| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82,952 |
78,027 |
$5.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,276 |
70,823 |
$3.43M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,491 |
5,179 |
$472K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,990 |
2,819 |
$421K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,430 |
4,395 |
$401K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,521 |
3,324 |
$307K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,447 |
1,428 |
$302K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,409 |
6,884 |
$302K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,184 |
3,109 |
$296K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,023 |
2,245 |
$289K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,552 |
3,488 |
$243K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,431 |
1,401 |
$146K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,507 |
1,471 |
$146K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,248 |
716 |
$121K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
759 |
757 |
$112K |
| 99254 |
|
1,646 |
1,593 |
$101K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,593 |
2,526 |
$101K |
| 80305 |
|
6,408 |
5,378 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,954 |
1,831 |
$75K |
| 99215 |
Prolong outpt/office vis |
797 |
702 |
$71K |
| T1016 |
Case management, each 15 minutes |
512 |
357 |
$70K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
127 |
125 |
$65K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
405 |
168 |
$61K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,223 |
4,892 |
$61K |
| 95886 |
|
623 |
451 |
$56K |
| 99205 |
Prolong outpt/office vis |
326 |
326 |
$47K |
| 90715 |
|
3,249 |
3,106 |
$45K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
495 |
487 |
$44K |
| 76818 |
|
344 |
231 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
848 |
835 |
$38K |
| 76820 |
|
740 |
532 |
$35K |
| 90682 |
|
1,955 |
1,920 |
$32K |
| 20610 |
|
1,128 |
776 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
631 |
606 |
$31K |
| 90837 |
Psychotherapy, 53 minutes with patient |
246 |
136 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,584 |
3,508 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
827 |
823 |
$27K |
| 92551 |
|
7,116 |
6,940 |
$26K |
| T1001 |
Nursing assessment / evaluation |
154 |
154 |
$26K |
| 90670 |
|
3,208 |
3,183 |
$24K |
| 87428 |
|
2,186 |
2,141 |
$23K |
| 90651 |
|
1,959 |
1,924 |
$22K |
| 99243 |
|
233 |
232 |
$22K |
| 99173 |
|
6,211 |
6,120 |
$21K |
| 90686 |
|
1,823 |
1,790 |
$20K |
| 90674 |
|
3,958 |
3,905 |
$19K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
220 |
216 |
$18K |
| 90732 |
|
396 |
392 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
160 |
155 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
581 |
564 |
$15K |
| 90461 |
|
546 |
542 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
253 |
252 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,909 |
2,328 |
$13K |
| 99381 |
|
153 |
148 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
137 |
136 |
$12K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
28 |
28 |
$12K |
| 90648 |
|
1,888 |
1,873 |
$11K |
| 0011A |
|
389 |
387 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,664 |
1,638 |
$11K |
| 90734 |
|
1,494 |
1,467 |
$11K |
| 99460 |
|
237 |
229 |
$10K |
| 59025 |
Fetal non-stress test |
433 |
257 |
$9K |
| 81025 |
|
1,873 |
1,841 |
$9K |
| 90723 |
|
1,470 |
1,465 |
$9K |
| 90633 |
|
1,860 |
1,818 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
403 |
396 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
234 |
230 |
$9K |
| 81003 |
|
2,229 |
2,171 |
$8K |
| 99051 |
|
344 |
324 |
$7K |
| 96161 |
|
3,141 |
2,720 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
141 |
95 |
$7K |
| 99349 |
|
174 |
159 |
$7K |
| 95251 |
|
193 |
193 |
$6K |
| 90698 |
|
1,107 |
1,090 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
620 |
619 |
$6K |
| 99255 |
|
83 |
81 |
$6K |
| 90681 |
|
919 |
919 |
$6K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
181 |
134 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
128 |
125 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
114 |
110 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
75 |
74 |
$5K |
| 59430 |
|
82 |
79 |
$5K |
| 31231 |
|
73 |
68 |
$5K |
| 90710 |
|
1,031 |
1,014 |
$5K |
| 99242 |
|
74 |
74 |
$5K |
| 90696 |
|
914 |
886 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
63 |
37 |
$5K |
| 99245 |
|
26 |
26 |
$5K |
| 90716 |
|
774 |
762 |
$4K |
| 97597 |
|
124 |
78 |
$4K |
| 90707 |
|
779 |
761 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,810 |
3,641 |
$4K |
| 87210 |
|
599 |
588 |
$4K |
| 0012A |
|
110 |
110 |
$4K |
| 90746 |
|
86 |
85 |
$4K |
| 90744 |
|
691 |
675 |
$4K |
| 90680 |
|
697 |
692 |
$4K |
| 96160 |
|
2,273 |
2,246 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
146 |
98 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,111 |
1,079 |
$4K |
| 95819 |
|
144 |
140 |
$3K |
| 90700 |
|
607 |
586 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
28 |
28 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
41 |
34 |
$3K |
| 86580 |
|
1,148 |
1,020 |
$3K |
| 96127 |
|
1,441 |
1,423 |
$3K |
| 99188 |
|
140 |
140 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
164 |
164 |
$3K |
| 64615 |
|
24 |
24 |
$2K |
| 90750 |
|
89 |
89 |
$2K |
| 11721 |
|
115 |
114 |
$2K |
| 99462 |
|
72 |
56 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
178 |
178 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
198 |
179 |
$1K |
| 85018 |
|
641 |
636 |
$1K |
| 0013A |
|
37 |
37 |
$1K |
| 99348 |
|
87 |
79 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$980.39 |
| 99253 |
|
29 |
29 |
$972.15 |
| 96040 |
|
431 |
425 |
$928.98 |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
29 |
27 |
$922.10 |
| 41010 |
|
12 |
12 |
$848.07 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
55 |
53 |
$832.34 |
| 0001A |
|
30 |
30 |
$821.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
204 |
188 |
$670.27 |
| 99385 |
|
15 |
15 |
$608.36 |
| 73564 |
|
15 |
12 |
$577.59 |
| 36416 |
|
940 |
893 |
$562.27 |
| 73630 |
|
23 |
15 |
$466.80 |
| 90714 |
|
25 |
25 |
$440.14 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
845 |
628 |
$410.27 |
| 97802 |
|
18 |
18 |
$369.05 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
204 |
190 |
$361.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
789 |
726 |
$357.71 |
| 88720 |
|
48 |
43 |
$317.02 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
49 |
40 |
$307.85 |
| 94010 |
|
26 |
26 |
$291.04 |
| 73100 |
|
14 |
12 |
$278.97 |
| 0002A |
|
15 |
15 |
$240.00 |
| 99050 |
|
18 |
17 |
$230.30 |
| 93000 |
|
15 |
14 |
$225.76 |
| 83655 |
|
2,242 |
2,209 |
$221.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
518 |
478 |
$171.34 |
| 94729 |
|
26 |
26 |
$167.62 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
14 |
$165.52 |
| 94727 |
|
15 |
15 |
$156.56 |
| 94726 |
|
13 |
13 |
$140.90 |
| 94060 |
|
15 |
15 |
$120.46 |
| 80061 |
Lipid panel |
807 |
785 |
$109.20 |
| 82962 |
|
51 |
49 |
$107.40 |
| 90620 |
|
13 |
12 |
$79.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
188 |
167 |
$2.14 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
80 |
78 |
$0.00 |
| 90619 |
|
190 |
186 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
97 |
97 |
$0.00 |
| 90677 |
|
217 |
169 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
369 |
362 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
26 |
26 |
$0.00 |
| G0427 |
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth |
16 |
13 |
$0.00 |