| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
62,743 |
58,360 |
$3.87M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
64,284 |
59,550 |
$2.73M |
| T1015 |
Clinic visit/encounter, all-inclusive |
108,462 |
95,144 |
$2.65M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17,504 |
15,740 |
$1.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,267 |
22,562 |
$806K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,199 |
11,790 |
$678K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,385 |
11,745 |
$655K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
4,734 |
4,143 |
$507K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,177 |
6,564 |
$374K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,977 |
5,561 |
$263K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,242 |
4,168 |
$245K |
| 99223 |
Prolong inpt eval add15 m |
2,467 |
1,965 |
$245K |
| 54161 |
|
1,521 |
1,333 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,621 |
2,992 |
$198K |
| 99233 |
Prolong inpt eval add15 m |
3,676 |
2,169 |
$187K |
| 99243 |
|
2,102 |
1,805 |
$160K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,495 |
1,831 |
$156K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,774 |
2,508 |
$144K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,644 |
967 |
$124K |
| 87631 |
|
672 |
643 |
$79K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,672 |
1,470 |
$64K |
| 99381 |
|
989 |
682 |
$40K |
| 90670 |
|
3,126 |
2,837 |
$36K |
| 90647 |
|
2,379 |
2,132 |
$31K |
| 90697 |
|
2,004 |
1,866 |
$27K |
| 90633 |
|
2,393 |
2,124 |
$27K |
| 90723 |
|
2,155 |
1,974 |
$25K |
| 90686 |
|
1,819 |
1,623 |
$23K |
| 90681 |
|
1,906 |
1,743 |
$22K |
| 54640 |
|
44 |
28 |
$17K |
| 90671 |
|
1,304 |
1,205 |
$15K |
| 99460 |
|
241 |
139 |
$14K |
| 99383 |
|
277 |
238 |
$14K |
| 99382 |
|
356 |
217 |
$12K |
| 54150 |
|
60 |
53 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
817 |
432 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,706 |
454 |
$10K |
| 99217 |
|
212 |
190 |
$9K |
| 99220 |
|
76 |
70 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,121 |
694 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
188 |
109 |
$7K |
| 99219 |
|
110 |
92 |
$6K |
| 54300 |
|
21 |
12 |
$6K |
| 90677 |
|
428 |
421 |
$5K |
| 99384 |
|
110 |
89 |
$5K |
| 99242 |
|
68 |
62 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
174 |
152 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
151 |
118 |
$4K |
| 90651 |
|
331 |
288 |
$4K |
| 54163 |
|
17 |
16 |
$3K |
| 90716 |
|
283 |
256 |
$3K |
| 90707 |
|
280 |
254 |
$3K |
| 90696 |
|
231 |
190 |
$2K |
| 99188 |
|
217 |
182 |
$2K |
| 90619 |
|
186 |
174 |
$2K |
| 90710 |
|
219 |
181 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
340 |
312 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
87 |
40 |
$2K |
| 90715 |
|
142 |
126 |
$2K |
| 90700 |
|
140 |
129 |
$2K |
| 90734 |
|
118 |
98 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 90656 |
|
56 |
56 |
$796.91 |
| 0001A |
|
14 |
13 |
$739.30 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$476.00 |
| 90381 |
|
31 |
31 |
$407.34 |
| 88720 |
|
83 |
59 |
$314.04 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$245.00 |
| 71020 |
|
87 |
82 |
$234.00 |
| 95251 |
|
333 |
319 |
$230.12 |
| 85018 |
|
69 |
63 |
$174.68 |
| 90380 |
|
13 |
13 |
$170.82 |
| 76770 |
|
16 |
14 |
$110.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
44 |
37 |
$81.84 |
| 74020 |
|
13 |
13 |
$72.72 |
| 96127 |
|
15 |
14 |
$3.86 |
| 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) |
46 |
44 |
$0.00 |
| 99177 |
|
33 |
30 |
$0.00 |
| 87807 |
|
24 |
13 |
$0.00 |
| 94010 |
|
19 |
19 |
$0.00 |
| 96161 |
|
14 |
13 |
$0.00 |