| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134,954 |
124,601 |
$7.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,930 |
45,086 |
$1.77M |
| 99215 |
Prolong outpt/office vis |
2,006 |
1,816 |
$120K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,527 |
1,426 |
$116K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,136 |
1,094 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,915 |
3,489 |
$53K |
| 90686 |
|
3,130 |
2,830 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,553 |
1,519 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
483 |
435 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,213 |
645 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,769 |
1,328 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
446 |
390 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
307 |
292 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
531 |
277 |
$18K |
| 90677 |
|
72 |
64 |
$15K |
| 90673 |
|
341 |
317 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
205 |
183 |
$11K |
| 99384 |
|
128 |
125 |
$9K |
| 99205 |
Prolong outpt/office vis |
100 |
91 |
$9K |
| 90715 |
|
244 |
189 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,345 |
3,090 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
177 |
168 |
$8K |
| 90662 |
|
151 |
151 |
$6K |
| 97802 |
|
83 |
78 |
$5K |
| 90682 |
|
104 |
103 |
$5K |
| 0012A |
|
130 |
128 |
$5K |
| 0011A |
|
130 |
128 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
671 |
641 |
$3K |
| 90694 |
|
77 |
73 |
$3K |
| 99254 |
|
48 |
45 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,750 |
1,313 |
$3K |
| 99397 |
|
37 |
37 |
$3K |
| 96127 |
|
606 |
434 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
28 |
27 |
$2K |
| 90656 |
|
124 |
123 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
27 |
26 |
$2K |
| 91320 |
|
15 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
60 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
111 |
102 |
$1K |
| 99406 |
|
104 |
87 |
$627.26 |
| 20610 |
|
13 |
13 |
$522.84 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$495.61 |
| 90480 |
|
15 |
14 |
$458.94 |
| 0001A |
|
12 |
12 |
$449.25 |
| 97803 |
|
14 |
14 |
$376.32 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20 |
12 |
$336.04 |
| 99401 |
|
16 |
16 |
$295.82 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
28 |
$246.63 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
34 |
34 |
$197.03 |
| 81003 |
|
108 |
101 |
$156.80 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
54 |
50 |
$120.16 |
| 36416 |
|
72 |
68 |
$102.52 |
| 90698 |
|
143 |
119 |
$95.33 |
| 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) |
25 |
24 |
$36.99 |
| 90670 |
|
137 |
107 |
$30.00 |
| G0008 |
Administration of influenza virus vaccine |
118 |
115 |
$19.30 |
| 82962 |
|
13 |
13 |
$17.84 |
| 90680 |
|
14 |
12 |
$10.00 |
| 1036F |
|
1,467 |
1,292 |
$0.00 |
| 3008F |
|
211 |
199 |
$0.00 |
| 1034F |
|
147 |
140 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |