| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69,287 |
62,710 |
$3.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,884 |
68,752 |
$2.61M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36,206 |
12,573 |
$628K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,449 |
3,101 |
$205K |
| 99233 |
Prolong inpt eval add15 m |
6,625 |
2,509 |
$191K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,960 |
1,878 |
$128K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,954 |
1,862 |
$116K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,247 |
2,120 |
$95K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,256 |
2,893 |
$67K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,814 |
1,727 |
$60K |
| 99215 |
Prolong outpt/office vis |
794 |
728 |
$56K |
| 99223 |
Prolong inpt eval add15 m |
894 |
843 |
$43K |
| 99222 |
Initial hospital care, per day, moderate complexity |
992 |
924 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
15,061 |
14,143 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
497 |
482 |
$32K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
980 |
940 |
$29K |
| 99253 |
|
716 |
650 |
$28K |
| 93000 |
|
2,528 |
2,402 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,449 |
1,377 |
$23K |
| 99252 |
|
729 |
655 |
$22K |
| 90674 |
|
944 |
900 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,810 |
775 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
724 |
635 |
$19K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
840 |
833 |
$16K |
| 20610 |
|
398 |
305 |
$14K |
| 99235 |
|
256 |
241 |
$14K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
470 |
465 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,170 |
1,029 |
$13K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
482 |
478 |
$12K |
| 99442 |
|
729 |
660 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
971 |
607 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,244 |
1,038 |
$11K |
| 99443 |
|
553 |
462 |
$11K |
| 99205 |
Prolong outpt/office vis |
42 |
42 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
151 |
134 |
$10K |
| 81025 |
|
1,428 |
1,338 |
$9K |
| 36416 |
|
3,975 |
3,751 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,224 |
1,181 |
$8K |
| 31231 |
|
226 |
199 |
$7K |
| 81002 |
|
3,642 |
2,667 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
74 |
70 |
$7K |
| 82962 |
|
3,889 |
3,667 |
$7K |
| 95251 |
|
314 |
293 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
27 |
26 |
$4K |
| 99406 |
|
617 |
557 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
217 |
38 |
$4K |
| 93016 |
|
239 |
229 |
$4K |
| 99307 |
|
656 |
557 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
652 |
545 |
$4K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
86 |
55 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,531 |
755 |
$3K |
| 90686 |
|
294 |
279 |
$3K |
| 76641 |
|
142 |
106 |
$3K |
| 90651 |
|
30 |
29 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
284 |
238 |
$3K |
| 81003 |
|
1,464 |
1,227 |
$3K |
| 73562 |
|
132 |
115 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
109 |
98 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$3K |
| 51798 |
|
299 |
276 |
$2K |
| 95886 |
|
122 |
98 |
$2K |
| 87428 |
|
71 |
67 |
$2K |
| 93018 |
|
237 |
229 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
31 |
29 |
$2K |
| 90756 |
|
115 |
110 |
$2K |
| 99221 |
|
77 |
68 |
$2K |
| 96127 |
|
511 |
484 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
78 |
76 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26 |
24 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
27 |
$980.78 |
| 90694 |
|
46 |
44 |
$872.06 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$718.56 |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
26 |
$700.12 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
41 |
39 |
$634.53 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
32 |
28 |
$603.25 |
| 90715 |
|
15 |
12 |
$536.84 |
| 90688 |
|
42 |
36 |
$486.09 |
| G0008 |
Administration of influenza virus vaccine |
96 |
90 |
$434.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
36 |
$430.47 |
| 90661 |
|
16 |
16 |
$422.52 |
| 99306 |
Prolong nursin fac eval 15m |
16 |
15 |
$385.88 |
| 94060 |
|
57 |
54 |
$382.13 |
| 94726 |
|
57 |
54 |
$355.16 |
| 3725F |
|
7,526 |
6,925 |
$290.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
360 |
321 |
$279.35 |
| 3074F |
|
40,695 |
36,601 |
$273.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
16 |
$254.42 |
| 99201 |
|
18 |
14 |
$253.53 |
| 94729 |
|
57 |
54 |
$251.30 |
| 64644 |
|
14 |
12 |
$215.48 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
52 |
38 |
$158.31 |
| 88150 |
|
17 |
13 |
$145.09 |
| 3078F |
|
35,421 |
31,900 |
$140.53 |
| 90670 |
|
12 |
12 |
$120.00 |
| 85018 |
|
57 |
53 |
$113.33 |
| 95874 |
|
48 |
41 |
$92.38 |
| 75565 |
|
12 |
12 |
$89.20 |
| 90785 |
|
15 |
12 |
$84.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
44 |
42 |
$68.73 |
| 3079F |
|
16,598 |
15,166 |
$68.22 |
| 3075F |
|
8,511 |
7,801 |
$10.13 |
| 3077F |
|
4,446 |
4,045 |
$0.31 |
| 3080F |
|
1,470 |
1,341 |
$0.06 |
| 3008F |
|
52,658 |
47,118 |
$0.00 |
| 1036F |
|
30,958 |
27,020 |
$0.00 |
| 1125F |
|
8,191 |
7,444 |
$0.00 |
| 1034F |
|
5,785 |
4,842 |
$0.00 |
| 1126F |
|
12,810 |
11,659 |
$0.00 |
| 3044F |
|
693 |
664 |
$0.00 |
| 1220F |
|
380 |
353 |
$0.00 |
| 1035F |
|
390 |
290 |
$0.00 |
| 4010F |
|
136 |
119 |
$0.00 |
| 3052F |
|
32 |
30 |
$0.00 |
| 99024 |
|
41 |
40 |
$0.00 |
| 1159F |
|
50,888 |
44,758 |
$0.00 |
| 1160F |
|
58,265 |
51,410 |
$0.00 |
| 3046F |
|
214 |
207 |
$0.00 |
| 3288F |
|
142 |
120 |
$0.00 |
| 3051F |
|
54 |
52 |
$0.00 |