| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,200 |
21,225 |
$470K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,116 |
7,808 |
$283K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,000 |
2,320 |
$264K |
| 99223 |
Prolong inpt eval add15 m |
1,796 |
1,685 |
$168K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,479 |
3,399 |
$168K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,348 |
2,238 |
$132K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,638 |
1,415 |
$111K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
993 |
984 |
$73K |
| 99233 |
Prolong inpt eval add15 m |
1,301 |
574 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,139 |
2,107 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,265 |
2,257 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,205 |
3,160 |
$55K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
994 |
993 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,179 |
1,162 |
$37K |
| 99220 |
|
394 |
381 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,372 |
1,366 |
$26K |
| 99217 |
|
743 |
721 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
910 |
907 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,068 |
1,017 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
516 |
508 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
412 |
405 |
$14K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
259 |
256 |
$14K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
405 |
168 |
$11K |
| 99219 |
|
133 |
130 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
970 |
959 |
$7K |
| 99460 |
|
126 |
125 |
$7K |
| 99381 |
|
109 |
108 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
53 |
51 |
$5K |
| 90686 |
|
727 |
724 |
$4K |
| 85018 |
|
1,690 |
1,678 |
$4K |
| 81003 |
|
1,212 |
1,167 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,936 |
1,883 |
$2K |
| 99000 |
|
168 |
156 |
$2K |
| 90651 |
|
146 |
143 |
$941.61 |
| 36416 |
|
72 |
71 |
$917.40 |
| 90715 |
|
218 |
214 |
$809.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
127 |
$794.56 |
| 90620 |
|
24 |
24 |
$773.27 |
| 96160 |
|
15 |
15 |
$750.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
336 |
304 |
$653.17 |
| 92557 |
|
35 |
35 |
$580.48 |
| 92567 |
|
81 |
77 |
$575.91 |
| 92551 |
|
75 |
75 |
$464.31 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$414.05 |
| 99225 |
|
45 |
25 |
$355.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
38 |
$349.59 |
| 20610 |
|
13 |
12 |
$341.96 |
| 99442 |
|
32 |
29 |
$333.54 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
63 |
54 |
$331.79 |
| 69210 |
|
15 |
15 |
$264.59 |
| 90734 |
|
160 |
156 |
$213.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
15 |
$211.23 |
| 93000 |
|
54 |
54 |
$202.07 |
| 90670 |
|
1,212 |
1,212 |
$182.23 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
13 |
$126.77 |
| 99441 |
|
16 |
15 |
$104.95 |
| 81002 |
|
108 |
104 |
$68.43 |
| 90461 |
|
1,782 |
1,771 |
$0.00 |
| 90633 |
|
427 |
424 |
$0.00 |
| 92504 |
|
117 |
106 |
$0.00 |
| 90707 |
|
355 |
355 |
$0.00 |
| 90681 |
|
123 |
123 |
$0.00 |
| 99173 |
|
74 |
74 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
14 |
$0.00 |
| 3078F |
|
48 |
47 |
$0.00 |
| 90700 |
|
13 |
13 |
$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) |
20 |
18 |
$0.00 |
| 3074F |
|
49 |
47 |
$0.00 |
| 90723 |
|
812 |
811 |
$0.00 |
| 90647 |
|
807 |
807 |
$0.00 |
| 90716 |
|
324 |
324 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90688 |
|
765 |
764 |
$0.00 |
| 87807 |
|
13 |
13 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |