| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,206 |
59,964 |
$2.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,838 |
32,784 |
$1.37M |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,994 |
3,262 |
$409K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,365 |
3,328 |
$261K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,992 |
5,852 |
$250K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,221 |
3,130 |
$225K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,827 |
3,486 |
$213K |
| 99233 |
Prolong inpt eval add15 m |
4,258 |
1,967 |
$178K |
| 99223 |
Prolong inpt eval add15 m |
1,508 |
1,367 |
$144K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,049 |
1,839 |
$112K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,860 |
1,832 |
$92K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
580 |
557 |
$79K |
| J0178 |
Injection, aflibercept, 1 mg |
150 |
137 |
$74K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,594 |
1,530 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,689 |
4,555 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,700 |
3,633 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
793 |
787 |
$60K |
| 0240U |
|
438 |
424 |
$58K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,070 |
1,046 |
$45K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,119 |
981 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,372 |
1,316 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
727 |
671 |
$30K |
| 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) |
2,199 |
2,036 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,817 |
1,800 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
417 |
403 |
$24K |
| 90686 |
|
4,375 |
4,325 |
$23K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
462 |
398 |
$22K |
| 92060 |
|
483 |
474 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
209 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
242 |
237 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,912 |
1,436 |
$17K |
| 92015 |
Determination of refractive state |
1,090 |
1,054 |
$14K |
| 99215 |
Prolong outpt/office vis |
169 |
163 |
$14K |
| 11721 |
|
1,204 |
1,132 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
460 |
227 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
322 |
322 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
5,330 |
4,642 |
$11K |
| 92134 |
|
1,155 |
1,040 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
428 |
388 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
143 |
94 |
$9K |
| 0002A |
|
206 |
200 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
898 |
854 |
$8K |
| 0001A |
|
212 |
210 |
$7K |
| 94010 |
|
320 |
288 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
87 |
81 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
498 |
443 |
$4K |
| 11719 |
|
599 |
563 |
$4K |
| 92593 |
|
248 |
223 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
219 |
204 |
$3K |
| 90461 |
|
1,216 |
1,199 |
$3K |
| 99307 |
|
155 |
147 |
$3K |
| 92588 |
|
47 |
47 |
$3K |
| 0072A |
|
64 |
64 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
83 |
78 |
$2K |
| 99348 |
|
127 |
115 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
122 |
106 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
40 |
38 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
38 |
$2K |
| 99442 |
|
183 |
159 |
$2K |
| 0071A |
|
44 |
44 |
$2K |
| V5014 |
Repair/modification of a hearing aid |
116 |
58 |
$2K |
| 90734 |
|
63 |
60 |
$2K |
| 90670 |
|
1,667 |
1,636 |
$1K |
| 90651 |
|
26 |
26 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
13 |
$1K |
| 85610 |
|
813 |
503 |
$1K |
| 90656 |
|
307 |
305 |
$978.37 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
14 |
$950.99 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
141 |
115 |
$821.76 |
| 69210 |
|
26 |
25 |
$771.45 |
| 90671 |
|
271 |
271 |
$722.80 |
| 11720 |
|
93 |
88 |
$683.02 |
| 90619 |
|
12 |
12 |
$488.16 |
| 99188 |
|
31 |
31 |
$449.67 |
| 99347 |
|
13 |
12 |
$367.11 |
| 90474 |
|
52 |
50 |
$345.87 |
| 90633 |
|
153 |
153 |
$265.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
71 |
$247.42 |
| 99349 |
|
38 |
38 |
$215.99 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$194.53 |
| 83655 |
|
12 |
12 |
$179.72 |
| 84443 |
Thyroid stimulating hormone (TSH) |
42 |
42 |
$169.26 |
| 81000 |
|
51 |
51 |
$147.67 |
| 93793 |
|
17 |
14 |
$98.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
49 |
$85.04 |
| 90715 |
|
12 |
12 |
$75.86 |
| 11055 |
|
18 |
13 |
$71.72 |
| 90647 |
|
963 |
939 |
$52.67 |
| 85018 |
|
12 |
12 |
$33.66 |
| 90680 |
|
370 |
360 |
$0.00 |
| 90723 |
|
931 |
910 |
$0.00 |
| 86140 |
|
14 |
12 |
$0.00 |
| 90887 |
|
14 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
41 |
41 |
$0.00 |
| 91307 |
|
133 |
129 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
56 |
55 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 84132 |
|
40 |
35 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
14 |
$0.00 |
| 82565 |
|
48 |
44 |
$0.00 |
| 91300 |
|
447 |
424 |
$0.00 |
| 84450 |
|
30 |
29 |
$0.00 |
| 91308 |
|
27 |
26 |
$0.00 |
| 82947 |
|
27 |
27 |
$0.00 |
| 90882 |
|
14 |
12 |
$0.00 |
| 84295 |
|
34 |
30 |
$0.00 |
| 84520 |
|
36 |
31 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
38 |
38 |
$0.00 |