| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,990 |
12,081 |
$737K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,774 |
6,379 |
$484K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,657 |
1,656 |
$204K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,610 |
3,607 |
$133K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,678 |
4,650 |
$83K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,658 |
1,625 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
567 |
566 |
$46K |
| 73630 |
|
817 |
724 |
$22K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
986 |
625 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,388 |
1,374 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
261 |
256 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
153 |
$13K |
| 73562 |
|
412 |
408 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
139 |
139 |
$12K |
| 99460 |
|
133 |
132 |
$12K |
| 92567 |
|
833 |
824 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
171 |
170 |
$11K |
| 20610 |
|
299 |
294 |
$11K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
75 |
75 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
620 |
498 |
$10K |
| 90474 |
|
534 |
534 |
$10K |
| 92134 |
|
464 |
452 |
$9K |
| 92579 |
|
197 |
190 |
$8K |
| 92557 |
|
274 |
274 |
$8K |
| 87428 |
|
113 |
112 |
$7K |
| 95115 |
|
1,029 |
359 |
$7K |
| 73610 |
|
223 |
202 |
$6K |
| 90473 |
|
330 |
330 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
521 |
521 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
38 |
38 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$4K |
| 73110 |
|
95 |
76 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$3K |
| 87807 |
|
230 |
223 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
39 |
38 |
$2K |
| 73564 |
|
57 |
53 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
531 |
524 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
57 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 92504 |
|
76 |
72 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36 |
36 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99442 |
|
77 |
77 |
$1K |
| 80305 |
|
123 |
113 |
$1K |
| 93970 |
|
12 |
12 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$1K |
| 83655 |
|
90 |
90 |
$915.45 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
19 |
$859.37 |
| 92552 |
|
26 |
26 |
$727.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
74 |
74 |
$622.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
42 |
$610.71 |
| 92555 |
|
28 |
28 |
$598.64 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$393.73 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
25 |
25 |
$349.75 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$224.72 |
| 90686 |
|
543 |
543 |
$106.14 |
| 81003 |
|
14 |
14 |
$23.30 |
| 90672 |
|
63 |
63 |
$0.00 |
| 90633 |
|
170 |
170 |
$0.00 |
| 90670 |
|
787 |
787 |
$0.00 |
| 90648 |
|
93 |
93 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90698 |
|
173 |
173 |
$0.00 |
| 90647 |
|
205 |
205 |
$0.00 |
| 90723 |
|
140 |
140 |
$0.00 |
| 90680 |
|
318 |
318 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |
| 90744 |
|
42 |
42 |
$0.00 |