| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
382,434 |
326,281 |
$11.98M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95,901 |
83,701 |
$2.37M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98,582 |
89,593 |
$2.34M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138,669 |
130,665 |
$1.87M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28,471 |
8,424 |
$840K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
11,400 |
3,621 |
$527K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12,819 |
12,359 |
$443K |
| 99307 |
|
11,829 |
10,199 |
$324K |
| D7140 |
Extraction, erupted tooth or exposed root |
7,475 |
4,015 |
$318K |
| D1110 |
Prophylaxis - adult |
8,081 |
7,643 |
$301K |
| 80053 |
Comprehensive metabolic panel |
35,273 |
32,858 |
$270K |
| D0330 |
Panoramic radiographic image |
6,751 |
6,465 |
$258K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44,419 |
41,081 |
$256K |
| D1120 |
Prophylaxis - child |
4,689 |
4,539 |
$215K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
3,888 |
2,939 |
$207K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
6,681 |
6,059 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,938 |
2,807 |
$195K |
| D0274 |
Bitewings - four radiographic images |
8,647 |
8,244 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,037 |
2,815 |
$188K |
| 84443 |
Thyroid stimulating hormone (TSH) |
14,426 |
13,460 |
$173K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,372 |
3,764 |
$161K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,431 |
8,715 |
$158K |
| 99225 |
|
4,692 |
2,638 |
$143K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
3,126 |
2,320 |
$136K |
| 99217 |
|
3,433 |
2,971 |
$134K |
| D0220 |
Intraoral - periapical first radiographic image |
8,462 |
7,956 |
$106K |
| D1208 |
Topical application of fluoride, excluding varnish |
7,341 |
7,117 |
$103K |
| 90791 |
Psychiatric diagnostic evaluation |
1,470 |
1,342 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,548 |
1,407 |
$94K |
| 99219 |
|
2,178 |
1,904 |
$94K |
| 80061 |
Lipid panel |
10,740 |
9,989 |
$92K |
| 76830 |
Ultrasound, transvaginal |
2,509 |
2,300 |
$84K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12,107 |
11,368 |
$76K |
| 82607 |
|
6,483 |
6,032 |
$67K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,622 |
2,449 |
$66K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,974 |
1,661 |
$53K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,151 |
1,106 |
$47K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
473 |
261 |
$45K |
| D9110 |
|
1,564 |
1,459 |
$45K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
121 |
106 |
$44K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
999 |
892 |
$43K |
| D0140 |
Limited oral evaluation - problem focused |
888 |
853 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
1,447 |
1,361 |
$38K |
| 99222 |
Initial hospital care, per day, moderate complexity |
779 |
685 |
$35K |
| 99223 |
Prolong inpt eval add15 m |
524 |
482 |
$33K |
| 0012A |
|
1,010 |
984 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
773 |
661 |
$31K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
642 |
575 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
374 |
355 |
$28K |
| 99334 |
|
580 |
402 |
$28K |
| 0011A |
|
1,293 |
1,218 |
$27K |
| 84702 |
|
2,044 |
1,602 |
$26K |
| 81025 |
|
3,469 |
3,162 |
$24K |
| 99490 |
Ccm add 20min |
856 |
807 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,084 |
1,934 |
$23K |
| 87807 |
|
1,726 |
1,638 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
378 |
301 |
$22K |
| D2330 |
|
494 |
326 |
$22K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
25 |
$22K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
753 |
425 |
$22K |
| 90632 |
|
473 |
455 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
355 |
292 |
$18K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
377 |
201 |
$18K |
| 0001A |
|
470 |
434 |
$17K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
270 |
222 |
$16K |
| D2331 |
|
291 |
217 |
$16K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,105 |
1,034 |
$15K |
| 0002A |
|
398 |
373 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
531 |
408 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
166 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,978 |
1,795 |
$12K |
| 0064A |
|
508 |
323 |
$11K |
| 92551 |
|
1,140 |
1,049 |
$11K |
| 76801 |
|
540 |
482 |
$11K |
| 99348 |
|
183 |
128 |
$10K |
| 90688 |
|
1,305 |
