| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28,137 |
25,129 |
$13.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,261 |
23,158 |
$12.77M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,893 |
10,408 |
$6.14M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17,108 |
13,223 |
$6.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,496 |
6,205 |
$3.06M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,530 |
5,069 |
$2.54M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,309 |
3,141 |
$1.45M |
| 99441 |
|
2,798 |
2,583 |
$1.36M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,723 |
2,697 |
$1.34M |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,559 |
2,022 |
$1.14M |
| 99442 |
|
1,870 |
1,704 |
$901K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,640 |
1,615 |
$862K |
| D0220 |
Intraoral - periapical first radiographic image |
1,566 |
1,518 |
$706K |
| 0001A |
|
1,269 |
1,263 |
$628K |
| 0002A |
|
1,123 |
1,123 |
$562K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
926 |
911 |
$468K |
| 0054A |
|
690 |
686 |
$424K |
| 0012A |
|
893 |
890 |
$422K |
| 0011A |
|
930 |
925 |
$416K |
| 0064A |
|
787 |
785 |
$414K |
| 99606 |
|
958 |
613 |
$408K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
607 |
596 |
$347K |
| D0140 |
Limited oral evaluation - problem focused |
784 |
736 |
$327K |
| 0071A |
|
601 |
601 |
$320K |
| D0120 |
Periodic oral evaluation - established patient |
774 |
772 |
$319K |
| D1120 |
Prophylaxis - child |
878 |
858 |
$311K |
| 0072A |
|
514 |
513 |
$293K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
475 |
421 |
$259K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
888 |
805 |
$243K |
| 99443 |
|
439 |
342 |
$218K |
| 90832 |
Psychotherapy, 30 minutes with patient |
470 |
418 |
$177K |
| D7140 |
Extraction, erupted tooth or exposed root |
430 |
375 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
359 |
352 |
$157K |
| 0052A |
|
216 |
216 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
174 |
174 |
$109K |
| D1110 |
Prophylaxis - adult |
368 |
361 |
$93K |
| 0051A |
|
143 |
143 |
$89K |
| 99205 |
Prolong outpt/office vis |
117 |
117 |
$73K |
| 90686 |
|
561 |
514 |
$66K |
| 96156 |
|
122 |
100 |
$49K |
| 0003A |
|
84 |
84 |
$44K |
| 99605 |
|
105 |
104 |
$44K |
| 99215 |
Prolong outpt/office vis |
78 |
71 |
$42K |
| 0074A |
|
67 |
67 |
$42K |
| D1206 |
Topical application of fluoride varnish |
46 |
46 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
58 |
53 |
$22K |
| D2940 |
|
29 |
29 |
$21K |
| 96158 |
|
67 |
59 |
$16K |
| 0031A |
|
18 |
18 |
$8K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$5K |
| 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 |
4,017 |
3,347 |
$3K |
| 90688 |
|
66 |
56 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,378 |
2,813 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
228 |
217 |
$1K |
| 99221 |
|
12 |
12 |
$836.88 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
32 |
28 |
$100.28 |
| D7110 |
|
69 |
67 |
$0.00 |
| 99607 |
|
12 |
12 |
$0.00 |
| 96150 |
|
93 |
76 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
20 |
19 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
72 |
61 |
$0.00 |
| 0 |
Res change sc >=0 |
22 |
22 |
$0.00 |
| 96152 |
|
94 |
81 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
78 |
78 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
29 |
29 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
27 |
$0.00 |