| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,278 |
26,369 |
$2.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,364 |
28,630 |
$1.66M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
6,006 |
5,650 |
$726K |
| 76830 |
Ultrasound, transvaginal |
2,884 |
2,794 |
$219K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,555 |
2,483 |
$200K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,133 |
1,991 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,799 |
1,723 |
$129K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,752 |
2,657 |
$94K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,031 |
1,004 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
951 |
879 |
$83K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
51 |
45 |
$80K |
| 3074F |
|
21,698 |
20,036 |
$73K |
| 3078F |
|
18,155 |
16,802 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,695 |
1,537 |
$55K |
| 92558 |
|
3,294 |
3,189 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,813 |
1,707 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
493 |
476 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,629 |
4,441 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
487 |
466 |
$39K |
| 20610 |
|
1,136 |
1,006 |
$39K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
689 |
641 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
496 |
467 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
383 |
366 |
$29K |
| 90686 |
|
2,628 |
2,525 |
$29K |
| 81025 |
|
4,097 |
3,922 |
$28K |
| 80305 |
|
2,613 |
1,865 |
$26K |
| 99215 |
Prolong outpt/office vis |
230 |
219 |
$24K |
| 90670 |
|
1,608 |
1,556 |
$24K |
| 90648 |
|
2,014 |
1,950 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,460 |
1,332 |
$17K |
| 90723 |
|
1,140 |
1,098 |
$14K |
| 90677 |
|
260 |
253 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
843 |
796 |
$10K |
| 99173 |
|
3,675 |
3,551 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,188 |
3,661 |
$9K |
| 3079F |
|
2,616 |
2,508 |
$9K |
| 87807 |
|
706 |
630 |
$9K |
| 90671 |
|
82 |
79 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
179 |
176 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
725 |
704 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
110 |
104 |
$8K |
| 90633 |
|
647 |
635 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
242 |
213 |
$8K |
| 4010F |
|
2,644 |
2,439 |
$7K |
| 99442 |
|
133 |
123 |
$7K |
| 90710 |
|
289 |
276 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,347 |
1,196 |
$6K |
| 76818 |
|
117 |
59 |
$6K |
| 90651 |
|
417 |
398 |
$6K |
| 90734 |
|
383 |
368 |
$6K |
| 90715 |
|
288 |
280 |
$5K |
| 3075F |
|
1,138 |
1,104 |
$5K |
| 90681 |
|
350 |
334 |
$4K |
| 92561 |
|
129 |
122 |
$4K |
| 81003 |
|
1,903 |
1,794 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
99 |
82 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
66 |
54 |
$4K |
| 90696 |
|
279 |
267 |
$4K |
| 3077F |
|
895 |
837 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
362 |
228 |
$3K |
| 0502F |
|
1,282 |
1,076 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
70 |
41 |
$2K |
| 95117 |
|
325 |
135 |
$2K |
| 90685 |
|
230 |
207 |
$2K |
| 59025 |
Fetal non-stress test |
88 |
51 |
$2K |
| 99000 |
|
1,080 |
980 |
$2K |
| 90620 |
|
121 |
111 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
330 |
312 |
$2K |
| 73562 |
|
77 |
49 |
$2K |
| 99385 |
|
14 |
14 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
27 |
$1K |
| 90674 |
|
64 |
61 |
$1K |
| 85018 |
|
745 |
634 |
$1K |
| 94729 |
|
175 |
167 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$976.97 |
| 99441 |
|
28 |
26 |
$941.24 |
| 76801 |
|
16 |
15 |
$930.51 |
| 3080F |
|
378 |
343 |
$925.00 |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$887.44 |
| 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) |
140 |
133 |
$851.61 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
28 |
28 |
$819.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,559 |
3,419 |
$774.90 |
| 99221 |
|
18 |
13 |
$760.58 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
48 |
$693.58 |
| 90716 |
|
52 |
50 |
$693.39 |
| 90707 |
|
24 |
24 |
$671.11 |
| 0503F |
|
93 |
91 |
$650.00 |
| 99462 |
|
22 |
12 |
$561.55 |
| 94726 |
|
73 |
68 |
$547.26 |
| 3044F |
|
277 |
236 |
$525.00 |
| 94060 |
|
69 |
67 |
$454.37 |
| 99307 |
|
198 |
117 |
$432.65 |
| 90682 |
|
14 |
13 |
$349.24 |
| 99406 |
|
54 |
50 |
$339.58 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
84 |
82 |
$321.70 |
| 94727 |
|
42 |
41 |
$296.39 |
| 90461 |
|
1,656 |
1,602 |
$210.32 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
51 |
48 |
$172.70 |
| 0500F |
|
47 |
45 |
$145.00 |
| 94010 |
|
15 |
15 |
$72.02 |
| 82962 |
|
19 |
18 |
$41.39 |
| G0008 |
Administration of influenza virus vaccine |
28 |
14 |
$0.00 |