| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,817 |
43,903 |
$2.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,812 |
45,545 |
$2.41M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,215 |
10,713 |
$769K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,217 |
12,729 |
$756K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,270 |
3,063 |
$685K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,331 |
3,110 |
$280K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,087 |
2,005 |
$191K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,857 |
1,396 |
$185K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,453 |
2,257 |
$146K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,045 |
1,571 |
$144K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,129 |
8,703 |
$108K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,477 |
2,333 |
$105K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
934 |
893 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,152 |
1,094 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
717 |
708 |
$67K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,130 |
1,051 |
$66K |
| 90686 |
|
2,924 |
2,847 |
$47K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,293 |
1,240 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
375 |
368 |
$38K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,237 |
1,130 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
772 |
728 |
$23K |
| 90670 |
|
1,129 |
1,111 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
290 |
250 |
$21K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
227 |
176 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,148 |
1,112 |
$17K |
| 99215 |
Prolong outpt/office vis |
277 |
254 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
305 |
301 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
487 |
476 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
294 |
280 |
$15K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,686 |
1,563 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
243 |
204 |
$14K |
| 99205 |
Prolong outpt/office vis |
156 |
147 |
$14K |
| 90647 |
|
801 |
781 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
241 |
229 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
109 |
104 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
793 |
741 |
$11K |
| 90723 |
|
668 |
651 |
$11K |
| 88307 |
|
121 |
118 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,086 |
2,889 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
139 |
132 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
205 |
85 |
$8K |
| 93298 |
|
649 |
605 |
$7K |
| 95886 |
|
177 |
159 |
$7K |
| 99441 |
|
448 |
427 |
$6K |
| 94060 |
|
372 |
349 |
$6K |
| 99443 |
|
227 |
196 |
$6K |
| 90671 |
|
375 |
366 |
$6K |
| 94729 |
|
925 |
853 |
$5K |
| 94010 |
|
467 |
420 |
$5K |
| 90633 |
|
275 |
270 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
26 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
280 |
261 |
$4K |
| 95806 |
|
39 |
39 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
78 |
78 |
$4K |
| 90707 |
|
192 |
189 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
105 |
100 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
109 |
71 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
113 |
38 |
$3K |
| 90716 |
|
193 |
190 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
47 |
41 |
$3K |
| 90656 |
|
254 |
249 |
$3K |
| 90677 |
|
14 |
13 |
$3K |
| 99442 |
|
136 |
129 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
78 |
78 |
$2K |
| 99490 |
Ccm add 20min |
242 |
219 |
$2K |
| 81003 |
|
1,280 |
1,218 |
$2K |
| 94726 |
|
392 |
368 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
240 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
124 |
117 |
$2K |
| 64615 |
|
26 |
24 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
296 |
266 |
$2K |
| 90651 |
|
86 |
86 |
$1K |
| 88304 |
|
119 |
115 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
40 |
$1K |
| 90836 |
|
13 |
12 |
$1K |
| 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) |
380 |
282 |
$964.00 |
| 83655 |
|
102 |
95 |
$955.42 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$939.60 |
| 90681 |
|
54 |
54 |
$908.06 |
| 96127 |
|
89 |
85 |
$819.54 |
| 99188 |
|
193 |
189 |
$762.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
94 |
$732.93 |
| 90734 |
|
42 |
42 |
$714.62 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
12 |
$674.14 |
| 27096 |
|
13 |
12 |
$673.01 |
| 62323 |
|
14 |
13 |
$645.36 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$591.28 |
| 95251 |
|
31 |
25 |
$508.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
75 |
72 |
$436.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
374 |
365 |
$424.70 |
| 94618 |
|
27 |
26 |
$404.64 |
| 90696 |
|
26 |
26 |
$404.48 |
| 80053 |
Comprehensive metabolic panel |
39 |
38 |
$360.66 |
| J3490 |
Unclassified drugs |
266 |
260 |
$294.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$290.15 |
| 90648 |
|
25 |
25 |
$273.00 |
| 90785 |
|
338 |
288 |
$231.22 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
12 |
$204.06 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
27 |
$199.29 |
| 93294 |
|
25 |
25 |
$177.92 |
| 87807 |
|
15 |
14 |
$119.66 |
| 99307 |
|
15 |
14 |
$116.38 |
| 99173 |
|
50 |
50 |
$104.88 |
| 85018 |
|
28 |
26 |
$47.40 |
| 81001 |
|
15 |
14 |
$42.24 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
17 |
14 |
$1.69 |
| 3044F |
|
337 |
323 |
$0.67 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
188 |
146 |
$0.02 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
72 |
60 |
$0.00 |
| 36416 |
|
176 |
157 |
$0.00 |
| 99000 |
|
71 |
65 |
$0.00 |
| 1123F |
|
124 |
80 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
31 |
$0.00 |