| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203,158 |
181,739 |
$14.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67,415 |
58,060 |
$8.20M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,529 |
7,207 |
$1.45M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,319 |
5,968 |
$454K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,990 |
3,784 |
$414K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,700 |
9,373 |
$411K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,777 |
4,016 |
$388K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,064 |
1,962 |
$215K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,714 |
1,482 |
$196K |
| 36415 |
Collection of venous blood by venipuncture |
99,987 |
86,678 |
$164K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,849 |
2,753 |
$143K |
| 99215 |
Prolong outpt/office vis |
594 |
528 |
$131K |
| 96160 |
|
28,407 |
27,923 |
$106K |
| 80053 |
Comprehensive metabolic panel |
29,506 |
26,692 |
$102K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,880 |
7,677 |
$98K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
382 |
372 |
$96K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,560 |
4,429 |
$90K |
| 59025 |
Fetal non-stress test |
1,571 |
1,223 |
$80K |
| 90686 |
|
5,709 |
5,501 |
$77K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,524 |
2,109 |
$72K |
| 80061 |
Lipid panel |
15,680 |
14,355 |
$72K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,298 |
6,536 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
373 |
372 |
$64K |
| 83721 |
|
16,075 |
14,717 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
335 |
335 |
$57K |
| 96156 |
|
754 |
721 |
$52K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15,294 |
14,137 |
$50K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
419 |
408 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,199 |
15,593 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
554 |
548 |
$36K |
| 90834 |
Psychotherapy, 45 minutes with patient |
204 |
178 |
$36K |
| 90682 |
|
1,407 |
1,264 |
$36K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,492 |
4,291 |
$31K |
| 76830 |
Ultrasound, transvaginal |
310 |
305 |
$29K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,946 |
2,885 |
$29K |
| 80050 |
General health panel |
2,165 |
2,103 |
$29K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,893 |
2,835 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
699 |
679 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,172 |
1,160 |
$18K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,003 |
969 |
$17K |
| 96158 |
|
325 |
268 |
$16K |
| 90673 |
|
312 |
302 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,334 |
1,253 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,376 |
1,227 |
$15K |
| 99406 |
|
567 |
541 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
470 |
398 |
$14K |
| 81514 |
|
69 |
68 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
632 |
552 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,596 |
2,411 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
452 |
430 |
$10K |
| 76801 |
|
105 |
99 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
146 |
136 |
$10K |
| 82607 |
|
1,809 |
1,689 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
53 |
51 |
$9K |
| 86780 |
|
1,675 |
1,654 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
65 |
25 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
44 |
41 |
$7K |
| 99201 |
|
80 |
75 |
$6K |
| 82728 |
|
1,482 |
1,444 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,937 |
1,810 |
$6K |
| 87480 |
|
1,463 |
1,394 |
$6K |
| 87510 |
|
1,460 |
1,392 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
428 |
421 |
$5K |
| 81001 |
|
3,997 |
3,728 |
$4K |
| 87653 |
|
318 |
312 |
$4K |
| 90688 |
|
3,296 |
3,109 |
$4K |
| 87660 |
|
1,460 |
1,392 |
$4K |
| 83550 |
|
801 |
776 |
$4K |
| 0124A |
|
148 |
137 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
866 |
694 |
$3K |
| 86803 |
|
640 |
628 |
$3K |
| 83540 |
|
843 |
815 |
$3K |
| 90677 |
|
13 |
13 |
$3K |
| 98968 |
|
43 |
30 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
214 |
83 |
$2K |
| 85027 |
|
635 |
611 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$2K |
| G0127 |
Trimming of dystrophic nails, any number |
168 |
145 |
$2K |
| 99441 |
|
92 |
86 |
$2K |
| 95251 |
|
29 |
27 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
51 |
51 |
$2K |
| 90651 |
|
230 |
230 |
$2K |
| 72100 |
|
38 |
37 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
705 |
683 |
$1K |
| 99442 |
|
35 |
28 |
$1K |
| 87070 |
|
971 |
924 |
$1K |
| 82570 |
|
1,356 |
1,207 |
$933.89 |
| 91320 |
|
12 |
12 |
$913.00 |
| 73564 |
|
13 |
12 |
$893.24 |
| 98967 |
|
18 |
14 |
$892.80 |
| 96150 |
|
1,579 |
1,505 |
$869.46 |
| 0054A |
|
24 |
24 |
$691.00 |
| 82043 |
|
1,187 |
1,061 |
$678.64 |
| 87081 |
|
283 |
278 |
$649.08 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
1,028 |
757 |
$525.58 |
| 82950 |
|
289 |
286 |
$496.07 |
| 87186 |
|
308 |
274 |
$472.14 |
| 90670 |
|
393 |
388 |
$461.16 |
| 81003 |
|
810 |
774 |
$450.95 |
| 87077 |
|
306 |
273 |
$441.29 |
| 84439 |
|
124 |
120 |
$376.33 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,050 |
1,876 |
$339.83 |
| 86850 |
|
78 |
78 |
$311.74 |
| 81025 |
|
367 |
361 |
$310.35 |
| 90715 |
|
191 |
187 |
$223.17 |
| 85652 |
|
158 |
150 |
$206.69 |
| 87340 |
|
38 |
38 |
$202.98 |
| 99221 |
|
25 |
24 |
$155.54 |
| 96152 |
|
808 |
647 |
$145.38 |
| 87807 |
|
15 |
15 |
$124.02 |
| 86762 |
|
14 |
14 |
$120.64 |
| 90732 |
|
28 |
27 |
$107.75 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
318 |
266 |
$102.85 |
| 86900 |
|
51 |
50 |
$89.68 |
| 82274 |
|
202 |
173 |
$78.36 |
| 87210 |
|
50 |
48 |
$77.73 |
| 90633 |
|
130 |
129 |
$65.88 |
| 90685 |
|
47 |
46 |
$65.88 |
| 86703 |
|
31 |
29 |
$65.15 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
25 |
$53.30 |
| 86901 |
|
25 |
25 |
$48.42 |
| G0008 |
Administration of influenza virus vaccine |
784 |
600 |
$46.83 |
| 96154 |
|
29 |
25 |
$45.92 |
| 90698 |
|
166 |
166 |
$43.92 |
| 84156 |
|
29 |
25 |
$35.72 |
| 87205 |
|
46 |
42 |
$22.14 |
| 87338 |
|
13 |
13 |
$12.43 |
| 83690 |
|
26 |
24 |
$11.91 |
| 82150 |
|
13 |
12 |
$5.04 |
| 82248 |
|
57 |
49 |
$4.82 |
| 99001 |
|
36 |
28 |
$4.19 |
| 3074F |
|
2,842 |
2,509 |
$0.01 |
| 3078F |
|
2,790 |
2,381 |
$0.01 |
| 0503F |
|
826 |
695 |
$0.00 |
| 3079F |
|
1,367 |
1,265 |
$0.00 |
| 90744 |
|
95 |
95 |
$0.00 |
| 99024 |
|
881 |
531 |
$0.00 |
| 3075F |
|
464 |
421 |
$0.00 |
| 1123F |
|
499 |
335 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
13 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
57 |
52 |
$0.00 |
| 0500F |
|
29 |
28 |
$0.00 |
| 3080F |
|
46 |
43 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
25 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$0.00 |
| 0501F |
|
12 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 84703 |
|
15 |
15 |
$0.00 |
| 0502F |
|
26,881 |
21,414 |
$0.00 |
| 1159F |
|
259 |
195 |
$0.00 |
| 3077F |
|
141 |
132 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
26 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
17 |
16 |
$0.00 |
| 90734 |
|
38 |
38 |
$0.00 |
| 90710 |
|
41 |
40 |
$0.00 |
| 90750 |
|
12 |
12 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
24 |
24 |
$0.00 |