| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,623 |
48,192 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,622 |
25,418 |
$989K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
3,665 |
3,412 |
$167K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,536 |
1,932 |
$120K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,558 |
2,435 |
$116K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,214 |
2,115 |
$85K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
915 |
852 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
948 |
909 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
947 |
909 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
886 |
844 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,040 |
999 |
$49K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
471 |
255 |
$48K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
335 |
313 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
12,020 |
10,717 |
$26K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
588 |
530 |
$22K |
| 99223 |
Prolong inpt eval add15 m |
350 |
314 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
258 |
245 |
$22K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
153 |
144 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
241 |
239 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,676 |
1,289 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
184 |
184 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,399 |
1,224 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
192 |
177 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
176 |
166 |
$9K |
| 90686 |
|
625 |
599 |
$8K |
| 95117 |
|
412 |
199 |
$7K |
| 0240U |
|
57 |
48 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
758 |
705 |
$6K |
| 80076 |
|
663 |
538 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
164 |
97 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
730 |
698 |
$5K |
| 90461 |
|
450 |
428 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
32 |
32 |
$5K |
| 85004 |
|
544 |
450 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
627 |
515 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
28 |
27 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
213 |
209 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
159 |
159 |
$3K |
| 80061 |
Lipid panel |
300 |
295 |
$3K |
| 0002A |
|
88 |
85 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
129 |
118 |
$3K |
| 0001A |
|
83 |
83 |
$3K |
| 99401 |
|
902 |
694 |
$3K |
| 95806 |
|
12 |
12 |
$2K |
| 80053 |
Comprehensive metabolic panel |
220 |
207 |
$2K |
| 85041 |
|
559 |
462 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
231 |
175 |
$2K |
| 95251 |
|
39 |
39 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
57 |
$2K |
| 91320 |
|
16 |
15 |
$2K |
| 85018 |
|
635 |
528 |
$2K |
| 85014 |
|
561 |
464 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
75 |
$1K |
| 99220 |
|
13 |
13 |
$1K |
| 83970 |
|
25 |
25 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$1K |
| 90480 |
|
29 |
28 |
$999.43 |
| 80069 |
|
99 |
89 |
$951.37 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
23 |
12 |
$912.21 |
| 84460 |
|
207 |
200 |
$897.92 |
| 84439 |
|
100 |
97 |
$874.69 |
| 82565 |
|
189 |
180 |
$839.68 |
| 90961 |
|
15 |
14 |
$836.81 |
| 99153 |
Mod sedat endo service >5yrs |
411 |
376 |
$835.55 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$756.77 |
| 94726 |
|
100 |
98 |
$745.20 |
| 90656 |
|
234 |
218 |
$637.18 |
| 90970 |
|
489 |
25 |
$628.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
232 |
128 |
$532.07 |
| 90677 |
|
123 |
112 |
$520.72 |
| 94010 |
|
27 |
24 |
$514.43 |
| 11102 |
|
12 |
12 |
$511.66 |
| 94729 |
|
101 |
99 |
$466.59 |
| 71046 |
Radiologic examination, chest; 2 views |
61 |
47 |
$465.51 |
| 0071A |
|
14 |
13 |
$448.40 |
| 0124A |
|
15 |
15 |
$410.80 |
| 87081 |
|
59 |
49 |
$407.61 |
| 94060 |
|
29 |
28 |
$395.77 |
| 96161 |
|
50 |
50 |
$315.46 |
| 90698 |
|
186 |
169 |
$301.89 |
| 0513F |
|
82 |
74 |
$300.00 |
| 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) |
109 |
98 |
$274.21 |
| 83655 |
|
19 |
15 |
$258.62 |
| 85027 |
|
40 |
37 |
$257.02 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
30 |
13 |
$245.55 |
| 91065 |
|
13 |
12 |
$236.52 |
| 99000 |
|
95 |
91 |
$214.19 |
| 99152 |
|
174 |
165 |
$209.07 |
| 99442 |
|
19 |
19 |
$201.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$177.85 |
| 92551 |
|
12 |
12 |
$172.47 |
| 82570 |
|
25 |
25 |
$153.09 |
| 99177 |
|
228 |
216 |
$147.90 |
| 82043 |
|
13 |
13 |
$108.36 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
36 |
36 |
$101.92 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
12 |
12 |
$77.53 |
| 81003 |
|
53 |
49 |
$71.14 |
| 36416 |
|
317 |
255 |
$55.49 |
| 85610 |
|
39 |
24 |
$0.00 |
| 90670 |
|
70 |
68 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
25 |
25 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 99174 |
|
477 |
472 |
$0.00 |
| 90680 |
|
49 |
48 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
87 |
81 |
$0.00 |