| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,448 |
29,239 |
$2.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,429 |
16,461 |
$1.82M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
3,270 |
3,020 |
$682K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,440 |
2,341 |
$535K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,597 |
2,510 |
$470K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,296 |
3,099 |
$371K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,416 |
2,286 |
$280K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,256 |
2,121 |
$241K |
| 99215 |
Prolong outpt/office vis |
1,187 |
1,135 |
$212K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,491 |
9,626 |
$206K |
| 93320 |
|
3,255 |
3,015 |
$159K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,171 |
4,685 |
$127K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,516 |
1,440 |
$107K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,048 |
6,826 |
$83K |
| 93000 |
|
4,554 |
4,390 |
$79K |
| 93325 |
|
3,385 |
3,118 |
$72K |
| 90670 |
|
1,636 |
1,583 |
$62K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,425 |
1,270 |
$62K |
| 99205 |
Prolong outpt/office vis |
323 |
293 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
452 |
436 |
$55K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
24 |
12 |
$45K |
| 93356 |
|
933 |
920 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
256 |
243 |
$34K |
| 90686 |
|
3,667 |
3,480 |
$24K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
226 |
208 |
$23K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
443 |
408 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,165 |
557 |
$17K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
3,872 |
3,872 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
638 |
463 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
293 |
270 |
$14K |
| 90723 |
|
824 |
802 |
$14K |
| 95811 |
|
120 |
116 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
435 |
413 |
$10K |
| 90651 |
|
104 |
93 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
613 |
576 |
$9K |
| 17110 |
|
77 |
69 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
88 |
66 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
145 |
85 |
$8K |
| 90681 |
|
200 |
196 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
33 |
30 |
$6K |
| 90647 |
|
790 |
757 |
$4K |
| 11100 |
|
53 |
46 |
$4K |
| 11102 |
|
57 |
52 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
29 |
27 |
$3K |
| 99443 |
|
40 |
40 |
$3K |
| 90474 |
|
199 |
195 |
$3K |
| 90633 |
|
234 |
205 |
$2K |
| 90710 |
|
12 |
12 |
$2K |
| 90734 |
|
41 |
38 |
$2K |
| 92551 |
|
130 |
122 |
$2K |
| 0001A |
|
63 |
62 |
$2K |
| 0002A |
|
48 |
48 |
$1K |
| 90715 |
|
72 |
70 |
$1K |
| 99442 |
|
29 |
29 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
19 |
13 |
$989.69 |
| 96415 |
|
29 |
27 |
$963.04 |
| 90656 |
|
237 |
176 |
$960.00 |
| 90677 |
|
15 |
13 |
$776.55 |
| 94664 |
|
36 |
36 |
$629.78 |
| 99441 |
|
14 |
14 |
$614.04 |
| 91200 |
|
15 |
15 |
$515.08 |
| 90696 |
|
12 |
12 |
$495.70 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
17 |
13 |
$479.15 |
| S0315 |
Disease management program; initial assessment and initiation of the program |
62 |
62 |
$465.00 |
| 94010 |
|
29 |
25 |
$460.58 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
43 |
39 |
$448.42 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
42 |
38 |
$291.93 |
| J7050 |
Infusion, normal saline solution, 250 cc |
400 |
344 |
$246.89 |
| 99173 |
|
79 |
74 |
$229.34 |
| 81002 |
|
73 |
69 |
$216.32 |
| 94726 |
|
25 |
24 |
$210.71 |
| 90685 |
|
18 |
15 |
$165.33 |
| 90700 |
|
15 |
12 |
$113.65 |
| 94729 |
|
12 |
12 |
$86.76 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
12 |
12 |
$65.08 |
| 99177 |
|
173 |
160 |
$0.00 |