1,237 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,112 |
4,732 |
$10K |
| 59025 |
Fetal non-stress test |
324 |
226 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,429 |
835 |
$8K |
| 86328 |
|
556 |
485 |
$8K |
| 90686 |
|
669 |
656 |
$7K |
| 80050 |
General health panel |
261 |
220 |
$7K |
| 81002 |
|
20,010 |
12,866 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
115 |
106 |
$6K |
| 83735 |
|
1,255 |
1,158 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
482 |
402 |
$6K |
| 81001 |
|
7,735 |
7,167 |
$6K |
| D0272 |
Bitewings - two radiographic images |
338 |
323 |
$6K |
| 82728 |
|
563 |
520 |
$5K |
| 96127 |
|
1,979 |
1,899 |
$5K |
| 80305 |
|
445 |
185 |
$5K |
| 84439 |
|
740 |
690 |
$5K |
| 82044 |
|
1,265 |
1,185 |
$5K |
| 99347 |
|
170 |
161 |
$5K |
| 83540 |
|
1,013 |
931 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,490 |
2,257 |
$4K |
| 82570 |
|
1,266 |
1,184 |
$4K |
| 0072A |
|
92 |
90 |
$3K |
| 90670 |
|
1,971 |
1,899 |
$3K |
| 0071A |
|
82 |
76 |
$3K |
| 99050 |
|
373 |
363 |
$3K |
| 11721 |
|
77 |
69 |
$3K |
| 87210 |
|
628 |
544 |
$3K |
| 0004A |
|
105 |
72 |
$3K |
| 90633 |
|
2,812 |
2,622 |
$3K |
| 99173 |
|
257 |
220 |
$3K |
| D2332 |
|
46 |
31 |
$2K |
| 99304 |
|
83 |
82 |
$2K |
| 84481 |
|
216 |
190 |
$2K |
| 82951 |
|
207 |
163 |
$2K |
| 76818 |
|
86 |
49 |
$2K |
| 74018 |
|
180 |
166 |
$2K |
| 83550 |
|
275 |
264 |
$2K |
| 72100 |
|
119 |
114 |
$2K |
| 93000 |
|
89 |
85 |
$1K |
| 90671 |
|
319 |
317 |
$1K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
138 |
130 |
$1K |
| 90715 |
|
160 |
149 |
$1K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
19 |
13 |
$1K |
| 90680 |
|
951 |
932 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
518 |
484 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
27 |
$1K |
| 90723 |
|
401 |
395 |
$931.30 |
| 97597 |
|
29 |
25 |
$912.21 |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
65 |
56 |
$892.05 |
| 90651 |
|
166 |
156 |
$760.80 |
| 0134A |
|
25 |
20 |
$760.00 |
| 99381 |
|
13 |
12 |
$707.28 |
| 90732 |
|
14 |
12 |
$700.00 |
| 90647 |
|
956 |
928 |
$572.01 |
| 73630 |
|
33 |
28 |
$456.48 |
| 76642 |
|
12 |
12 |
$443.89 |
| 0003A |
|
22 |
21 |
$440.00 |
| 83880 |
|
37 |
37 |
$396.00 |
| 90685 |
|
74 |
74 |
$382.29 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$348.23 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
67 |
65 |
$330.43 |
| 90619 |
|
123 |
118 |
$321.50 |
| 99335 |
|
12 |
12 |
$312.00 |
| 90710 |
|
74 |
66 |
$297.57 |
| G0127 |
Trimming of dystrophic nails, any number |
25 |
25 |
$240.97 |
| 90697 |
|
340 |
334 |
$232.77 |
| 83001 |
|
12 |
12 |
$216.08 |
| 99406 |
|
38 |
30 |
$208.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$202.80 |
| 90734 |
|
140 |
131 |
$198.46 |
| 90700 |
|
228 |
219 |
$198.25 |
| 86580 |
|
50 |
44 |
$166.79 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
13 |
$166.77 |
| 84100 |
|
53 |
46 |
$166.34 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
12 |
$155.82 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
65 |
56 |
$142.09 |
| 90707 |
|
14 |
12 |
$98.25 |
| 3074F |
|
17,482 |
15,727 |
$93.37 |
| 3078F |
|
14,980 |
13,578 |
$77.92 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
89 |
68 |
$60.00 |
| 85014 |
|
29 |
28 |
$56.88 |
| 85018 |
|
29 |
28 |
$56.88 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
14 |
12 |
$45.54 |
| J3490 |
Unclassified drugs |
13 |
12 |
$41.13 |
| 3079F |
|
6,560 |
6,104 |
$39.90 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
51 |
44 |
$39.55 |
| 90713 |
|
13 |
12 |
$27.44 |
| 3044F |
|
4,408 |
4,123 |
$21.88 |
| 3075F |
|
2,480 |
2,351 |
$14.95 |
| 3077F |
|
1,847 |
1,722 |
$10.81 |
| 3046F |
|
449 |
370 |
$2.06 |
| 3080F |
|
287 |
274 |
$1.71 |
| 3045F |
|
381 |
336 |
$1.13 |
| H0049 |
Alcohol and/or drug screening |
74 |
62 |
$1.00 |
| 2022F |
|
233 |
231 |
$0.96 |
| 3051F |
|
27 |
24 |
$0.09 |
| 3052F |
|
18 |
14 |
$0.06 |
| 2028F |
|
639 |
604 |
$0.02 |
| 90750 |
|
15 |
14 |
$0.01 |
| 4004F |
|
52 |
44 |
$0.00 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
150 |
76 |
$0.00 |
| Q0245 |
Injection, bamlanivimab and etesevimab, 2100 mg |
48 |
42 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
12 |
$0.00 |
| 888888 |
|
12 |
12 |
$0.00 |
| 1111F |
|
136 |
121 |
$0.00 |
| 4000F |
|
52 |
44 |
$0.00 |
| 3008F |
|
362 |
288 |
$0.00 |
| 90716 |
|
15 |
12 |
$0.00 |
| 91307 |
|
35 |
35 |
$0.00 |
| 90696 |
|
27 |
26 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 91306 |
|
59 |
21 |
$0.00 |