| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,895 |
40,445 |
$1.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,585 |
31,285 |
$1.36M |
| 99233 |
Prolong inpt eval add15 m |
26,308 |
7,320 |
$891K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25,334 |
8,279 |
$623K |
| 99223 |
Prolong inpt eval add15 m |
7,127 |
5,077 |
$417K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
10,647 |
1,976 |
$272K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,834 |
3,668 |
$212K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,037 |
2,823 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,924 |
2,797 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,642 |
2,388 |
$148K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
856 |
264 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,177 |
2,026 |
$57K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,492 |
1,159 |
$48K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,277 |
8,432 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,673 |
1,411 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,319 |
741 |
$32K |
| 80053 |
Comprehensive metabolic panel |
5,152 |
3,754 |
$27K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,222 |
975 |
$27K |
| 90670 |
|
2,318 |
2,275 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,536 |
850 |
$24K |
| 90686 |
|
1,838 |
1,661 |
$21K |
| 90723 |
|
1,766 |
1,727 |
$20K |
| 90648 |
|
1,329 |
1,288 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
426 |
323 |
$18K |
| 80061 |
Lipid panel |
2,011 |
1,610 |
$17K |
| 99215 |
Prolong outpt/office vis |
334 |
217 |
$13K |
| 82607 |
|
1,079 |
870 |
$12K |
| 90633 |
|
911 |
892 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,055 |
2,325 |
$10K |
| 90734 |
|
661 |
603 |
$10K |
| 90647 |
|
848 |
833 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,485 |
1,160 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
376 |
80 |
$7K |
| 90651 |
|
525 |
467 |
$6K |
| 90677 |
|
456 |
430 |
$6K |
| 84481 |
|
858 |
625 |
$6K |
| 99307 |
|
478 |
267 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
444 |
394 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
42 |
27 |
$5K |
| 0002A |
|
305 |
295 |
$4K |
| 0001A |
|
365 |
342 |
$4K |
| 82746 |
|
433 |
340 |
$4K |
| 82728 |
|
409 |
333 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
641 |
463 |
$4K |
| 84439 |
|
940 |
689 |
$3K |
| 80076 |
|
1,205 |
938 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
68 |
$3K |
| 90681 |
|
290 |
286 |
$3K |
| 43246 |
|
16 |
12 |
$3K |
| 82565 |
|
1,552 |
1,201 |
$3K |
| 83550 |
|
470 |
378 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
35 |
27 |
$2K |
| 99205 |
Prolong outpt/office vis |
38 |
29 |
$2K |
| 86140 |
|
1,153 |
870 |
$2K |
| 80050 |
General health panel |
56 |
40 |
$2K |
| 90688 |
|
229 |
213 |
$2K |
| 83540 |
|
470 |
378 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
12,381 |
8,042 |
$2K |
| 11721 |
|
518 |
354 |
$2K |
| 90620 |
|
102 |
94 |
$2K |
| 0071A |
|
15 |
15 |
$2K |
| 90680 |
|
105 |
104 |
$1K |
| 59425 |
|
39 |
12 |
$1K |
| 90661 |
|
77 |
77 |
$1K |
| 94729 |
|
59 |
37 |
$1K |
| 85652 |
|
1,247 |
930 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
259 |
208 |
$1K |
| 90710 |
|
85 |
83 |
$1K |
| 90715 |
|
69 |
64 |
$1K |
| 90696 |
|
70 |
70 |
$906.66 |
| 90656 |
|
60 |
59 |
$870.05 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
60 |
56 |
$784.34 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
14 |
$695.26 |
| 87807 |
|
57 |
51 |
$675.96 |
| 82962 |
|
565 |
440 |
$659.39 |
| 82043 |
|
347 |
267 |
$633.03 |
| G0008 |
Administration of influenza virus vaccine |
353 |
280 |
$611.51 |
| 84460 |
|
290 |
217 |
$611.00 |
| 84450 |
|
290 |
217 |
$602.97 |
| 94010 |
|
61 |
39 |
$588.88 |
| 82570 |
|
331 |
259 |
$579.33 |
| 96127 |
|
170 |
165 |
$577.79 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$576.30 |
| 90685 |
|
58 |
58 |
$554.48 |
| 76536 |
|
16 |
12 |
$493.60 |
| 86160 |
|
91 |
67 |
$445.64 |
| 94727 |
|
35 |
24 |
$434.54 |
| 90716 |
|
37 |
36 |
$430.08 |
| 94150 |
|
106 |
98 |
$392.38 |
| 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) |
641 |
436 |
$387.15 |
| 90700 |
|
25 |
24 |
$302.22 |
| 99406 |
|
56 |
38 |
$280.00 |
| 84479 |
|
94 |
72 |
$275.53 |
| 90707 |
|
25 |
24 |
$272.40 |
| 90649 |
|
29 |
27 |
$262.80 |
| 84436 |
|
91 |
70 |
$259.55 |
| 51701 |
|
16 |
13 |
$259.28 |
| 81002 |
|
440 |
321 |
$255.52 |
| 99318 |
|
23 |
12 |
$212.76 |
| 0004A |
|
12 |
12 |
$200.00 |
| 90621 |
|
14 |
13 |
$179.75 |
| 86200 |
|
50 |
30 |
$163.35 |
| 90698 |
|
15 |
14 |
$133.84 |
| 81001 |
|
54 |
52 |
$105.40 |
| 82948 |
|
587 |
457 |
$73.93 |
| 86431 |
|
52 |
32 |
$70.87 |
| 99304 |
|
37 |
19 |
$49.60 |
| 3078F |
|
8,545 |
6,902 |
$30.00 |
| 3074F |
|
8,199 |
6,724 |
$30.00 |
| 82248 |
|
14 |
13 |
$28.68 |
| 81003 |
|
72 |
42 |
$24.94 |
| 3079F |
|
1,976 |
1,627 |
$20.00 |
| 86225 |
|
34 |
28 |
$19.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
61 |
$19.55 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
48 |
38 |
$9.71 |
| 3725F |
|
3,708 |
2,870 |
$0.00 |
| 1160F |
|
2,691 |
2,187 |
$0.00 |
| 3288F |
|
525 |
374 |
$0.00 |
| 1124F |
|
343 |
238 |
$0.00 |
| 3016F |
|
2,014 |
1,629 |
$0.00 |
| 4004F |
|
2,755 |
2,156 |
$0.00 |
| 91300 |
|
386 |
344 |
$0.00 |
| 3077F |
|
173 |
137 |
$0.00 |
| 95251 |
|
14 |
12 |
$0.00 |
| 90687 |
|
42 |
39 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16 |
12 |
$0.00 |
| 86038 |
|
28 |
16 |
$0.00 |
| 86235 |
|
25 |
14 |
$0.00 |
| 3008F |
|
3,535 |
2,795 |
$0.00 |
| 1036F |
|
4,195 |
3,236 |
$0.00 |
| 3075F |
|
1,533 |
1,225 |
$0.00 |
| 4010F |
|
396 |
252 |
$0.00 |
| 1034F |
|
100 |
78 |
$0.00 |
| 1123F |
|
1,320 |
950 |
$0.00 |
| 3048F |
|
193 |
149 |
$0.00 |
| 1220F |
|
26 |
24 |
$0.00 |
| 4037F |
|
19 |
18 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
34 |
$0.00 |
| 82040 |
|
54 |
33 |
$0.00 |
| 3044F |
|
27 |
15 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |