| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,667 |
53,799 |
$1.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,528 |
40,325 |
$1.55M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17,597 |
5,440 |
$667K |
| 99223 |
Prolong inpt eval add15 m |
3,602 |
3,299 |
$329K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,637 |
5,581 |
$261K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
350 |
337 |
$258K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,149 |
3,118 |
$239K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,594 |
4,577 |
$238K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,322 |
2,931 |
$222K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,006 |
3,982 |
$216K |
| 99215 |
Prolong outpt/office vis |
3,102 |
2,833 |
$201K |
| 59426 |
|
336 |
307 |
$200K |
| 99233 |
Prolong inpt eval add15 m |
2,956 |
1,356 |
$163K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,921 |
3,773 |
$149K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,719 |
1,640 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,503 |
2,293 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,298 |
4,141 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,768 |
1,765 |
$63K |
| 99220 |
|
679 |
652 |
$61K |
| 99205 |
Prolong outpt/office vis |
590 |
582 |
$58K |
| 59430 |
|
336 |
334 |
$55K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,645 |
1,631 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,098 |
1,095 |
$47K |
| 99221 |
|
888 |
858 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,070 |
2,705 |
$40K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
288 |
103 |
$33K |
| 96160 |
|
680 |
674 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,599 |
3,569 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
586 |
580 |
$26K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,318 |
768 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,190 |
1,186 |
$22K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
659 |
379 |
$19K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
217 |
216 |
$17K |
| 90686 |
|
2,010 |
2,010 |
$16K |
| 99460 |
|
306 |
303 |
$16K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
633 |
555 |
$16K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,794 |
2,322 |
$11K |
| 90715 |
|
640 |
638 |
$10K |
| 81025 |
|
1,967 |
1,917 |
$10K |
| 99217 |
|
261 |
258 |
$9K |
| 59025 |
Fetal non-stress test |
374 |
221 |
$7K |
| 93000 |
|
1,464 |
1,452 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
558 |
553 |
$6K |
| 81003 |
|
3,080 |
3,032 |
$5K |
| 90670 |
|
852 |
851 |
$5K |
| 54150 |
|
90 |
90 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
344 |
330 |
$4K |
| 99496 |
|
28 |
26 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
106 |
105 |
$3K |
| 76820 |
|
228 |
147 |
$3K |
| 99495 |
|
43 |
43 |
$3K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
57 |
51 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
124 |
76 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
241 |
234 |
$3K |
| 99442 |
|
182 |
178 |
$2K |
| 99000 |
|
268 |
254 |
$2K |
| 94010 |
|
165 |
157 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
57 |
47 |
$2K |
| 76801 |
|
65 |
64 |
$2K |
| 58100 |
|
37 |
36 |
$2K |
| 99443 |
|
76 |
72 |
$2K |
| 99385 |
|
25 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
216 |
204 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
112 |
$1K |
| 99235 |
|
12 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
496 |
472 |
$977.40 |
| 81002 |
|
547 |
528 |
$895.63 |
| 99441 |
|
129 |
127 |
$872.20 |
| 99381 |
|
12 |
12 |
$796.33 |
| 99058 |
|
12 |
12 |
$780.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
490 |
464 |
$737.24 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
34 |
31 |
$727.44 |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
12 |
12 |
$502.74 |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
13 |
12 |
$471.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
42 |
$406.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
290 |
180 |
$325.36 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
134 |
124 |
$309.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$239.76 |
| 90632 |
|
12 |
12 |
$218.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
86 |
79 |
$188.26 |
| 86580 |
|
41 |
37 |
$176.53 |
| 76937 |
|
13 |
13 |
$108.03 |
| 90734 |
|
18 |
17 |
$104.13 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$79.32 |
| 90461 |
|
760 |
758 |
$0.00 |
| 0502F |
|
4,256 |
2,330 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
212 |
196 |
$0.00 |
| 90633 |
|
148 |
148 |
$0.00 |
| 3078F |
|
924 |
890 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
125 |
116 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
182 |
171 |
$0.00 |
| 3015F |
|
13 |
13 |
$0.00 |
| 90647 |
|
367 |
367 |
$0.00 |
| 3074F |
|
948 |
910 |
$0.00 |
| 3075F |
|
100 |
99 |
$0.00 |
| 3079F |
|
214 |
207 |
$0.00 |
| 90723 |
|
324 |
324 |
$0.00 |
| 90688 |
|
154 |
154 |
$0.00 |
| 3044F |
|
161 |
149 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 3017F |
|
15 |
14 |
$0.00 |
| 3048F |
|
38 |
38 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
14 |
$0.00 |
| 0500F |
|
16 |
15 |
$0.00 |