| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
217,041 |
193,243 |
$9.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106,997 |
95,641 |
$6.59M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51,346 |
47,605 |
$3.30M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54,512 |
48,986 |
$3.13M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29,761 |
27,892 |
$1.93M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52,066 |
46,758 |
$1.36M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17,615 |
16,301 |
$1.24M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18,426 |
6,772 |
$695K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,196 |
6,335 |
$586K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,113 |
8,407 |
$513K |
| 99233 |
Prolong inpt eval add15 m |
7,146 |
2,455 |
$390K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,303 |
5,743 |
$295K |
| 99215 |
Prolong outpt/office vis |
3,922 |
3,297 |
$279K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,774 |
712 |
$261K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
1,056 |
192 |
$224K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,320 |
15,711 |
$215K |
| 99460 |
|
4,660 |
4,291 |
$194K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,132 |
1,934 |
$165K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
2,372 |
2,078 |
$145K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
793 |
709 |
$136K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,716 |
1,457 |
$131K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,295 |
8,598 |
$126K |
| 99205 |
Prolong outpt/office vis |
1,223 |
1,040 |
$122K |
| 93304 |
|
2,830 |
2,371 |
$113K |
| 93325 |
|
7,416 |
6,145 |
$106K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,283 |
2,127 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,360 |
11,310 |
$91K |
| 95782 |
|
392 |
347 |
$85K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,118 |
2,059 |
$81K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,861 |
1,046 |
$75K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
999 |
833 |
$68K |
| 99173 |
|
37,556 |
31,403 |
$59K |
| 93320 |
|
2,481 |
2,151 |
$54K |
| 95720 |
|
390 |
269 |
$53K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
313 |
299 |
$45K |
| 99223 |
Prolong inpt eval add15 m |
418 |
355 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,258 |
2,177 |
$41K |
| 93321 |
|
4,164 |
3,550 |
$40K |
| 99051 |
|
4,183 |
3,324 |
$38K |
| D1120 |
Prophylaxis - child |
1,075 |
990 |
$35K |
| 95951 |
|
205 |
101 |
$31K |
| 93308 |
|
1,115 |
982 |
$30K |
| 54150 |
|
324 |
280 |
$30K |
| 99221 |
|
565 |
456 |
$26K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
522 |
505 |
$24K |
| 99471 |
|
51 |
28 |
$24K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
121 |
117 |
$24K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
518 |
403 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
731 |
484 |
$21K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
60 |
12 |
$20K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
106 |
95 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
608 |
605 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
308 |
266 |
$18K |
| 95816 |
|
328 |
310 |
$18K |
| 92551 |
|
2,452 |
2,321 |
$18K |
| 96161 |
|
5,555 |
4,022 |
$18K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
197 |
81 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
1,125 |
1,077 |
$16K |
| 93000 |
|
1,044 |
992 |
$15K |
| 99381 |
|
361 |
297 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
253 |
189 |
$14K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
181 |
53 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
917 |
787 |
$14K |
| 95819 |
|
246 |
223 |
$13K |
| 99462 |
|
594 |
467 |
$13K |
| D1206 |
Topical application of fluoride varnish |
431 |
429 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,682 |
1,140 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
595 |
453 |
$12K |
| D7140 |
Extraction, erupted tooth or exposed root |
139 |
63 |
$11K |
| 99417 |
Prolong home eval add 15m |
822 |
537 |
$10K |
| 99172 |
|
478 |
359 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
186 |
164 |
$9K |
| 99383 |
|
110 |
109 |
$8K |
| 31526 |
|
111 |
94 |
$8K |
| 69210 |
|
339 |
