| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,497 |
19,485 |
$1.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,415 |
7,902 |
$561K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,597 |
1,597 |
$143K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,312 |
1,304 |
$105K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,359 |
1,212 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
958 |
955 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
872 |
871 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
945 |
923 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
745 |
745 |
$59K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
915 |
246 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,746 |
1,726 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,428 |
2,166 |
$26K |
| 76830 |
Ultrasound, transvaginal |
475 |
394 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
518 |
428 |
$24K |
| 99215 |
Prolong outpt/office vis |
301 |
290 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,575 |
1,506 |
$20K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
294 |
284 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
175 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
241 |
240 |
$18K |
| 99496 |
|
126 |
126 |
$14K |
| 76536 |
|
256 |
198 |
$12K |
| 76642 |
|
297 |
231 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
874 |
818 |
$11K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
181 |
178 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
256 |
246 |
$10K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
857 |
816 |
$9K |
| 17110 |
|
149 |
138 |
$8K |
| D0190 |
|
516 |
513 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,068 |
1,062 |
$7K |
| 99349 |
|
142 |
139 |
$7K |
| 20610 |
|
272 |
248 |
$6K |
| 77065 |
Tomosynthesis, mammo |
102 |
85 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
127 |
121 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
234 |
231 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
183 |
169 |
$5K |
| 73562 |
|
320 |
228 |
$5K |
| 72110 |
|
251 |
215 |
$5K |
| 99406 |
|
740 |
716 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
752 |
744 |
$5K |
| 90682 |
|
129 |
128 |
$5K |
| 93000 |
|
613 |
600 |
$5K |
| 76775 |
|
197 |
164 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
42 |
40 |
$4K |
| 90686 |
|
510 |
510 |
$4K |
| 90688 |
|
314 |
312 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
395 |
367 |
$4K |
| 81002 |
|
2,280 |
2,216 |
$4K |
| 83655 |
|
333 |
329 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
57 |
55 |
$4K |
| 71250 |
|
61 |
49 |
$4K |
| 99188 |
|
394 |
394 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
32 |
27 |
$3K |
| 73630 |
|
259 |
210 |
$3K |
| 94060 |
|
111 |
108 |
$3K |
| 99460 |
|
57 |
57 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,472 |
1,416 |
$3K |
| 90756 |
|
185 |
185 |
$3K |
| 90715 |
|
199 |
196 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
192 |
$3K |
| 81025 |
|
491 |
482 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
142 |
139 |
$3K |
| 74018 |
|
197 |
171 |
$2K |
| 73030 |
|
181 |
154 |
$2K |
| 90651 |
|
152 |
152 |
$2K |
| 90670 |
|
410 |
405 |
$2K |
| 73130 |
|
146 |
98 |
$2K |
| 76641 |
|
43 |
30 |
$2K |
| 77080 |
|
88 |
87 |
$2K |
| 99407 |
|
134 |
124 |
$2K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
15 |
13 |
$2K |
| 94010 |
|
109 |
108 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
251 |
247 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
170 |
169 |
$2K |
| 77066 |
Tomosynthesis, mammo |
17 |
16 |
$1K |
| 72100 |
|
82 |
76 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
161 |
157 |
$1K |
| 80305 |
|
176 |
172 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
684 |
643 |
$1K |
| 90732 |
|
17 |
16 |
$1K |
| 73610 |
|
78 |
69 |
$1K |
| 85018 |
|
442 |
437 |
$1K |
| 36416 |
|
313 |
310 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
19 |
15 |
$982.28 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
13 |
$906.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
82 |
82 |
$763.00 |
| 81003 |
|
517 |
504 |
$746.53 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
469 |
439 |
$696.04 |
| 85014 |
|
282 |
279 |
$673.33 |
| 72050 |
|
26 |
26 |
$625.08 |
| 92250 |
|
46 |
43 |
$617.69 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
152 |
114 |
$564.69 |
| 73110 |
|
42 |
28 |
$519.87 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
17 |
16 |
$449.44 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
48 |
46 |
$447.38 |
| 73501 |
|
33 |
30 |
$445.09 |
| 82962 |
|
161 |
150 |
$350.49 |
| 80061 |
Lipid panel |
24 |
24 |
$288.42 |
| 72072 |
|
18 |
12 |
$232.92 |
| 85610 |
|
63 |
38 |
$206.60 |
| 82274 |
|
15 |
15 |
$195.12 |
| 86580 |
|
37 |
32 |
$159.60 |
| 90734 |
|
107 |
106 |
$122.50 |
| 82270 |
|
49 |
49 |
$121.63 |
| 82570 |
|
16 |
16 |
$60.34 |
| 99051 |
|
93 |
90 |
$55.00 |
| 90707 |
|
210 |
208 |
$53.17 |
| 90662 |
|
31 |
31 |
$49.03 |
| 81000 |
|
12 |
12 |
$32.49 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$18.23 |
| G0008 |
Administration of influenza virus vaccine |
199 |
198 |
$14.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
260 |
242 |
$0.00 |
| 90698 |
|
293 |
291 |
$0.00 |
| 90680 |
|
254 |
251 |
$0.00 |
| 3044F |
|
276 |
272 |
$0.00 |
| 90744 |
|
183 |
181 |
$0.00 |
| 90716 |
|
202 |
200 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 3045F |
|
154 |
154 |
$0.00 |
| 90461 |
|
603 |
590 |
$0.00 |
| 90685 |
|
94 |
94 |
$0.00 |
| 90713 |
|
55 |
55 |
$0.00 |
| 90700 |
|
133 |
133 |
$0.00 |
| 90633 |
|
64 |
62 |
$0.00 |
| 3046F |
|
85 |
83 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
91 |
89 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |