
9,212 |
$214K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,761 |
2,934 |
$201K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,999 |
4,504 |
$197K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
387 |
323 |
$187K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,140 |
4,820 |
$141K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,202 |
2,051 |
$130K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
28,572 |
21,996 |
$129K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,454 |
2,351 |
$107K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,101 |
2,001 |
$106K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,855 |
1,742 |
$104K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
365 |
343 |
$102K |
| 99233 |
Prolong inpt eval add15 m |
2,112 |
1,179 |
$94K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,738 |
1,491 |
$93K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,817 |
2,485 |
$88K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,460 |
1,386 |
$83K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,882 |
2,590 |
$81K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,721 |
1,606 |
$76K |
| 99215 |
Prolong outpt/office vis |
1,384 |
1,248 |
$75K |
| 59514 |
|
160 |
121 |
$72K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,033 |
984 |
$72K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,516 |
2,093 |
$69K |
| 99464 |
|
1,387 |
1,199 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
9,165 |
8,368 |
$61K |
| 99460 |
|
1,418 |
1,276 |
$57K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
358 |
338 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,107 |
5,508 |
$55K |
| 54150 |
|
428 |
389 |
$52K |
| 99462 |
|
2,282 |
1,661 |
$50K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,101 |
965 |
$48K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,687 |
2,175 |
$47K |
| 88307 |
|
943 |
911 |
$47K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,439 |
1,314 |
$45K |
| 20610 |
|
1,325 |
1,117 |
$44K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,679 |
1,565 |
$41K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,365 |
1,159 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
757 |
704 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
726 |
635 |
$35K |
| 99205 |
Prolong outpt/office vis |
467 |
426 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,654 |
2,300 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
6,712 |
5,379 |
$26K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,204 |
987 |
$25K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,510 |
1,226 |
$25K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
466 |
312 |
$22K |
| 76801 |
|
691 |
582 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
215 |
191 |
$19K |
| 59430 |
|
244 |
235 |
$18K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
150 |
69 |
$16K |
| 76830 |
Ultrasound, transvaginal |
641 |
603 |
$16K |
| 90832 |
Psychotherapy, 30 minutes with patient |
667 |
423 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
229 |
198 |
$14K |
| 73564 |
|
1,583 |
1,270 |
$13K |
| 76818 |
|
410 |
265 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
875 |
851 |
$11K |
| 11721 |
|
1,091 |
819 |
$10K |
| 73030 |
|
1,479 |
1,319 |
$10K |
| 54160 |
|
49 |
49 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
351 |
305 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
776 |
661 |
$8K |
| 73610 |
|
1,145 |
1,007 |
$8K |
| 73130 |
|
1,026 |
909 |
$7K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
342 |
84 |
$7K |
| 73110 |
|
966 |
841 |
$7K |
| 92083 |
|
828 |
757 |
$7K |
| 72100 |
|
811 |
770 |
$6K |
| 93880 |
|
139 |
127 |
$6K |
| 73630 |
|
853 |
758 |
$6K |
| 99386 |
|
167 |
156 |
$6K |
| 73562 |
|
763 |
686 |
$6K |
| 74019 |
|
746 |
679 |
$6K |
| 59025 |
Fetal non-stress test |
548 |
418 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
584 |
291 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
224 |
190 |
$5K |
| 76642 |
|
251 |
218 |
$5K |
| 94726 |
|
473 |
425 |
$5K |
| 77080 |
|
423 |
356 |
$5K |
| 94729 |
|
460 |
411 |
$5K |
| 92133 |
|
1,001 |
905 |
$4K |
| 92134 |
|
850 |
731 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
39 |
38 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
98 |
93 |
$3K |
| 80053 |
Comprehensive metabolic panel |
4,907 |
3,056 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,111 |
2,977 |
$3K |
| 92020 |
|
471 |
401 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
