| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84,040 |
70,500 |
$5.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,879 |
64,962 |
$3.61M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,284 |
6,049 |
$533K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,645 |
4,199 |
$359K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,125 |
5,408 |
$230K |
| 59425 |
|
4,241 |
3,332 |
$222K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,883 |
8,661 |
$200K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,327 |
2,017 |
$194K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,793 |
14,042 |
$168K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,746 |
2,379 |
$139K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,493 |
3,864 |
$101K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,651 |
1,439 |
$99K |
| 97803 |
|
2,504 |
1,951 |
$80K |
| 59426 |
|
1,393 |
818 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
910 |
847 |
$69K |
| 99215 |
Prolong outpt/office vis |
888 |
755 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,345 |
2,067 |
$58K |
| 87428 |
|
1,898 |
1,630 |
$47K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,622 |
1,294 |
$41K |
| 99460 |
|
666 |
548 |
$32K |
| 81002 |
|
11,236 |
8,144 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
380 |
344 |
$27K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
414 |
337 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
603 |
502 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,740 |
2,393 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,269 |
1,133 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
563 |
472 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
278 |
246 |
$17K |
| 90473 |
|
1,303 |
1,107 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,836 |
1,953 |
$14K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
240 |
164 |
$13K |
| 99307 |
|
3,296 |
2,331 |
$13K |
| 59430 |
|
190 |
167 |
$12K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
374 |
284 |
$11K |
| 95251 |
|
546 |
435 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
952 |
753 |
$9K |
| 73110 |
|
275 |
166 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
747 |
670 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
296 |
100 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,607 |
2,241 |
$7K |
| 87634 |
|
167 |
149 |
$6K |
| 0002A |
|
223 |
164 |
$6K |
| 73630 |
|
253 |
164 |
$5K |
| 93016 |
|
496 |
395 |
$4K |
| 96127 |
|
1,320 |
1,176 |
$4K |
| 99205 |
Prolong outpt/office vis |
115 |
104 |
$4K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
28 |
13 |
$4K |
| 0001A |
|
152 |
110 |
$4K |
| 20610 |
|
132 |
105 |
$4K |
| 81003 |
|
2,157 |
1,445 |
$3K |
| 94726 |
|
507 |
436 |
$3K |
| 76376 |
|
886 |
689 |
$3K |
| 95806 |
|
99 |
66 |
$3K |
| 93296 |
|
532 |
399 |
$3K |
| 93018 |
|
488 |
388 |
$3K |
| 83655 |
|
382 |
308 |
$3K |
| 92557 |
|
114 |
103 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
92 |
37 |
$3K |
| 92567 |
|
299 |
272 |
$3K |
| 29125 |
|
54 |
39 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
105 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
16 |
15 |
$3K |
| 90686 |
|
3,791 |
3,459 |
$2K |
| 97804 |
|
92 |
64 |
$2K |
| 73130 |
|
113 |
69 |
$2K |
| 99384 |
|
27 |
25 |
$2K |
| 90682 |
|
127 |
121 |
$2K |
| 99462 |
|
92 |
71 |
$2K |
| 85610 |
|
1,366 |
899 |
$2K |
| 99383 |
|
24 |
20 |
$2K |
| 73140 |
|
83 |
49 |
$2K |
| 94729 |
|
413 |
362 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
484 |
380 |
$2K |
| 93356 |
|
205 |
148 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
583 |
493 |
$1K |
| 0003A |
|
79 |
54 |
$1K |
| 93000 |
|
178 |
155 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 96161 |
|
632 |
568 |
$643.45 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
12 |
$609.59 |
| 93295 |
|
30 |
25 |
$576.65 |
| 90670 |
|
2,429 |
2,161 |
$564.78 |
| 92579 |
|
14 |
14 |
$561.34 |
| 94060 |
|
94 |
79 |
$541.28 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
72 |
42 |
$506.36 |
| 99459 |
|
40 |
36 |
$491.91 |
| 93294 |
|
56 |
40 |
$485.32 |
| 99201 |
|
20 |
17 |
$474.71 |
| 85018 |
|
442 |
401 |
$453.37 |
| 80305 |
|
49 |
37 |
$434.70 |
| 72100 |
|
12 |
12 |
$394.68 |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$389.20 |
| 0071A |
|
12 |
12 |
$372.10 |
| 73030 |
|
20 |
14 |
$305.60 |
| 90698 |
|
1,328 |
1,187 |
$291.03 |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
34 |
24 |
$277.67 |
| 90677 |
|
1,036 |
916 |
$265.87 |
| 81000 |
|
92 |
82 |
$247.29 |
| 81025 |
|
351 |
293 |
$243.50 |
| 99152 |
|
39 |
27 |
$206.61 |
| 11721 |
|
27 |
16 |
$196.00 |
| 90474 |
|
16 |
14 |
$195.00 |
| 92551 |
|
29 |
27 |
$170.46 |
| 99441 |
|
34 |
30 |
$160.76 |
| 93280 |
|
24 |
13 |
$150.33 |
| 88720 |
|
63 |
39 |
$129.68 |
| 99173 |
|
209 |
203 |
$102.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
421 |
281 |
$72.12 |
| 94010 |
|
17 |
15 |
$69.70 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
12 |
$62.49 |
| 90715 |
|
107 |
89 |
$61.90 |
| 90656 |
|
137 |
134 |
$39.86 |
| 99174 |
|
25 |
25 |
$20.48 |
| 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) |
1,221 |
952 |
$17.59 |
| 80061 |
Lipid panel |
43 |
38 |
$6.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$3.65 |
| 90680 |
|
1,405 |
1,239 |
$0.00 |
| 3074F |
|
213 |
204 |
$0.00 |
| 90744 |
|
230 |
212 |
$0.00 |
| 1125F |
|
174 |
148 |
$0.00 |
| 1126F |
|
295 |
262 |
$0.00 |
| 90697 |
|
1,102 |
950 |
$0.00 |
| 3008F |
|
701 |
664 |
$0.00 |
| 99304 |
|
13 |
12 |
$0.00 |
| 90688 |
|
28 |
28 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 1036F |
|
148 |
137 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 0501F |
|
15 |
15 |
$0.00 |
| 90651 |
|
56 |
46 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
56 |
40 |
$0.00 |
| 91307 |
|
47 |
45 |
$0.00 |
| 36416 |
|
14 |
12 |
$0.00 |
| 3351F |
|
13 |
13 |
$0.00 |
| 1159F |
|
1,729 |
1,579 |
$0.00 |
| 91300 |
|
174 |
138 |
$0.00 |
| 0502F |
|
1,204 |
889 |
$0.00 |
| 90633 |
|
597 |
526 |
$0.00 |
| 1160F |
|
2,149 |
1,901 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
157 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
431 |
395 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
56 |
51 |
$0.00 |
| 90710 |
|
189 |
167 |
$0.00 |
| 99051 |
|
294 |
209 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
12 |
$0.00 |
| 90621 |
|
57 |
53 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
98 |
93 |
$0.00 |
| 3078F |
|
179 |
171 |
$0.00 |
| 90734 |
|
32 |
30 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
31 |
24 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 99078 |
|
26 |
26 |
$0.00 |