| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,835 |
49,126 |
$3.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,097 |
28,156 |
$2.98M |
| 99215 |
Prolong outpt/office vis |
6,473 |
5,153 |
$725K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,019 |
4,662 |
$548K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,185 |
3,251 |
$485K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,906 |
3,412 |
$420K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,942 |
12,995 |
$416K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,118 |
3,801 |
$409K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,942 |
1,759 |
$349K |
| 76818 |
|
2,354 |
1,399 |
$307K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,438 |
2,102 |
$243K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
1,519 |
294 |
$219K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,116 |
3,602 |
$172K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,438 |
2,885 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,311 |
1,048 |
$138K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
862 |
188 |
$124K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,997 |
1,539 |
$112K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,428 |
683 |
$103K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,812 |
1,731 |
$101K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,178 |
779 |
$97K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,186 |
1,033 |
$95K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,219 |
2,803 |
$75K |
| 76820 |
|
1,499 |
850 |
$75K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,401 |
2,010 |
$68K |
| 90670 |
|
4,101 |
2,731 |
$61K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,203 |
8,692 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,432 |
4,198 |
$48K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
360 |
242 |
$46K |
| 99442 |
|
697 |
683 |
$40K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,479 |
1,696 |
$39K |
| 99205 |
Prolong outpt/office vis |
256 |
215 |
$38K |
| 90686 |
|
8,165 |
6,043 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,006 |
1,438 |
$25K |
| 90461 |
|
2,059 |
1,518 |
$23K |
| 99152 |
|
2,737 |
2,138 |
$22K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
52 |
12 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
108 |
$20K |
| 95886 |
|
200 |
122 |
$17K |
| 20553 |
|
420 |
366 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,546 |
783 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
118 |
112 |
$15K |
| 76825 |
|
56 |
52 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,417 |
743 |
$11K |
| 76821 |
|
94 |
56 |
$9K |
| 59025 |
Fetal non-stress test |
328 |
157 |
$9K |
| 90651 |
|
166 |
122 |
$9K |
| 90698 |
|
1,712 |
1,032 |
$9K |
| 99443 |
|
92 |
88 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
531 |
437 |
$7K |
| 90680 |
|
1,667 |
1,080 |
$7K |
| 96112 |
|
55 |
50 |
$7K |
| 62323 |
|
86 |
80 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
638 |
481 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
66 |
36 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
94 |
65 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
83 |
80 |
$5K |
| 90734 |
|
129 |
79 |
$4K |
| 90723 |
|
534 |
427 |
$4K |
| 99460 |
|
53 |
44 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
295 |
253 |
$4K |
| 93350 |
|
64 |
64 |
$4K |
| 90710 |
|
75 |
56 |
$4K |
| 76942 |
|
475 |
424 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
251 |
165 |
$4K |
| 95251 |
|
118 |
89 |
$3K |
| 90633 |
|
835 |
566 |
$3K |
| 97802 |
|
121 |
112 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
31 |
26 |
$3K |
| 94060 |
|
254 |
235 |
$3K |
| 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) |
134 |
116 |
$3K |
| 99201 |
|
75 |
60 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$3K |
| 99335 |
|
192 |
112 |
$2K |
| 76827 |
|
28 |
28 |
$2K |
| 93018 |
|
163 |
157 |
$2K |
| 90647 |
|
571 |
426 |
$2K |
| 93000 |
|
92 |
90 |
$2K |
| 93352 |
|
50 |
50 |
$2K |
| 93325 |
|
81 |
65 |
$2K |
| 99307 |
|
196 |
165 |
$1K |
| 64483 |
|
13 |
13 |
$1K |
| 96111 |
|
13 |
12 |
$1K |
| 99334 |
|
83 |
67 |
$1K |
| 62321 |
|
12 |
12 |
$1K |
| 85610 |
|
536 |
270 |
$1K |
| 95874 |
|
61 |
51 |
$1K |
| 90685 |
|
102 |
82 |
$993.03 |
| 81002 |
|
405 |
335 |
$990.34 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
12 |
$965.04 |
| 90696 |
|
60 |
40 |
$747.43 |
| 90677 |
|
26 |
13 |
$731.08 |
| 90480 |
|
43 |
24 |
$730.51 |
| 90716 |
|
16 |
16 |
$684.06 |
| 99462 |
|
17 |
12 |
$618.12 |
| 90715 |
|
67 |
36 |
$602.30 |
| 90744 |
|
483 |
257 |
$572.00 |
| 94729 |
|
55 |
50 |
$560.32 |
| 90707 |
|
18 |
18 |
$522.40 |
| 64643 |
|
16 |
12 |
$469.24 |
| 99336 |
|
16 |
13 |
$283.40 |
| 94726 |
|
28 |
24 |
$262.50 |
| 97803 |
|
13 |
12 |
$164.80 |
| 85018 |
|
53 |
40 |
$117.69 |
| 90700 |
|
35 |
24 |
$105.60 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$98.93 |
| 81003 |
|
38 |
38 |
$81.17 |
| 88720 |
|
13 |
13 |
$69.08 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
13 |
$42.55 |
| 81000 |
|
14 |
12 |
$37.08 |
| 36416 |
|
386 |
217 |
$21.09 |
| 90648 |
|
18 |
12 |
$10.59 |
| 90649 |
|
86 |
56 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |
| 99242 |
|
17 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
30 |
30 |
$0.00 |
| 90656 |
|
51 |
49 |
$0.00 |
| 94760 |
|
307 |
202 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
282 |
143 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
41 |
25 |
$0.00 |