| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,477 |
54,187 |
$3.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,013 |
55,527 |
$2.62M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,346 |
7,617 |
$662K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,579 |
5,462 |
$491K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,651 |
821 |
$201K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,796 |
977 |
$174K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,393 |
1,271 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,239 |
1,223 |
$113K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
542 |
519 |
$105K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,892 |
1,830 |
$102K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,192 |
1,686 |
$97K |
| 87428 |
|
2,075 |
2,012 |
$66K |
| 93970 |
|
1,365 |
1,172 |
$63K |
| 90670 |
|
4,108 |
4,036 |
$60K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
800 |
754 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,021 |
3,934 |
$57K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
628 |
340 |
$53K |
| 90686 |
|
3,645 |
3,589 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
459 |
453 |
$44K |
| 92557 |
|
1,122 |
1,072 |
$40K |
| 90723 |
|
2,814 |
2,777 |
$40K |
| 90647 |
|
2,679 |
2,631 |
$38K |
| 99215 |
Prolong outpt/office vis |
622 |
571 |
$35K |
| 90680 |
|
2,317 |
2,292 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,121 |
1,088 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,545 |
1,457 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
508 |
460 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
861 |
848 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
716 |
266 |
$21K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
69 |
39 |
$18K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$17K |
| 90961 |
|
766 |
698 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
391 |
367 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
267 |
249 |
$15K |
| 90633 |
|
988 |
965 |
$15K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
99 |
95 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
714 |
640 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,207 |
991 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
92 |
89 |
$11K |
| 92550 |
|
840 |
801 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
592 |
571 |
$8K |
| 99205 |
Prolong outpt/office vis |
72 |
71 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
77 |
$7K |
| 99460 |
|
84 |
77 |
$7K |
| 95886 |
|
115 |
114 |
$7K |
| 95251 |
|
414 |
371 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
140 |
134 |
$6K |
| 51798 |
|
972 |
860 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
73 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
451 |
409 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
247 |
228 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
53 |
31 |
$4K |
| 17110 |
|
125 |
108 |
$4K |
| 90677 |
|
385 |
366 |
$4K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
186 |
183 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
39 |
25 |
$3K |
| 93971 |
|
52 |
46 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
530 |
473 |
$2K |
| 96127 |
|
188 |
178 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
84 |
80 |
$2K |
| 43999 |
|
269 |
219 |
$2K |
| 87807 |
|
173 |
156 |
$2K |
| 81003 |
|
1,499 |
1,318 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
524 |
491 |
$1K |
| 90656 |
|
127 |
114 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$1K |
| 90651 |
|
67 |
67 |
$997.57 |
| J3490 |
Unclassified drugs |
13 |
12 |
$972.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
14 |
$963.15 |
| 90962 |
|
61 |
56 |
$913.02 |
| 90696 |
|
55 |
55 |
$797.56 |
| 90710 |
|
52 |
52 |
$767.58 |
| 90715 |
|
45 |
45 |
$523.75 |
| 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) |
221 |
187 |
$498.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
26 |
$466.72 |
| 90734 |
|
41 |
41 |
$439.11 |
| 90700 |
|
36 |
36 |
$438.44 |
| 90707 |
|
38 |
38 |
$423.48 |
| 99358 |
Prolong nursin fac eval 15m |
77 |
71 |
$373.80 |
| 92552 |
|
26 |
25 |
$373.10 |
| 90716 |
|
25 |
25 |
$368.88 |
| 92567 |
|
30 |
29 |
$346.13 |
| 92570 |
|
26 |
25 |
$336.61 |
| 99221 |
|
15 |
14 |
$329.36 |
| 99406 |
|
38 |
35 |
$308.91 |
| 92555 |
|
26 |
25 |
$266.50 |
| 90649 |
|
12 |
12 |
$220.04 |
| 81025 |
|
14 |
14 |
$120.54 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
182 |
165 |
$120.18 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$108.99 |
| 95816 |
|
19 |
16 |
$85.20 |
| 87210 |
|
12 |
12 |
$40.74 |
| 90785 |
|
118 |
86 |
$27.16 |
| 90970 |
|
21 |
17 |
$16.32 |
| G0008 |
Administration of influenza virus vaccine |
26 |
24 |
$5.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47 |
46 |
$0.00 |