| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83,141 |
77,555 |
$5.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,890 |
59,953 |
$4.37M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,378 |
11,942 |
$1.08M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,955 |
9,952 |
$918K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,452 |
12,314 |
$511K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,277 |
5,275 |
$483K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,170 |
4,168 |
$466K |
| 99233 |
Prolong inpt eval add15 m |
6,636 |
3,010 |
$417K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
219 |
219 |
$350K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,451 |
3,393 |
$312K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,910 |
16,795 |
$264K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,266 |
3,266 |
$247K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,900 |
8,897 |
$230K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,514 |
807 |
$226K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,915 |
2,914 |
$220K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,021 |
2,021 |
$202K |
| 99223 |
Prolong inpt eval add15 m |
1,374 |
1,358 |
$175K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,608 |
8,391 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,823 |
2,670 |
$118K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,005 |
2,233 |
$117K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
294 |
159 |
$111K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,102 |
1,026 |
$110K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,635 |
3,554 |
$96K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,250 |
2,169 |
$89K |
| 87428 |
|
1,512 |
1,461 |
$78K |
| 95819 |
|
295 |
288 |
$63K |
| 95886 |
|
696 |
696 |
$62K |
| 36415 |
Collection of venous blood by venipuncture |
10,732 |
9,931 |
$46K |
| 99381 |
|
437 |
437 |
$42K |
| 97597 |
|
2,327 |
1,268 |
$41K |
| 43235 |
|
653 |
648 |
$40K |
| 92557 |
|
1,331 |
1,328 |
$37K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
244 |
240 |
$37K |
| 73630 |
|
1,451 |
1,256 |
$32K |
| 76801 |
|
325 |
325 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
278 |
278 |
$31K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,070 |
636 |
$28K |
| 90474 |
|
1,865 |
1,865 |
$28K |
| 95720 |
|
198 |
80 |
$27K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
332 |
330 |
$26K |
| 99221 |
|
397 |
391 |
$25K |
| 87400 |
|
1,155 |
1,118 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
471 |
459 |
$24K |
| 95913 |
|
137 |
137 |
$24K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
339 |
339 |
$23K |
| 81025 |
|
3,145 |
3,090 |
$23K |
| 92587 |
|
1,211 |
1,208 |
$22K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
66 |
66 |
$16K |
| 92567 |
|
1,129 |
1,127 |
$15K |
| 92579 |
|
391 |
390 |
$15K |
| 92588 |
|
602 |
601 |
$15K |
| 64615 |
|
203 |
202 |
$14K |
| 72110 |
|
494 |
494 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,607 |
1,554 |
$13K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
66 |
66 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
974 |
938 |
$12K |
| 92552 |
|
410 |
409 |
$11K |
| 90686 |
|
4,787 |
4,784 |
$11K |
| 92550 |
|
757 |
757 |
$11K |
| 92555 |
|
498 |
497 |
$11K |
| 99215 |
Prolong outpt/office vis |
139 |
132 |
$10K |
| 59426 |
|
13 |
13 |
$9K |
| 99205 |
Prolong outpt/office vis |
62 |
62 |
$9K |
| 99442 |
|
102 |
99 |
$8K |
| 11045 |
|
124 |
55 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
56 |
55 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
146 |
