| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73,748 |
71,390 |
$5.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107,959 |
104,672 |
$4.67M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29,793 |
29,693 |
$2.47M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82,293 |
78,962 |
$1.93M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,824 |
8,786 |
$1.26M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28,937 |
27,185 |
$1.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
23,406 |
23,393 |
$892K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,612 |
655 |
$755K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,866 |
15,851 |
$588K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,216 |
3,214 |
$555K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,911 |
5,888 |
$523K |
| 99215 |
Prolong outpt/office vis |
2,474 |
2,292 |
$384K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,586 |
1,161 |
$357K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,740 |
6,722 |
$331K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,811 |
6,808 |
$310K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
11,108 |
11,058 |
$255K |
| 99460 |
|
2,273 |
2,265 |
$251K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,180 |
2,173 |
$198K |
| 90461 |
|
22,432 |
22,192 |
$192K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
797 |
788 |
$166K |
| 99233 |
Prolong inpt eval add15 m |
1,063 |
546 |
$133K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
908 |
410 |
$132K |
| 99223 |
Prolong inpt eval add15 m |
473 |
472 |
$105K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,638 |
10,007 |
$97K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,848 |
8,020 |
$69K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
394 |
393 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,290 |
7,284 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,082 |
6,029 |
$43K |
| 96127 |
|
29,136 |
27,769 |
$35K |
| 99173 |
|
11,128 |
11,126 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,746 |
4,170 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
672 |
652 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
216 |
$26K |
| 99205 |
Prolong outpt/office vis |
120 |
120 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
257 |
156 |
$23K |
| 92552 |
|
6,145 |
6,143 |
$22K |
| 90474 |
|
2,023 |
2,023 |
$22K |
| 94010 |
|
805 |
796 |
$18K |
| 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) |
796 |
712 |
$15K |
| 97803 |
|
304 |
266 |
$14K |
| 90677 |
|
1,091 |
1,090 |
$14K |
| 93325 |
|
2,159 |
2,077 |
$12K |
| 90686 |
|
20,434 |
20,414 |
$11K |
| 99468 |
|
13 |
13 |
$10K |
| 0071A |
|
219 |
219 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
519 |
513 |
$9K |
| 99174 |
|
5,726 |
5,721 |
$9K |
| 0072A |
|
183 |
183 |
$8K |
| 92587 |
|
904 |
900 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
56 |
56 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
307 |
304 |
$7K |
| 99462 |
|
154 |
128 |
$7K |
| 90619 |
|
452 |
452 |
$6K |
| 90671 |
|
158 |
158 |
$6K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
65 |
65 |
$5K |
| 92567 |
|
325 |
314 |
$5K |
| 54150 |
|
38 |
38 |
$5K |
| 81003 |
|
3,443 |
3,323 |
$4K |
| 0002A |
|
90 |
90 |
$4K |
| 93304 |
|
89 |
88 |
$4K |
| 0001A |
|
91 |
91 |
$4K |
| 83655 |
|
1,403 |
1,402 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
13 |
13 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
63 |
$2K |
| 96160 |
|
6,652 |
6,649 |
$2K |
| 99000 |
|
6,329 |
5,812 |
$2K |
| 93320 |
|
64 |
64 |
$1K |
| 93321 |
|
131 |
126 |
$1K |
| 90656 |
|
1,785 |
1,783 |
$996.43 |
| 93000 |
|
52 |
52 |
$944.73 |
| 85018 |
|
1,698 |
1,697 |
$904.21 |
| 81002 |
|
500 |
495 |
$858.92 |
| 92558 |
|
274 |
274 |
$816.03 |
| 0031A |
|
24 |
24 |
$762.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
180 |
180 |
$671.02 |
| 99072 |
|
1,855 |
1,831 |
$654.00 |
| 90651 |
|
510 |
510 |
$587.77 |
| 96161 |
|
1,906 |
1,899 |
$570.29 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
14 |
14 |
$474.14 |
| 93356 |
|
24 |
24 |
$440.31 |
| 99441 |
|
13 |
13 |
$400.29 |
| 90670 |
|
5,434 |
5,432 |
$361.19 |
| 92551 |
|
53 |
53 |
$292.42 |
| 90633 |
|
737 |
737 |
$285.30 |
| 90698 |
|
3,411 |
3,409 |
$284.31 |
| 90620 |
|
27 |
27 |
$253.44 |
| 90715 |
|
201 |
201 |
$212.63 |
| 90680 |
|
2,160 |
2,158 |
$162.00 |
| A4617 |
Mouth piece |
188 |
188 |
$81.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$32.39 |
| 90734 |
|
247 |
247 |
$15.00 |
| 36416 |
|
359 |
359 |
$3.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90685 |
|
503 |
502 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90744 |
|
943 |
942 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |