| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,904 |
15,610 |
$799K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,507 |
7,820 |
$314K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,362 |
1,510 |
$117K |
| 96160 |
|
5,186 |
3,231 |
$109K |
| 99215 |
Prolong outpt/office vis |
1,145 |
892 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,637 |
969 |
$86K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,757 |
2,312 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,316 |
1,178 |
$82K |
| 99222 |
Initial hospital care, per day, moderate complexity |
921 |
758 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
517 |
462 |
$53K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
974 |
830 |
$45K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,451 |
5,683 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,943 |
2,850 |
$41K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,107 |
921 |
$39K |
| 96161 |
|
1,581 |
1,006 |
$34K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
82 |
25 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
401 |
348 |
$21K |
| 93000 |
|
1,529 |
1,263 |
$21K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
143 |
116 |
$18K |
| 93304 |
|
363 |
329 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
331 |
208 |
$17K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
458 |
136 |
$13K |
| 93325 |
|
1,001 |
903 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
103 |
89 |
$10K |
| 93321 |
|
709 |
652 |
$9K |
| 99177 |
|
1,066 |
663 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,074 |
940 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
27 |
25 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
113 |
98 |
$6K |
| 95812 |
|
112 |
109 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
117 |
66 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
52 |
$4K |
| 76830 |
Ultrasound, transvaginal |
54 |
50 |
$4K |
| 92551 |
|
687 |
429 |
$4K |
| 95251 |
|
209 |
192 |
$4K |
| 99173 |
|
498 |
294 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
136 |
111 |
$4K |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$4K |
| 93228 |
|
232 |
202 |
$3K |
| 95806 |
|
32 |
28 |
$3K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
31 |
14 |
$3K |
| 64615 |
|
51 |
27 |
$3K |
| 95720 |
|
12 |
12 |
$3K |
| 81025 |
|
353 |
304 |
$2K |
| 51798 |
|
143 |
136 |
$2K |
| 92587 |
|
69 |
42 |
$2K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
31 |
12 |
$2K |
| 81002 |
|
542 |
451 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
66 |
26 |
$2K |
| 99460 |
|
35 |
27 |
$1K |
| 93298 |
|
125 |
107 |
$1K |
| 96127 |
|
261 |
141 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$940.37 |
| 85027 |
|
92 |
85 |
$881.54 |
| 99464 |
|
14 |
12 |
$812.35 |
| 82962 |
|
573 |
452 |
$785.07 |
| 81003 |
|
397 |
342 |
$755.80 |
| 76801 |
|
13 |
12 |
$741.42 |
| 20610 |
|
15 |
12 |
$696.46 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$622.76 |
| 11102 |
|
16 |
12 |
$609.97 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$606.04 |
| 99490 |
Ccm add 20min |
16 |
16 |
$582.90 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
76 |
54 |
$569.82 |
| 73630 |
|
30 |
26 |
$539.44 |
| 94010 |
|
40 |
38 |
$517.83 |
| 17110 |
|
13 |
12 |
$502.07 |
| 85007 |
|
90 |
83 |
$458.65 |
| 93288 |
|
33 |
23 |
$347.91 |
| 73620 |
|
17 |
15 |
$324.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$304.50 |
| 93289 |
|
19 |
14 |
$268.16 |
| 76942 |
|
16 |
12 |
$267.05 |
| 73562 |
|
14 |
13 |
$254.20 |
| 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) |
2,135 |
1,826 |
$244.60 |
| 73600 |
|
17 |
16 |
$217.78 |
| 90697 |
|
780 |
444 |
$186.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
42 |
$181.30 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
36 |
25 |
$166.29 |
| 92558 |
|
22 |
14 |
$163.62 |
| 93296 |
|
23 |
15 |
$139.20 |
| 90680 |
|
415 |
251 |
$119.05 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
80 |
39 |
$61.61 |
| 85018 |
|
12 |
12 |
$43.80 |
| 96380 |
|
66 |
39 |
$20.00 |
| 3078F |
|
9,253 |
7,200 |
$10.00 |
| 90671 |
|
173 |
96 |
$0.00 |
| 90633 |
|
188 |
93 |
$0.00 |
| 3077F |
|
54 |
49 |
$0.00 |
| 90661 |
|
55 |
43 |
$0.00 |
| 3008F |
|
25,511 |
19,659 |
$0.00 |
| 3044F |
|
724 |
540 |
$0.00 |
| 90686 |
|
684 |
570 |
$0.00 |
| 3074F |
|
8,515 |
6,572 |
$0.00 |
| 90677 |
|
1,219 |
694 |
$0.00 |
| 3048F |
|
247 |
185 |
$0.00 |
| 90674 |
|
174 |
116 |
$0.00 |
| 3079F |
|
448 |
342 |
$0.00 |
| 3075F |
|
88 |
63 |
$0.00 |
| 90657 |
|
323 |
132 |
$0.00 |
| 90656 |
|
431 |
179 |
$0.00 |