| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,751 |
46,239 |
$994K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,132 |
34,240 |
$963K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,280 |
3,177 |
$248K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,753 |
4,633 |
$109K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,048 |
15,566 |
$94K |
| 99215 |
Prolong outpt/office vis |
2,018 |
1,848 |
$89K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,474 |
6,216 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,582 |
1,448 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,836 |
2,637 |
$39K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,811 |
1,702 |
$39K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,072 |
1,033 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,763 |
2,721 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
264 |
250 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,035 |
1,969 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
947 |
878 |
$10K |
| 94010 |
|
1,256 |
1,146 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,390 |
744 |
$5K |
| 17000 |
|
334 |
300 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
570 |
523 |
$5K |
| 93000 |
|
924 |
877 |
$5K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
119 |
105 |
$4K |
| 90474 |
|
363 |
361 |
$3K |
| 81025 |
|
833 |
785 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,032 |
1,859 |
$3K |
| 99406 |
|
565 |
529 |
$3K |
| 90686 |
|
5,468 |
5,394 |
$3K |
| 17110 |
|
91 |
86 |
$2K |
| 90480 |
|
51 |
49 |
$2K |
| 95886 |
|
69 |
67 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
53 |
$999.59 |
| 99205 |
Prolong outpt/office vis |
16 |
13 |
$944.18 |
| 81000 |
|
495 |
447 |
$801.94 |
| 96127 |
|
761 |
720 |
$728.73 |
| 95251 |
|
105 |
103 |
$672.20 |
| 94060 |
|
99 |
99 |
$645.95 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
145 |
144 |
$620.44 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
52 |
16 |
$546.49 |
| 52000 |
|
14 |
12 |
$538.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
258 |
255 |
$507.32 |
| 80305 |
|
131 |
118 |
$443.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
118 |
114 |
$418.65 |
| 87807 |
|
29 |
28 |
$156.55 |
| 94729 |
|
52 |
52 |
$110.62 |
| 51798 |
|
36 |
28 |
$109.66 |
| 85018 |
|
136 |
132 |
$98.06 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
27 |
$96.12 |
| 94726 |
|
31 |
30 |
$90.70 |
| 99173 |
|
253 |
249 |
$70.04 |
| 93018 |
|
12 |
12 |
$47.84 |
| 96160 |
|
51 |
51 |
$32.52 |
| 51741 |
|
12 |
12 |
$25.60 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
48 |
12 |
$18.04 |
| 81002 |
|
14 |
13 |
$13.80 |
| 90661 |
|
337 |
328 |
$0.01 |
| 3078F |
|
7,013 |
6,560 |
$0.00 |
| 90671 |
|
97 |
97 |
$0.00 |
| 90685 |
|
220 |
219 |
$0.00 |
| 90670 |
|
998 |
973 |
$0.00 |
| 90633 |
|
172 |
169 |
$0.00 |
| 90648 |
|
746 |
727 |
$0.00 |
| 3077F |
|
56 |
53 |
$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) |
15 |
15 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 3074F |
|
8,044 |
7,524 |
$0.00 |
| 90677 |
|
211 |
210 |
$0.00 |
| 3079F |
|
653 |
624 |
$0.00 |
| 90723 |
|
234 |
231 |
$0.00 |
| 90680 |
|
374 |
370 |
$0.00 |
| 90697 |
|
280 |
278 |
$0.00 |
| 90651 |
|
151 |
78 |
$0.00 |
| 3075F |
|
115 |
113 |
$0.00 |
| 36416 |
|
72 |
68 |
$0.00 |
| 90619 |
|
14 |
13 |
$0.00 |
| 3080F |
|
103 |
97 |
$0.00 |