| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257,162 |
222,324 |
$13.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81,992 |
70,332 |
$4.72M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24,811 |
22,988 |
$1.04M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,334 |
10,232 |
$1.04M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16,970 |
15,127 |
$1.02M |
| 59425 |
|
14,110 |
10,037 |
$1.01M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,543 |
9,052 |
$936K |
| 59426 |
|
8,571 |
3,946 |
$637K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,771 |
6,114 |
$583K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
19,393 |
17,965 |
$511K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
1,313 |
578 |
$446K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
6,648 |
6,030 |
$438K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,629 |
3,868 |
$424K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,111 |
9,725 |
$337K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17,282 |
13,961 |
$304K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26,661 |
21,454 |
$294K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,494 |
3,722 |
$280K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,024 |
6,364 |
$212K |
| 20610 |
|
5,468 |
4,018 |
$155K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,219 |
8,624 |
$125K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,120 |
837 |
$116K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,067 |
823 |
$104K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,025 |
1,713 |
$104K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,485 |
1,728 |
$102K |
| 99215 |
Prolong outpt/office vis |
1,321 |
1,071 |
$102K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
535 |
477 |
$98K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,158 |
1,494 |
$92K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
505 |
349 |
$91K |
| 87631 |
|
985 |
908 |
$81K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,191 |
1,062 |
$79K |
| 76830 |
Ultrasound, transvaginal |
1,634 |
1,137 |
$75K |
| 73630 |
|
5,430 |
3,254 |
$75K |
| 73564 |
|
4,113 |
2,450 |
$74K |
| 92551 |
|
8,371 |
6,801 |
$70K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
612 |
275 |
$68K |
| 90474 |
|
5,150 |
4,240 |
$61K |
| 64721 |
|
258 |
238 |
$59K |
| 99233 |
Prolong inpt eval add15 m |
1,425 |
592 |
$58K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,149 |
613 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,032 |
3,687 |
$53K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
784 |
732 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
3,319 |
2,738 |
$51K |
| 64615 |
|
602 |
495 |
$47K |
| 94729 |
|
4,191 |
3,093 |
$46K |
| 11721 |
|
3,232 |
2,772 |
$46K |
| 94060 |
|
4,269 |
3,100 |
$45K |
| 36415 |
Collection of venous blood by venipuncture |
27,383 |
21,431 |
$44K |
| 99222 |
Initial hospital care, per day, moderate complexity |
994 |
871 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,173 |
1,995 |
$43K |
| 92557 |
|
2,465 |
2,228 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
530 |
488 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
732 |
670 |
$40K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,719 |
1,523 |
$39K |
| 90837 |
Psychotherapy, 53 minutes with patient |
662 |
397 |
$39K |
| 92015 |
Determination of refractive state |
4,244 |
3,507 |
$39K |
| 94727 |
|
3,862 |
2,857 |
$36K |
| 95819 |
|
301 |
269 |
$35K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
843 |
765 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,431 |
2,727 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
419 |
343 |
$32K |
| 73140 |
|
1,941 |
1,264 |
$32K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
363 |
