| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53,696 |
46,263 |
$1.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,083 |
29,149 |
$1.06M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,996 |
7,439 |
$602K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,656 |
16,267 |
$600K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,977 |
6,098 |
$485K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,793 |
10,298 |
$304K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,891 |
2,687 |
$226K |
| 99215 |
Prolong outpt/office vis |
1,881 |
1,697 |
$110K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,276 |
1,167 |
$107K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,946 |
1,402 |
$100K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,059 |
850 |
$46K |
| 99233 |
Prolong inpt eval add15 m |
1,072 |
611 |
$41K |
| 99348 |
|
1,145 |
1,010 |
$39K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
888 |
749 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
393 |
324 |
$24K |
| 99220 |
|
1,929 |
944 |
$24K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
244 |
133 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
163 |
89 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
848 |
818 |
$14K |
| 99235 |
|
118 |
50 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
932 |
534 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
680 |
514 |
$11K |
| 20610 |
|
804 |
697 |
$10K |
| 99347 |
|
517 |
429 |
$9K |
| 99381 |
|
129 |
98 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,147 |
889 |
$8K |
| 99349 |
|
164 |
124 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
91 |
$7K |
| 99219 |
|
704 |
429 |
$6K |
| 99342 |
|
112 |
112 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
175 |
169 |
$5K |
| 83655 |
|
1,052 |
808 |
$5K |
| 99221 |
|
117 |
115 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
702 |
490 |
$5K |
| 93016 |
|
432 |
342 |
$4K |
| 59430 |
|
42 |
41 |
$3K |
| 01961 |
|
18 |
15 |
$3K |
| 99205 |
Prolong outpt/office vis |
29 |
27 |
$3K |
| 99307 |
|
138 |
120 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
64 |
58 |
$3K |
| 99350 |
Prolong home eval add 15m |
61 |
42 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
41 |
$3K |
| 99341 |
|
63 |
60 |
$2K |
| S9083 |
Global fee urgent care centers |
35 |
33 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
24 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
167 |
118 |
$2K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
21 |
12 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$1K |
| 99384 |
|
14 |
13 |
$995.03 |
| 99383 |
|
15 |
12 |
$944.72 |
| D9239 |
|
12 |
12 |
$825.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
114 |
97 |
$692.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
381 |
321 |
$601.66 |
| 97804 |
|
122 |
121 |
$502.98 |
| 92250 |
|
52 |
39 |
$479.52 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$397.98 |
| 93793 |
|
132 |
68 |
$240.32 |
| 90651 |
|
919 |
864 |
$217.15 |
| 90715 |
|
269 |
250 |
$166.07 |
| 91200 |
|
238 |
205 |
$144.31 |
| 71045 |
Radiologic examination, chest; single view |
15 |
12 |
$130.96 |
| 99490 |
Ccm add 20min |
41 |
24 |
$103.18 |
| 87210 |
|
58 |
53 |
$97.20 |
| 99457 |
|
396 |
373 |
$94.50 |
| 92002 |
|
13 |
13 |
$78.06 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
12 |
$65.55 |
| 90686 |
|
3,774 |
3,564 |
$61.88 |
| 96127 |
|
14 |
14 |
$57.13 |
| 90633 |
|
480 |
394 |
$52.72 |
| 85027 |
|
13 |
13 |
$48.84 |
| 99251 |
|
21 |
21 |
$44.45 |
| 36415 |
Collection of venous blood by venipuncture |
1,194 |
959 |
$39.25 |
| 83020 |
|
129 |
123 |
$32.84 |
| 80061 |
Lipid panel |
17 |
16 |
$16.85 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,281 |
1,073 |
$12.48 |
| 3078F |
|
1,834 |
1,642 |
$0.53 |
| 3074F |
|
1,195 |
1,067 |
$0.30 |
| 90723 |
|
3,634 |
3,221 |
$0.07 |
| 90648 |
|
2,355 |
2,155 |
$0.05 |
| 90670 |
|
1,716 |
1,453 |
$0.02 |
| 90734 |
|
796 |
750 |
$0.01 |
| 90620 |
|
207 |
157 |
$0.01 |
| 1111F |
|
50 |
37 |
$0.01 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
29 |
27 |
$0.00 |
| 90685 |
|
1,256 |
1,101 |
$0.00 |
| 90710 |
|
320 |
307 |
$0.00 |
| 99442 |
|
1,496 |
1,089 |
$0.00 |
| 92015 |
Determination of refractive state |
346 |
296 |
$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) |
252 |
247 |
$0.00 |
| 90700 |
|
287 |
261 |
$0.00 |
| 3077F |
|
63 |
54 |
$0.00 |
| 3046F |
|
91 |
83 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
162 |
160 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
49 |
48 |
$0.00 |
| 90681 |
|
25 |
25 |
$0.00 |
| 90707 |
|
78 |
55 |
$0.00 |
| 99497 |
|
156 |
152 |
$0.00 |
| 99072 |
|
20 |
18 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90647 |
|
1,531 |
1,191 |
$0.00 |
| 99454 |
|
425 |
402 |
$0.00 |
| 90680 |
|
2,760 |
2,434 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
192 |
147 |
$0.00 |
| 90696 |
|
87 |
81 |
$0.00 |
| 99443 |
|
742 |
562 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 99441 |
|
621 |
537 |
$0.00 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
216 |
178 |
$0.00 |
| 1170F |
|
15 |
12 |
$0.00 |
| 90716 |
|
106 |
79 |
$0.00 |
| 98967 |
|
21 |
16 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
28 |
26 |
$0.00 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
144 |
55 |
$0.00 |
| 99495 |
|
26 |
26 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
14 |
13 |
$0.00 |
| 3075F |
|
19 |
15 |
$0.00 |