| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117,057 |
103,733 |
$3.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,715 |
53,656 |
$2.81M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,270 |
4,027 |
$324K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,523 |
3,174 |
$236K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,981 |
2,866 |
$221K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,284 |
4,087 |
$216K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,924 |
18,686 |
$197K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,100 |
2,020 |
$155K |
| 99233 |
Prolong inpt eval add15 m |
3,907 |
1,441 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,605 |
1,548 |
$134K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,676 |
6,246 |
$133K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,174 |
8,682 |
$130K |
| 90686 |
|
10,269 |
9,712 |
$93K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,054 |
8,608 |
$88K |
| 36415 |
Collection of venous blood by venipuncture |
35,452 |
29,505 |
$80K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,471 |
2,546 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,023 |
996 |
$68K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,002 |
966 |
$57K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
473 |
438 |
$57K |
| 99215 |
Prolong outpt/office vis |
764 |
667 |
$51K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
831 |
802 |
$42K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
630 |
592 |
$38K |
| 99223 |
Prolong inpt eval add15 m |
467 |
354 |
$37K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
929 |
444 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
468 |
421 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
944 |
885 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
308 |
299 |
$18K |
| 99460 |
|
191 |
186 |
$15K |
| 97597 |
|
1,767 |
702 |
$14K |
| 76830 |
Ultrasound, transvaginal |
174 |
169 |
$13K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
906 |
599 |
$12K |
| 96127 |
|
659 |
635 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
133 |
129 |
$11K |
| 85018 |
|
3,952 |
3,740 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
109 |
108 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
77 |
74 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,262 |
1,691 |
$7K |
| 90474 |
|
1,056 |
988 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
252 |
234 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
222 |
104 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
105 |
101 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
120 |
119 |
$5K |
| 90670 |
|
2,479 |
2,361 |
$5K |
| 95251 |
|
81 |
75 |
$4K |
| 81003 |
|
1,797 |
1,474 |
$3K |
| 99220 |
|
39 |
38 |
$3K |
| 90648 |
|
2,248 |
2,152 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
33 |
$2K |
| 99217 |
|
52 |
49 |
$2K |
| 0001A |
|
63 |
62 |
$2K |
| 90651 |
|
627 |
594 |
$2K |
| 90723 |
|
1,598 |
1,521 |
$2K |
| 90656 |
|
374 |
363 |
$2K |
| 0071A |
|
44 |
44 |
$2K |
| 90680 |
|
1,221 |
1,161 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$2K |
| 90677 |
|
29 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
77 |
$1K |
| 0004A |
|
40 |
40 |
$1K |
| 87428 |
|
13 |
13 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
86 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
51 |
$1K |
| 99226 |
|
27 |
13 |
$1K |
| 90633 |
|
890 |
849 |
$970.04 |
| 91320 |
|
12 |
12 |
$928.18 |
| 59025 |
Fetal non-stress test |
28 |
12 |
$822.80 |
| 90715 |
|
190 |
183 |
$760.63 |
| 90480 |
|
28 |
28 |
$675.41 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
16 |
12 |
$561.71 |
| 20610 |
|
13 |
12 |
$552.12 |
| 90710 |
|
363 |
348 |
$538.98 |
| 90734 |
|
468 |
446 |
$445.25 |
| 0002A |
|
12 |
12 |
$440.71 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$322.43 |
| 99000 |
|
140 |
136 |
$298.96 |
| 0124A |
|
49 |
12 |
$282.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
34 |
33 |
$248.07 |
| 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) |
78 |
65 |
$247.40 |
| 90647 |
|
159 |
152 |
$224.43 |
| 90620 |
|
57 |
54 |
$212.58 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
28 |
24 |
$171.11 |
| 87807 |
|
12 |
12 |
$167.11 |
| 81025 |
|
16 |
14 |
$110.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
162 |
152 |
$97.94 |
| 90700 |
|
39 |
39 |
$81.53 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
13 |
$76.74 |
| 90696 |
|
73 |
71 |
$69.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
26 |
$45.50 |
| 90685 |
|
22 |
21 |
$11.25 |
| 90707 |
|
13 |
13 |
$10.17 |
| 90716 |
|
13 |
13 |
$10.17 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$2.02 |
| 91300 |
|
279 |
260 |
$0.00 |
| 91307 |
|
100 |
99 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
382 |
159 |
$0.00 |
| 91305 |
|
29 |
29 |
$0.00 |