| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69,323 |
61,076 |
$2.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,583 |
29,934 |
$459K |
| 99215 |
Prolong outpt/office vis |
4,945 |
4,290 |
$266K |
| 59425 |
|
2,448 |
1,711 |
$163K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,466 |
2,038 |
$150K |
| 99233 |
Prolong inpt eval add15 m |
2,907 |
1,342 |
$140K |
| 99497 |
|
1,803 |
1,559 |
$138K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,138 |
863 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,097 |
2,089 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,829 |
1,805 |
$62K |
| 87428 |
|
427 |
420 |
$34K |
| 90686 |
|
2,049 |
2,044 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
255 |
244 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,172 |
1,083 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
322 |
319 |
$19K |
| 90670 |
|
1,618 |
1,609 |
$17K |
| 99255 |
|
159 |
157 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
300 |
$15K |
| 0011A |
|
331 |
331 |
$12K |
| 90723 |
|
1,146 |
1,131 |
$11K |
| 0012A |
|
272 |
272 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
335 |
322 |
$10K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
365 |
320 |
$10K |
| 90648 |
|
943 |
925 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
42 |
40 |
$8K |
| 90694 |
|
119 |
118 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
230 |
230 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
144 |
142 |
$6K |
| 99443 |
|
77 |
71 |
$6K |
| 95816 |
|
154 |
146 |
$6K |
| 99306 |
Prolong nursin fac eval 15m |
146 |
136 |
$5K |
| 90647 |
|
576 |
573 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
122 |
121 |
$5K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
28 |
13 |
$4K |
| 93000 |
|
273 |
271 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
830 |
760 |
$4K |
| 0001A |
|
95 |
95 |
$4K |
| 0002A |
|
92 |
92 |
$4K |
| 90681 |
|
359 |
354 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
341 |
337 |
$4K |
| 99407 |
|
160 |
129 |
$3K |
| 92551 |
|
904 |
901 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
314 |
313 |
$3K |
| 90633 |
|
276 |
276 |
$3K |
| 96127 |
|
373 |
360 |
$2K |
| 99199 |
Unlisted special service, procedure or report |
25 |
25 |
$2K |
| 90680 |
|
212 |
204 |
$2K |
| 87807 |
|
148 |
147 |
$2K |
| 81002 |
|
739 |
552 |
$2K |
| 90677 |
|
53 |
48 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
103 |
103 |
$939.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
38 |
$911.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
594 |
589 |
$893.71 |
| 81003 |
|
392 |
308 |
$879.98 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$861.98 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$789.60 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$718.80 |
| 81025 |
|
200 |
190 |
$715.72 |
| 69210 |
|
152 |
138 |
$703.54 |
| 83655 |
|
40 |
40 |
$505.92 |
| 90734 |
|
13 |
13 |
$459.16 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
241 |
228 |
$441.41 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
28 |
25 |
$435.60 |
| 90651 |
|
13 |
13 |
$430.42 |
| 93248 |
|
13 |
13 |
$358.45 |
| 99381 |
|
13 |
13 |
$331.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$297.63 |
| 85018 |
|
538 |
535 |
$281.36 |
| 90710 |
|
31 |
30 |
$279.00 |
| 93246 |
|
14 |
14 |
$217.53 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15 |
14 |
$215.40 |
| 90715 |
|
12 |
12 |
$188.00 |
| 90700 |
|
14 |
14 |
$126.00 |
| 99173 |
|
16 |
16 |
$41.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$21.54 |
| 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) |
28 |
27 |
$0.00 |