| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,807 |
33,120 |
$2.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,370 |
13,553 |
$928K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,809 |
2,706 |
$194K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,369 |
2,304 |
$166K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,261 |
4,884 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,819 |
2,663 |
$165K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,474 |
2,242 |
$145K |
| 36415 |
Collection of venous blood by venipuncture |
8,683 |
7,719 |
$125K |
| 81002 |
|
11,752 |
7,446 |
$107K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,684 |
7,223 |
$104K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,400 |
4,963 |
$89K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
10,969 |
7,757 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,070 |
1,035 |
$83K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
104 |
97 |
$73K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,000 |
3,776 |
$73K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,145 |
1,113 |
$72K |
| 59430 |
|
274 |
255 |
$59K |
| 3008F |
|
5,894 |
5,064 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,452 |
4,179 |
$59K |
| 92551 |
|
4,621 |
4,443 |
$58K |
| 85027 |
|
2,481 |
2,308 |
$57K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
644 |
605 |
$55K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,057 |
594 |
$51K |
| 99401 |
|
800 |
759 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
692 |
629 |
$46K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
646 |
531 |
$44K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
860 |
667 |
$43K |
| 80053 |
Comprehensive metabolic panel |
1,139 |
1,081 |
$36K |
| 99173 |
|
4,605 |
4,433 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
534 |
499 |
$32K |
| 99406 |
|
774 |
565 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
363 |
352 |
$28K |
| 87807 |
|
1,907 |
1,741 |
$27K |
| 76830 |
Ultrasound, transvaginal |
361 |
324 |
$25K |
| 76813 |
|
279 |
263 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,048 |
917 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
586 |
569 |
$19K |
| 90688 |
|
526 |
472 |
$16K |
| 90686 |
|
2,713 |
2,588 |
$16K |
| 80061 |
Lipid panel |
545 |
527 |
$16K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,132 |
1,022 |
$16K |
| 20611 |
|
346 |
307 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
414 |
357 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
925 |
869 |
$13K |
| 99307 |
|
1,963 |
1,814 |
$12K |
| 81001 |
|
629 |
575 |
$11K |
| 90670 |
|
1,490 |
1,403 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
343 |
326 |
$10K |
| 90474 |
|
656 |
605 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,223 |
861 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
283 |
263 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
305 |
290 |
$8K |
| 90723 |
|
1,195 |
1,129 |
$8K |
| 90647 |
|
1,231 |
1,165 |
$7K |
| T1001 |
Nursing assessment / evaluation |
378 |
320 |
$6K |
| 83861 |
|
148 |
132 |
$6K |
| 90680 |
|
256 |
222 |
$6K |
| 73562 |
|
297 |
269 |
$6K |
| 90633 |
|
735 |
716 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
124 |
103 |
$4K |
| 85018 |
|
331 |
324 |
$4K |
| 90715 |
|
424 |
380 |
$4K |
| 90710 |
|
588 |
575 |
$4K |
| 96127 |
|
1,217 |
1,146 |
$3K |
| 99497 |
|
83 |
66 |
$3K |
| 81025 |
|
429 |
380 |
$3K |
| 93000 |
|
290 |
279 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
49 |
49 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
90 |
83 |
$2K |
| 99304 |
|
102 |
90 |
$2K |
| 99318 |
|
57 |
48 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
58 |
46 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 77080 |
|
73 |
66 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 20610 |
|
36 |
25 |
$1K |
| 90734 |
|
250 |
242 |
$1K |
| 90651 |
|
259 |
245 |
$1K |
| 90681 |
|
343 |
337 |
$959.15 |
| 99306 |
Prolong nursin fac eval 15m |
16 |
13 |
$851.72 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
25 |
24 |
$805.30 |
| 99381 |
|
13 |
13 |
$770.84 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
28 |
$755.76 |
| 99460 |
|
12 |
12 |
$708.12 |
| 73610 |
|
29 |
24 |
$657.22 |
| 90685 |
|
47 |
41 |
$618.50 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
26 |
25 |
$567.86 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26 |
25 |
$563.75 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
25 |
$563.75 |
| 84439 |
|
12 |
12 |
$536.64 |
| 73030 |
|
38 |
37 |
$452.88 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
15 |
$398.55 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$351.18 |
| 73110 |
|
16 |
13 |
$305.31 |
| 83655 |
|
34 |
34 |
$281.58 |
| 73502 |
|
12 |
12 |
$260.22 |
| V2020 |
Frames, purchases |
15 |
15 |
$254.70 |
| 86580 |
|
14 |
14 |
$162.67 |
| 84703 |
|
14 |
14 |
$88.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$77.85 |
| 92015 |
Determination of refractive state |
58 |
55 |
$75.00 |
| 90620 |
|
18 |
13 |
$74.06 |
| 99000 |
|
17 |
17 |
$22.08 |
| 90700 |
|
42 |
40 |
$11.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
13 |
$4.41 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,319 |
1,190 |
$0.03 |
| 90696 |
|
52 |
50 |
$0.00 |
| 90671 |
|
232 |
230 |
$0.00 |