| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,748 |
48,616 |
$1.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,809 |
17,343 |
$666K |
| X5622 |
|
9,067 |
8,879 |
$181K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
8,772 |
8,298 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,390 |
3,223 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,548 |
6,147 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,483 |
3,176 |
$110K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,846 |
4,587 |
$92K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,845 |
1,225 |
$81K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,014 |
2,886 |
$78K |
| 59426 |
|
279 |
273 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,030 |
1,927 |
$68K |
| 87507 |
|
278 |
272 |
$63K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,245 |
1,661 |
$61K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
4,724 |
3,454 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,318 |
1,290 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,118 |
1,038 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,166 |
1,117 |
$46K |
| 99215 |
Prolong outpt/office vis |
1,280 |
1,181 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,682 |
3,473 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,250 |
5,055 |
$39K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,581 |
2,512 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,015 |
983 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,334 |
8,306 |
$34K |
| 59410 |
|
180 |
171 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,688 |
2,226 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,362 |
490 |
$30K |
| 90461 |
|
4,421 |
4,147 |
$27K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,670 |
3,555 |
$27K |
| 80053 |
Comprehensive metabolic panel |
5,653 |
5,364 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
23,356 |
19,986 |
$27K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,056 |
978 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
637 |
628 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
2,315 |
2,202 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
787 |
733 |
$23K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,364 |
1,245 |
$22K |
| 80050 |
General health panel |
935 |
907 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
588 |
568 |
$22K |
| 80061 |
Lipid panel |
3,525 |
3,448 |
$18K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
49 |
42 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
504 |
486 |
$17K |
| 90686 |
|
3,724 |
3,639 |
$16K |
| 92015 |
Determination of refractive state |
2,300 |
2,263 |
$16K |
| 87088 |
|
3,959 |
3,677 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
369 |
288 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
423 |
413 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,277 |
3,190 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,000 |
3,627 |
$14K |
| V5008 |
Hearing screening |
4,668 |
4,387 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,084 |
1,016 |
$13K |
| V2020 |
Frames, purchases |
903 |
823 |
$13K |
| 99460 |
|
349 |
327 |
$12K |
| 17110 |
|
384 |
349 |
$12K |
| 81001 |
|
7,784 |
7,085 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,080 |
1,579 |
$11K |
| 99242 |
|
431 |
416 |
$11K |
| 11721 |
|
778 |
745 |
$10K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
479 |
474 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
236 |
187 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,614 |
1,572 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
907 |
463 |
$9K |
| 99339 |
|
421 |
420 |
$9K |
| 85027 |
|
2,980 |
2,839 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
895 |
840 |
$8K |
| 86780 |
|
724 |
711 |
$8K |
| 76801 |
|
174 |
162 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
895 |
840 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
857 |
834 |
$8K |
| 99374 |
|
570 |
562 |
$8K |
| 90670 |
|
2,519 |
2,376 |
$7K |
| 97162 |
|
331 |
315 |
$7K |
| 99188 |
|
4,849 |
4,639 |
$7K |
| 90715 |
|
1,268 |
1,152 |
$7K |
| 83655 |
|
719 |
688 |
$7K |
| 99243 |
|
295 |
286 |
$7K |
| 81025 |
|
1,750 |
1,651 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
904 |
852 |
$6K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
565 |
558 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
105 |
105 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
201 |
156 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
173 |
166 |
$6K |
| 85610 |
|
3,876 |
1,926 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
669 |
650 |
$5K |
| 93000 |
|
1,173 |
1,112 |
$5K |
| 86140 |
|
1,787 |
1,665 |
$5K |
| 97161 |
|
285 |
249 |
$5K |
| 87077 |
|
1,312 |
1,225 |
$5K |
| 87186 |
|
1,162 |
1,083 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
282 |
217 |
$5K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
509 |
492 |
$4K |
| 90662 |
|
244 |
242 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
1,062 |
1,051 |
$4K |
| 83013 |
|
184 |
170 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,508 |
1,259 |
$4K |
| 84439 |
|
841 |
814 |
$4K |
| 99173 |
|
4,875 |
4,563 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
49 |
42 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
157 |
157 |
$3K |
| 97803 |
|
383 |
342 |
$3K |
| 87210 |
|
1,201 |
1,130 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
88 |
86 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
135 |
66 |
$3K |
| 74019 |
|
258 |
