| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,444 |
25,451 |
$1.25M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,962 |
13,127 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,376 |
11,400 |
$718K |
| 54150 |
|
3,354 |
2,968 |
$565K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
11,000 |
9,436 |
$522K |
| 99460 |
|
8,863 |
7,848 |
$516K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,716 |
3,593 |
$319K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,168 |
9,211 |
$293K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,183 |
3,334 |
$201K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,291 |
12,677 |
$190K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
111 |
86 |
$162K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,972 |
6,595 |
$124K |
| 59410 |
|
149 |
111 |
$107K |
| 99385 |
|
1,283 |
947 |
$101K |
| 99223 |
Prolong inpt eval add15 m |
1,353 |
1,045 |
$92K |
| 87428 |
|
1,655 |
1,500 |
$92K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
807 |
684 |
$89K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
696 |
620 |
$86K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,625 |
1,974 |
$72K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,664 |
1,375 |
$69K |
| 76801 |
|
1,506 |
892 |
$69K |
| 0240U |
|
616 |
456 |
$59K |
| 99462 |
|
2,076 |
1,626 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
752 |
573 |
$56K |
| 96161 |
|
8,158 |
6,080 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
808 |
625 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,714 |
1,579 |
$46K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
650 |
506 |
$42K |
| 81025 |
|
8,820 |
6,592 |
$41K |
| 59426 |
|
62 |
57 |
$36K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
782 |
541 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,003 |
1,420 |
$29K |
| 99463 |
|
364 |
340 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
435 |
296 |
$20K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
148 |
119 |
$18K |
| 90474 |
|
2,217 |
1,692 |
$18K |
| 81002 |
|
17,490 |
13,527 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,425 |
962 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
968 |
761 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
626 |
397 |
$13K |
| 90686 |
|
2,155 |
1,633 |
$13K |
| 96127 |
|
3,012 |
2,295 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
151 |
122 |
$11K |
| 99381 |
|
165 |
131 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
338 |
140 |
$9K |
| 90715 |
|
294 |
219 |
$8K |
| 99307 |
|
871 |
720 |
$8K |
| 96160 |
|
1,292 |
707 |
$8K |
| 99459 |
|
417 |
357 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
83 |
$6K |
| 90677 |
|
1,290 |
970 |
$4K |
| 99219 |
|
63 |
41 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
218 |
168 |
$3K |
| 81003 |
|
3,883 |
3,411 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
54 |
42 |
$3K |
| 92551 |
|
423 |
317 |
$3K |
| 87420 |
|
251 |
230 |
$3K |
| 87634 |
|
49 |
41 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
62 |
55 |
$2K |
| 90671 |
|
360 |
237 |
$2K |
| 87210 |
|
805 |
492 |
$2K |
| 83655 |
|
185 |
134 |
$2K |
| 85018 |
|
767 |
606 |
$2K |
| 99177 |
|
309 |
228 |
$2K |
| 36416 |
|
1,828 |
1,190 |
$2K |
| 99220 |
|
13 |
13 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
67 |
55 |
$1K |
| 90697 |
|
405 |
232 |
$1K |
| 81001 |
|
3,042 |
1,749 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
13 |
$1K |
| 0500F |
|
691 |
559 |
$1K |
| 90670 |
|
5,421 |
3,751 |
$1K |
| 3078F |
|
4,158 |
3,543 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
79 |
72 |
$1K |
| 3077F |
|
1,620 |
1,336 |
$1K |
| 90461 |
|
1,947 |
1,043 |
$951.89 |
| 90651 |
|
96 |
81 |
$948.47 |
| 36415 |
Collection of venous blood by venipuncture |
901 |
411 |
$568.10 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
13 |
$546.82 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
12 |
$537.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
53 |
$533.55 |
| 99442 |
|
27 |
24 |
$516.55 |
| 99201 |
|
15 |
13 |
$505.53 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$493.85 |
| 3074F |
|
2,517 |
2,154 |
$370.02 |
| 90680 |
|
3,096 |
2,137 |
$330.93 |
| 90723 |
|
3,575 |
2,797 |
$314.01 |
| 3079F |
|
698 |
557 |
$240.04 |
| 3008F |
|
42,772 |
33,380 |
$180.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
73 |
51 |
$179.00 |
| 3075F |
|
522 |
423 |
$150.00 |
| 3080F |
|
158 |
124 |
$80.00 |
| 90648 |
|
4,968 |
3,823 |
$43.68 |
| 99000 |
|
4,024 |
2,359 |
$0.00 |
| 3061F |
|
8,033 |
6,559 |
$0.00 |
| 3294F |
|
298 |
231 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |
| 3044F |
|
104 |
84 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 3292F |
|
334 |
261 |
$0.00 |
| 4010F |
|
98 |
83 |
$0.00 |
| 3353F |
|
99 |
85 |
$0.00 |
| 3352F |
|
81 |
65 |
$0.00 |
| 90716 |
|
65 |
52 |
$0.00 |
| 0502F |
|
19,972 |
15,250 |
$0.00 |
| 1159F |
|
4,688 |
4,034 |
$0.00 |
| 90633 |
|
692 |
534 |
$0.00 |
| 1160F |
|
335 |
291 |
$0.00 |
| 90710 |
|
39 |
38 |
$0.00 |
| 90681 |
|
18 |
12 |
$0.00 |
| 90707 |
|
58 |
53 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
64 |
57 |
$0.00 |