| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,702 |
19,673 |
$1.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,852 |
16,133 |
$818K |
| 59426 |
|
4,065 |
1,689 |
$310K |
| 59425 |
|
1,750 |
1,260 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,399 |
1,121 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,191 |
848 |
$81K |
| 94060 |
|
2,792 |
2,371 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
674 |
527 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,426 |
3,040 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
590 |
498 |
$35K |
| 11721 |
|
3,500 |
2,550 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,041 |
1,357 |
$26K |
| 59430 |
|
231 |
154 |
$23K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
39 |
24 |
$20K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,601 |
1,863 |
$16K |
| 94729 |
|
614 |
541 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
469 |
376 |
$13K |
| 94726 |
|
591 |
517 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
120 |
$12K |
| 81002 |
|
4,497 |
2,295 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
400 |
311 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,949 |
1,332 |
$11K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
223 |
172 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
5,371 |
4,071 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
155 |
128 |
$8K |
| 81025 |
|
1,174 |
883 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
56 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
373 |
147 |
$5K |
| 99215 |
Prolong outpt/office vis |
56 |
40 |
$4K |
| 92567 |
|
604 |
473 |
$4K |
| 93000 |
|
781 |
583 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
285 |
243 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
115 |
$2K |
| 90686 |
|
1,750 |
1,169 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
869 |
359 |
$1K |
| 11720 |
|
211 |
122 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90715 |
|
34 |
28 |
$1K |
| 92557 |
|
54 |
45 |
$996.34 |
| 90474 |
|
143 |
119 |
$894.88 |
| 96127 |
|
174 |
135 |
$709.62 |
| 99188 |
|
60 |
41 |
$523.84 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22 |
17 |
$514.77 |
| 99307 |
|
267 |
180 |
$500.76 |
| 93793 |
|
131 |
79 |
$446.65 |
| 11056 |
|
29 |
28 |
$209.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
13 |
$184.00 |
| 85610 |
|
127 |
77 |
$112.93 |
| 99406 |
|
20 |
12 |
$28.44 |
| 90680 |
|
200 |
143 |
$20.00 |
| 90685 |
|
21 |
20 |
$8.55 |
| 90670 |
|
647 |
482 |
$0.01 |
| 90698 |
|
629 |
482 |
$0.01 |
| 90633 |
|
51 |
39 |
$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) |
19 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$0.00 |
| 90744 |
|
30 |
26 |
$0.00 |
| 99305 |
|
17 |
16 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 99024 |
|
30 |
26 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
17 |
$0.00 |