27 |
27 |
$3K |
| 99201 |
|
151 |
137 |
$3K |
| 92250 |
|
399 |
367 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
136 |
66 |
$2K |
| 93971 |
|
75 |
65 |
$2K |
| 93976 |
|
62 |
58 |
$2K |
| 94060 |
|
170 |
162 |
$2K |
| 11056 |
|
246 |
151 |
$2K |
| 73502 |
|
220 |
199 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$2K |
| 93016 |
|
133 |
129 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,050 |
985 |
$2K |
| 76770 |
|
80 |
73 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
23 |
12 |
$2K |
| 88304 |
|
104 |
101 |
$2K |
| 71250 |
|
30 |
28 |
$2K |
| 93018 |
|
160 |
156 |
$2K |
| 93458 |
|
15 |
12 |
$1K |
| 00142 |
|
37 |
27 |
$1K |
| 77065 |
Tomosynthesis, mammo |
60 |
53 |
$1K |
| 93289 |
|
145 |
138 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
15 |
$1K |
| 94010 |
|
241 |
199 |
$1K |
| 99220 |
|
14 |
13 |
$1K |
| 93922 |
|
45 |
43 |
$1K |
| 57454 |
|
13 |
13 |
$963.94 |
| 95816 |
|
16 |
15 |
$846.19 |
| 11055 |
|
230 |
80 |
$809.45 |
| 93272 |
|
52 |
50 |
$775.31 |
| 90474 |
|
169 |
125 |
$757.85 |
| 93227 |
|
60 |
52 |
$730.07 |
| 83880 |
|
303 |
252 |
$705.36 |
| 99225 |
|
29 |
24 |
$608.20 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
14 |
$570.82 |
| 74018 |
|
90 |
78 |
$561.37 |
| 90473 |
|
159 |
94 |
$553.18 |
| 93298 |
|
39 |
35 |
$507.00 |
| 80061 |
Lipid panel |
829 |
796 |
$428.55 |
| 88312 |
|
16 |
16 |
$412.82 |
| 93295 |
|
16 |
13 |
$410.10 |
| 84443 |
Thyroid stimulating hormone (TSH) |
543 |
504 |
$408.46 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$396.18 |
| 87040 |
|
414 |
205 |
$393.51 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
555 |
373 |
$354.56 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
22 |
12 |
$336.85 |
| 83735 |
|
665 |
293 |
$316.19 |
| 92551 |
|
52 |
41 |
$314.26 |
| 99442 |
|
23 |
22 |
$300.20 |
| 86703 |
|
97 |
73 |
$284.06 |
| 74246 |
|
12 |
12 |
$277.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
714 |
677 |
$270.17 |
| 84484 |
|
523 |
327 |
$260.68 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
205 |
160 |
$250.66 |
| 88302 |
|
13 |
13 |
$238.98 |
| 93248 |
|
16 |
12 |
$237.17 |
| 82247 |
|
94 |
38 |
$211.44 |
| 72040 |
|
25 |
25 |
$205.26 |
| 82550 |
|
369 |
279 |
$183.94 |
| 83605 |
|
302 |
185 |
$164.71 |
| 81001 |
|
668 |
548 |
$162.51 |
| 93244 |
|
24 |
16 |
$160.95 |
| 86901 |
|
232 |
157 |
$137.28 |
| 73080 |
|
18 |
14 |
$120.54 |
| 86900 |
|
253 |
174 |
$120.41 |
| 82607 |
|
59 |
51 |
$118.62 |
| 73560 |
|
14 |
14 |
$110.55 |
| 89051 |
|
38 |
29 |
$105.85 |
| 73590 |
|
14 |
12 |
$100.66 |
| 84439 |
|
227 |
214 |
$98.78 |
| 85610 |
|
455 |
309 |
$98.77 |
| 99173 |
|
115 |
67 |
$91.54 |
| 86592 |
|
131 |
118 |
$90.15 |
| 85730 |
|
172 |
128 |
$83.58 |
| 86850 |
|
177 |
129 |
$78.50 |
| 83690 |
|
145 |
130 |
$64.50 |
| 86880 |
|
16 |
12 |
$53.40 |
| 84100 |
|
124 |
48 |
$49.13 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$47.22 |
| 82728 |
|
71 |
69 |
$40.65 |
| 85060 |
|
110 |
83 |
$38.94 |
| 82553 |
|
61 |
50 |
$35.21 |
| 90461 |
|
687 |
630 |
$33.16 |
| 76514 |
|
15 |
14 |
$29.16 |
| 87077 |
|
46 |
37 |
$26.49 |
| 99152 |
|
92 |
62 |
$25.70 |
| 85651 |
|
120 |
105 |
$25.05 |
| 83550 |
|
35 |
34 |
$18.71 |
| 86920 |
|
20 |
14 |
$16.50 |
| 87430 |
|
70 |
70 |
$13.13 |
| 85379 |
|
16 |
13 |
$10.13 |
| 87070 |
|
27 |
27 |
$9.62 |
| 82270 |
|
58 |
58 |
$3.23 |
| 3074F |
|
3,138 |
3,060 |
$0.95 |
| 3078F |
|
3,912 |
3,805 |
$0.90 |
| 3077F |
|
2,742 |
2,685 |
$0.50 |
| 3079F |
|
2,065 |
2,040 |
$0.44 |
| 3080F |
|
1,294 |
1,268 |
$0.30 |
| 3075F |
|
1,400 |
1,384 |
$0.13 |
| 90633 |
|
277 |
231 |
$0.00 |
| 90670 |
|
2,460 |
1,989 |
$0.00 |
| 85045 |
|
19 |
14 |
$0.00 |
| 90715 |
|
149 |
116 |
$0.00 |
| 0298T |
|
56 |
56 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
45 |
17 |
$0.00 |
| 90685 |
|
53 |
38 |
$0.00 |
| 90710 |
|
162 |
118 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
12 |
$0.00 |
| 90707 |
|
30 |
26 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |
| 99477 |
|
20 |
13 |
$0.00 |
| 3051F |
|
13 |
13 |
$0.00 |
| 90680 |
|
1,274 |
1,032 |
$0.00 |
| 1126F |
|
36 |
32 |
$0.00 |
| 90686 |
|
1,761 |
1,525 |
$0.00 |
| 90744 |
|
2,385 |
1,992 |
$0.00 |
| 90698 |
|
2,243 |
1,812 |
$0.00 |
| 99024 |
|
22 |
20 |
$0.00 |
| 3044F |
|
172 |
171 |
$0.00 |
| 90716 |
|
30 |
26 |
$0.00 |
| 3008F |
|
20 |
19 |
$0.00 |
| 90696 |
|
49 |
29 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
31 |
$0.00 |
| 99217 |
|
17 |
16 |
$0.00 |