| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,769 |
39,603 |
$1.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,873 |
23,735 |
$1.06M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,685 |
6,111 |
$366K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
11,600 |
10,411 |
$223K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,175 |
1,836 |
$211K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
269 |
242 |
$200K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,783 |
1,626 |
$145K |
| 20610 |
|
3,968 |
3,242 |
$124K |
| 87428 |
|
2,797 |
2,621 |
$115K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,290 |
8,384 |
$112K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,509 |
1,432 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
730 |
638 |
$45K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
5,069 |
4,359 |
$43K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
240 |
209 |
$39K |
| 11102 |
|
712 |
643 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,164 |
2,957 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,733 |
5,273 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
793 |
718 |
$25K |
| 97597 |
|
1,422 |
694 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,251 |
999 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
172 |
161 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
622 |
525 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
361 |
333 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
559 |
496 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
85 |
80 |
$9K |
| 17110 |
|
333 |
311 |
$9K |
| 17000 |
|
282 |
252 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
7,303 |
5,731 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
293 |
124 |
$6K |
| 52000 |
|
148 |
122 |
$6K |
| 90461 |
|
211 |
200 |
$5K |
| 47563 |
|
16 |
12 |
$5K |
| 81025 |
|
876 |
800 |
$4K |
| 17311 |
|
17 |
12 |
$4K |
| 73560 |
|
266 |
244 |
$4K |
| 31231 |
|
86 |
65 |
$4K |
| 99205 |
Prolong outpt/office vis |
47 |
42 |
$4K |
| 20605 |
|
252 |
196 |
$3K |
| 11100 |
|
107 |
87 |
$3K |
| 51798 |
|
375 |
305 |
$2K |
| 92587 |
|
61 |
59 |
$2K |
| 96127 |
|
695 |
575 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
15 |
12 |
$2K |
| 81002 |
|
1,054 |
857 |
$2K |
| 17003 |
|
60 |
52 |
$1K |
| 90670 |
|
122 |
121 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
93 |
89 |
$1K |
| 81003 |
|
1,717 |
1,252 |
$1K |
| 99243 |
|
15 |
15 |
$1K |
| 31575 |
|
28 |
25 |
$1K |
| 92567 |
|
92 |
81 |
$1K |
| 87807 |
|
97 |
89 |
$894.62 |
| 92504 |
|
92 |
83 |
$845.30 |
| 59430 |
|
13 |
12 |
$778.03 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$763.84 |
| 81000 |
|
445 |
343 |
$701.33 |
| 92557 |
|
25 |
25 |
$597.76 |
| 73100 |
|
33 |
25 |
$471.55 |
| 90686 |
|
54 |
54 |
$469.87 |
| 92570 |
|
113 |
101 |
$456.58 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
14 |
$380.84 |
| 99442 |
|
19 |
18 |
$367.57 |
| 96523 |
|
28 |
25 |
$364.92 |
| 73120 |
|
14 |
13 |
$302.46 |
| 90723 |
|
80 |
79 |
$282.88 |
| 73030 |
|
15 |
15 |
$278.38 |
| 90681 |
|
36 |
36 |
$213.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$191.69 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
167 |
91 |
$122.65 |
| 99195 |
|
16 |
15 |
$114.23 |
| 96161 |
|
37 |
30 |
$112.56 |
| 90647 |
|
77 |
76 |
$92.22 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$53.96 |
| 99000 |
|
153 |
138 |
$36.25 |
| 3008F |
|
534 |
490 |
$0.72 |
| 3074F |
|
253 |
221 |
$0.44 |
| 3079F |
|
163 |
145 |
$0.27 |
| 1159F |
|
586 |
535 |
$0.24 |
| 1160F |
|
584 |
533 |
$0.23 |
| 3078F |
|
67 |
62 |
$0.13 |
| 1036F |
|
289 |
255 |
$0.13 |
| 3075F |
|
13 |
13 |
$0.05 |
| 1034F |
|
58 |
56 |
$0.02 |
| 1090F |
|
216 |
186 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
273 |
194 |
$0.00 |
| 99024 |
|
51 |
43 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
37 |
30 |
$0.00 |