| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,298 |
13,131 |
$680K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,110 |
6,279 |
$431K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,440 |
2,909 |
$137K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,609 |
2,205 |
$112K |
| 99223 |
Prolong inpt eval add15 m |
2,017 |
1,711 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,431 |
1,261 |
$88K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
928 |
418 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,254 |
1,113 |
$72K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,384 |
1,973 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
443 |
379 |
$45K |
| 99233 |
Prolong inpt eval add15 m |
2,162 |
786 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
991 |
840 |
$43K |
| 93000 |
|
3,613 |
3,032 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,183 |
1,779 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
425 |
388 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,858 |
2,289 |
$31K |
| 99222 |
Initial hospital care, per day, moderate complexity |
457 |
369 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
255 |
239 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
562 |
383 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,065 |
686 |
$7K |
| 90677 |
|
809 |
734 |
$6K |
| 99242 |
|
118 |
80 |
$5K |
| 90697 |
|
684 |
624 |
$5K |
| 87807 |
|
581 |
449 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,358 |
802 |
$5K |
| 99251 |
|
227 |
146 |
$4K |
| 90680 |
|
586 |
533 |
$4K |
| 90686 |
|
543 |
506 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
142 |
$4K |
| 99215 |
Prolong outpt/office vis |
51 |
26 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
89 |
75 |
$2K |
| 69210 |
|
129 |
44 |
$2K |
| 69421 |
|
26 |
14 |
$2K |
| 99460 |
|
38 |
37 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
403 |
225 |
$2K |
| 99381 |
|
25 |
25 |
$2K |
| 90633 |
|
185 |
182 |
$1K |
| 90710 |
|
180 |
166 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
134 |
114 |
$1K |
| 99173 |
|
524 |
423 |
$1K |
| 92551 |
|
511 |
382 |
$1K |
| 31575 |
|
39 |
32 |
$1K |
| 90670 |
|
133 |
131 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 99254 |
|
12 |
12 |
$1K |
| 99252 |
|
34 |
19 |
$660.00 |
| 93296 |
|
90 |
63 |
$607.41 |
| 94010 |
|
37 |
32 |
$566.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
15 |
$527.00 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
12 |
$445.52 |
| 94729 |
|
23 |
20 |
$441.64 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
40 |
26 |
$372.09 |
| 94727 |
|
23 |
20 |
$360.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
38 |
$336.00 |
| 81003 |
|
399 |
288 |
$306.00 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$293.55 |
| 92557 |
|
14 |
12 |
$264.25 |
| 90651 |
|
28 |
28 |
$224.00 |
| 90696 |
|
36 |
26 |
$192.00 |
| 90619 |
|
48 |
25 |
$184.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
95 |
79 |
$181.16 |
| 93018 |
|
14 |
12 |
$156.57 |
| 90656 |
|
17 |
16 |
$120.00 |
| 90698 |
|
16 |
15 |
$120.00 |
| 82948 |
|
57 |
39 |
$112.00 |
| 90707 |
|
16 |
15 |
$112.00 |
| 90716 |
|
14 |
14 |
$112.00 |
| 36416 |
|
55 |
51 |
$102.00 |
| 90648 |
|
14 |
12 |
$96.00 |
| 90744 |
|
23 |
13 |
$96.00 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
51 |
$62.40 |
| 95819 |
|
16 |
14 |
$43.00 |
| 82570 |
|
18 |
14 |
$36.00 |
| 81002 |
|
24 |
13 |
$33.00 |
| 82044 |
|
18 |
14 |
$18.00 |
| 3078F |
|
5,773 |
4,970 |
$0.00 |
| 1160F |
|
17,534 |
14,637 |
$0.00 |
| 1159F |
|
17,525 |
14,632 |
$0.00 |
| 90461 |
|
48 |
43 |
$0.00 |
| 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) |
60 |
46 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
15 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
21 |
21 |
$0.00 |
| 81025 |
|
29 |
28 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 99442 |
|
19 |
15 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
21 |
21 |
$0.00 |
| 3008F |
|
16,031 |
13,480 |
$0.00 |
| 1036F |
|
2,650 |
2,277 |
$0.00 |
| 1125F |
|
802 |
696 |
$0.00 |
| 3074F |
|
6,703 |
5,750 |
$0.00 |
| 1126F |
|
1,143 |
990 |
$0.00 |
| 3079F |
|
847 |
752 |
$0.00 |
| 4010F |
|
478 |
424 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 1034F |
|
72 |
55 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
29 |
25 |
$0.00 |
| 3075F |
|
185 |
155 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
13 |
$0.00 |