| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,342 |
24,831 |
$1.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,948 |
11,103 |
$498K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,473 |
3,381 |
$227K |
| 99215 |
Prolong outpt/office vis |
2,091 |
1,792 |
$177K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,898 |
1,804 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,008 |
2,712 |
$173K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,922 |
1,857 |
$131K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,417 |
2,270 |
$111K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,307 |
6,153 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,693 |
2,590 |
$100K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,635 |
670 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,369 |
1,341 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
860 |
839 |
$83K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,042 |
1,640 |
$78K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,205 |
2,124 |
$67K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,004 |
361 |
$61K |
| 92015 |
Determination of refractive state |
4,210 |
4,075 |
$55K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,308 |
1,055 |
$44K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
461 |
417 |
$34K |
| 99188 |
|
2,104 |
2,049 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
439 |
286 |
$28K |
| 90461 |
|
1,286 |
1,230 |
$26K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
337 |
315 |
$26K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,379 |
1,332 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
246 |
237 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
763 |
718 |
$16K |
| 92134 |
|
951 |
678 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
345 |
337 |
$15K |
| 96127 |
|
2,157 |
2,102 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
268 |
256 |
$8K |
| 94729 |
|
586 |
509 |
$7K |
| 99205 |
Prolong outpt/office vis |
43 |
40 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
699 |
660 |
$7K |
| X5622 |
|
724 |
701 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
390 |
280 |
$6K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
26 |
25 |
$5K |
| 98940 |
|
297 |
175 |
$5K |
| 99243 |
|
78 |
75 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
31 |
26 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
43 |
28 |
$4K |
| 99177 |
|
908 |
878 |
$3K |
| V5266 |
Battery for use in hearing device |
269 |
252 |
$3K |
| 94010 |
|
374 |
327 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
16 |
16 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
34 |
32 |
$2K |
| 99349 |
|
16 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
277 |
259 |
$1K |
| 97165 |
|
13 |
13 |
$985.50 |
| 95251 |
|
36 |
36 |
$930.91 |
| 0002A |
|
58 |
56 |
$899.32 |
| 90686 |
|
2,392 |
2,330 |
$898.10 |
| 99460 |
|
13 |
13 |
$848.28 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
80 |
27 |
$802.82 |
| 96161 |
|
297 |
283 |
$628.79 |
| 0001A |
|
40 |
38 |
$611.24 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$594.88 |
| 92567 |
|
39 |
36 |
$562.67 |
| 96040 |
|
12 |
12 |
$439.71 |
| 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) |
392 |
362 |
$405.76 |
| 0124A |
|
15 |
15 |
$354.16 |
| 0004A |
|
13 |
13 |
$320.68 |
| 0071A |
|
19 |
19 |
$313.88 |
| 0072A |
|
18 |
18 |
$297.36 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
19 |
18 |
$282.15 |
| 92551 |
|
64 |
64 |
$281.21 |
| 11721 |
|
12 |
12 |
$244.99 |
| 90474 |
|
12 |
12 |
$206.08 |
| 99173 |
|
75 |
73 |
$189.73 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
13 |
$151.52 |
| 90656 |
|
176 |
175 |
$108.33 |
| 90677 |
|
193 |
189 |
$1.36 |
| 90670 |
|
1,281 |
1,226 |
$0.02 |
| 90651 |
|
109 |
107 |
$0.01 |
| 90647 |
|
584 |
555 |
$0.00 |
| 90680 |
|
504 |
482 |
$0.00 |
| 90723 |
|
737 |
702 |
$0.00 |
| 90688 |
|
587 |
578 |
$0.00 |
| 90696 |
|
30 |
27 |
$0.00 |
| 91307 |
|
65 |
57 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90685 |
|
150 |
145 |
$0.00 |
| 90710 |
|
41 |
39 |
$0.00 |
| 90633 |
|
292 |
282 |
$0.00 |
| 91300 |
|
199 |
179 |
$0.00 |
| 90734 |
|
41 |
40 |
$0.00 |
| 90715 |
|
16 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |