| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,252 |
67,427 |
$4.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,447 |
26,172 |
$2.04M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17,977 |
6,018 |
$1.01M |
| 99233 |
Prolong inpt eval add15 m |
10,869 |
4,433 |
$739K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
10,299 |
3,069 |
$712K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,051 |
9,034 |
$692K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,648 |
9,107 |
$659K |
| 99215 |
Prolong outpt/office vis |
6,542 |
6,293 |
$631K |
| 99223 |
Prolong inpt eval add15 m |
5,278 |
4,902 |
$556K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,744 |
5,738 |
$441K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,774 |
15,654 |
$349K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,787 |
3,758 |
$348K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,437 |
5,381 |
$331K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,350 |
3,346 |
$281K |
| 99205 |
Prolong outpt/office vis |
1,998 |
1,994 |
$234K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,752 |
2,611 |
$219K |
| 99381 |
|
2,180 |
2,139 |
$184K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,360 |
2,302 |
$181K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,613 |
3,470 |
$179K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,355 |
5,011 |
$163K |
| 90791 |
Psychiatric diagnostic evaluation |
1,256 |
1,246 |
$142K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,630 |
1,618 |
$137K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,728 |
12,610 |
$119K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,528 |
934 |
$113K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
980 |
975 |
$90K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,310 |
5,241 |
$78K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
90 |
90 |
$66K |
| 99221 |
|
894 |
858 |
$63K |
| 90651 |
|
2,530 |
2,519 |
$54K |
| 90686 |
|
9,820 |
9,793 |
$54K |
| 36415 |
Collection of venous blood by venipuncture |
17,891 |
17,144 |
$53K |
| 90750 |
|
313 |
312 |
$44K |
| 90677 |
|
1,005 |
1,002 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,230 |
4,212 |
$43K |
| 99385 |
|
434 |
432 |
$42K |
| 92551 |
|
6,512 |
6,497 |
$42K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,442 |
1,426 |
$39K |
| 99442 |
|
865 |
816 |
$38K |
| 99219 |
|
529 |
518 |
$37K |
| 96137 |
|
361 |
334 |
$36K |
| 80061 |
Lipid panel |
3,409 |
3,363 |
$35K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,036 |
4,985 |
$34K |
| 90715 |
|
2,096 |
2,087 |
$32K |
| 94010 |
|
1,959 |
1,843 |
$32K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
994 |
921 |
$30K |
| 80053 |
Comprehensive metabolic panel |
3,237 |
3,168 |
$28K |
| 90834 |
Psychotherapy, 45 minutes with patient |
507 |
435 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,257 |
4,175 |
$27K |
| 90670 |
|
6,121 |
6,084 |
$24K |
| 90620 |
|
1,205 |
1,195 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
575 |
521 |
$22K |
| 96127 |
|
6,397 |
6,292 |
$22K |
| 96131 |
|
97 |
96 |
$22K |
| 91322 |
|
227 |
227 |
$21K |
| 99443 |
|
365 |
356 |
$21K |
| 99460 |
|
379 |
379 |
$20K |
| 83655 |
|
2,012 |
2,002 |
$20K |
| 96156 |
|
458 |
457 |
$20K |
| 96101 |
|
138 |
120 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,340 |
2,167 |
$19K |
| 81025 |
|
2,898 |
2,805 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,024 |
1,015 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
245 |
245 |
$15K |
| 99383 |
|
159 |
159 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,164 |
1,145 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
133 |
131 |
$13K |
| 95251 |
|
647 |
645 |
$13K |
| 99441 |
|
733 |
712 |
$12K |
| 76830 |
Ultrasound, transvaginal |
171 |
171 |
$12K |
| 90480 |
|
354 |
354 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
219 |
219 |
$12K |
| 72082 |
|
299 |
297 |
$11K |
| 96136 |
|
503 |
473 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
285 |
281 |
$10K |
| 81002 |
|
3,987 |
3,322 |
$9K |
| 99217 |
|
228 |
224 |
$8K |
| 96161 |
|
4,398 |
4,107 |
$8K |
| 96150 |
|
1,079 |
1,065 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,011 |
982 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
138 |
126 |
$7K |
| 96130 |
|
114 |
111 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
166 |
166 |
$6K |
| 99220 |
|
66 |
64 |
$6K |
| 81003 |
|
3,364 |
2,950 |
$6K |
| 85018 |
|
2,967 |
2,950 |
$6K |
| 90656 |
|
772 |
753 |
$6K |
| 99406 |
|
753 |
735 |
$5K |
| 73523 |
|
148 |
147 |
$5K |
| 90707 |
|
1,787 |
1,785 |
$5K |
| 90836 |
|
134 |
117 |
$5K |
| 36416 |
|
1,877 |
1,789 |
$5K |
| S0316 |
Disease management program, follow-up/reassessment |
1,110 |
1,070 |
$5K |
| 90682 |
|
83 |
83 |
$5K |
| 90734 |
|
1,938 |
1,931 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
328 |
321 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
96 |
96 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
62 |
59 |
$4K |
| 90732 |
|
37 |
37 |
$4K |
| 98926 |
|
137 |
134 |
$4K |
| 94664 |
|
462 |
458 |
$4K |
| 93000 |
|
421 |
416 |
$3K |
| 90474 |
|
712 |
707 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
47 |
47 |
$3K |
| 90716 |
|
1,743 |
1,739 |
$3K |
| 77072 |
|
255 |
255 |
$3K |
| 95012 |
|
286 |
273 |
$3K |
| 0071A |
|
78 |
78 |
$3K |
| 99386 |
|
25 |
24 |
$3K |
| 81000 |
|
791 |
777 |
$2K |
| 99382 |
|
28 |
28 |
$2K |
| 99384 |
|
24 |
24 |
$2K |
| 99459 |
|
157 |
151 |
$2K |
| 82962 |
|
741 |
691 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
40 |
$2K |
| 17110 |
|
26 |
24 |
$2K |
| 0072A |
|
42 |
42 |
$2K |
| 73521 |
|
79 |
77 |
$2K |
| 85027 |
|
267 |
264 |
$2K |
| 99462 |
|
55 |
42 |
$1K |
| 76801 |
|
18 |
14 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$1K |
| 95782 |
|
13 |
13 |
$932.23 |
| 94060 |
|
49 |
49 |
$899.94 |
| 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) |
1,532 |
1,369 |
$875.40 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$824.88 |
| 96380 |
|
35 |
35 |
$772.67 |
| 73630 |
|
40 |
36 |
$744.04 |
| 96160 |
|
552 |
538 |
$711.34 |
| S0317 |
Disease management program; per diem |
286 |
281 |
$700.00 |
| 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 |
84 |
84 |
$658.98 |
| 87210 |
|
110 |
107 |
$487.37 |
| 92552 |
|
23 |
23 |
$410.09 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$409.56 |
| 77073 |
|
12 |
12 |
$322.22 |
| 95800 |
|
12 |
12 |
$278.85 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$268.07 |
| 73090 |
|
15 |
12 |
$229.03 |
| 73030 |
|
12 |
12 |
$189.20 |
| 99188 |
|
26 |
26 |
$160.49 |
| 85651 |
|
42 |
41 |
$129.30 |
| 90662 |
|
12 |
12 |
$83.49 |
| 90461 |
|
8,480 |
8,441 |
$15.99 |
| 99173 |
|
4,873 |
4,857 |
$6.93 |
| 90681 |
|
3,313 |
3,290 |
$0.00 |
| 90710 |
|
1,502 |
1,500 |
$0.00 |
| 3078F |
|
5,811 |
5,255 |
$0.00 |
| 90700 |
|
1,631 |
1,624 |
$0.00 |
| 90685 |
|
1,517 |
1,507 |
$0.00 |
| 90633 |
|
3,410 |
3,405 |
$0.00 |
| 91321 |
|
101 |
101 |
$0.00 |
| 3077F |
|
786 |
722 |
$0.00 |
| 90687 |
|
83 |
81 |
$0.00 |
| 90723 |
|
3,265 |
3,237 |
$0.00 |
| 90647 |
|
3,774 |
3,748 |
$0.00 |
| 90696 |
|
1,437 |
1,435 |
$0.00 |
| 90697 |
|
2,082 |
2,077 |
$0.00 |
| 3074F |
|
6,604 |
5,909 |
$0.00 |
| 3075F |
|
870 |
843 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
102 |
102 |
$0.00 |
| 90688 |
|
199 |
198 |
$0.00 |
| 3080F |
|
544 |
508 |
$0.00 |
| 3079F |
|
1,892 |
1,766 |
$0.00 |
| 99368 |
|
14 |
14 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |