| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,406 |
36,256 |
$2.19M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13,268 |
13,215 |
$1.28M |
| 76770 |
|
13,507 |
9,121 |
$668K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,620 |
13,275 |
$575K |
| 52000 |
|
4,956 |
4,926 |
$535K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,668 |
6,482 |
$491K |
| 51728 |
|
3,194 |
3,159 |
$392K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,364 |
4,641 |
$378K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
1,139 |
1,132 |
$358K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,583 |
3,569 |
$227K |
| 52310 |
|
1,352 |
1,329 |
$210K |
| 52356 |
|
715 |
701 |
$163K |
| 99215 |
Prolong outpt/office vis |
2,043 |
1,983 |
$161K |
| 52332 |
|
2,192 |
2,132 |
$155K |
| J0897 |
Injection, denosumab, 1 mg |
111 |
111 |
$105K |
| 76775 |
|
3,054 |
2,007 |
$97K |
| 51798 |
|
14,852 |
14,160 |
$94K |
| 81003 |
|
56,581 |
52,919 |
$85K |
| 76872 |
|
890 |
890 |
$66K |
| 93975 |
|
440 |
437 |
$63K |
| 99442 |
|
1,608 |
1,562 |
$61K |
| 50590 |
|
140 |
140 |
$58K |
| 76870 |
|
1,400 |
898 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,530 |
1,495 |
$39K |
| 74420 |
|
3,151 |
2,992 |
$37K |
| 54161 |
|
395 |
394 |
$35K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
478 |
454 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
8,921 |
8,715 |
$30K |
| 84153 |
|
1,720 |
1,699 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,320 |
3,125 |
$27K |
| 51797 |
|
275 |
274 |
$26K |
| 51784 |
|
695 |
692 |
$25K |
| 55700 |
|
199 |
197 |
$17K |
| 52281 |
|
97 |
96 |
$16K |
| 54162 |
|
220 |
217 |
$15K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
287 |
152 |
$15K |
| 52352 |
|
55 |
54 |
$10K |
| 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) |
3,568 |
3,510 |
$9K |
| 54640 |
|
26 |
26 |
$7K |
| 51741 |
|
530 |
498 |
$6K |
| 99205 |
Prolong outpt/office vis |
50 |
50 |
$6K |
| 76942 |
|
174 |
172 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
44 |
43 |
$5K |
| 51702 |
|
159 |
155 |
$4K |
| 88112 |
|
94 |
94 |
$4K |
| 51700 |
|
126 |
121 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
55 |
29 |
$4K |
| 51705 |
|
86 |
83 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
103 |
96 |
$4K |
| 87150 |
|
27 |
26 |
$4K |
| 52351 |
|
26 |
25 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
159 |
87 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
59 |
43 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
67 |
$3K |
| 99406 |
|
368 |
359 |
$3K |
| 81001 |
|
1,047 |
1,017 |
$2K |
| 87481 |
|
47 |
42 |
$966.77 |
| 99490 |
Ccm add 20min |
84 |
84 |
$690.11 |
| 99459 |
|
57 |
57 |
$633.19 |
| 81002 |
|
237 |
234 |
$544.01 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
47 |
43 |
$483.38 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
84 |
82 |
$393.91 |
| 87653 |
|
34 |
31 |
$367.18 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
34 |
31 |
$367.18 |
| 81000 |
|
80 |
77 |
$209.18 |
| 87640 |
|
33 |
30 |
$191.90 |
| 87641 |
|
27 |
26 |
$159.62 |
| 87500 |
|
27 |
26 |
$159.62 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
134 |
123 |
$158.28 |