| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,106 |
37,052 |
$1.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,521 |
19,819 |
$1.47M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,246 |
11,315 |
$720K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,481 |
23,681 |
$708K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,090 |
9,723 |
$678K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
3,215 |
283 |
$637K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,704 |
6,473 |
$444K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27,522 |
25,504 |
$365K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,205 |
3,999 |
$299K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18,057 |
17,152 |
$271K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
837 |
658 |
$260K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,225 |
3,069 |
$258K |
| 99468 |
|
235 |
176 |
$124K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,532 |
2,281 |
$122K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,659 |
3,426 |
$119K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,048 |
1,879 |
$89K |
| 87634 |
|
1,131 |
1,006 |
$64K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
940 |
741 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,049 |
5,331 |
$36K |
| 99460 |
|
822 |
725 |
$33K |
| 90474 |
|
3,887 |
3,603 |
$32K |
| 99215 |
Prolong outpt/office vis |
330 |
275 |
$28K |
| 87486 |
|
916 |
740 |
$25K |
| 87581 |
|
909 |
739 |
$25K |
| 92551 |
|
2,987 |
2,894 |
$23K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
291 |
275 |
$19K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
45 |
41 |
$17K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,492 |
1,312 |
$13K |
| 94664 |
|
1,545 |
1,299 |
$13K |
| 69210 |
|
532 |
407 |
$13K |
| 99173 |
|
5,427 |
5,107 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
698 |
658 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
92 |
$6K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
77 |
14 |
$5K |
| 99462 |
|
221 |
170 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
393 |
380 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
112 |
109 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
40 |
28 |
$3K |
| 86769 |
|
110 |
36 |
$2K |
| 0072A |
|
64 |
58 |
$2K |
| 0071A |
|
43 |
38 |
$2K |
| 99188 |
|
93 |
84 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16 |
15 |
$1K |
| 94760 |
|
2,086 |
1,649 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
16 |
12 |
$974.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
402 |
393 |
$459.54 |
| 87807 |
|
33 |
31 |
$411.06 |
| 36416 |
|
64 |
36 |
$40.48 |
| 90633 |
|
4,668 |
4,401 |
$8.34 |
| 90651 |
|
2,608 |
2,394 |
$3.22 |
| 90677 |
|
1,046 |
1,002 |
$1.96 |
| 90647 |
|
802 |
771 |
$0.89 |
| 90686 |
|
4,464 |
4,181 |
$0.02 |
| 90716 |
|
1,023 |
943 |
$0.01 |
| 90707 |
|
1,019 |
935 |
$0.01 |
| 90723 |
|
7,147 |
6,634 |
$0.00 |
| 90696 |
|
889 |
815 |
$0.00 |
| 91307 |
|
194 |
162 |
$0.00 |
| 90620 |
|
826 |
748 |
$0.00 |
| 90734 |
|
2,424 |
2,201 |
$0.00 |
| 90710 |
|
941 |
864 |
$0.00 |
| 90685 |
|
1,772 |
1,681 |
$0.00 |
| 90681 |
|
3,889 |
3,611 |
$0.00 |
| 90670 |
|
8,281 |
7,658 |
$0.00 |
| 90648 |
|
6,470 |
5,967 |
$0.00 |
| 90700 |
|
1,400 |
1,296 |
$0.00 |
| 90715 |
|
573 |
519 |
$0.00 |
| 91300 |
|
16 |
13 |
$0.00 |