| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,588 |
59,187 |
$4.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,694 |
39,012 |
$2.22M |
| T1015 |
Clinic visit/encounter, all-inclusive |
26,032 |
18,434 |
$1.22M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,020 |
7,253 |
$557K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,438 |
5,543 |
$448K |
| 99215 |
Prolong outpt/office vis |
5,765 |
4,670 |
$403K |
| 99233 |
Prolong inpt eval add15 m |
9,612 |
3,991 |
$400K |
| 99223 |
Prolong inpt eval add15 m |
3,656 |
3,428 |
$357K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,526 |
5,164 |
$284K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,860 |
2,682 |
$263K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,558 |
3,305 |
$184K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,179 |
1,600 |
$98K |
| 20610 |
|
3,189 |
2,377 |
$83K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
686 |
583 |
$82K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,350 |
1,216 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,615 |
1,486 |
$52K |
| 20611 |
|
1,345 |
1,074 |
$47K |
| 90961 |
|
723 |
666 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,000 |
933 |
$37K |
| 90837 |
Psychotherapy, 53 minutes with patient |
377 |
307 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,351 |
2,235 |
$31K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,683 |
1,377 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,799 |
1,479 |
$29K |
| 99222 |
Initial hospital care, per day, moderate complexity |
321 |
293 |
$19K |
| 95117 |
|
2,076 |
1,287 |
$18K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
94 |
77 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
459 |
434 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
309 |
285 |
$16K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
185 |
185 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
701 |
685 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
580 |
305 |
$14K |
| 77014 |
|
525 |
80 |
$12K |
| 99205 |
Prolong outpt/office vis |
88 |
86 |
$11K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
233 |
202 |
$10K |
| 99460 |
|
148 |
130 |
$10K |
| 95115 |
|
1,548 |
902 |
$10K |
| 95886 |
|
182 |
172 |
$10K |
| 11056 |
|
641 |
556 |
$10K |
| 93000 |
|
1,098 |
979 |
$9K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
42 |
41 |
$9K |
| 77427 |
|
92 |
41 |
$9K |
| 93458 |
|
63 |
53 |
$7K |
| 99307 |
|
504 |
463 |
$7K |
| 11721 |
|
940 |
876 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
44 |
28 |
$6K |
| 92567 |
|
712 |
683 |
$6K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
25 |
25 |
$6K |
| 95911 |
|
73 |
71 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
143 |
$5K |
| 87807 |
|
416 |
404 |
$5K |
| 11720 |
|
979 |
876 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
95 |
95 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
25 |
$4K |
| 93016 |
|
369 |
358 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
700 |
633 |
$3K |
| 99221 |
|
115 |
108 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
203 |
202 |
$3K |
| 99220 |
|
43 |
39 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
98 |
92 |
$3K |
| 99255 |
|
25 |
16 |
$2K |
| 69210 |
|
125 |
116 |
$2K |
| 92579 |
|
83 |
80 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
129 |
117 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
12 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
95 |
67 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
35 |
25 |
$1K |
| 81025 |
|
183 |
166 |
$1K |
| 99219 |
|
29 |
24 |
$1K |
| 77263 |
|
15 |
15 |
$1K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
15 |
15 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,419 |
1,113 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$976.43 |
| 90670 |
|
70 |
69 |
$924.29 |
| 51798 |
|
128 |
107 |
$896.55 |
| 92557 |
|
55 |
54 |
$816.85 |
| 77334 |
|
20 |
16 |
$743.48 |
| 77300 |
|
13 |
13 |
$714.96 |
| 95908 |
|
18 |
14 |
$711.27 |
| 11719 |
|
359 |
329 |
$681.29 |
| 81002 |
|
259 |
248 |
$629.22 |
| 99218 |
|
32 |
30 |
$622.83 |
| 90723 |
|
26 |
26 |
$616.18 |
| 96161 |
|
16 |
15 |
$533.88 |
| 90474 |
|
13 |
13 |
$305.19 |
| 90680 |
|
13 |
13 |
$305.19 |
| 99201 |
|
13 |
13 |
$286.15 |
| 99406 |
|
38 |
37 |
$242.51 |
| 93296 |
|
27 |
25 |
$236.68 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
59 |
26 |
$234.72 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
12 |
12 |
$130.90 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
36 |
32 |
$113.06 |
| 93280 |
|
14 |
13 |
$102.61 |
| 81003 |
|
30 |
24 |
$33.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
132 |
119 |
$0.85 |
| 99497 |
|
12 |
12 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90686 |
|
79 |
76 |
$0.00 |
| 90647 |
|
14 |
13 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |