| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,678 |
25,367 |
$1.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,748 |
17,788 |
$1.09M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,098 |
12,053 |
$405K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,958 |
5,200 |
$394K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,460 |
4,958 |
$376K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,335 |
2,137 |
$154K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,827 |
1,450 |
$119K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
54 |
49 |
$76K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,779 |
5,288 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
790 |
745 |
$58K |
| 90461 |
|
4,691 |
4,127 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
607 |
556 |
$27K |
| 59410 |
|
24 |
24 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
252 |
198 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
385 |
310 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
638 |
560 |
$19K |
| 81002 |
|
8,246 |
5,817 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
825 |
691 |
$16K |
| 99215 |
Prolong outpt/office vis |
169 |
141 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,082 |
898 |
$13K |
| 99173 |
|
1,074 |
965 |
$10K |
| 76830 |
Ultrasound, transvaginal |
250 |
216 |
$10K |
| 81025 |
|
1,518 |
1,167 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
678 |
547 |
$9K |
| 92551 |
|
1,137 |
1,044 |
$9K |
| 96161 |
|
2,332 |
2,097 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
508 |
410 |
$8K |
| 96127 |
|
2,355 |
2,222 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
156 |
106 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
87 |
77 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
193 |
175 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
378 |
283 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
55 |
41 |
$5K |
| 90670 |
|
3,202 |
2,938 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
569 |
526 |
$5K |
| 59425 |
|
16 |
15 |
$5K |
| 99381 |
|
58 |
50 |
$4K |
| 99174 |
|
248 |
225 |
$4K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
32 |
30 |
$4K |
| 20610 |
|
128 |
83 |
$4K |
| 90677 |
|
876 |
744 |
$4K |
| 92552 |
|
328 |
299 |
$3K |
| 85018 |
|
1,345 |
1,161 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$3K |
| 96160 |
|
809 |
712 |
$3K |
| 90686 |
|
1,514 |
1,385 |
$2K |
| 90715 |
|
138 |
122 |
$2K |
| 99385 |
|
23 |
14 |
$2K |
| 90680 |
|
2,110 |
1,912 |
$2K |
| 87420 |
|
506 |
376 |
$2K |
| J3490 |
Unclassified drugs |
157 |
45 |
$2K |
| 99177 |
|
387 |
322 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
25 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
27 |
$2K |
| 90723 |
|
1,502 |
1,287 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
692 |
531 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
56 |
43 |
$1K |
| 90474 |
|
156 |
123 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,194 |
825 |
$1K |
| 99460 |
|
16 |
16 |
$1K |
| 90716 |
|
170 |
134 |
$1K |
| 90633 |
|
1,336 |
1,217 |
$1K |
| 90698 |
|
2,005 |
1,902 |
$974.51 |
| 96380 |
|
48 |
30 |
$972.23 |
| 87807 |
|
58 |
55 |
$856.90 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
211 |
134 |
$793.76 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
209 |
159 |
$787.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
278 |
265 |
$773.26 |
| 93000 |
|
119 |
83 |
$697.54 |
| 90381 |
|
44 |
26 |
$697.51 |
| 90744 |
|
551 |
515 |
$525.91 |
| 90707 |
|
166 |
142 |
$520.17 |
| 83655 |
|
47 |
41 |
$502.50 |
| 90685 |
|
464 |
443 |
$397.49 |
| 90648 |
|
1,899 |
1,620 |
$353.88 |
| 3074F |
|
2,370 |
1,917 |
$331.88 |
| 73610 |
|
16 |
12 |
$299.25 |
| 73564 |
|
19 |
16 |
$292.36 |
| 3079F |
|
1,109 |
890 |
$290.02 |
| 90656 |
|
143 |
102 |
$289.94 |
| 3078F |
|
2,223 |
1,776 |
$281.87 |
| 3077F |
|
726 |
555 |
$230.00 |
| 90734 |
|
287 |
274 |
$224.66 |
| 36416 |
|
415 |
342 |
$190.78 |
| 73630 |
|
20 |
12 |
$179.16 |
| 3080F |
|
238 |
192 |
$120.00 |
| 90696 |
|
123 |
111 |
$102.70 |
| 90651 |
|
411 |
388 |
$95.86 |
| 90674 |
|
179 |
149 |
$92.94 |
| 94760 |
|
89 |
81 |
$81.55 |
| 0503F |
|
272 |
249 |
$75.77 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
28 |
$52.92 |
| 3075F |
|
360 |
300 |
$50.00 |
| 82044 |
|
17 |
13 |
$29.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
14 |
$18.80 |
| 0502F |
|
5,171 |
3,534 |
$12.60 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
42 |
31 |
$11.88 |
| 90687 |
|
44 |
44 |
$1.08 |
| 90661 |
|
272 |
217 |
$0.00 |
| 90710 |
|
116 |
103 |
$0.00 |
| 90700 |
|
58 |
40 |
$0.00 |
| 3044F |
|
16 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
26 |
$0.00 |