| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,593 |
36,181 |
$1.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,993 |
18,354 |
$1.15M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,631 |
3,466 |
$327K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,200 |
3,569 |
$212K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,555 |
3,438 |
$202K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,807 |
2,682 |
$201K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,054 |
2,871 |
$95K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,318 |
3,222 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,225 |
1,117 |
$73K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
868 |
835 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
643 |
619 |
$61K |
| 62323 |
|
556 |
464 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,475 |
660 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
669 |
660 |
$42K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,431 |
1,385 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
811 |
741 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,464 |
1,403 |
$23K |
| 81002 |
|
7,682 |
5,493 |
$20K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
435 |
246 |
$20K |
| 87634 |
|
327 |
319 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
683 |
607 |
$16K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
136 |
128 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
208 |
191 |
$13K |
| 90698 |
|
721 |
705 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
458 |
185 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
58 |
57 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
330 |
289 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
134 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
96 |
70 |
$6K |
| 90686 |
|
861 |
848 |
$5K |
| 51798 |
|
860 |
765 |
$5K |
| 83655 |
|
454 |
444 |
$4K |
| 0001A |
|
126 |
108 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
26 |
$4K |
| 0002A |
|
140 |
111 |
$4K |
| 81025 |
|
655 |
565 |
$4K |
| 90670 |
|
703 |
687 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
125 |
112 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
784 |
592 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
231 |
183 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
38 |
38 |
$3K |
| 99307 |
|
274 |
225 |
$3K |
| 93000 |
|
338 |
310 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
15 |
$2K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
13 |
13 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
14 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 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) |
616 |
588 |
$1K |
| 20610 |
|
50 |
39 |
$1K |
| 99243 |
|
13 |
13 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90680 |
|
220 |
217 |
$1K |
| 81003 |
|
1,657 |
1,284 |
$1K |
| 95811 |
|
13 |
12 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
156 |
151 |
$854.33 |
| 99221 |
|
29 |
24 |
$838.40 |
| 85018 |
|
434 |
426 |
$836.97 |
| 76801 |
|
30 |
28 |
$776.93 |
| 71046 |
Radiologic examination, chest; 2 views |
144 |
132 |
$685.36 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
14 |
$631.29 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
15 |
$602.46 |
| 0071A |
|
31 |
14 |
$520.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
15 |
$518.50 |
| 90744 |
|
91 |
91 |
$510.66 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$507.62 |
| 90633 |
|
79 |
77 |
$437.06 |
| 73560 |
|
29 |
24 |
$407.95 |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
13 |
$359.14 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16 |
14 |
$292.11 |
| 36415 |
Collection of venous blood by venipuncture |
479 |
461 |
$208.63 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
64 |
61 |
$200.45 |
| 99406 |
|
16 |
13 |
$135.95 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
48 |
39 |
$89.65 |
| 94060 |
|
12 |
12 |
$76.42 |
| 94726 |
|
12 |
12 |
$72.62 |
| 90734 |
|
12 |
12 |
$67.98 |
| 99072 |
|
405 |
377 |
$48.00 |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
16 |
12 |
$31.32 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$25.83 |
| 82962 |
|
27 |
25 |
$11.92 |
| 1125F |
|
841 |
712 |
$0.62 |
| 3008F |
|
3,390 |
3,107 |
$0.00 |
| 1126F |
|
762 |
705 |
$0.00 |
| 3079F |
|
15 |
13 |
$0.00 |
| 3074F |
|
46 |
43 |
$0.00 |
| 1160F |
|
1,813 |
1,611 |
$0.00 |
| 1159F |
|
2,078 |
1,850 |
$0.00 |
| 3078F |
|
402 |
379 |
$0.00 |
| 3077F |
|
105 |
105 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
83 |
78 |
$0.00 |
| 3725F |
|
25 |
24 |
$0.00 |