| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,758 |
18,244 |
$855K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,190 |
4,887 |
$329K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,602 |
2,534 |
$188K |
| 99215 |
Prolong outpt/office vis |
1,737 |
1,464 |
$174K |
| 99205 |
Prolong outpt/office vis |
783 |
761 |
$120K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
704 |
689 |
$90K |
| 99243 |
|
1,000 |
976 |
$89K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,224 |
1,178 |
$72K |
| 99233 |
Prolong inpt eval add15 m |
2,196 |
962 |
$45K |
| 0002A |
|
2,158 |
2,080 |
$34K |
| 0001A |
|
2,269 |
2,165 |
$33K |
| 73110 |
|
1,218 |
1,038 |
$30K |
| 94060 |
|
841 |
834 |
$29K |
| 73140 |
|
938 |
817 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,638 |
776 |
$23K |
| 73080 |
|
1,019 |
893 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
667 |
652 |
$20K |
| 72082 |
|
407 |
395 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
374 |
356 |
$16K |
| 94016 |
|
814 |
807 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
556 |
523 |
$15K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
124 |
116 |
$13K |
| 99442 |
|
350 |
335 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
382 |
349 |
$11K |
| 92567 |
|
868 |
832 |
$10K |
| 99443 |
|
191 |
182 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
687 |
433 |
$9K |
| 92588 |
|
286 |
281 |
$7K |
| 92557 |
|
239 |
219 |
$5K |
| 29065 |
|
70 |
66 |
$5K |
| 73090 |
|
224 |
193 |
$4K |
| 95819 |
|
12 |
12 |
$4K |
| 95813 |
|
13 |
13 |
$4K |
| 73130 |
|
162 |
128 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
230 |
218 |
$4K |
| 29075 |
|
57 |
54 |
$4K |
| 99220 |
|
25 |
25 |
$3K |
| 29105 |
|
51 |
44 |
$3K |
| 76000 |
|
444 |
398 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
91 |
87 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
192 |
100 |
$2K |
| 0071A |
|
61 |
54 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
139 |
131 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$2K |
| 73610 |
|
83 |
72 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
12 |
$2K |
| 99254 |
|
13 |
13 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
15 |
13 |
$1K |
| 73502 |
|
41 |
40 |
$1K |
| 0053A |
|
31 |
31 |
$1K |
| 29125 |
|
29 |
26 |
$1K |
| 73630 |
|
56 |
50 |
$1K |
| 0003A |
|
47 |
47 |
$840.00 |
| 99000 |
|
108 |
106 |
$760.61 |
| 99222 |
Initial hospital care, per day, moderate complexity |
30 |
30 |
$745.20 |
| 99417 |
Prolong home eval add 15m |
41 |
41 |
$644.37 |
| 73590 |
|
29 |
24 |
$635.71 |
| 0073A |
|
17 |
17 |
$633.60 |
| 81003 |
|
343 |
248 |
$583.56 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
12 |
$577.90 |
| 0072A |
|
12 |
12 |
$500.00 |
| 92579 |
|
12 |
12 |
$463.44 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
123 |
71 |
$461.97 |
| 73562 |
|
15 |
14 |
$441.00 |
| 59025 |
Fetal non-stress test |
17 |
12 |
$405.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
64 |
54 |
$280.00 |
| 87807 |
|
25 |
25 |
$262.11 |
| 77073 |
|
13 |
12 |
$260.51 |
| 90688 |
|
72 |
70 |
$182.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
20 |
$145.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$140.42 |
| 90461 |
|
28 |
24 |
$124.19 |
| 0012A |
|
29 |
27 |
$114.41 |
| 96127 |
|
1,452 |
633 |
$70.63 |
| 0011A |
|
27 |
26 |
$50.82 |
| 90686 |
|
118 |
117 |
$38.52 |
| 96160 |
|
70 |
37 |
$6.98 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
312 |
164 |
$0.00 |
| 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) |
50 |
49 |
$0.00 |
| 90630 |
|
37 |
37 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
14 |
12 |
$0.00 |
| 1036F |
|
30 |
28 |
$0.00 |
| 99024 |
|
2,190 |
1,826 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
28 |
26 |
$0.00 |
| 91307 |
|
15 |
12 |
$0.00 |