| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72,585 |
67,615 |
$4.38M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34,736 |
34,184 |
$3.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,247 |
50,282 |
$2.48M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19,184 |
18,866 |
$2.28M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,072 |
14,908 |
$734K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,696 |
1,385 |
$317K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,427 |
3,301 |
$300K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,648 |
3,564 |
$240K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,030 |
2,745 |
$219K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,047 |
860 |
$218K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,654 |
4,604 |
$165K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,640 |
911 |
$135K |
| 99215 |
Prolong outpt/office vis |
1,285 |
1,229 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,126 |
1,124 |
$84K |
| 94729 |
|
2,173 |
2,139 |
$83K |
| 94060 |
|
2,275 |
2,240 |
$79K |
| 94726 |
|
2,133 |
2,101 |
$78K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
518 |
510 |
$51K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
819 |
813 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
537 |
534 |
$39K |
| 96158 |
|
597 |
541 |
$27K |
| 99460 |
|
422 |
422 |
$27K |
| 73630 |
|
823 |
791 |
$26K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
145 |
144 |
$20K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
121 |
62 |
$16K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
173 |
164 |
$15K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
88 |
85 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
174 |
165 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
357 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
796 |
792 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
245 |
117 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
387 |
361 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,896 |
1,810 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
716 |
704 |
$11K |
| 64483 |
|
99 |
98 |
$11K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
336 |
332 |
$10K |
| 99205 |
Prolong outpt/office vis |
79 |
78 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
216 |
143 |
$9K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
331 |
324 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,262 |
3,032 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
163 |
141 |
$8K |
| 93000 |
|
753 |
721 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
32 |
32 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
157 |
157 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
66 |
66 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
68 |
62 |
$5K |
| 81002 |
|
2,308 |
2,191 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$5K |
| J2785 |
Injection, regadenoson, 0.1 mg |
34 |
34 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
52 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
241 |
238 |
$4K |
| 86328 |
|
91 |
84 |
$4K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
33 |
33 |
$4K |
| 96152 |
|
149 |
127 |
$3K |
| 99442 |
|
53 |
50 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
57 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
189 |
185 |
$3K |
| 20611 |
|
39 |
27 |
$3K |
| 0011A |
|
87 |
87 |
$2K |
| 93015 |
|
51 |
51 |
$2K |
| 81025 |
|
310 |
300 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
51 |
51 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
30 |
27 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
42 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
72 |
$2K |
| 20610 |
|
35 |
24 |
$2K |
| 31575 |
|
19 |
14 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
176 |
170 |
$955.10 |
| 76801 |
|
24 |
24 |
$863.37 |
| 96127 |
|
358 |
320 |
$790.83 |
| 11721 |
|
43 |
43 |
$746.32 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24 |
12 |
$701.06 |
| 90686 |
|
72 |
70 |
$668.96 |
| 64484 |
|
12 |
12 |
$660.74 |
| 80305 |
|
95 |
90 |
$432.84 |
| 90715 |
|
14 |
14 |
$426.30 |
| 0012A |
|
12 |
12 |
$347.12 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
20 |
17 |
$303.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
31 |
28 |
$208.29 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
14 |
$131.85 |
| 99441 |
|
13 |
13 |
$103.81 |
| 3008F |
|
4,761 |
4,273 |
$10.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$10.01 |
| 1160F |
|
5,381 |
4,977 |
$3.00 |
| 1159F |
|
4,884 |
4,552 |
$0.00 |
| 1158F |
|
568 |
532 |
$0.00 |
| 3288F |
|
1,370 |
1,246 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,413 |
4,106 |
$0.00 |
| 3725F |
|
1,651 |
1,502 |
$0.00 |
| 3078F |
|
1,874 |
1,674 |
$0.00 |
| 1124F |
|
1,107 |
1,069 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 0521F |
|
33 |
32 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 3077F |
|
18 |
18 |
$0.00 |
| 3079F |
|
518 |
507 |
$0.00 |
| 1036F |
|
719 |
640 |
$0.00 |
| 1125F |
|
1,250 |
1,209 |
$0.00 |
| 3074F |
|
2,759 |
2,489 |
$0.00 |
| 2023F |
|
142 |
134 |
$0.00 |
| 1126F |
|
145 |
134 |
$0.00 |
| 3075F |
|
61 |
59 |
$0.00 |
| 1170F |
|
84 |
78 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 91301 |
|
21 |
21 |
$0.00 |
| 1034F |
|
25 |
25 |
$0.00 |