| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,527 |
8,063 |
$333K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,034 |
4,685 |
$283K |
| 71045 |
Radiologic examination, chest; single view |
11,357 |
6,936 |
$64K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
979 |
888 |
$50K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,609 |
1,394 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
547 |
538 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
3,956 |
3,699 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
764 |
693 |
$30K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
468 |
454 |
$26K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,754 |
3,710 |
$22K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
538 |
447 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
328 |
320 |
$17K |
| 74018 |
|
2,176 |
1,470 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
549 |
540 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
367 |
266 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
286 |
272 |
$10K |
| 92015 |
Determination of refractive state |
734 |
715 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
300 |
295 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
80 |
75 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
203 |
196 |
$7K |
| 92567 |
|
622 |
608 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
211 |
$6K |
| 76010 |
|
739 |
219 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
301 |
281 |
$6K |
| 87077 |
|
448 |
384 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
307 |
295 |
$6K |
| 76770 |
|
204 |
198 |
$6K |
| 99215 |
Prolong outpt/office vis |
79 |
75 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
24 |
24 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
39 |
39 |
$5K |
| 76820 |
|
189 |
124 |
$4K |
| 92587 |
|
217 |
211 |
$4K |
| 88307 |
|
61 |
61 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
32 |
$3K |
| 92579 |
|
96 |
95 |
$3K |
| 92060 |
|
93 |
90 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
46 |
25 |
$3K |
| 80076 |
|
287 |
105 |
$3K |
| 90961 |
|
24 |
16 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
27 |
27 |
$2K |
| 20610 |
|
79 |
58 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
35 |
32 |
$2K |
| 99243 |
|
22 |
20 |
$2K |
| 99217 |
|
26 |
24 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$1K |
| 99219 |
|
12 |
12 |
$1K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
27 |
25 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
26 |
25 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
24 |
$1K |
| 92134 |
|
126 |
114 |
$1K |
| 76818 |
|
33 |
26 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 85060 |
|
61 |
54 |
$1K |
| 93325 |
|
362 |
307 |
$1K |
| 94010 |
|
150 |
140 |
$990.72 |
| 73630 |
|
76 |
67 |
$809.59 |
| 93975 |
|
15 |
14 |
$788.09 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30 |
29 |
$742.95 |
| 17110 |
|
13 |
12 |
$627.58 |
| 73090 |
|
87 |
69 |
$568.24 |
| 90461 |
|
29 |
27 |
$564.92 |
| 93320 |
|
27 |
25 |
$399.26 |
| 76506 |
|
13 |
12 |
$329.51 |
| 92557 |
|
13 |
12 |
$318.42 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
25 |
$278.87 |
| 43762 |
|
21 |
14 |
$274.70 |
| 82247 |
|
36 |
12 |
$254.07 |
| 73130 |
|
38 |
37 |
$245.32 |
| 73560 |
|
30 |
26 |
$206.52 |
| 76775 |
|
13 |
12 |
$200.70 |
| 93000 |
|
36 |
31 |
$128.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$108.64 |
| 96160 |
|
13 |
13 |
$105.82 |
| 96127 |
|
13 |
13 |
$92.43 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$89.94 |
| 73110 |
|
13 |
13 |
$83.46 |
| 73610 |
|
14 |
13 |
$83.46 |
| 82248 |
|
14 |
12 |
$82.40 |
| 72100 |
|
15 |
12 |
$80.03 |
| 73562 |
|
13 |
12 |
$78.77 |
| 94729 |
|
13 |
13 |
$54.97 |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
35 |
31 |
$0.00 |