221 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,437 |
1,140 |
$8K |
| D1110 |
Prophylaxis - adult |
145 |
143 |
$7K |
| 94060 |
|
471 |
435 |
$6K |
| 99225 |
|
251 |
151 |
$6K |
| D0272 |
Bitewings - two radiographic images |
261 |
239 |
$6K |
| 94010 |
|
748 |
641 |
$5K |
| 76825 |
|
131 |
119 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
101 |
73 |
$5K |
| D9420 |
|
56 |
53 |
$5K |
| 90474 |
|
598 |
552 |
$5K |
| 93356 |
|
150 |
145 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
255 |
237 |
$4K |
| 97802 |
|
212 |
169 |
$4K |
| 99382 |
|
68 |
61 |
$4K |
| 54161 |
|
26 |
26 |
$4K |
| 29705 |
|
152 |
118 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
269 |
239 |
$3K |
| 99220 |
|
27 |
26 |
$3K |
| 76827 |
|
131 |
119 |
$3K |
| 87634 |
|
68 |
59 |
$2K |
| 96131 |
|
58 |
38 |
$2K |
| 96156 |
|
213 |
103 |
$2K |
| 96112 |
|
83 |
42 |
$2K |
| 99384 |
|
25 |
24 |
$2K |
| 90473 |
|
210 |
204 |
$2K |
| 96130 |
|
99 |
53 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
68 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
25 |
$2K |
| D0330 |
Panoramic radiographic image |
28 |
27 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
71 |
$1K |
| 76820 |
|
76 |
65 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
94 |
85 |
$1K |
| 99201 |
|
58 |
53 |
$1K |
| 99219 |
|
13 |
13 |
$1K |
| 97803 |
|
103 |
38 |
$957.53 |
| 96137 |
|
96 |
42 |
$949.26 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
27 |
26 |
$845.24 |
| 96136 |
|
96 |
42 |
$814.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
144 |
116 |
$717.48 |
| 99235 |
|
15 |
12 |
$692.58 |
| 83655 |
|
101 |
68 |
$676.31 |
| 95012 |
|
168 |
151 |
$654.03 |
| 87807 |
|
114 |
62 |
$609.96 |
| 29075 |
|
12 |
12 |
$563.94 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
64 |
57 |
$407.27 |
| 90785 |
|
140 |
124 |
$316.25 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
65 |
50 |
$290.29 |
| 96127 |
|
416 |
356 |
$281.74 |
| 96138 |
|
71 |
27 |
$278.40 |
| 81003 |
|
223 |
162 |
$243.74 |
| 87081 |
|
31 |
29 |
$204.29 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
13 |
$195.27 |
| 85018 |
|
154 |
120 |
$180.60 |
| 86308 |
|
53 |
40 |
$172.54 |
| 90734 |
|
665 |
596 |
$147.74 |
| 80061 |
Lipid panel |
15 |
15 |
$130.68 |
| 1160F |
|
148,948 |
124,737 |
$124.26 |
| S9470 |
Nutritional counseling, dietitian visit |
22 |
12 |
$41.13 |
| 90686 |
|
2,569 |
2,394 |
$38.06 |
| 96160 |
|
538 |
310 |
$32.37 |
| 1033F |
|
79,075 |
67,638 |
$25.83 |
| 82962 |
|
14 |
14 |
$24.30 |
| 88738 |
|
27 |
16 |
$13.72 |
| 1159F |
|
146,712 |
122,908 |
$12.14 |
| 90674 |
|
66 |
66 |
$10.50 |
| 94760 |
|
107 |
90 |
$6.57 |
| 1126F |
|
62,068 |
52,618 |
$2.00 |
| 1031F |
|
49,474 |
42,353 |
$2.00 |
| 3078F |
|
73,152 |
62,844 |
$0.25 |
| 3028F |
|
1,951 |
1,772 |
$0.20 |
| 99499 |
|
32 |
15 |
$0.01 |
| 90651 |
|
1,608 |
1,495 |
$0.01 |
| 90619 |
|
930 |
845 |
$0.01 |
| 1032F |
|
2,725 |
2,303 |
$0.00 |
| 90633 |
|
709 |
657 |
$0.00 |
| 92504 |
|
43 |
31 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90670 |
|
2,125 |
1,999 |
$0.00 |
| 90710 |
|
295 |
275 |
$0.00 |
| 3046F |
|
17 |
13 |
$0.00 |
| 90685 |
|
516 |
481 |
$0.00 |
| 90715 |
|
921 |
861 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
12 |
12 |
$0.00 |
| 3210F |
|
239 |
185 |
$0.00 |
| 90672 |
|
72 |
71 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 99354 |
|
19 |
12 |
$0.00 |
| 1125F |
|
16,098 |
13,917 |
$0.00 |
| 3008F |
|
74,707 |
63,361 |
$0.00 |
| 3079F |
|
1,253 |
1,115 |
$0.00 |
| 3074F |
|
75,364 |
64,720 |
$0.00 |
| 90698 |
|
1,155 |
1,098 |
$0.00 |
| 90656 |
|
92 |
69 |
$0.00 |
| 3351F |
|
2,496 |
2,141 |
$0.00 |
| 90744 |
|
301 |
282 |
$0.00 |
| 90680 |
|
903 |
834 |
$0.00 |
| 3044F |
|
1,089 |
889 |
$0.00 |
| 1036F |
|
166 |
131 |
$0.00 |
| 90677 |
|
190 |
140 |
$0.00 |
| 90647 |
|
25 |
25 |
$0.00 |
| 3075F |
|
108 |
88 |
$0.00 |
| 3048F |
|
240 |
198 |
$0.00 |
| 4010F |
|
14 |
13 |
$0.00 |
| 90696 |
|
130 |
125 |
$0.00 |
| 99000 |
|
107 |
98 |
$0.00 |
| 4000F |
|
34 |
25 |
$0.00 |
| 90743 |
|
32 |
30 |
$0.00 |
| 99174 |
|
30 |
30 |
$0.00 |
| A9150 |
Non-prescription drugs |
31 |
15 |
$0.00 |
| 87428 |
|
37 |
33 |
$0.00 |
| 90697 |
|
62 |
30 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90723 |
|
44 |
44 |
$0.00 |
| 3352F |
|
17 |
14 |
$0.00 |
| 3049F |
|
18 |
17 |
$0.00 |