| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50,349 |
42,696 |
$3.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,362 |
27,380 |
$1.43M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33,436 |
10,567 |
$1.12M |
| 99233 |
Prolong inpt eval add15 m |
4,598 |
1,513 |
$248K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,909 |
2,731 |
$194K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,843 |
2,582 |
$147K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,211 |
1,058 |
$127K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,053 |
962 |
$86K |
| 99223 |
Prolong inpt eval add15 m |
636 |
595 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,148 |
2,253 |
$48K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
386 |
337 |
$46K |
| 87428 |
|
1,043 |
871 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,399 |
4,040 |
$39K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
52 |
42 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,496 |
1,645 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,225 |
2,698 |
$31K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,945 |
1,722 |
$31K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,542 |
1,671 |
$27K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
537 |
446 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,358 |
3,005 |
$26K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
216 |
182 |
$26K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,038 |
937 |
$25K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,265 |
1,510 |
$25K |
| 76820 |
|
1,392 |
1,036 |
$24K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
334 |
321 |
$22K |
| 80053 |
Comprehensive metabolic panel |
2,892 |
2,475 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
913 |
747 |
$22K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,316 |
1,230 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,527 |
2,879 |
$20K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
64 |
25 |
$19K |
| 76506 |
|
1,242 |
697 |
$19K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
268 |
65 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
410 |
309 |
$17K |
| 80061 |
Lipid panel |
1,833 |
1,611 |
$17K |
| 99254 |
|
172 |
151 |
$14K |
| 90674 |
|
602 |
557 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
477 |
347 |
$11K |
| 80305 |
|
1,778 |
1,211 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
496 |
448 |
$10K |
| 72100 |
|
493 |
440 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
159 |
138 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
568 |
270 |
$7K |
| 72170 |
|
443 |
396 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
86 |
78 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
326 |
269 |
$6K |
| 90688 |
|
459 |
373 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
557 |
525 |
$5K |
| 54150 |
|
53 |
39 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,037 |
902 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
58 |
$4K |
| 90686 |
|
226 |
213 |
$4K |
| 81025 |
|
1,605 |
1,307 |
$3K |
| 86780 |
|
1,620 |
1,001 |
$3K |
| 76821 |
|
133 |
87 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
79 |
58 |
$3K |
| 59514 |
|
20 |
16 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
60 |
$3K |
| 99253 |
|
45 |
42 |
$3K |
| 95819 |
|
127 |
97 |
$3K |
| 86701 |
|
516 |
313 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
37 |
$2K |
| 64615 |
|
50 |
37 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
43 |
41 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,889 |
1,467 |
$2K |
| 0011A |
|
63 |
63 |
$2K |
| 73562 |
|
58 |
54 |
$2K |
| 0012A |
|
50 |
49 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
227 |
158 |
$2K |
| 82962 |
|
986 |
806 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
38 |
$2K |
| 90785 |
|
614 |
559 |
$2K |
| 99243 |
|
15 |
14 |
$2K |
| 87070 |
|
435 |
226 |
$2K |
| 72040 |
|
114 |
96 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
131 |
71 |
$1K |
| 84439 |
|
224 |
199 |
$1K |
| 90670 |
|
82 |
76 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
229 |
159 |
$1K |
| 99173 |
|
263 |
251 |
$1K |
| 85027 |
|
549 |
447 |
$990.20 |
| 81003 |
|
599 |
458 |
$828.30 |
| 90734 |
|
41 |
41 |
$771.81 |
| 90661 |
|
23 |
23 |
$737.00 |
| 95816 |
|
28 |
25 |
$688.00 |
| 83020 |
|
132 |
73 |
$623.41 |
| 86160 |
|
37 |
27 |
$540.00 |
| 51798 |
|
118 |
78 |
$496.11 |
| 90658 |
|
32 |
31 |
$481.48 |
| 90651 |
|
24 |
24 |
$455.17 |
| 87077 |
|
88 |
50 |
$328.00 |
| 92551 |
|
80 |
73 |
$325.00 |
| 84702 |
|
91 |
43 |
$312.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
40 |
26 |
$308.00 |
| 87081 |
|
282 |
183 |
$296.00 |
| 82043 |
|
90 |
65 |
$288.01 |
| 86762 |
|
75 |
41 |
$288.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$284.92 |
| 96127 |
|
152 |
134 |
$283.11 |
| 81002 |
|
197 |
136 |
$248.61 |
| 99221 |
|
13 |
12 |
$245.00 |
| 82677 |
|
24 |
12 |
$243.00 |
| 86696 |
|
25 |
16 |
$228.00 |
| 87340 |
|
91 |
53 |
$221.00 |
| 90648 |
|
12 |
12 |
$197.90 |
| 87205 |
|
141 |
81 |
$190.00 |
| 92557 |
|
13 |
13 |
$184.30 |
| 82105 |
|
24 |
12 |
$180.00 |
| 82607 |
|
14 |
13 |
$153.00 |
| 87807 |
|
15 |
14 |
$148.90 |
| 90756 |
|
78 |
70 |
$136.74 |
| 86336 |
|
22 |
12 |
$136.00 |
| 86850 |
|
72 |
40 |
$136.00 |
| 86225 |
|
19 |
13 |
$135.00 |
| 85652 |
|
79 |
70 |
$123.00 |
| 86140 |
|
32 |
30 |
$90.00 |
| 87210 |
|
52 |
15 |
$86.74 |
| 92567 |
|
14 |
13 |
$75.85 |
| 87150 |
|
182 |
104 |
$69.00 |
| 83540 |
|
52 |
36 |
$63.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
14 |
$50.00 |
| 86900 |
|
72 |
40 |
$49.98 |
| 86901 |
|
72 |
40 |
$49.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
76 |
57 |
$28.18 |
| 36415 |
Collection of venous blood by venipuncture |
872 |
783 |
$26.00 |
| 85014 |
|
17 |
13 |
$18.00 |
| 85018 |
|
17 |
13 |
$18.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
12 |
$10.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,288 |
2,071 |
$0.00 |
| 99497 |
|
15 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
412 |
190 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
56 |
55 |
$0.00 |
| 85049 |
|
16 |
13 |
$0.00 |
| 1160F |
|
56 |
54 |
$0.00 |
| 90461 |
|
22 |
17 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
332 |
281 |
$0.00 |
| 90662 |
|
54 |
42 |
$0.00 |
| 3078F |
|
121 |
117 |
$0.00 |
| 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) |
17 |
17 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
25 |
25 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
131 |
79 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
26 |
14 |
$0.00 |
| 1036F |
|
357 |
334 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,305 |
1,184 |
$0.00 |
| 99024 |
|
6,981 |
3,331 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
429 |
404 |
$0.00 |
| 3074F |
|
272 |
252 |
$0.00 |
| 86695 |
|
26 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
111 |
105 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
136 |
99 |
$0.00 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
28 |
13 |
$0.00 |