| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,932 |
46,297 |
$2.38M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,028 |
24,916 |
$1.64M |
| 59425 |
|
8,037 |
6,008 |
$586K |
| 59426 |
|
6,546 |
3,342 |
$492K |
| 90791 |
Psychiatric diagnostic evaluation |
4,856 |
4,310 |
$316K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
436 |
382 |
$271K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,135 |
1,024 |
$102K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,156 |
905 |
$87K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,243 |
1,476 |
$86K |
| 59430 |
|
514 |
443 |
$85K |
| 95886 |
|
2,138 |
1,947 |
$85K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,368 |
1,150 |
$66K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,057 |
1,095 |
$56K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,133 |
949 |
$53K |
| 95908 |
|
1,134 |
1,064 |
$50K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
726 |
644 |
$47K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
495 |
440 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
608 |
568 |
$43K |
| 76801 |
|
461 |
423 |
$42K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
587 |
513 |
$41K |
| 99233 |
Prolong inpt eval add15 m |
890 |
527 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
854 |
778 |
$38K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,107 |
785 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
411 |
387 |
$24K |
| 59514 |
|
30 |
12 |
$21K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,793 |
1,472 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
777 |
716 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
253 |
222 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,113 |
1,790 |
$14K |
| 81002 |
|
4,483 |
2,734 |
$11K |
| 95907 |
|
266 |
257 |
$10K |
| 99306 |
Prolong nursin fac eval 15m |
462 |
416 |
$9K |
| 95885 |
|
456 |
442 |
$8K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
510 |
477 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
941 |
814 |
$8K |
| 99215 |
Prolong outpt/office vis |
205 |
180 |
$7K |
| 54150 |
|
73 |
68 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
124 |
94 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
62 |
58 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
336 |
298 |
$6K |
| 76830 |
Ultrasound, transvaginal |
59 |
53 |
$5K |
| 59025 |
Fetal non-stress test |
135 |
71 |
$5K |
| 95816 |
|
205 |
195 |
$4K |
| 73564 |
|
257 |
137 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
251 |
233 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
57 |
52 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
98 |
70 |
$4K |
| 90686 |
|
540 |
479 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
103 |
97 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
97 |
93 |
$3K |
| 80305 |
|
325 |
176 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
66 |
63 |
$2K |
| 99221 |
|
81 |
74 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
26 |
15 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
213 |
167 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$1K |
| 99454 |
|
35 |
31 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$1K |
| 99442 |
|
100 |
88 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
103 |
83 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
16 |
$995.05 |
| 81025 |
|
146 |
136 |
$901.26 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$787.52 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
24 |
$770.82 |
| 36415 |
Collection of venous blood by venipuncture |
242 |
216 |
$758.85 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
24 |
$581.76 |
| 99406 |
|
133 |
112 |
$455.36 |
| 90734 |
|
14 |
13 |
$133.25 |
| 99443 |
|
16 |
14 |
$87.92 |
| 87210 |
|
15 |
14 |
$84.94 |
| 81003 |
|
14 |
13 |
$29.52 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
666 |
575 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
36 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
296 |
250 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
24 |
$0.00 |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
14 |
14 |
$0.00 |