| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108,532 |
96,111 |
$4.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,421 |
52,139 |
$2.68M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
134,815 |
60,937 |
$2.03M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,280 |
12,886 |
$826K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30,152 |
11,383 |
$555K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,707 |
9,575 |
$541K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,165 |
7,729 |
$466K |
| 99233 |
Prolong inpt eval add15 m |
8,855 |
4,113 |
$227K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,928 |
2,766 |
$183K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,628 |
3,482 |
$179K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,496 |
3,171 |
$87K |
| 99223 |
Prolong inpt eval add15 m |
1,542 |
1,360 |
$77K |
| 90686 |
|
17,554 |
15,549 |
$48K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,861 |
2,356 |
$46K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,273 |
1,256 |
$24K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
806 |
729 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
12,699 |
11,349 |
$21K |
| 0001A |
|
439 |
433 |
$19K |
| 99254 |
|
310 |
285 |
$19K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,178 |
971 |
$19K |
| 0071A |
|
213 |
194 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,712 |
3,395 |
$19K |
| 99255 |
|
231 |
201 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,610 |
720 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,578 |
1,443 |
$17K |
| 99220 |
|
386 |
345 |
$17K |
| 90670 |
|
5,487 |
4,948 |
$16K |
| 80053 |
Comprehensive metabolic panel |
2,083 |
1,909 |
$15K |
| 0002A |
|
384 |
380 |
$15K |
| 90671 |
|
1,086 |
962 |
$14K |
| 0072A |
|
148 |
147 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,613 |
1,393 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
197 |
193 |
$13K |
| 99177 |
|
1,270 |
1,137 |
$13K |
| 96127 |
|
2,836 |
2,670 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
184 |
$11K |
| 80061 |
Lipid panel |
1,493 |
1,345 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,949 |
1,564 |
$11K |
| 0012A |
|
269 |
264 |
$10K |
| 92551 |
|
1,755 |
1,602 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
564 |
530 |
$9K |
| 0011A |
|
259 |
257 |
$9K |
| 99460 |
|
149 |
144 |
$9K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
1,068 |
960 |
$9K |
| 97802 |
|
163 |
144 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
594 |
343 |
$9K |
| 90698 |
|
3,074 |
2,777 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
63 |
60 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,598 |
1,443 |
$8K |
| 99253 |
|
179 |
167 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
678 |
394 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,570 |
1,403 |
$8K |
| 99173 |
|
3,222 |
2,987 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
657 |
628 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
141 |
127 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
436 |
186 |
$7K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
51 |
46 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
176 |
168 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
171 |
164 |
$6K |
| 36416 |
|
1,730 |
1,581 |
$5K |
| 99217 |
|
235 |
204 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
399 |
334 |
$4K |
| 0240U |
|
26 |
26 |
$4K |
| 99381 |
|
66 |
63 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
71 |
66 |
$3K |
| 99174 |
|
362 |
325 |
$3K |
| 80076 |
|
705 |
632 |
$3K |
| 99215 |
Prolong outpt/office vis |
57 |
44 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
192 |
189 |
$3K |
| 90633 |
|
872 |
762 |
$3K |
| 99051 |
|
119 |
115 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
42 |
39 |
$2K |
| 87210 |
|
482 |
455 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
79 |
76 |
$2K |
| 90680 |
|
2,176 |
1,932 |
$2K |
| 99307 |
|
208 |
191 |
$2K |
| 99188 |
|
67 |
67 |
$2K |
| 0031A |
|
48 |
47 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
162 |
133 |
$2K |
| 90672 |
|
659 |
567 |
$1K |
| 95251 |
|
248 |
204 |
$1K |
| 99442 |
|
103 |
94 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
90 |
86 |
$1K |
| 99219 |
|
29 |
26 |
$1K |
| 85018 |
|
635 |
546 |
$1K |
| 99385 |
|
15 |
15 |
$1K |
| 90651 |
|
426 |
401 |
$988.78 |
| 81003 |
|
626 |
564 |
$892.67 |
| 90744 |
|
657 |
611 |
$844.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$660.78 |
| 90656 |
|
1,323 |
1,293 |
$605.34 |
| 90619 |
|
239 |
219 |
$512.25 |
| 90707 |
|
239 |
174 |
$496.49 |
| 82607 |
|
81 |
65 |
$493.95 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
51 |
36 |
$490.98 |
| 87390 |
|
34 |
29 |
$470.70 |
| 90685 |
|
381 |
362 |
$467.00 |
| 87081 |
|
70 |
67 |
$455.61 |
| 86803 |
|
47 |
41 |
$364.93 |
| 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) |
613 |
515 |
$308.13 |
| 82746 |
|
46 |
40 |
$306.57 |
| 86780 |
|
40 |
34 |
$287.47 |
| 96380 |
|
15 |
15 |
$264.90 |
| 86702 |
|
34 |
29 |
$264.50 |
| 90723 |
|
46 |
38 |
$231.00 |
| 90662 |
|
63 |
50 |
$193.20 |
| 90710 |
|
82 |
72 |
$178.50 |
| 86701 |
|
34 |
29 |
$173.94 |
| 82962 |
|
355 |
290 |
$145.28 |
| 84439 |
|
33 |
29 |
$141.87 |
| 90697 |
|
542 |
467 |
$134.40 |
| 90696 |
|
77 |
72 |
$121.80 |
| 84481 |
|
12 |
12 |
$111.25 |
| 90734 |
|
102 |
98 |
$105.00 |
| 99441 |
|
15 |
15 |
$82.32 |
| 90647 |
|
14 |
12 |
$52.50 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
31 |
24 |
$50.53 |
| 81002 |
|
27 |
25 |
$47.56 |
| G0008 |
Administration of influenza virus vaccine |
102 |
83 |
$41.42 |
| 82044 |
|
14 |
13 |
$29.70 |
| 96161 |
|
15 |
14 |
$14.57 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
12 |
$11.95 |
| 94760 |
|
560 |
497 |
$4.20 |
| 80305 |
|
15 |
12 |
$0.22 |
| 3074F |
|
3,226 |
2,779 |
$0.00 |
| 3079F |
|
756 |
654 |
$0.00 |
| 3075F |
|
100 |
83 |
$0.00 |
| 90660 |
|
48 |
47 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |
| 91301 |
|
57 |
57 |
$0.00 |
| 91303 |
|
25 |
25 |
$0.00 |
| 3078F |
|
1,916 |
1,671 |
$0.00 |
| 91300 |
|
34 |
33 |
$0.00 |
| 1159F |
|
17 |
15 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |
| 99072 |
|
45 |
40 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 1160F |
|
17 |
15 |
$0.00 |