330 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,540 |
7,116 |
$29K |
| 99205 |
Prolong outpt/office vis |
337 |
284 |
$29K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
157 |
99 |
$29K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,824 |
6,477 |
$28K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
400 |
364 |
$28K |
| 80053 |
Comprehensive metabolic panel |
7,388 |
6,543 |
$27K |
| 92567 |
|
3,724 |
3,355 |
$26K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
261 |
235 |
$26K |
| 73610 |
|
1,525 |
1,086 |
$25K |
| 90834 |
Psychotherapy, 45 minutes with patient |
447 |
299 |
$25K |
| 73130 |
|
1,542 |
948 |
$21K |
| V2020 |
Frames, purchases |
1,005 |
935 |
$21K |
| 90677 |
|
684 |
629 |
$19K |
| 95251 |
|
1,125 |
899 |
$19K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,498 |
3,040 |
$18K |
| 20611 |
|
275 |
214 |
$18K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
79 |
73 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,538 |
3,070 |
$17K |
| 73502 |
|
965 |
698 |
$17K |
| 73110 |
|
968 |
621 |
$16K |
| 99354 |
|
534 |
446 |
$15K |
| 95806 |
|
418 |
293 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
159 |
147 |
$13K |
| 99221 |
|
358 |
303 |
$13K |
| 99173 |
|
6,582 |
5,392 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,115 |
1,930 |
$12K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
109 |
96 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
87 |
84 |
$11K |
| 59430 |
|
75 |
68 |
$11K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
241 |
173 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
471 |
412 |
$10K |
| 85027 |
|
2,977 |
2,577 |
$10K |
| 73030 |
|
821 |
583 |
$9K |
| 92587 |
|
703 |
642 |
$9K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
901 |
808 |
$9K |
| V5266 |
Battery for use in hearing device |
1,160 |
928 |
$9K |
| 80050 |
General health panel |
326 |
277 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
422 |
360 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
869 |
782 |
$8K |
| 90686 |
|
6,892 |
5,527 |
$8K |
| 69210 |
|
495 |
445 |
$8K |
| 99152 |
|
1,147 |
974 |
$8K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
64 |
50 |
$8K |
| 87806 |
|
583 |
517 |
$8K |
| 93000 |
|
1,053 |
850 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
162 |
107 |
$7K |
| 73562 |
|
522 |
365 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,383 |
1,400 |
$7K |
| 92136 |
|
609 |
460 |
$7K |
| 90670 |
|
7,337 |
5,999 |
$7K |
| 80061 |
Lipid panel |
1,186 |
1,114 |
$6K |
| 11056 |
|
193 |
180 |
$6K |
| 92083 |
|
277 |
248 |
$6K |
| 93296 |
|
1,144 |
952 |
$6K |
| 51798 |
|
1,429 |
1,121 |
$6K |
| 84439 |
|
1,593 |
1,458 |
$6K |
| 36416 |
|
2,025 |
1,751 |
$6K |
| 93971 |
|
435 |
407 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
148 |
145 |
$5K |
| 76801 |
|
91 |
74 |
$5K |
| 95115 |
|
1,137 |
487 |
$5K |
| 81001 |
|
3,301 |
2,789 |
$5K |
| 11730 |
|
59 |
53 |
$4K |
| 81003 |
|
3,368 |
2,926 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
31 |
25 |
$4K |
| 11102 |
|
92 |
77 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
94 |
50 |
$4K |
| 90620 |
|
44 |
33 |
$4K |
| 99406 |
|
581 |
500 |
$4K |
| 90715 |
|
295 |
280 |
$4K |
| 86592 |
|
1,445 |
1,352 |
$4K |
| 81025 |
|
832 |
662 |
$4K |
| 93970 |
|
219 |
195 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
237 |
158 |
$4K |
| 82607 |
|
713 |
650 |
$4K |
| 82728 |
|
646 |
618 |
$3K |
| 99383 |
|
32 |
16 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
590 |
513 |
$3K |
| 80305 |
|
492 |
289 |
$3K |
| 90621 |
|
23 |
21 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
43 |
43 |
$3K |
| 31575 |
|
36 |
27 |
$3K |
| 87340 |
|
540 |
485 |
$3K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
46 |
45 |
$3K |
| 83550 |
|
786 |
748 |
$3K |
| 92579 |
|
83 |
80 |
$2K |
| 29260 |
|
136 |
120 |
$2K |
| 99381 |
|
25 |
24 |
$2K |
| 90698 |
|
4,807 |
3,886 |
$2K |
| 90682 |
|
58 |
45 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
704 |
611 |
$2K |
| 95117 |
|
347 |
148 |
$2K |
| 64493 |
|
18 |
15 |
$2K |
| 90710 |
|
1,238 |
1,022 |
$2K |
| 90680 |
|
4,584 |
3,785 |
$2K |
| 83540 |
|
800 |
760 |
$2K |
| 93295 |
|
151 |
118 |
$2K |
| 27096 |
|
24 |
24 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
35 |
31 |
$2K |
| 84702 |
|
230 |
165 |
$2K |
| 99417 |
Prolong home eval add 15m |
121 |
109 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
596 |
551 |
$2K |
| 20550 |
|
77 |
53 |
$2K |
| 90656 |
|
354 |
304 |
$2K |
| 17110 |
|
20 |
15 |
$1K |
| 76820 |
|
42 |
13 |
$1K |
| 99201 |
|
54 |
54 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
39 |
$1K |
| 93248 |
|
94 |
87 |
$1K |
| 99307 |
|
138 |
94 |
$1K |
| 90473 |
|
499 |
423 |
$1K |
| 99347 |
|
46 |
40 |
$1K |
| 80076 |
|
689 |
369 |
$1K |
| 74018 |
|
81 |
76 |
$1K |
| 86762 |
|
237 |
228 |
$930.60 |
| 90651 |
|
143 |
116 |
$889.81 |
| 91200 |
|
59 |
46 |
$868.29 |
| 43235 |
|
14 |
12 |
$860.43 |
| 62321 |
|
12 |
12 |
$857.36 |
| 86140 |
|
650 |
603 |
$848.24 |
| 62323 |
|
14 |
13 |
$846.56 |
| 93294 |
|
121 |
94 |
$810.98 |
| 82746 |
|
262 |
245 |
$788.14 |
| 93925 |
|
47 |
38 |
$761.19 |
| 93297 |
|
92 |
70 |
$668.57 |
| 90633 |
|
2,143 |
1,760 |
$666.38 |
| 92133 |
|
46 |
42 |
$624.62 |
| L3923 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
16 |
13 |
$611.97 |
| 81005 |
|
351 |
328 |
$582.01 |
| 64494 |
|
17 |
14 |
$576.01 |
| 73620 |
|
48 |
19 |
$549.07 |
| 99442 |
|
68 |
53 |
$515.20 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
37 |
29 |
$506.39 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
17 |
12 |
$481.24 |
| 17000 |
|
14 |
12 |
$478.27 |
| 82247 |
|
112 |
65 |
$476.80 |
| 81002 |
|
386 |
313 |
$468.59 |
| 0001A |
|
18 |
13 |
$455.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$439.56 |
| 85652 |
|
634 |
580 |
$432.33 |
| 83615 |
|
104 |
90 |
$364.62 |
| 93228 |
|
34 |
29 |
$359.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
34 |
25 |
$351.30 |
| 93272 |
|
16 |
15 |
$298.83 |
| 90744 |
|
1,851 |
1,485 |
$296.07 |
| 94375 |
|
26 |
12 |
$293.17 |
| 93018 |
|
102 |
91 |
$291.96 |
| 99306 |
Prolong nursin fac eval 15m |
15 |
12 |
$273.30 |
| 29540 |
|
14 |
13 |
$269.60 |
| 87400 |
|
60 |
46 |
$261.61 |
| 95970 |
|
13 |
12 |
$260.15 |
| 99407 |
|
46 |
39 |
$214.56 |
| 90734 |
|
85 |
62 |
$205.00 |
| 90696 |
|
59 |
39 |
$201.24 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
19 |
12 |
$132.63 |
| 82950 |
|
156 |
145 |
$112.35 |
| 96127 |
|
24 |
15 |
$100.32 |
| 86580 |
|
46 |
37 |
$83.96 |
| 81000 |
|
27 |
24 |
$80.84 |
| 90685 |
|
271 |
246 |
$69.24 |
| 86803 |
|
15 |
15 |
$62.78 |
| 86705 |
|
14 |
14 |
$61.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
74 |
69 |
$60.24 |
| 87210 |
|
266 |
185 |
$52.01 |
| 87081 |
|
16 |
14 |
$46.14 |
| 85610 |
|
16 |
14 |
$42.90 |
| 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) |
850 |
640 |
$37.28 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
34 |
25 |
$4.22 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,005 |
1,876 |
$0.00 |
| 84703 |
|
142 |
132 |
$0.00 |
| 1111F |
|
161 |
130 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 90697 |
|
816 |
740 |
$0.00 |
| 99243 |
|
67 |
67 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
94 |
92 |
$0.00 |
| 99024 |
|
12 |
12 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |
| 83735 |
|
31 |
27 |
$0.00 |
| 90648 |
|
106 |
89 |
$0.00 |
| 90700 |
|
98 |
87 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$0.00 |
| 59025 |
Fetal non-stress test |
27 |
16 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
19 |
13 |
$0.00 |
| 91300 |
|
16 |
13 |
$0.00 |