| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,376 |
48,813 |
$3.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,231 |
30,637 |
$2.47M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,985 |
13,735 |
$1.28M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,020 |
3,716 |
$504K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,473 |
7,788 |
$436K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,564 |
5,066 |
$363K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,211 |
2,903 |
$309K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,749 |
2,369 |
$272K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,742 |
2,345 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,645 |
2,422 |
$195K |
| 99215 |
Prolong outpt/office vis |
2,040 |
1,823 |
$174K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,673 |
2,425 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,738 |
1,643 |
$133K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,065 |
2,908 |
$123K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,625 |
6,700 |
$115K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,010 |
927 |
$108K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,470 |
6,838 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,130 |
1,056 |
$93K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,034 |
872 |
$86K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,110 |
1,022 |
$82K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,757 |
3,440 |
$75K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
641 |
537 |
$73K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,480 |
1,353 |
$69K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,109 |
1,028 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,609 |
3,245 |
$67K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
835 |
777 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,510 |
1,398 |
$52K |
| 99233 |
Prolong inpt eval add15 m |
698 |
448 |
$42K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
323 |
163 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,275 |
2,995 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,535 |
2,702 |
$36K |
| 99205 |
Prolong outpt/office vis |
202 |
188 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
1,825 |
1,671 |
$26K |
| 90686 |
|
2,114 |
1,908 |
$21K |
| 99385 |
|
223 |
206 |
$19K |
| 87400 |
|
698 |
615 |
$16K |
| 90651 |
|
469 |
414 |
$16K |
| 99401 |
|
630 |
526 |
$15K |
| 87807 |
|
1,376 |
1,236 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
92 |
84 |
$12K |
| 90715 |
|
540 |
480 |
$11K |
| 99406 |
|
1,099 |
928 |
$10K |
| 87430 |
|
855 |
678 |
$10K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,150 |
1,017 |
$9K |
| 59430 |
|
41 |
38 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,987 |
1,771 |
$9K |
| 90670 |
|
1,099 |
969 |
$8K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
52 |
41 |
$8K |
| 90474 |
|
937 |
853 |
$7K |
| 73630 |
|
508 |
385 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
124 |
122 |
$7K |
| 81002 |
|
1,370 |
850 |
$6K |
| 90671 |
|
602 |
576 |
$6K |
| 99386 |
|
57 |
49 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
31 |
31 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
232 |
182 |
$5K |
| 59025 |
Fetal non-stress test |
190 |
109 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
196 |
112 |
$4K |
| 99221 |
|
78 |
70 |
$4K |
| 99173 |
|
1,414 |
1,317 |
$4K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
46 |
24 |
$3K |
| 92551 |
|
108 |
96 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
225 |
117 |
$3K |
| 73610 |
|
168 |
136 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
57 |
$3K |
| 99460 |
|
26 |
25 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
268 |
207 |
$2K |
| 96127 |
|
745 |
687 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,315 |
989 |
$1K |
| 99495 |
|
13 |
13 |
$1K |
| 81025 |
|
186 |
136 |
$1K |
| 20610 |
|
30 |
26 |
$1K |
| 74018 |
|
99 |
94 |
$1K |
| 90746 |
|
16 |
15 |
$1K |
| 99219 |
|
13 |
12 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 90653 |
|
19 |
19 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
29 |
$1K |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
86 |
72 |
$974.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
105 |
102 |
$950.29 |
| 99383 |
|
12 |
12 |
$940.39 |
| 99381 |
|
13 |
13 |
$872.31 |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
12 |
$740.05 |
| 99217 |
|
16 |
15 |
$730.23 |
| 80053 |
Comprehensive metabolic panel |
78 |
37 |
$593.36 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
73 |
61 |
$443.93 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
76 |
72 |
$427.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
925 |
717 |
$340.05 |
| 72110 |
|
12 |
12 |
$321.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
60 |
33 |
$319.16 |
| 73130 |
|
23 |
16 |
$302.69 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
288 |
206 |
$262.58 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
74 |
55 |
$246.28 |
| 90723 |
|
1,120 |
1,016 |
$241.59 |
| 73110 |
|
12 |
12 |
$222.79 |
| 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) |
445 |
420 |
$182.59 |
| 90680 |
|
982 |
882 |
$151.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
73 |
54 |
$120.64 |
| 81003 |
|
57 |
50 |
$112.34 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
23 |
20 |
$76.68 |
| 90648 |
|
1,620 |
1,462 |
$76.58 |
| 90734 |
|
306 |
278 |
$75.31 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
40 |
25 |
$45.66 |
| 90710 |
|
66 |
63 |
$39.60 |
| 90656 |
|
185 |
180 |
$24.59 |
| 90696 |
|
47 |
45 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
28 |
27 |
$0.00 |
| 90716 |
|
106 |
100 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90633 |
|
710 |
632 |
$0.00 |
| 90700 |
|
94 |
85 |
$0.00 |
| 90707 |
|
89 |
78 |
$0.00 |