| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,970 |
32,063 |
$1.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,112 |
24,879 |
$762K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,250 |
5,933 |
$544K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,051 |
7,548 |
$492K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
10,721 |
3,887 |
$238K |
| 92567 |
|
7,699 |
7,249 |
$112K |
| 99215 |
Prolong outpt/office vis |
1,691 |
1,475 |
$101K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
542 |
515 |
$98K |
| 95117 |
|
6,132 |
4,228 |
$93K |
| 95115 |
|
8,866 |
6,046 |
$92K |
| 20610 |
|
1,713 |
1,526 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,570 |
3,232 |
$76K |
| 80053 |
Comprehensive metabolic panel |
6,230 |
5,073 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,495 |
6,902 |
$74K |
| 73630 |
|
3,932 |
2,936 |
$74K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
861 |
819 |
$61K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,721 |
1,236 |
$52K |
| 95886 |
|
843 |
789 |
$43K |
| 92557 |
|
1,043 |
977 |
$31K |
| 92587 |
|
621 |
599 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
11,301 |
10,094 |
$29K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
106 |
91 |
$25K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,155 |
486 |
$25K |
| 92504 |
|
1,527 |
1,410 |
$21K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
825 |
786 |
$18K |
| 31231 |
|
277 |
245 |
$16K |
| 73562 |
|
837 |
677 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
405 |
378 |
$13K |
| 99205 |
Prolong outpt/office vis |
148 |
138 |
$13K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,812 |
1,687 |
$12K |
| 64615 |
|
189 |
185 |
$12K |
| 11721 |
|
833 |
793 |
$11K |
| 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) |
1,028 |
941 |
$8K |
| 96127 |
|
137 |
134 |
$8K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
475 |
211 |
$7K |
| 86140 |
|
1,181 |
1,095 |
$7K |
| 77002 |
|
166 |
155 |
$7K |
| 97161 |
|
111 |
104 |
$6K |
| 85652 |
|
1,885 |
1,765 |
$6K |
| 80061 |
Lipid panel |
327 |
322 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,013 |
663 |
$5K |
| 31575 |
|
67 |
64 |
$5K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
46 |
24 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
104 |
60 |
$4K |
| 82728 |
|
227 |
221 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
210 |
203 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
396 |
346 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
71 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$3K |
| 80076 |
|
293 |
267 |
$2K |
| 86200 |
|
68 |
68 |
$2K |
| 83550 |
|
229 |
222 |
$2K |
| 73140 |
|
147 |
116 |
$2K |
| 84460 |
|
303 |
290 |
$2K |
| 83540 |
|
228 |
221 |
$2K |
| 95819 |
|
24 |
24 |
$2K |
| 84450 |
|
300 |
287 |
$2K |
| 72100 |
|
73 |
69 |
$2K |
| 20550 |
|
37 |
29 |
$2K |
| 95908 |
|
26 |
25 |
$2K |
| 73610 |
|
88 |
73 |
$2K |
| 93922 |
|
46 |
42 |
$2K |
| 29075 |
|
15 |
14 |
$1K |
| 95909 |
|
13 |
13 |
$1K |
| 81000 |
|
576 |
526 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 73130 |
|
74 |
52 |
$1K |
| 51798 |
|
148 |
130 |
$1K |
| 85610 |
|
259 |
134 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$990.65 |
| 81001 |
|
449 |
397 |
$968.95 |
| 86038 |
|
61 |
61 |
$939.41 |
| 92555 |
|
76 |
75 |
$831.85 |
| 82565 |
|
161 |
152 |
$831.37 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
24 |
12 |
$795.58 |
| 11056 |
|
101 |
97 |
$785.83 |
| 85027 |
|
113 |
109 |
$757.89 |
| 92552 |
|
60 |
58 |
$682.15 |
| 97162 |
|
13 |
13 |
$659.97 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$564.41 |
| 73030 |
|
24 |
24 |
$532.59 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$433.54 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
26 |
25 |
$396.36 |
| 73110 |
|
20 |
16 |
$383.55 |
| 90688 |
|
26 |
26 |
$370.15 |
| 99442 |
|
12 |
12 |
$364.20 |
| 73564 |
|
15 |
12 |
$353.97 |
| 86160 |
|
13 |
13 |
$347.98 |
| 86431 |
|
45 |
45 |
$303.71 |
| 0011A |
|
14 |
14 |
$300.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
64 |
59 |
$291.20 |
| 86803 |
|
14 |
14 |
$283.92 |
| 73502 |
|
27 |
24 |
$278.37 |
| 90480 |
|
14 |
14 |
$275.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$268.91 |
| 86225 |
|
13 |
13 |
$238.24 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
37 |
37 |
$200.92 |
| 82607 |
|
12 |
12 |
$149.80 |
| 82040 |
|
26 |
24 |
$140.45 |
| 90686 |
|
111 |
105 |
$122.50 |
| 84439 |
|
12 |
12 |
$109.20 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$103.08 |
| 85046 |
|
13 |
13 |
$87.62 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$80.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$79.20 |
| 90658 |
|
40 |
40 |
$42.03 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| 91301 |
|
20 |
16 |
$0.00 |