| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,718 |
33,758 |
$1.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,988 |
30,404 |
$1.19M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,035 |
6,427 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,019 |
2,888 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,355 |
3,032 |
$164K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,521 |
3,535 |
$133K |
| 99307 |
|
12,722 |
10,765 |
$123K |
| 90837 |
Psychotherapy, 53 minutes with patient |
578 |
278 |
$41K |
| 90670 |
|
1,695 |
1,631 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
620 |
590 |
$28K |
| 90677 |
|
132 |
121 |
$25K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,297 |
621 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
308 |
289 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
412 |
396 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,412 |
1,374 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
967 |
861 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
139 |
$9K |
| 90686 |
|
614 |
586 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
115 |
95 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
418 |
213 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
595 |
289 |
$6K |
| 90688 |
|
693 |
680 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
69 |
69 |
$5K |
| 90680 |
|
812 |
794 |
$4K |
| 90723 |
|
766 |
748 |
$4K |
| 90647 |
|
625 |
612 |
$4K |
| 99304 |
|
228 |
205 |
$4K |
| 99215 |
Prolong outpt/office vis |
57 |
55 |
$3K |
| 90698 |
|
468 |
461 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
351 |
276 |
$3K |
| 97810 |
|
129 |
44 |
$2K |
| 90633 |
|
213 |
207 |
$2K |
| 96136 |
|
113 |
93 |
$2K |
| 96137 |
|
113 |
93 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
99 |
93 |
$2K |
| 97811 |
|
128 |
44 |
$2K |
| 90661 |
|
78 |
69 |
$2K |
| 64615 |
|
31 |
30 |
$2K |
| 85018 |
|
859 |
846 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
76 |
76 |
$2K |
| 90687 |
|
253 |
252 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99217 |
|
68 |
65 |
$1K |
| 36416 |
|
1,204 |
1,188 |
$1K |
| 90734 |
|
103 |
103 |
$1K |
| 92557 |
|
40 |
40 |
$1K |
| 96116 |
|
57 |
52 |
$950.38 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
21 |
12 |
$730.95 |
| 99218 |
|
45 |
41 |
$672.15 |
| 99222 |
Initial hospital care, per day, moderate complexity |
29 |
26 |
$656.09 |
| 90710 |
|
16 |
16 |
$606.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
132 |
125 |
$603.64 |
| 83655 |
|
51 |
50 |
$602.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
47 |
$586.22 |
| 96127 |
|
166 |
143 |
$577.08 |
| 90461 |
|
4,140 |
3,820 |
$568.41 |
| 99219 |
|
16 |
16 |
$563.47 |
| 96130 |
|
12 |
12 |
$545.80 |
| 90744 |
|
80 |
79 |
$515.75 |
| 99233 |
Prolong inpt eval add15 m |
23 |
12 |
$483.36 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
14 |
$466.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
28 |
$458.31 |
| 20610 |
|
18 |
16 |
$449.20 |
| 90651 |
|
27 |
27 |
$437.75 |
| 90715 |
|
44 |
44 |
$387.53 |
| 83986 |
|
113 |
107 |
$347.49 |
| 99223 |
Prolong inpt eval add15 m |
26 |
24 |
$338.08 |
| 92567 |
|
27 |
27 |
$276.26 |
| 99152 |
|
31 |
27 |
$233.90 |
| 99221 |
|
15 |
14 |
$232.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$180.40 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
19 |
18 |
$144.72 |
| 90696 |
|
13 |
13 |
$120.50 |
| 99173 |
|
51 |
51 |
$118.37 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
40 |
$90.87 |
| 99406 |
|
14 |
14 |
$81.52 |
| 92551 |
|
14 |
13 |
$80.12 |