| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,483 |
23,511 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,584 |
23,334 |
$1.18M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,931 |
10,060 |
$426K |
| 59425 |
|
4,035 |
3,133 |
$313K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,012 |
3,679 |
$243K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,018 |
1,089 |
$153K |
| 59426 |
|
1,620 |
850 |
$123K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,305 |
4,017 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,914 |
1,693 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,326 |
3,048 |
$76K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,468 |
4,749 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
756 |
703 |
$58K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
925 |
811 |
$55K |
| 99215 |
Prolong outpt/office vis |
501 |
412 |
$48K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,335 |
625 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
530 |
488 |
$41K |
| 81002 |
|
10,922 |
7,616 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,170 |
990 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
399 |
358 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
388 |
299 |
$21K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,981 |
2,542 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
108 |
98 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
309 |
279 |
$12K |
| 59025 |
Fetal non-stress test |
488 |
232 |
$11K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,018 |
115 |
$10K |
| 81025 |
|
1,450 |
1,277 |
$9K |
| 11721 |
|
1,140 |
958 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
957 |
472 |
$6K |
| 99459 |
|
432 |
390 |
$5K |
| 90686 |
|
1,378 |
1,193 |
$4K |
| 20610 |
|
203 |
130 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
63 |
57 |
$4K |
| 90474 |
|
306 |
262 |
$4K |
| 96127 |
|
524 |
461 |
$3K |
| 80053 |
Comprehensive metabolic panel |
745 |
608 |
$2K |
| 59430 |
|
13 |
12 |
$2K |
| 90670 |
|
1,734 |
1,497 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,495 |
1,195 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
17 |
14 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
295 |
250 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
86 |
78 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
355 |
304 |
$1K |
| 96150 |
|
235 |
187 |
$1K |
| 73565 |
|
57 |
55 |
$999.34 |
| 99354 |
|
15 |
13 |
$860.00 |
| 0002A |
|
105 |
74 |
$790.71 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
14 |
$770.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
14 |
$637.95 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
32 |
27 |
$594.20 |
| 90785 |
|
72 |
31 |
$546.70 |
| 0004A |
|
53 |
40 |
$529.31 |
| 73110 |
|
26 |
15 |
$519.61 |
| 92551 |
|
95 |
83 |
$515.57 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
150 |
136 |
$447.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
25 |
$445.28 |
| 95886 |
|
15 |
14 |
$324.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
190 |
165 |
$313.35 |
| 96160 |
|
155 |
121 |
$312.54 |
| 90715 |
|
75 |
55 |
$245.70 |
| 90723 |
|
1,409 |
1,222 |
$237.17 |
| 0124A |
|
128 |
112 |
$227.60 |
| 0003A |
|
89 |
80 |
$223.26 |
| 0001A |
|
61 |
43 |
$187.91 |
| 90651 |
|
16 |
16 |
$170.45 |
| 80305 |
|
17 |
16 |
$154.83 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
12 |
$134.68 |
| 36416 |
|
45 |
43 |
$130.90 |
| 90734 |
|
153 |
120 |
$76.93 |
| 85027 |
|
15 |
15 |
$56.09 |
| 51798 |
|
13 |
12 |
$51.41 |
| 99000 |
|
28 |
25 |
$45.71 |
| 98968 |
|
230 |
103 |
$43.33 |
| 90656 |
|
61 |
60 |
$39.87 |
| 99173 |
|
34 |
29 |
$39.69 |
| 90648 |
|
1,856 |
1,622 |
$33.82 |
| 85018 |
|
12 |
12 |
$24.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
33 |
28 |
$7.55 |
| 98967 |
|
20 |
15 |
$3.95 |
| 90677 |
|
245 |
220 |
$0.11 |
| 90633 |
|
534 |
458 |
$0.11 |
| 90681 |
|
223 |
185 |
$0.09 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
4,814 |
3,965 |
$0.00 |
| 90480 |
|
126 |
117 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
256 |
252 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 3008F |
|
17 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 1034F |
|
15 |
14 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 0503F |
|
13 |
12 |
$0.00 |
| 3078F |
|
55 |
52 |
$0.00 |
| 0502F |
|
2,100 |
1,404 |
$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) |
13 |
12 |
$0.00 |
| 90662 |
|
234 |
229 |
$0.00 |
| 99051 |
|
350 |
305 |
$0.00 |
| 91320 |
|
126 |
117 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
39 |
$0.00 |
| 4145F |
|
65 |
57 |
$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 |
27 |
26 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 3077F |
|
91 |
81 |
$0.00 |
| 3015F |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$0.00 |
| 0054A |
|
57 |
52 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
48 |
15 |
$0.00 |
| 90710 |
|
15 |
13 |
$0.00 |