146 |
$7K |
| 87807 |
|
630 |
612 |
$7K |
| 52000 |
|
84 |
84 |
$7K |
| 99460 |
|
80 |
80 |
$7K |
| 90715 |
|
368 |
368 |
$7K |
| 99441 |
|
133 |
128 |
$6K |
| 73610 |
|
218 |
210 |
$5K |
| 99307 |
|
381 |
339 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$3K |
| 62323 |
|
58 |
58 |
$3K |
| 64483 |
|
42 |
39 |
$3K |
| 20610 |
|
81 |
80 |
$3K |
| 72050 |
|
86 |
86 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
67 |
67 |
$2K |
| 0001A |
|
66 |
66 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
294 |
289 |
$2K |
| 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) |
615 |
577 |
$2K |
| 72100 |
|
92 |
90 |
$2K |
| 85027 |
|
347 |
346 |
$2K |
| 0071A |
|
62 |
62 |
$2K |
| 0002A |
|
46 |
46 |
$2K |
| 90661 |
|
113 |
113 |
$2K |
| 93040 |
|
191 |
191 |
$2K |
| 0072A |
|
48 |
47 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
33 |
31 |
$2K |
| 90656 |
|
306 |
305 |
$2K |
| 11043 |
|
16 |
13 |
$1K |
| 94729 |
|
206 |
206 |
$1K |
| 94726 |
|
151 |
151 |
$1K |
| 90473 |
|
88 |
88 |
$1K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
12 |
12 |
$1K |
| 64642 |
|
12 |
12 |
$1K |
| 83655 |
|
99 |
99 |
$1K |
| 90677 |
|
414 |
414 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
18 |
$1K |
| 51798 |
|
262 |
261 |
$995.60 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
106 |
105 |
$975.62 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$972.00 |
| 94060 |
|
139 |
139 |
$967.50 |
| 72040 |
|
51 |
49 |
$959.51 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
101 |
77 |
$909.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
85 |
85 |
$760.05 |
| 0081A |
|
18 |
18 |
$680.01 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
60 |
56 |
$547.25 |
| 73030 |
|
42 |
41 |
$538.72 |
| 90681 |
|
719 |
719 |
$516.80 |
| 91200 |
|
26 |
26 |
$490.49 |
| 73130 |
|
26 |
24 |
$453.92 |
| 73564 |
|
26 |
25 |
$453.43 |
| 90651 |
|
426 |
426 |
$446.72 |
| 85018 |
|
196 |
196 |
$433.02 |
| 73502 |
|
30 |
29 |
$430.22 |
| 87070 |
|
46 |
46 |
$389.31 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
115 |
114 |
$341.62 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
39 |
$334.04 |
| 96127 |
|
85 |
85 |
$298.97 |
| 95816 |
|
19 |
13 |
$271.54 |
| 73110 |
|
13 |
13 |
$270.58 |
| 90670 |
|
4,696 |
4,696 |
$211.52 |
| 90660 |
|
16 |
16 |
$162.18 |
| 11721 |
|
12 |
12 |
$146.98 |
| 90619 |
|
56 |
56 |
$145.46 |
| 88720 |
|
29 |
28 |
$125.16 |
| 99497 |
|
14 |
12 |
$92.68 |
| 51741 |
|
25 |
24 |
$90.95 |
| 99152 |
|
12 |
12 |
$83.76 |
| 87210 |
|
13 |
13 |
$64.09 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
72 |
72 |
$34.07 |
| 81001 |
|
13 |
12 |
$33.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
75 |
71 |
$28.67 |
| 90697 |
|
574 |
574 |
$0.01 |
| 90734 |
|
237 |
237 |
$0.00 |
| 90710 |
|
299 |
299 |
$0.00 |
| 90648 |
|
1,714 |
1,714 |
$0.00 |
| 90633 |
|
1,375 |
1,375 |
$0.00 |
| 90700 |
|
215 |
215 |
$0.00 |
| 3078F |
|
2,936 |
2,803 |
$0.00 |
| 90707 |
|
198 |
198 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90672 |
|
87 |
87 |
$0.00 |
| 91300 |
|
57 |
53 |
$0.00 |
| 91308 |
|
30 |
28 |
$0.00 |
| 90680 |
|
1,266 |
1,266 |
$0.00 |
| 3074F |
|
4,082 |
3,852 |
$0.00 |
| 90698 |
|
665 |
665 |
$0.00 |
| 3008F |
|
6,132 |
5,775 |
$0.00 |
| 90696 |
|
185 |
185 |
$0.00 |
| 90716 |
|
211 |
211 |
$0.00 |
| 90723 |
|
2,170 |
2,170 |
$0.00 |
| 3079F |
|
586 |
556 |
$0.00 |
| 3044F |
|
262 |
205 |
$0.00 |
| 90647 |
|
1,148 |
1,148 |
$0.00 |
| 3075F |
|
68 |
66 |
$0.00 |
| 90744 |
|
144 |
144 |
$0.00 |
| 91307 |
|
41 |
40 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 3080F |
|
15 |
12 |
$0.00 |