| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,655 |
34,049 |
$1.97M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,643 |
44,920 |
$1.83M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,115 |
1,079 |
$620K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,241 |
6,677 |
$583K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,206 |
4,052 |
$427K |
| 59430 |
|
3,422 |
3,188 |
$298K |
| 81513 |
|
2,848 |
2,686 |
$286K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
9,255 |
8,719 |
$246K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
9,247 |
8,713 |
$246K |
| 81002 |
|
79,977 |
54,096 |
$219K |
| 99000 |
|
30,077 |
25,889 |
$212K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
6,907 |
6,420 |
$175K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,203 |
2,143 |
$175K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,663 |
1,647 |
$125K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
6,021 |
5,663 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,423 |
1,349 |
$105K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,985 |
3,755 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,163 |
1,153 |
$94K |
| 76801 |
|
1,022 |
968 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,674 |
1,618 |
$85K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,414 |
3,243 |
$83K |
| 87481 |
|
3,085 |
2,902 |
$77K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,946 |
12,193 |
$74K |
| 99215 |
Prolong outpt/office vis |
975 |
804 |
$63K |
| 59514 |
|
101 |
97 |
$61K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
444 |
241 |
$47K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
730 |
695 |
$44K |
| 86703 |
|
3,903 |
3,686 |
$40K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
998 |
275 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
948 |
912 |
$38K |
| 88141 |
|
2,389 |
2,205 |
$38K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,646 |
3,375 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
424 |
421 |
$37K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
849 |
584 |
$36K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
789 |
233 |
$33K |
| 86780 |
|
3,172 |
3,011 |
$32K |
| 81025 |
|
4,500 |
4,243 |
$29K |
| 87150 |
|
1,062 |
1,037 |
$28K |
| 92567 |
|
2,302 |
2,232 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,864 |
930 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,089 |
1,012 |
$23K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
575 |
146 |
$21K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
631 |
175 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,344 |
1,253 |
$17K |
| 86762 |
|
1,476 |
1,394 |
$16K |
| 82950 |
|
4,105 |
3,980 |
$15K |
| 84702 |
|
1,275 |
1,121 |
$14K |
| 92557 |
|
509 |
495 |
$13K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
186 |
166 |
$12K |
| 76818 |
|
146 |
89 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,477 |
1,442 |
$12K |
| 87340 |
|
1,486 |
1,416 |
$11K |
| 76830 |
Ultrasound, transvaginal |
115 |
108 |
$11K |
| 87653 |
|
332 |
321 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,567 |
1,445 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
113 |
98 |
$7K |
| 84481 |
|
610 |
546 |
$7K |
| 87510 |
|
451 |
425 |
$7K |
| 87480 |
|
446 |
422 |
$7K |
| 87660 |
|
447 |
423 |
$7K |
| 82947 |
|
1,707 |
1,640 |
$5K |
| 88142 |
|
345 |
319 |
$5K |
| 99307 |
|
753 |
513 |
$5K |
| 99381 |
|
68 |
67 |
$5K |
| 88174 |
|
248 |
236 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
255 |
225 |
$4K |
| 84439 |
|
726 |
648 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
146 |
141 |
$4K |
| 62370 |
|
543 |
520 |
$4K |
| 87807 |
|
366 |
354 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
391 |
136 |
$4K |
| 92511 |
|
55 |
54 |
$3K |
| 86592 |
|
992 |
951 |
$3K |
| 87625 |
|
126 |
105 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
57 |
38 |
$3K |
| 99205 |
Prolong outpt/office vis |
27 |
26 |
$3K |
| 92504 |
|
211 |
192 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
291 |
266 |
$2K |
| 90461 |
|
664 |
547 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,941 |
444 |
$2K |
| 85027 |
|
336 |
318 |
$2K |
| 86803 |
|
133 |
129 |
$1K |
| 90688 |
|
102 |
92 |
$1K |
| 90715 |
|
59 |
56 |
$1K |
| 80053 |
Comprehensive metabolic panel |
705 |
664 |
$1K |
| 80061 |
Lipid panel |
556 |
493 |
$1K |
| 84436 |
|
243 |
224 |
$1K |
| J7999 |
Compounded drug, not otherwise classified |
740 |
536 |
$1K |
| 82951 |
|
95 |
93 |
$844.19 |
| 99460 |
|
12 |
12 |
$811.64 |
| 96160 |
|
373 |
365 |
$757.93 |
| 87428 |
|
15 |
15 |
$734.90 |
| 36415 |
Collection of venous blood by venipuncture |
29,350 |
24,350 |
$702.27 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$671.67 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
21 |
21 |
$560.12 |
| 80050 |
General health panel |
80 |
75 |
$508.39 |
| 90686 |
|
933 |
913 |
$487.06 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$449.78 |
| 81003 |
|
297 |
261 |
$410.46 |
| 92134 |
|
37 |
37 |
$332.39 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$276.60 |
| 82952 |
|
82 |
81 |
$216.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$135.40 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
414 |
160 |
$131.69 |
| 99223 |
Prolong inpt eval add15 m |
60 |
57 |
$117.74 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
12 |
$98.20 |
| 84156 |
|
28 |
27 |
$85.11 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
107 |
107 |
$54.56 |
| 82565 |
|
14 |
14 |
$50.18 |
| 81015 |
|
58 |
58 |
$43.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
287 |
226 |
$39.96 |
| 85018 |
|
15 |
15 |
$29.00 |
| 85014 |
|
15 |
15 |
$29.00 |
| 3074F |
|
414 |
380 |
$0.00 |
| 90677 |
|
401 |
401 |
$0.00 |
| 1036F |
|
205 |
167 |
$0.00 |
| 90680 |
|
679 |
676 |
$0.00 |
| 3008F |
|
807 |
746 |
$0.00 |
| 90656 |
|
239 |
239 |
$0.00 |
| 90716 |
|
393 |
391 |
$0.00 |
| 90744 |
|
483 |
474 |
$0.00 |
| 90698 |
|
738 |
734 |
$0.00 |
| 90619 |
|
51 |
48 |
$0.00 |
| 90651 |
|
134 |
132 |
$0.00 |
| 96161 |
|
17 |
17 |
$0.00 |
| 99459 |
|
115 |
99 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 90696 |
|
32 |
30 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
32 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
12 |
$0.00 |
| 90670 |
|
606 |
599 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
3,439 |
3,267 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,731 |
3,532 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
496 |
457 |
$0.00 |
| 1160F |
|
780 |
733 |
$0.00 |
| 3078F |
|
396 |
367 |
$0.00 |
| 90633 |
|
443 |
439 |
$0.00 |
| 80305 |
|
179 |
177 |
$0.00 |
| 90707 |
|
376 |
374 |
$0.00 |
| 1159F |
|
779 |
732 |
$0.00 |
| 90700 |
|
89 |
88 |
$0.00 |
| 90648 |
|
91 |
89 |
$0.00 |
| 99072 |
|
74 |
72 |
$0.00 |
| 3023F |
|
12 |
12 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 1090F |
|
13 |
13 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |