| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,685 |
22,543 |
$2.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,657 |
32,011 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,908 |
21,713 |
$1.29M |
| 99199 |
Unlisted special service, procedure or report |
102,729 |
98,703 |
$399K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
11,777 |
5,425 |
$218K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,098 |
2,767 |
$216K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,580 |
3,473 |
$97K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
89 |
76 |
$75K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
749 |
604 |
$68K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,531 |
4,537 |
$65K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,960 |
3,559 |
$60K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,342 |
2,439 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
552 |
429 |
$33K |
| 99051 |
|
1,430 |
1,296 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
658 |
511 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
678 |
336 |
$30K |
| 76801 |
|
345 |
261 |
$28K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
43 |
40 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
391 |
325 |
$27K |
| 81003 |
|
12,859 |
8,791 |
$26K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
440 |
384 |
$23K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
474 |
385 |
$19K |
| 59025 |
Fetal non-stress test |
953 |
704 |
$18K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
118 |
106 |
$17K |
| 99442 |
|
706 |
473 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,798 |
2,796 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
388 |
149 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,649 |
1,094 |
$11K |
| 51798 |
|
1,808 |
1,423 |
$11K |
| 51702 |
|
401 |
331 |
$10K |
| 81025 |
|
1,831 |
1,272 |
$10K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
76 |
73 |
$10K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
86 |
81 |
$9K |
| 90686 |
|
1,616 |
1,081 |
$9K |
| 85018 |
|
2,662 |
2,171 |
$6K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
44 |
41 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
70 |
67 |
$6K |
| 94664 |
|
1,234 |
1,017 |
$5K |
| 81001 |
|
3,191 |
2,533 |
$4K |
| 95811 |
|
41 |
37 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,240 |
1,893 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
27 |
12 |
$3K |
| 43235 |
|
64 |
57 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
104 |
57 |
$2K |
| 90670 |
|
65 |
43 |
$1K |
| 99218 |
|
26 |
25 |
$1K |
| 90715 |
|
55 |
37 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
40 |
$1K |
| 52332 |
|
23 |
12 |
$1K |
| 90732 |
|
97 |
65 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
22 |
13 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
38 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
116 |
91 |
$937.61 |
| 82962 |
|
869 |
714 |
$929.14 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
338 |
209 |
$923.77 |
| 99222 |
Initial hospital care, per day, moderate complexity |
29 |
19 |
$724.79 |
| 0001A |
|
14 |
12 |
$652.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,357 |
920 |
$473.62 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
280 |
183 |
$430.05 |
| 99406 |
|
219 |
170 |
$417.96 |
| 94016 |
|
140 |
114 |
$408.27 |
| 99221 |
|
51 |
42 |
$367.80 |
| 99490 |
Ccm add 20min |
53 |
51 |
$367.78 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
165 |
155 |
$317.70 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
13 |
$312.27 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,026 |
1,071 |
$211.28 |
| 81002 |
|
53 |
47 |
$156.00 |
| 87210 |
|
46 |
36 |
$145.61 |
| 93000 |
|
14 |
14 |
$125.02 |
| 3044F |
|
747 |
578 |
$27.74 |
| 95806 |
|
37 |
13 |
$17.06 |
| 4010F |
|
705 |
548 |
$4.76 |
| 4086F |
|
490 |
384 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
91 |
85 |
$0.00 |
| 3079F |
|
18 |
12 |
$0.00 |
| 3074F |
|
135 |
127 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
40 |
29 |
$0.00 |
| 3078F |
|
306 |
281 |
$0.00 |
| 2022F |
|
29 |
26 |
$0.00 |
| 91300 |
|
49 |
17 |
$0.00 |
| 3077F |
|
15 |
13 |
$0.00 |