| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,045 |
49,757 |
$3.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,236 |
56,910 |
$3.41M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
10,422 |
6,888 |
$251K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,370 |
4,031 |
$235K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,689 |
2,478 |
$143K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,245 |
745 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
738 |
693 |
$81K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,045 |
992 |
$55K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,892 |
1,331 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,089 |
988 |
$53K |
| 99222 |
Initial hospital care, per day, moderate complexity |
349 |
324 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,425 |
2,252 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
582 |
546 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,604 |
1,494 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
546 |
519 |
$30K |
| 99215 |
Prolong outpt/office vis |
254 |
231 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
372 |
357 |
$19K |
| 99442 |
|
979 |
891 |
$18K |
| 90686 |
|
1,507 |
1,376 |
$14K |
| 93000 |
|
947 |
880 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
255 |
245 |
$13K |
| 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) |
3,746 |
3,374 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
147 |
39 |
$13K |
| 96156 |
|
91 |
80 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
154 |
135 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,043 |
1,217 |
$10K |
| 99443 |
|
279 |
260 |
$10K |
| 99460 |
|
82 |
76 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
500 |
492 |
$6K |
| 90750 |
|
56 |
38 |
$6K |
| 99385 |
|
116 |
115 |
$5K |
| 90688 |
|
604 |
591 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
184 |
173 |
$4K |
| 99221 |
|
25 |
25 |
$4K |
| 99381 |
|
58 |
58 |
$4K |
| 96127 |
|
853 |
795 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
80 |
70 |
$4K |
| 90682 |
|
93 |
88 |
$3K |
| 90656 |
|
382 |
382 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
58 |
26 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
284 |
259 |
$2K |
| 81025 |
|
457 |
437 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
754 |
680 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
140 |
$1K |
| 99406 |
|
154 |
136 |
$1K |
| 99459 |
|
153 |
151 |
$1K |
| 90658 |
|
38 |
38 |
$919.32 |
| 90677 |
|
68 |
64 |
$914.62 |
| 90662 |
|
140 |
130 |
$792.85 |
| 99441 |
|
56 |
52 |
$680.24 |
| 96161 |
|
545 |
495 |
$648.48 |
| 90651 |
|
16 |
15 |
$595.53 |
| 90461 |
|
97 |
84 |
$585.00 |
| 92552 |
|
13 |
13 |
$583.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
38 |
$547.58 |
| 3008F |
|
1,211 |
1,148 |
$520.00 |
| 90619 |
|
15 |
14 |
$510.97 |
| 99307 |
|
25 |
23 |
$462.35 |
| 90674 |
|
18 |
17 |
$459.81 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$456.53 |
| 80305 |
|
53 |
50 |
$446.11 |
| 99173 |
|
220 |
190 |
$432.42 |
| 99462 |
|
25 |
20 |
$409.85 |
| 99310 |
Prolong nursin fac eval 15m |
13 |
12 |
$234.07 |
| 90707 |
|
14 |
12 |
$226.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
47 |
42 |
$136.65 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
102 |
95 |
$113.19 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
27 |
25 |
$110.97 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,112 |
1,090 |
$96.00 |
| 82962 |
|
135 |
121 |
$86.42 |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$56.00 |
| 90687 |
|
57 |
53 |
$37.66 |
| 99422 |
|
50 |
40 |
$15.28 |
| 92558 |
|
12 |
12 |
$8.14 |
| 90670 |
|
163 |
135 |
$1.00 |
| 90633 |
|
33 |
25 |
$1.00 |
| 90661 |
|
47 |
45 |
$0.04 |
| 1159F |
|
734 |
695 |
$0.00 |
| 1160F |
|
880 |
821 |
$0.00 |
| 0502F |
|
104 |
86 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 3078F |
|
382 |
368 |
$0.00 |
| 90648 |
|
31 |
27 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
258 |
251 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
151 |
146 |
$0.00 |
| 3074F |
|
439 |
420 |
$0.00 |
| 3075F |
|
33 |
33 |
$0.00 |
| 3044F |
|
79 |
74 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$0.00 |
| 3079F |
|
104 |
103 |
$0.00 |
| 90680 |
|
19 |
14 |
$0.00 |
| 2010F |
|
105 |
105 |
$0.00 |
| 90698 |
|
20 |
16 |
$0.00 |