| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,998 |
21,904 |
$1.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,093 |
19,505 |
$1.06M |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,898 |
1,721 |
$146K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
363 |
342 |
$24K |
| 99215 |
Prolong outpt/office vis |
268 |
209 |
$18K |
| 3074F |
|
4,259 |
3,795 |
$17K |
| 3078F |
|
3,693 |
3,264 |
$14K |
| 1159F |
|
11,058 |
9,963 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
129 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
353 |
320 |
$12K |
| 99000 |
|
11,503 |
10,163 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
6,972 |
6,109 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
202 |
194 |
$10K |
| 90686 |
|
565 |
543 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
174 |
70 |
$6K |
| 99442 |
|
157 |
121 |
$3K |
| 99443 |
|
73 |
66 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
28 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
101 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
27 |
27 |
$3K |
| 20610 |
|
66 |
52 |
$2K |
| 62323 |
|
12 |
12 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
72 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
51 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
321 |
302 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
29 |
27 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
41 |
40 |
$1K |
| 1125F |
|
950 |
869 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
15 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
201 |
186 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
14 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$1K |
| 3079F |
|
270 |
243 |
$1K |
| 92551 |
|
86 |
84 |
$779.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
45 |
$635.95 |
| 95806 |
|
18 |
17 |
$581.89 |
| 73630 |
|
30 |
26 |
$571.93 |
| 95816 |
|
14 |
14 |
$461.90 |
| 90688 |
|
50 |
44 |
$449.42 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
290 |
251 |
$391.68 |
| 3075F |
|
117 |
106 |
$375.00 |
| 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) |
45 |
39 |
$341.94 |
| 83037 |
|
80 |
76 |
$315.19 |
| 99441 |
|
17 |
13 |
$240.48 |
| 96127 |
|
28 |
26 |
$145.61 |
| 99173 |
|
61 |
60 |
$132.91 |
| 1126F |
|
61 |
55 |
$75.00 |
| 81025 |
|
12 |
12 |
$67.91 |
| J3490 |
Unclassified drugs |
249 |
233 |
$40.45 |
| 36416 |
|
66 |
61 |
$24.04 |
| 94760 |
|
12 |
12 |
$4.16 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |
| 1160F |
|
196 |
177 |
$0.00 |
| 90653 |
|
18 |
14 |
$0.00 |