| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,298 |
62,593 |
$2.85M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
31,515 |
28,755 |
$1.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,536 |
20,657 |
$1.30M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,551 |
10,107 |
$979K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,824 |
10,398 |
$962K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
8,118 |
6,727 |
$919K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55,589 |
25,601 |
$797K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29,196 |
27,248 |
$789K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,924 |
890 |
$762K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,993 |
7,713 |
$686K |
| 99233 |
Prolong inpt eval add15 m |
9,841 |
2,529 |
$683K |
| 93229 |
|
1,026 |
993 |
$612K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
1,493 |
341 |
$551K |
| 99223 |
Prolong inpt eval add15 m |
3,522 |
3,194 |
$487K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,317 |
4,945 |
$448K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,081 |
6,405 |
$434K |
| 99471 |
|
436 |
406 |
$342K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23,384 |
22,445 |
$296K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,468 |
2,318 |
$265K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,917 |
1,839 |
$254K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22,057 |
11,257 |
$244K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,454 |
1,398 |
$216K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,950 |
1,837 |
$205K |
| 93320 |
|
4,716 |
4,378 |
$192K |
| 99050 |
|
2,113 |
1,955 |
$173K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,912 |
1,786 |
$170K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,784 |
13,240 |
$149K |
| 93325 |
|
4,948 |
4,586 |
$88K |
| 99245 |
|
593 |
521 |
$88K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,616 |
5,400 |
$82K |
| 99476 |
|
306 |
87 |
$76K |
| 93224 |
|
1,171 |
1,115 |
$76K |
| 93000 |
|
5,356 |
5,079 |
$67K |
| 99475 |
|
138 |
127 |
$63K |
| 99460 |
|
584 |
549 |
$47K |
| 0001A |
|
1,027 |
985 |
$40K |
| 0002A |
|
746 |
743 |
$31K |
| 99243 |
|
277 |
273 |
$29K |
| 99499 |
|
296 |
273 |
$26K |
| 93228 |
|
1,072 |
1,030 |
$23K |
| 0071A |
|
541 |
526 |
$22K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
260 |
246 |
$22K |
| 99215 |
Prolong outpt/office vis |
202 |
193 |
$17K |
| 90473 |
|
1,180 |
1,155 |
$14K |
| 0072A |
|
319 |
318 |
$14K |
| 90686 |
|
10,899 |
10,485 |
$14K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
487 |
464 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
207 |
197 |
$10K |
| 94760 |
|
11,615 |
10,284 |
$8K |
| 90677 |
|
1,064 |
1,056 |
$6K |
| 0003A |
|
136 |
131 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
316 |
301 |
$5K |
| 90670 |
|
3,264 |
3,134 |
$4K |
| 86580 |
|
506 |
470 |
$4K |
| 90474 |
|
346 |
339 |
$4K |
| 93784 |
|
91 |
82 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
232 |
209 |
$3K |
| 90698 |
|
2,045 |
1,943 |
$3K |
| 90651 |
|
3,398 |
3,248 |
$3K |
| 90680 |
|
2,303 |
2,239 |
$3K |
| 99383 |
|
27 |
24 |
$3K |
| 90633 |
|
2,236 |
2,133 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$2K |
| 0081A |
|
38 |
38 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 90744 |
|
1,004 |
959 |
$1K |
| 90688 |
|
948 |
924 |
$1K |
| 99381 |
|
15 |
13 |
$1K |
| 90619 |
|
2,343 |
2,249 |
$1K |
| 93225 |
|
152 |
127 |
$1K |
| 90715 |
|
1,372 |
1,313 |
$1K |
| 90710 |
|
672 |
647 |
$920.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
132 |
118 |
$866.85 |
| 90716 |
|
790 |
759 |
$796.26 |
| 90707 |
|
782 |
748 |
$740.00 |
| 0082A |
|
16 |
16 |
$681.60 |
| 0073A |
|
18 |
17 |
$663.20 |
| 90700 |
|
375 |
368 |
$647.60 |
| 90696 |
|
568 |
546 |
$610.00 |
| 90734 |
|
779 |
732 |
$580.00 |
| 90685 |
|
368 |
344 |
$550.84 |
| 93321 |
|
13 |
13 |
$306.72 |
| 90620 |
|
402 |
398 |
$290.02 |
| 90648 |
|
247 |
243 |
$274.43 |
| 90697 |
|
526 |
519 |
$122.54 |
| 90656 |
|
29 |
29 |
$40.00 |
| 90723 |
|
53 |
52 |
$30.00 |
| 90713 |
|
28 |
26 |
$20.00 |
| 91300 |
|
2,096 |
1,936 |
$1.11 |
| 91307 |
|
949 |
880 |
$0.54 |
| 91308 |
|
74 |
68 |
$0.02 |
| 90660 |
|
34 |
33 |
$0.01 |
| 90672 |
|
22 |
21 |
$0.00 |