| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,480 |
45,378 |
$3.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,235 |
30,447 |
$2.68M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,452 |
2,622 |
$257K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,664 |
1,724 |
$223K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,364 |
735 |
$196K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,170 |
2,013 |
$141K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,149 |
2,306 |
$135K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,339 |
1,276 |
$129K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
313 |
259 |
$127K |
| 99310 |
Prolong nursin fac eval 15m |
1,022 |
734 |
$122K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,097 |
1,924 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,103 |
1,043 |
$115K |
| 99215 |
Prolong outpt/office vis |
2,201 |
1,965 |
$112K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,755 |
5,226 |
$102K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,256 |
1,193 |
$102K |
| 99223 |
Prolong inpt eval add15 m |
1,245 |
1,020 |
$98K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,780 |
1,558 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
974 |
842 |
$88K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
753 |
647 |
$86K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,820 |
511 |
$76K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,610 |
1,272 |
$67K |
| 99233 |
Prolong inpt eval add15 m |
1,191 |
540 |
$62K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
805 |
622 |
$45K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
728 |
557 |
$44K |
| 90686 |
|
2,081 |
1,976 |
$44K |
| 99205 |
Prolong outpt/office vis |
781 |
707 |
$42K |
| 99306 |
Prolong nursin fac eval 15m |
323 |
286 |
$41K |
| 76818 |
|
449 |
180 |
$37K |
| 92015 |
Determination of refractive state |
1,882 |
1,785 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
238 |
220 |
$24K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
488 |
391 |
$24K |
| 92060 |
|
480 |
449 |
$23K |
| 93000 |
|
790 |
755 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,012 |
1,326 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
565 |
556 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
230 |
216 |
$15K |
| 99356 |
|
155 |
142 |
$14K |
| 95806 |
|
149 |
134 |
$13K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
103 |
85 |
$12K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
373 |
198 |
$12K |
| J1750 |
Injection, iron dextran, 50 mg |
43 |
42 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
94 |
$11K |
| 0012A |
|
291 |
278 |
$11K |
| 0011A |
|
275 |
254 |
$10K |
| 90688 |
|
463 |
413 |
$8K |
| 90698 |
|
354 |
336 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
294 |
268 |
$7K |
| 76813 |
|
85 |
73 |
$7K |
| 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) |
217 |
198 |
$7K |
| 93971 |
|
77 |
72 |
$6K |
| 90682 |
|
150 |
143 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
36 |
$5K |
| 90662 |
|
180 |
175 |
$5K |
| 92567 |
|
298 |
282 |
$5K |
| 0071A |
|
107 |
106 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
603 |
589 |
$4K |
| 20610 |
|
107 |
66 |
$4K |
| 92557 |
|
114 |
108 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
434 |
167 |
$4K |
| 0072A |
|
94 |
94 |
$4K |
| 99334 |
|
63 |
53 |
$4K |
| 90670 |
|
183 |
174 |
$4K |
| 90677 |
|
147 |
134 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
384 |
328 |
$3K |
| 99335 |
|
28 |
24 |
$3K |
| 90680 |
|
120 |
109 |
$3K |
| 99495 |
|
25 |
24 |
$3K |
| 99316 |
|
27 |
26 |
$3K |
| 0081A |
|
52 |
45 |
$2K |
| 90656 |
|
106 |
97 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
20 |
16 |
$2K |
| 99385 |
|
12 |
12 |
$2K |
| 3008F |
|
21,693 |
19,599 |
$2K |
| 0001A |
|
45 |
43 |
$2K |
| 76820 |
|
37 |
15 |
$2K |
| 92587 |
|
84 |
77 |
$2K |
| 99441 |
|
111 |
102 |
$2K |
| 73610 |
|
56 |
48 |
$1K |
| 0003A |
|
35 |
33 |
$1K |
| 0073A |
|
28 |
26 |
$1K |
| 0124A |
|
41 |
29 |
$960.00 |
| 90480 |
|
32 |
29 |
$941.07 |
| 54150 |
|
13 |
13 |
$934.80 |
| 90744 |
|
40 |
39 |
$851.00 |
| 0082A |
|
28 |
27 |
$840.00 |
| 99442 |
|
75 |
54 |
$715.58 |
| 73562 |
|
25 |
24 |
$710.19 |
| 0064A |
|
19 |
17 |
$697.62 |
| 96161 |
|
243 |
216 |
$628.87 |
| 96127 |
|
137 |
130 |
$618.19 |
| 0002A |
|
14 |
13 |
$520.00 |
| 73630 |
|
14 |
12 |
$396.88 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$378.63 |
| 93016 |
|
26 |
26 |
$374.69 |
| 3074F |
|
1,260 |
1,096 |
$330.00 |
| 90716 |
|
13 |
13 |
$277.68 |
| 90707 |
|
13 |
13 |
$277.68 |
| 81002 |
|
86 |
80 |
$272.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
24 |
$212.93 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
24 |
13 |
$206.40 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
67 |
$107.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
12 |
$92.12 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
12 |
$89.18 |
| 99497 |
|
162 |
139 |
$88.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
57 |
24 |
$74.54 |
| 81025 |
|
14 |
12 |
$35.22 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
28 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$0.00 |
| 3079F |
|
149 |
137 |
$0.00 |
| 4037F |
|
571 |
508 |
$0.00 |
| 1125F |
|
25 |
25 |
$0.00 |
| 3078F |
|
1,002 |
866 |
$0.00 |
| 1159F |
|
62 |
59 |
$0.00 |