| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,532 |
22,978 |
$1.02M |
| H1000 |
Prenatal care, at-risk assessment |
10,650 |
7,109 |
$618K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
408 |
258 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,454 |
6,909 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,130 |
1,779 |
$169K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,227 |
1,059 |
$155K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,666 |
1,474 |
$138K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,691 |
1,246 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,567 |
3,129 |
$91K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,112 |
4,472 |
$70K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,888 |
2,177 |
$41K |
| 59430 |
|
374 |
205 |
$41K |
| 90461 |
|
2,583 |
2,235 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,254 |
961 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
723 |
498 |
$31K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,636 |
1,225 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,071 |
2,579 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
261 |
$24K |
| 99215 |
Prolong outpt/office vis |
667 |
419 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
1,429 |
438 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,294 |
733 |
$17K |
| 59515 |
|
28 |
12 |
$14K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
41 |
40 |
$12K |
| 99460 |
|
301 |
194 |
$12K |
| 59514 |
|
25 |
13 |
$11K |
| 99307 |
|
1,830 |
1,077 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
131 |
116 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
252 |
190 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
170 |
157 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,161 |
853 |
$9K |
| 95117 |
|
1,452 |
403 |
$8K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
62 |
37 |
$8K |
| 81025 |
|
2,159 |
1,686 |
$5K |
| 99305 |
|
207 |
133 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
50 |
48 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
115 |
67 |
$3K |
| 94060 |
|
67 |
42 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
140 |
104 |
$2K |
| 99243 |
|
48 |
45 |
$2K |
| 99490 |
Ccm add 20min |
2,007 |
1,507 |
$2K |
| 99318 |
|
229 |
118 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
91 |
84 |
$1K |
| 90677 |
|
199 |
193 |
$932.26 |
| 99381 |
|
14 |
12 |
$830.20 |
| 99225 |
|
16 |
12 |
$706.12 |
| 87400 |
|
94 |
48 |
$627.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
203 |
77 |
$466.23 |
| 99462 |
|
29 |
12 |
$400.82 |
| 94729 |
|
67 |
42 |
$383.03 |
| 81002 |
|
438 |
337 |
$347.52 |
| 94727 |
|
67 |
42 |
$338.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
92 |
74 |
$219.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$143.04 |
| 90686 |
|
442 |
417 |
$69.28 |
| 99401 |
|
26 |
25 |
$59.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
250 |
179 |
$44.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
40 |
28 |
$17.92 |
| 92551 |
|
1,481 |
1,243 |
$8.51 |
| 36415 |
Collection of venous blood by venipuncture |
612 |
258 |
$2.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
26 |
$2.04 |
| 99173 |
|
1,485 |
1,241 |
$0.00 |
| 90670 |
|
1,456 |
1,195 |
$0.00 |
| 90648 |
|
1,644 |
1,396 |
$0.00 |
| 99497 |
|
250 |
171 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
120 |
74 |
$0.00 |
| 90633 |
|
36 |
26 |
$0.00 |
| 99071 |
|
224 |
149 |
$0.00 |
| 3288F |
|
262 |
192 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
440 |
277 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
57 |
30 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
42 |
29 |
$0.00 |
| 98960 |
|
22 |
16 |
$0.00 |
| 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) |
96 |
87 |
$0.00 |
| 3078F |
|
30 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
88 |
59 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
197 |
133 |
$0.00 |
| 2014F |
|
16 |
15 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90723 |
|
1,133 |
950 |
$0.00 |
| 90680 |
|
707 |
623 |
$0.00 |
| 99090 |
|
191 |
130 |
$0.00 |
| 99024 |
|
144 |
119 |
$0.00 |
| 1000F |
|
4,336 |
3,037 |
$0.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
20 |
16 |
$0.00 |
| 0503F |
|
78 |
24 |
$0.00 |
| 4000F |
|
365 |
300 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
114 |
57 |
$0.00 |
| 3008F |
|
322 |
242 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
18 |
12 |
$0.00 |
| 1126F |
|
78 |
68 |
$0.00 |
| 3074F |
|
115 |
90 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 1125F |
|
14 |
12 |
$0.00 |
| 90647 |
|
18 |
18 |
$0.00 |