252 |
$3K |
| 82607 |
|
395 |
386 |
$3K |
| 36416 |
|
1,859 |
1,646 |
$3K |
| 85018 |
|
2,326 |
2,215 |
$3K |
| 87653 |
|
225 |
222 |
$3K |
| 96127 |
|
1,004 |
932 |
$3K |
| 92567 |
|
729 |
706 |
$3K |
| 20610 |
|
212 |
187 |
$3K |
| 86762 |
|
199 |
196 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
44 |
42 |
$2K |
| 82728 |
|
367 |
362 |
$2K |
| 97802 |
|
105 |
82 |
$2K |
| 76830 |
Ultrasound, transvaginal |
179 |
178 |
$2K |
| 90473 |
|
336 |
215 |
$2K |
| 90651 |
|
758 |
705 |
$2K |
| 87340 |
|
266 |
263 |
$2K |
| 90734 |
|
634 |
551 |
$2K |
| 73630 |
|
294 |
264 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
70 |
56 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
30 |
27 |
$2K |
| 87486 |
|
49 |
42 |
$2K |
| 87581 |
|
49 |
42 |
$2K |
| 96161 |
|
739 |
708 |
$2K |
| 73562 |
|
187 |
146 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
99 |
$2K |
| 92557 |
|
204 |
197 |
$2K |
| 73110 |
|
134 |
115 |
$2K |
| 83550 |
|
345 |
335 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
126 |
119 |
$1K |
| 83690 |
|
428 |
413 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
318 |
308 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
148 |
147 |
$1K |
| 82043 |
|
480 |
470 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
78 |
54 |
$1K |
| 83540 |
|
393 |
380 |
$1K |
| 73610 |
|
226 |
208 |
$1K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
28 |
28 |
$1K |
| 87807 |
|
209 |
180 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
14 |
$1K |
| 99462 |
|
121 |
97 |
$981.29 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
294 |
270 |
$978.39 |
| 74018 |
|
163 |
159 |
$972.67 |
| 99217 |
|
27 |
27 |
$961.80 |
| 87070 |
|
263 |
244 |
$950.49 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
291 |
274 |
$941.00 |
| 93793 |
|
177 |
101 |
$890.65 |
| 92370 |
|
41 |
39 |
$885.50 |
| 76770 |
|
12 |
12 |
$874.09 |
| 90691 |
|
12 |
12 |
$865.56 |
| 97597 |
|
24 |
14 |
$853.29 |
| 84702 |
|
144 |
114 |
$822.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
187 |
173 |
$810.05 |
| 73130 |
|
46 |
41 |
$788.04 |
| 69210 |
|
27 |
27 |
$787.52 |
| 85651 |
|
395 |
367 |
$749.13 |
| 99307 |
|
88 |
71 |
$656.76 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
288 |
146 |
$634.08 |
| V5266 |
Battery for use in hearing device |
157 |
143 |
$618.00 |
| 82947 |
|
325 |
318 |
$577.68 |
| 83970 |
|
40 |
38 |
$572.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
787 |
679 |
$563.47 |
| 90688 |
|
410 |
375 |
$540.70 |
| 84153 |
|
90 |
88 |
$538.82 |
| 87081 |
|
226 |
222 |
$535.78 |
| 82746 |
|
59 |
59 |
$521.77 |
| 82950 |
|
291 |
284 |
$518.60 |
| 84550 |
|
302 |
280 |
$465.41 |
| 84460 |
|
218 |
215 |
$438.86 |
| 83014 |
|
184 |
170 |
$430.38 |
| 90672 |
|
439 |
312 |
$410.82 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
27 |
24 |
$405.41 |
| 92593 |
|
28 |
28 |
$393.87 |
| 82565 |
|
212 |
197 |
$377.72 |
| 99490 |
Ccm add 20min |
43 |
43 |
$374.63 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
561 |
555 |
$338.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
411 |
291 |
$316.08 |
| 90707 |
|
211 |
191 |
$311.03 |
| 86308 |
|
74 |
72 |
$285.74 |
| 87185 |
|
170 |
165 |
$274.07 |
| 82150 |
|
129 |
126 |
$247.76 |
| 86803 |
|
44 |
44 |
$239.88 |
| 84450 |
|
117 |
112 |
$210.77 |
| 51798 |
|
33 |
27 |
$159.66 |
| 11056 |
|
12 |
12 |
$150.70 |
| 83735 |
|
26 |
26 |
$111.92 |
| 99201 |
|
111 |
110 |
$90.95 |
| 82570 |
|
111 |
94 |
$84.14 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
182 |
135 |
$70.10 |
| 84156 |
|
106 |
88 |
$55.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
302 |
254 |
$49.55 |
| 90744 |
|
1,054 |
966 |
$48.43 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
16 |
12 |
$38.97 |
| 81003 |
|
184 |
158 |
$28.94 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
77 |
63 |
$23.50 |
| 73030 |
|
56 |
51 |
$22.01 |
| 84703 |
|
88 |
84 |
$21.49 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
47 |
$19.14 |
| 88720 |
|
39 |
25 |
$13.00 |
| 80069 |
|
16 |
15 |
$11.26 |
| 92551 |
|
18 |
16 |
$9.12 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
29 |
24 |
$4.62 |
| 90685 |
|
1,134 |
1,108 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
41 |
40 |
$0.00 |
| 90710 |
|
494 |
440 |
$0.00 |
| 90681 |
|
66 |
65 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
93 |
54 |
$0.00 |
| 11981 |
|
26 |
25 |
$0.00 |
| 90633 |
|
1,338 |
1,240 |
$0.00 |
| 80076 |
|
57 |
49 |
$0.00 |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
15 |
15 |
$0.00 |
| 90700 |
|
36 |
35 |
$0.00 |
| 90687 |
|
155 |
133 |
$0.00 |
| 59025 |
Fetal non-stress test |
54 |
29 |
$0.00 |
| 92555 |
|
29 |
27 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
296 |
92 |
$0.00 |
| 99221 |
|
32 |
27 |
$0.00 |
| 86431 |
|
40 |
39 |
$0.00 |
| 92504 |
|
37 |
37 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |
| 92341 |
|
13 |
12 |
$0.00 |
| 90714 |
|
13 |
12 |
$0.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
17 |
15 |
$0.00 |
| 90716 |
|
244 |
224 |
$0.00 |
| 90647 |
|
267 |
262 |
$0.00 |
| 90698 |
|
2,054 |
1,881 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
100 |
64 |
$0.00 |
| 90723 |
|
254 |
248 |
$0.00 |
| 90680 |
|
1,394 |
1,268 |
$0.00 |
| 90696 |
|
358 |
314 |
$0.00 |
| 31231 |
|
13 |
12 |
$0.00 |
| 90961 |
|
25 |
25 |
$0.00 |
| 86580 |
|
32 |
27 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
75 |
35 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$0.00 |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
14 |
$0.00 |