| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,643 |
52,227 |
$3.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,052 |
30,078 |
$2.42M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,224 |
4,220 |
$423K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,921 |
3,918 |
$398K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
850 |
839 |
$349K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,604 |
4,556 |
$346K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,295 |
3,148 |
$292K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,165 |
14,088 |
$249K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,940 |
1,929 |
$228K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,695 |
1,695 |
$187K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
2,384 |
2,342 |
$156K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,067 |
7,050 |
$152K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,719 |
3,662 |
$147K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,173 |
4,149 |
$130K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
967 |
964 |
$83K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,255 |
1,247 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,298 |
1,223 |
$58K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
720 |
712 |
$52K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
209 |
209 |
$48K |
| 95811 |
|
87 |
87 |
$32K |
| 90473 |
|
994 |
994 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,235 |
2,233 |
$15K |
| 99201 |
|
397 |
395 |
$14K |
| 99173 |
|
1,841 |
1,840 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
119 |
116 |
$12K |
| 90474 |
|
1,011 |
1,011 |
$12K |
| 0012A |
|
348 |
345 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
739 |
718 |
$11K |
| 99234 |
|
104 |
98 |
$10K |
| 96127 |
|
2,092 |
2,064 |
$9K |
| 0011A |
|
308 |
304 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
570 |
570 |
$8K |
| 99215 |
Prolong outpt/office vis |
69 |
66 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
172 |
172 |
$7K |
| 69210 |
|
295 |
288 |
$7K |
| 90962 |
|
210 |
189 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
40 |
40 |
$5K |
| 0071A |
|
132 |
131 |
$5K |
| 0072A |
|
104 |
104 |
$4K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
13 |
13 |
$4K |
| 0002A |
|
88 |
88 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
26 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
50 |
40 |
$3K |
| 90686 |
|
4,795 |
4,786 |
$3K |
| 90480 |
|
68 |
67 |
$3K |
| 0001A |
|
64 |
64 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 81002 |
|
348 |
342 |
$946.75 |
| 36415 |
Collection of venous blood by venipuncture |
266 |
266 |
$699.09 |
| 59025 |
Fetal non-stress test |
26 |
25 |
$632.35 |
| 99177 |
|
200 |
200 |
$579.08 |
| 0124A |
|
12 |
12 |
$400.00 |
| 73630 |
|
28 |
25 |
$351.38 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$338.56 |
| 85610 |
|
70 |
51 |
$153.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$144.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$125.22 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
19 |
19 |
$120.19 |
| 90672 |
|
1,266 |
1,265 |
$68.15 |
| 94760 |
|
31 |
29 |
$64.08 |
| 90648 |
|
1,869 |
1,867 |
$11.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$9.02 |
| 3725F |
|
70 |
67 |
$4.44 |
| 1031F |
|
12 |
12 |
$3.19 |
| 90633 |
|
251 |
251 |
$0.01 |
| 90670 |
|
1,796 |
1,796 |
$0.00 |
| 1159F |
|
189 |
180 |
$0.00 |
| 3078F |
|
203 |
193 |
$0.00 |
| 1160F |
|
103 |
99 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 0502F |
|
67 |
59 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 90677 |
|
38 |
38 |
$0.00 |
| 90723 |
|
986 |
986 |
$0.00 |
| 90680 |
|
798 |
798 |
$0.00 |
| 90651 |
|
172 |
172 |
$0.00 |
| 90656 |
|
162 |
162 |
$0.00 |
| 3008F |
|
271 |
254 |
$0.00 |
| 91301 |
|
430 |
422 |
$0.00 |
| 1126F |
|
24 |
24 |
$0.00 |
| 1036F |
|
101 |
91 |
$0.00 |
| 4010F |
|
47 |
42 |
$0.00 |
| 3074F |
|
207 |
201 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 90674 |
|
26 |
25 |
$0.00 |
| 1170F |
|
24 |
24 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
15 |
15 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
12 |
12 |
$0.00 |