| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,054 |
57,739 |
$2.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,228 |
47,151 |
$2.05M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,641 |
6,934 |
$306K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,281 |
3,040 |
$239K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,863 |
5,347 |
$216K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,485 |
9,304 |
$124K |
| 64615 |
|
1,508 |
1,424 |
$97K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,872 |
4,599 |
$93K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,947 |
6,490 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,184 |
1,126 |
$85K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,317 |
2,223 |
$74K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,734 |
4,190 |
$71K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,262 |
2,901 |
$52K |
| 99215 |
Prolong outpt/office vis |
625 |
594 |
$43K |
| 80305 |
|
8,230 |
7,726 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,953 |
1,424 |
$36K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
483 |
420 |
$27K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
627 |
566 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
307 |
271 |
$17K |
| 95886 |
|
470 |
451 |
$16K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,323 |
4,002 |
$16K |
| 93000 |
|
1,244 |
1,185 |
$11K |
| 62323 |
|
191 |
167 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,859 |
1,757 |
$9K |
| 99205 |
Prolong outpt/office vis |
86 |
86 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
351 |
324 |
$8K |
| 99406 |
|
1,266 |
1,176 |
$7K |
| 95819 |
|
187 |
178 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
778 |
612 |
$5K |
| 99490 |
Ccm add 20min |
996 |
993 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
198 |
86 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
167 |
151 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
40 |
37 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
762 |
709 |
$3K |
| 99307 |
|
393 |
357 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
609 |
558 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
96 |
38 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
288 |
173 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
133 |
112 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
57 |
43 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
135 |
102 |
$2K |
| 90674 |
|
136 |
127 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
16 |
$2K |
| 20611 |
|
43 |
41 |
$1K |
| 80053 |
Comprehensive metabolic panel |
449 |
418 |
$1K |
| 62321 |
|
14 |
12 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
15 |
12 |
$991.41 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
25 |
$863.01 |
| 36415 |
Collection of venous blood by venipuncture |
9,097 |
8,436 |
$767.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$698.03 |
| 81003 |
|
409 |
388 |
$554.52 |
| 94060 |
|
25 |
25 |
$547.45 |
| 3079F |
|
3,031 |
2,751 |
$525.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
24 |
$502.15 |
| 3074F |
|
9,235 |
8,379 |
$475.00 |
| 94726 |
|
12 |
12 |
$396.61 |
| 94729 |
|
12 |
12 |
$389.93 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
30 |
26 |
$370.65 |
| 20610 |
|
26 |
25 |
$358.93 |
| 3078F |
|
9,276 |
8,432 |
$350.00 |
| 80061 |
Lipid panel |
107 |
100 |
$321.21 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
14 |
$318.88 |
| 99152 |
|
79 |
61 |
$287.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
841 |
777 |
$287.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$281.60 |
| 90732 |
|
16 |
14 |
$239.84 |
| 93016 |
|
29 |
26 |
$234.03 |
| 64493 |
|
14 |
12 |
$188.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
164 |
148 |
$167.37 |
| 93018 |
|
29 |
26 |
$165.63 |
| 3075F |
|
480 |
435 |
$150.00 |
| 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) |
501 |
464 |
$99.69 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
14 |
$98.75 |
| 4010F |
|
1,438 |
1,260 |
$90.00 |
| 64494 |
|
14 |
12 |
$69.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$32.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$19.51 |
| 99442 |
|
161 |
120 |
$3.04 |
| 99441 |
|
72 |
53 |
$1.83 |
| 3725F |
|
746 |
646 |
$0.00 |
| 1159F |
|
2,048 |
1,936 |
$0.00 |
| 3288F |
|
2,258 |
2,003 |
$0.00 |
| 3077F |
|
2,027 |
1,871 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
237 |
230 |
$0.00 |
| 99497 |
|
77 |
71 |
$0.00 |
| 1494F |
|
126 |
120 |
$0.00 |
| 3008F |
|
13,907 |
12,426 |
$0.00 |
| 3080F |
|
205 |
187 |
$0.00 |
| 99024 |
|
333 |
274 |
$0.00 |
| 1220F |
|
219 |
214 |
$0.00 |
| 1125F |
|
598 |
549 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
120 |
115 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
64 |
61 |
$0.00 |
| 3048F |
|
179 |
165 |
$0.00 |
| 90694 |
|
25 |
24 |
$0.00 |
| 1101F |
|
121 |
116 |
$0.00 |
| 3044F |
|
465 |
408 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
16 |
14 |
$0.00 |
| 36416 |
|
16 |
16 |
$0.00 |