| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,791 |
52,738 |
$3.24M |
| 99199 |
Unlisted special service, procedure or report |
414,256 |
371,538 |
$1.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,190 |
11,903 |
$640K |
| 99242 |
|
2,954 |
2,701 |
$196K |
| 87428 |
|
3,459 |
2,653 |
$180K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,168 |
418 |
$117K |
| 99051 |
|
4,923 |
4,093 |
$111K |
| 99243 |
|
1,168 |
1,076 |
$104K |
| 99215 |
Prolong outpt/office vis |
1,746 |
1,573 |
$89K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,238 |
3,478 |
$70K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,456 |
2,005 |
$64K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
424 |
375 |
$57K |
| 99223 |
Prolong inpt eval add15 m |
737 |
633 |
$52K |
| 99233 |
Prolong inpt eval add15 m |
1,228 |
451 |
$51K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
870 |
719 |
$47K |
| 17110 |
|
742 |
667 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
590 |
520 |
$43K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,212 |
351 |
$35K |
| 92567 |
|
1,712 |
1,531 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
401 |
359 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,359 |
641 |
$18K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
115 |
100 |
$17K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
93 |
81 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
480 |
411 |
$13K |
| 0002A |
|
164 |
160 |
$10K |
| 93296 |
|
761 |
708 |
$8K |
| 93000 |
|
1,213 |
1,107 |
$8K |
| 0001A |
|
202 |
195 |
$8K |
| 92557 |
|
259 |
243 |
$8K |
| 0071A |
|
168 |
129 |
$8K |
| 11721 |
|
1,088 |
926 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
61 |
54 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
71 |
64 |
$7K |
| 80076 |
|
681 |
638 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$6K |
| 92579 |
|
181 |
179 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,349 |
2,130 |
$6K |
| 80061 |
Lipid panel |
309 |
302 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
434 |
422 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
201 |
174 |
$4K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
64 |
53 |
$4K |
| 97803 |
|
124 |
114 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
33 |
28 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
64 |
$4K |
| 73630 |
|
295 |
246 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
36 |
$3K |
| 80053 |
Comprehensive metabolic panel |
371 |
306 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
38 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
176 |
167 |
$3K |
| 90686 |
|
1,846 |
1,575 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
227 |
216 |
$3K |
| 86140 |
|
559 |
475 |
$3K |
| 0072A |
|
42 |
33 |
$2K |
| 99205 |
Prolong outpt/office vis |
16 |
13 |
$2K |
| 93295 |
|
94 |
90 |
$2K |
| 85652 |
|
568 |
473 |
$2K |
| 84439 |
|
161 |
147 |
$2K |
| 0003A |
|
39 |
31 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
183 |
162 |
$1K |
| 20610 |
|
63 |
50 |
$1K |
| 93297 |
|
126 |
114 |
$1K |
| 71250 |
|
14 |
14 |
$1K |
| 93971 |
|
35 |
28 |
$945.93 |
| 94060 |
|
40 |
38 |
$896.85 |
| 95251 |
|
63 |
54 |
$875.30 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
253 |
211 |
$843.47 |
| 93922 |
|
30 |
27 |
$708.30 |
| 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) |
236 |
232 |
$701.33 |
| 97802 |
|
19 |
13 |
$695.58 |
| 99241 |
|
22 |
14 |
$613.55 |
| 94729 |
|
43 |
41 |
$598.70 |
| 94726 |
|
27 |
27 |
$417.70 |
| 93299 |
|
64 |
63 |
$411.42 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
84 |
80 |
$399.61 |
| 93970 |
|
16 |
12 |
$370.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
38 |
$357.00 |
| 95886 |
|
69 |
67 |
$347.69 |
| 95816 |
|
14 |
14 |
$336.68 |
| 11056 |
|
67 |
61 |
$322.02 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
31 |
28 |
$276.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
15 |
$245.40 |
| 73610 |
|
19 |
12 |
$236.20 |
| 74018 |
|
15 |
15 |
$233.05 |
| 83655 |
|
15 |
12 |
$179.16 |
| 93298 |
|
25 |
25 |
$169.94 |
| 87807 |
|
14 |
12 |
$155.43 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$143.64 |
| 93294 |
|
13 |
13 |
$134.16 |
| 92551 |
|
71 |
66 |
$95.22 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
32 |
24 |
$92.54 |
| 81025 |
|
14 |
12 |
$90.09 |
| 99173 |
|
149 |
133 |
$81.43 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
14 |
$79.69 |
| 99406 |
|
15 |
13 |
$59.00 |
| 93018 |
|
12 |
12 |
$53.52 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
33 |
24 |
$39.35 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
13 |
13 |
$36.05 |
| 91300 |
|
489 |
410 |
$11.55 |
| 3074F |
|
12,093 |
10,155 |
$7.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
24 |
$3.32 |
| 3078F |
|
7,767 |
6,744 |
$0.00 |
| 3044F |
|
43 |
25 |
$0.00 |
| 91307 |
|
99 |
71 |
$0.00 |
| 3079F |
|
25 |
25 |
$0.00 |