| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,409 |
54,953 |
$2.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,031 |
30,359 |
$1.74M |
| 90837 |
Psychotherapy, 53 minutes with patient |
15,400 |
8,274 |
$1.05M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,940 |
8,165 |
$313K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,670 |
4,165 |
$231K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,046 |
3,745 |
$225K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,522 |
2,309 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
838 |
783 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,957 |
1,746 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,031 |
992 |
$45K |
| 99177 |
|
2,971 |
2,779 |
$28K |
| 87428 |
|
681 |
614 |
$17K |
| 90670 |
|
2,764 |
2,543 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,060 |
965 |
$11K |
| 99188 |
|
789 |
729 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
159 |
$10K |
| 99442 |
|
469 |
404 |
$10K |
| 90686 |
|
2,174 |
2,096 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
143 |
139 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
254 |
243 |
$7K |
| 99174 |
|
728 |
623 |
$6K |
| 83655 |
|
643 |
566 |
$6K |
| 90710 |
|
475 |
450 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
381 |
218 |
$5K |
| 99441 |
|
321 |
298 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
111 |
105 |
$5K |
| 99307 |
|
699 |
488 |
$5K |
| 90648 |
|
3,103 |
2,859 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
287 |
170 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
46 |
44 |
$4K |
| 90723 |
|
2,276 |
2,104 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
200 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
311 |
167 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
571 |
542 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
95 |
93 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
39 |
24 |
$2K |
| 99219 |
|
80 |
79 |
$2K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
53 |
36 |
$2K |
| 90633 |
|
806 |
738 |
$2K |
| 85018 |
|
1,129 |
1,031 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
92 |
86 |
$2K |
| 36416 |
|
1,008 |
955 |
$2K |
| 90785 |
|
283 |
249 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
200 |
190 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
91 |
75 |
$1K |
| 99443 |
|
37 |
31 |
$1K |
| 59025 |
Fetal non-stress test |
49 |
27 |
$973.39 |
| 96127 |
|
235 |
229 |
$844.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
69 |
$797.78 |
| 99233 |
Prolong inpt eval add15 m |
28 |
15 |
$760.60 |
| 99173 |
|
220 |
216 |
$468.95 |
| 90661 |
|
73 |
70 |
$455.49 |
| 90681 |
|
218 |
211 |
$420.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
28 |
$399.99 |
| 90677 |
|
317 |
301 |
$312.07 |
| 90688 |
|
72 |
69 |
$260.00 |
| 90656 |
|
28 |
27 |
$257.70 |
| 90680 |
|
1,212 |
1,108 |
$185.50 |
| 92504 |
|
14 |
13 |
$165.00 |
| 96380 |
|
13 |
13 |
$157.92 |
| 99406 |
|
14 |
13 |
$105.61 |
| 90461 |
|
547 |
368 |
$105.00 |
| 90696 |
|
39 |
39 |
$66.90 |
| 81025 |
|
14 |
12 |
$65.55 |
| 90685 |
|
14 |
13 |
$50.00 |
| 90734 |
|
49 |
46 |
$50.00 |
| 81002 |
|
13 |
12 |
$31.84 |
| 94760 |
|
1,744 |
1,516 |
$19.32 |
| 91307 |
|
16 |
12 |
$0.00 |
| 91301 |
|
31 |
29 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
90 |
76 |
$0.00 |
| 90651 |
|
42 |
39 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90700 |
|
16 |
15 |
$0.00 |