| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,352 |
20,182 |
$1.31M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,515 |
11,071 |
$1.03M |
| 99215 |
Prolong outpt/office vis |
6,935 |
5,900 |
$734K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,136 |
6,890 |
$639K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53,613 |
21,260 |
$621K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,051 |
5,874 |
$603K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,982 |
5,793 |
$560K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,336 |
6,067 |
$541K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,728 |
5,541 |
$367K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,522 |
881 |
$313K |
| 99460 |
|
4,100 |
3,330 |
$280K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,891 |
2,745 |
$275K |
| 99233 |
Prolong inpt eval add15 m |
3,592 |
1,398 |
$248K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,024 |
5,710 |
$221K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,503 |
1,436 |
$171K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
387 |
117 |
$154K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,882 |
1,682 |
$112K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,176 |
1,020 |
$99K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,967 |
7,298 |
$94K |
| 99245 |
|
481 |
466 |
$85K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
648 |
219 |
$85K |
| 99223 |
Prolong inpt eval add15 m |
560 |
534 |
$79K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
865 |
837 |
$72K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,493 |
1,403 |
$61K |
| 90461 |
|
13,231 |
10,337 |
$54K |
| 99205 |
Prolong outpt/office vis |
437 |
408 |
$53K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,100 |
1,057 |
$53K |
| 90834 |
Psychotherapy, 45 minutes with patient |
832 |
743 |
$46K |
| 99217 |
|
838 |
753 |
$44K |
| 99429 |
|
1,205 |
1,179 |
$43K |
| 99220 |
|
313 |
282 |
$37K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
923 |
384 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,080 |
1,930 |
$30K |
| 90791 |
Psychiatric diagnostic evaluation |
318 |
298 |
$28K |
| 99462 |
|
645 |
553 |
$25K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
103 |
49 |
$22K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,460 |
1,393 |
$18K |
| 99464 |
|
179 |
171 |
$16K |
| 96160 |
|
6,474 |
6,266 |
$15K |
| 99221 |
|
200 |
197 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
911 |
875 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
285 |
244 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
97 |
$8K |
| 99252 |
|
109 |
98 |
$8K |
| 99219 |
|
103 |
84 |
$8K |
| 99417 |
Prolong home eval add 15m |
384 |
357 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
44 |
44 |
$6K |
| 99254 |
|
39 |
38 |
$5K |
| 90670 |
|
5,028 |
4,658 |
$5K |
| 97803 |
|
97 |
93 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
565 |
494 |
$4K |
| 97802 |
|
32 |
31 |
$3K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
55 |
53 |
$3K |
| 87807 |
|
228 |
210 |
$2K |
| 99226 |
|
38 |
26 |
$2K |
| 90698 |
|
5,976 |
5,581 |
$2K |
| 81002 |
|
523 |
503 |
$2K |
| 99243 |
|
15 |
15 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
23 |
21 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
155 |
153 |
$1K |
| 90680 |
|
4,001 |
3,723 |
$1K |
| 99253 |
|
12 |
12 |
$1K |
| 90686 |
|
7,579 |
7,260 |
$1K |
| 90671 |
|
1,730 |
1,667 |
$1K |
| 99218 |
|
12 |
12 |
$755.47 |
| 76825 |
|
15 |
15 |
$712.24 |
| 90619 |
|
672 |
620 |
$669.72 |
| 92552 |
|
44 |
34 |
$568.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
45 |
$381.20 |
| 94060 |
|
36 |
36 |
$323.53 |
| 76827 |
|
15 |
15 |
$246.61 |
| 94726 |
|
24 |
24 |
$244.17 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
205 |
195 |
$208.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$200.72 |
| 90744 |
|
2,634 |
2,475 |
$187.98 |
| 99173 |
|
44 |
34 |
$36.00 |
| 90633 |
|
1,562 |
1,532 |
$35.95 |
| 93325 |
|
15 |
15 |
$27.42 |
| 96127 |
|
15 |
13 |
$20.08 |
| 90620 |
|
1,137 |
1,111 |
$0.05 |
| 90656 |
|
207 |
203 |
$0.04 |
| 90715 |
|
322 |
317 |
$0.01 |
| 90700 |
|
29 |
29 |
$0.00 |
| 90710 |
|
1,313 |
1,273 |
$0.00 |
| 90658 |
|
86 |
85 |
$0.00 |
| 90648 |
|
37 |
37 |
$0.00 |
| 90734 |
|
285 |
278 |
$0.00 |
| 90380 |
|
31 |
28 |
$0.00 |
| 90696 |
|
337 |
333 |
$0.00 |
| 90651 |
|
725 |
710 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |