| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77,803 |
68,674 |
$2.68M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,803 |
73,328 |
$2.15M |
| 90834 |
Psychotherapy, 45 minutes with patient |
17,180 |
11,353 |
$549K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
11,829 |
4,073 |
$440K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
14,352 |
5,567 |
$425K |
| 99000 |
|
70,773 |
61,061 |
$239K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,873 |
4,238 |
$183K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
28,207 |
23,032 |
$168K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,785 |
1,626 |
$129K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,486 |
3,863 |
$121K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,446 |
1,242 |
$112K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,930 |
1,620 |
$111K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
4,236 |
1,439 |
$99K |
| 99215 |
Prolong outpt/office vis |
2,011 |
1,801 |
$84K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,867 |
2,345 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
819 |
750 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,906 |
1,729 |
$50K |
| 90686 |
|
6,137 |
5,586 |
$46K |
| 80305 |
|
5,590 |
2,810 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
766 |
707 |
$41K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,392 |
1,089 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,783 |
3,429 |
$37K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,371 |
738 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,193 |
1,998 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
411 |
395 |
$24K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
607 |
572 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
340 |
289 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
1,637 |
1,495 |
$17K |
| 11721 |
|
1,403 |
1,335 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
348 |
306 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
476 |
445 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
36,623 |
32,080 |
$14K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
175 |
163 |
$12K |
| 0001A |
|
339 |
323 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
192 |
$11K |
| 0002A |
|
307 |
301 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
571 |
244 |
$10K |
| 90839 |
|
171 |
158 |
$10K |
| 97535 |
Self-care/home management training, each 15 minutes |
770 |
291 |
$10K |
| 99442 |
|
628 |
499 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
140 |
128 |
$8K |
| 0011A |
|
184 |
175 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
335 |
274 |
$6K |
| 0012A |
|
173 |
162 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
198 |
73 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
194 |
167 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
78 |
66 |
$4K |
| 0071A |
|
166 |
113 |
$4K |
| 0072A |
|
144 |
108 |
$4K |
| 99242 |
|
86 |
79 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
98 |
92 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
102 |
92 |
$3K |
| 0064A |
|
93 |
75 |
$3K |
| 76801 |
|
55 |
51 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
57 |
24 |
$2K |
| 90656 |
|
126 |
125 |
$2K |
| 0004A |
|
70 |
64 |
$2K |
| 76813 |
|
53 |
49 |
$2K |
| 99243 |
|
30 |
29 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16 |
16 |
$2K |
| 64615 |
|
12 |
12 |
$2K |
| 0054A |
|
52 |
38 |
$1K |
| 76820 |
|
61 |
24 |
$1K |
| 0031A |
|
48 |
43 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
18 |
13 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
37 |
26 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,862 |
2,685 |
$934.02 |
| 96139 |
|
13 |
12 |
$900.32 |
| 98968 |
|
59 |
28 |
$845.47 |
| 92504 |
|
61 |
50 |
$830.88 |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$768.60 |
| 73630 |
|
45 |
40 |
$701.35 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
16 |
16 |
$590.10 |
| 95886 |
|
12 |
12 |
$579.83 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
42 |
24 |
$559.48 |
| 0052A |
|
30 |
15 |
$534.24 |
| 95251 |
|
57 |
53 |
$468.25 |
| 99441 |
|
68 |
54 |
$467.97 |
| 99443 |
|
16 |
12 |
$435.08 |
| 17110 |
|
26 |
26 |
$383.40 |
| 90670 |
|
60 |
60 |
$338.98 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
12 |
12 |
$324.87 |
| 93793 |
|
62 |
38 |
$247.71 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
30 |
12 |
$206.20 |
| 98967 |
|
16 |
13 |
$182.75 |
| 90698 |
|
12 |
12 |
$180.00 |
| 90633 |
|
63 |
55 |
$178.84 |
| 74018 |
|
13 |
13 |
$173.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,103 |
2,799 |
$170.01 |
| 96138 |
|
13 |
12 |
$149.57 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$135.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
13 |
$93.83 |
| 95117 |
|
21 |
12 |
$74.25 |
| 90672 |
|
19 |
19 |
$60.18 |
| 90685 |
|
15 |
14 |
$49.65 |
| 90651 |
|
13 |
12 |
$39.72 |
| 81003 |
|
14 |
12 |
$10.66 |
| 91300 |
|
868 |
815 |
$1.96 |
| 91301 |
|
395 |
375 |
$0.82 |
| 91307 |
|
313 |
211 |
$0.22 |
| 91305 |
|
132 |
85 |
$0.10 |
| 91306 |
|
93 |
75 |
$0.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
41 |
$0.00 |
| 90461 |
|
174 |
171 |
$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) |
12 |
12 |
$0.00 |
| 91303 |
|
47 |
42 |
$0.00 |