| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192,348 |
165,468 |
$51.25M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,623 |
15,383 |
$2.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,579 |
6,969 |
$1.82M |
| A0200 |
Non-emergency transportation: ancillary: lodging escort |
5,147 |
4,511 |
$1.39M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,488 |
4,385 |
$989K |
| 86580 |
|
2,640 |
2,633 |
$983K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
4,307 |
3,749 |
$915K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,679 |
2,405 |
$629K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
7,029 |
6,190 |
$209K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,354 |
399 |
$136K |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
4,544 |
4,005 |
$135K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
660 |
493 |
$94K |
| 85018 |
|
1,303 |
1,229 |
$78K |
| 99222 |
Initial hospital care, per day, moderate complexity |
469 |
446 |
$74K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
758 |
727 |
$74K |
| 99441 |
|
101 |
98 |
$47K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,054 |
1,860 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
168 |
157 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
76 |
69 |
$9K |
| 99173 |
|
37 |
37 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$6K |
| 99442 |
|
12 |
12 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$4K |
| 81002 |
|
266 |
236 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
81 |
24 |
$4K |
| 99443 |
|
40 |
36 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
12 |
$541.09 |
| 81003 |
|
42 |
38 |
$456.10 |
| Q3014 |
Telehealth originating site facility fee |
51 |
51 |
$330.46 |
| 71045 |
Radiologic examination, chest; single view |
45 |
37 |
$238.13 |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
12 |
$226.74 |
| 92557 |
|
13 |
12 |
$143.90 |
| 80053 |
Comprehensive metabolic panel |
16 |
13 |
$10.56 |
| 82962 |
|
92 |
82 |
$0.00 |
| 99050 |
|
481 |
443 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
13 |
$0.00 |
| 99241 |
|
12 |
12 |
$0.00 |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
177 |
109 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
242 |
200 |
$0.00 |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
167 |
108 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
14 |
13 |
$0.00 |