| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,353 |
42,542 |
$2.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,346 |
25,078 |
$1.86M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,563 |
10,299 |
$815K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,379 |
8,193 |
$678K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,302 |
4,830 |
$452K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24,478 |
13,343 |
$218K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,946 |
1,913 |
$204K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,451 |
1,379 |
$174K |
| 76818 |
|
1,991 |
1,415 |
$172K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,102 |
13,754 |
$156K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,175 |
1,141 |
$143K |
| 99460 |
|
1,798 |
1,751 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,647 |
1,601 |
$140K |
| 87428 |
|
2,559 |
2,187 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,579 |
1,540 |
$130K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
325 |
79 |
$113K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,647 |
1,355 |
$111K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,595 |
1,447 |
$110K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,793 |
1,757 |
$106K |
| 99381 |
|
1,292 |
1,262 |
$99K |
| 90837 |
Psychotherapy, 53 minutes with patient |
947 |
712 |
$83K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,217 |
6,198 |
$67K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
124 |
116 |
$64K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
520 |
519 |
$54K |
| 76820 |
|
1,534 |
1,260 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,648 |
3,522 |
$51K |
| 81002 |
|
16,996 |
14,242 |
$50K |
| 99215 |
Prolong outpt/office vis |
512 |
440 |
$48K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
370 |
106 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,951 |
1,093 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
208 |
$26K |
| 90473 |
|
2,648 |
2,587 |
$26K |
| 59025 |
Fetal non-stress test |
714 |
556 |
$24K |
| 81025 |
|
2,996 |
2,895 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
540 |
520 |
$18K |
| 99468 |
|
12 |
12 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
105 |
$10K |
| 59514 |
|
17 |
14 |
$9K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
65 |
14 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
540 |
218 |
$8K |
| 76826 |
|
43 |
24 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
707 |
687 |
$6K |
| 76821 |
|
74 |
43 |
$6K |
| 87807 |
|
404 |
398 |
$5K |
| 76825 |
|
30 |
27 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
53 |
52 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
276 |
252 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
43 |
38 |
$3K |
| 90474 |
|
264 |
263 |
$3K |
| 99234 |
|
26 |
25 |
$2K |
| 99243 |
|
27 |
27 |
$2K |
| 76827 |
|
45 |
41 |
$2K |
| 54150 |
|
27 |
25 |
$2K |
| 99462 |
|
53 |
52 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
24 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
254 |
238 |
$2K |
| 99254 |
|
12 |
12 |
$1K |
| 93325 |
|
104 |
77 |
$1K |
| 90686 |
|
2,940 |
2,862 |
$989.71 |
| 99221 |
|
12 |
12 |
$836.55 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$829.18 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
20 |
14 |
$785.38 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
64 |
61 |
$544.96 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$450.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
72 |
70 |
$421.43 |
| 99307 |
|
12 |
12 |
$101.92 |
| 96160 |
|
44 |
43 |
$99.47 |
| 88720 |
|
19 |
12 |
$68.16 |
| 90697 |
|
2,702 |
2,648 |
$4.34 |
| 90677 |
|
2,163 |
2,131 |
$2.73 |
| 84030 |
|
94 |
93 |
$0.74 |
| 90698 |
|
3,531 |
3,464 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
12 |
$0.00 |
| 90651 |
|
64 |
63 |
$0.00 |
| 90723 |
|
672 |
647 |
$0.00 |
| 90744 |
|
358 |
351 |
$0.00 |
| 2010F |
|
24 |
24 |
$0.00 |
| 90688 |
|
37 |
36 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |
| 90700 |
|
183 |
181 |
$0.00 |
| 90670 |
|
7,536 |
7,382 |
$0.00 |
| 90710 |
|
1,636 |
1,616 |
$0.00 |
| 90633 |
|
3,306 |
3,231 |
$0.00 |
| 90681 |
|
3,764 |
3,686 |
$0.00 |
| 90648 |
|
1,069 |
1,032 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |
| 90734 |
|
34 |
33 |
$0.00 |