| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,777 |
48,737 |
$3.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,284 |
65,733 |
$2.90M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,546 |
8,172 |
$276K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,293 |
4,302 |
$182K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,298 |
5,713 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,717 |
1,697 |
$98K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,603 |
3,539 |
$97K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,296 |
1,243 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,412 |
1,394 |
$80K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,169 |
1,134 |
$70K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
957 |
932 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,125 |
1,019 |
$57K |
| 95811 |
|
769 |
749 |
$54K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,802 |
3,678 |
$53K |
| 90686 |
|
3,892 |
3,761 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,179 |
3,974 |
$48K |
| 99050 |
|
2,874 |
2,737 |
$48K |
| 80061 |
Lipid panel |
3,652 |
3,529 |
$44K |
| 80053 |
Comprehensive metabolic panel |
4,101 |
3,971 |
$41K |
| Q3014 |
Telehealth originating site facility fee |
2,168 |
2,029 |
$40K |
| 99305 |
|
1,132 |
1,002 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,386 |
4,222 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
541 |
524 |
$31K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,459 |
2,326 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,447 |
1,357 |
$24K |
| 99215 |
Prolong outpt/office vis |
292 |
273 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,347 |
895 |
$22K |
| 99205 |
Prolong outpt/office vis |
196 |
196 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
315 |
313 |
$20K |
| 96127 |
|
4,243 |
4,142 |
$17K |
| 3008F |
|
83,747 |
76,102 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
571 |
545 |
$15K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
458 |
446 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
276 |
266 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,480 |
1,426 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
6,175 |
5,808 |
$11K |
| 99307 |
|
695 |
565 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
641 |
607 |
$10K |
| 99441 |
|
510 |
487 |
$7K |
| 99318 |
|
255 |
193 |
$6K |
| 99304 |
|
209 |
176 |
$5K |
| 82607 |
|
297 |
288 |
$4K |
| 90670 |
|
599 |
569 |
$4K |
| 3074F |
|
5,722 |
5,282 |
$4K |
| 84481 |
|
203 |
203 |
$3K |
| 84439 |
|
433 |
423 |
$3K |
| 3079F |
|
3,506 |
3,246 |
$3K |
| 0072A |
|
53 |
32 |
$3K |
| 81003 |
|
1,759 |
1,667 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
329 |
321 |
$3K |
| 90648 |
|
164 |
162 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
902 |
823 |
$2K |
| 82728 |
|
117 |
116 |
$2K |
| 90633 |
|
95 |
94 |
$2K |
| 90656 |
|
200 |
196 |
$2K |
| 90698 |
|
242 |
226 |
$1K |
| 3078F |
|
3,188 |
2,974 |
$1K |
| 82570 |
|
340 |
326 |
$1K |
| 82044 |
|
341 |
327 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
28 |
25 |
$1K |
| 83550 |
|
119 |
118 |
$1K |
| 0012A |
|
26 |
26 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
28 |
$1K |
| 0011A |
|
26 |
26 |
$953.32 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
41 |
39 |
$910.02 |
| 99315 |
|
42 |
37 |
$893.55 |
| 83540 |
|
132 |
130 |
$855.81 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
163 |
114 |
$831.54 |
| 84153 |
|
53 |
51 |
$794.64 |
| 90680 |
|
113 |
107 |
$750.00 |
| 99442 |
|
29 |
29 |
$659.42 |
| 86803 |
|
49 |
49 |
$623.76 |
| 99457 |
|
17 |
14 |
$577.58 |
| 3075F |
|
547 |
503 |
$575.00 |
| 0134A |
|
15 |
12 |
$503.12 |
| 99406 |
|
79 |
72 |
$497.88 |
| 90836 |
|
12 |
12 |
$444.04 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
51 |
48 |
$370.19 |
| 80074 |
|
17 |
16 |
$327.74 |
| 90723 |
|
45 |
44 |
$300.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
41 |
41 |
$289.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
76 |
74 |
$286.85 |
| 84403 |
|
13 |
13 |
$272.48 |
| 85651 |
|
79 |
74 |
$266.63 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$242.97 |
| 82274 |
|
14 |
14 |
$240.66 |
| 90651 |
|
28 |
28 |
$233.80 |
| 99173 |
|
92 |
92 |
$226.20 |
| 82977 |
|
28 |
28 |
$200.44 |
| 80076 |
|
28 |
28 |
$170.79 |
| 90744 |
|
18 |
15 |
$170.00 |
| 3044F |
|
231 |
206 |
$170.00 |
| 90473 |
|
13 |
13 |
$155.40 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
26 |
24 |
$110.34 |
| 86592 |
|
26 |
24 |
$92.40 |
| 81025 |
|
14 |
14 |
$91.00 |
| 82150 |
|
14 |
14 |
$86.71 |
| 83690 |
|
13 |
13 |
$85.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
46 |
45 |
$83.06 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
50 |
40 |
$76.17 |
| 3077F |
|
150 |
142 |
$75.00 |
| 90660 |
|
15 |
15 |
$57.84 |
| 3725F |
|
7,449 |
7,161 |
$18.05 |
| 91307 |
|
96 |
59 |
$0.67 |
| 91301 |
|
44 |
42 |
$0.44 |
| 90671 |
|
70 |
64 |
$0.23 |
| 1160F |
|
8,075 |
7,326 |
$0.00 |
| 2028F |
|
217 |
212 |
$0.00 |
| 1159F |
|
610 |
554 |
$0.00 |
| 90707 |
|
84 |
83 |
$0.00 |
| 90734 |
|
27 |
26 |
$0.00 |
| 90685 |
|
161 |
155 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 1036F |
|
1,399 |
1,287 |
$0.00 |
| 1034F |
|
280 |
250 |
$0.00 |
| 1125F |
|
277 |
256 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
12 |
12 |
$0.00 |
| 3080F |
|
32 |
31 |
$0.00 |
| 90716 |
|
71 |
70 |
$0.00 |