| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,229 |
14,361 |
$858K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,998 |
9,954 |
$556K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,921 |
9,309 |
$508K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,613 |
1,407 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,371 |
1,340 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,153 |
1,086 |
$72K |
| 87428 |
|
1,356 |
1,278 |
$56K |
| 80305 |
|
5,492 |
4,885 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
531 |
517 |
$34K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
926 |
867 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
449 |
398 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,715 |
4,528 |
$24K |
| 99222 |
Initial hospital care, per day, moderate complexity |
419 |
326 |
$20K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
825 |
728 |
$18K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
728 |
573 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,247 |
2,458 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,047 |
1,947 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
551 |
188 |
$7K |
| 99215 |
Prolong outpt/office vis |
159 |
124 |
$6K |
| 99205 |
Prolong outpt/office vis |
135 |
111 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
470 |
137 |
$4K |
| 11721 |
|
266 |
184 |
$2K |
| 90480 |
|
119 |
113 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
80 |
65 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
126 |
41 |
$2K |
| 90686 |
|
1,661 |
1,602 |
$2K |
| 97803 |
|
80 |
70 |
$2K |
| 81025 |
|
280 |
263 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
25 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
53 |
$1K |
| 83655 |
|
98 |
86 |
$835.79 |
| 90651 |
|
145 |
142 |
$829.72 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
30 |
30 |
$785.96 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
38 |
27 |
$745.87 |
| 90670 |
|
171 |
163 |
$568.43 |
| 99223 |
Prolong inpt eval add15 m |
20 |
14 |
$404.47 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
14 |
$343.90 |
| 76376 |
|
31 |
29 |
$341.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$340.40 |
| 87807 |
|
35 |
29 |
$337.10 |
| 99219 |
|
17 |
13 |
$319.64 |
| 92551 |
|
56 |
54 |
$287.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$272.42 |
| 99173 |
|
41 |
39 |
$207.48 |
| 36416 |
|
460 |
421 |
$186.51 |
| 82465 |
|
44 |
42 |
$176.30 |
| 90656 |
|
337 |
329 |
$145.70 |
| 85018 |
|
85 |
74 |
$138.78 |
| 94060 |
|
18 |
13 |
$72.91 |
| 94726 |
|
16 |
12 |
$66.16 |
| 94729 |
|
18 |
13 |
$54.69 |
| 81003 |
|
30 |
29 |
$42.59 |
| 99001 |
|
568 |
549 |
$5.32 |
| 90619 |
|
15 |
15 |
$0.01 |
| 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) |
36 |
25 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99000 |
|
38 |
37 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90697 |
|
28 |
27 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |