| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,865 |
15,065 |
$549K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,668 |
10,086 |
$446K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,877 |
2,619 |
$196K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,995 |
2,651 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,446 |
1,316 |
$89K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,502 |
4,633 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,576 |
2,335 |
$64K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,239 |
2,808 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
894 |
787 |
$41K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
701 |
603 |
$29K |
| 99460 |
|
744 |
634 |
$29K |
| 51798 |
|
3,426 |
2,888 |
$26K |
| 17110 |
|
267 |
237 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,880 |
3,300 |
$15K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
307 |
277 |
$14K |
| 93000 |
|
1,726 |
1,585 |
$14K |
| 90474 |
|
1,268 |
1,118 |
$10K |
| 99462 |
|
423 |
308 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
977 |
393 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
125 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
226 |
190 |
$8K |
| 51741 |
|
571 |
434 |
$8K |
| 81002 |
|
4,440 |
3,561 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
128 |
120 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
667 |
218 |
$5K |
| 81000 |
|
2,564 |
1,992 |
$4K |
| 74420 |
|
170 |
123 |
$4K |
| 92551 |
|
497 |
467 |
$3K |
| 83655 |
|
476 |
294 |
$3K |
| 54150 |
|
28 |
24 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
125 |
70 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
58 |
54 |
$2K |
| 93016 |
|
305 |
276 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
222 |
190 |
$2K |
| 87807 |
|
186 |
151 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
173 |
94 |
$2K |
| 93018 |
|
305 |
276 |
$2K |
| 99205 |
Prolong outpt/office vis |
16 |
15 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
268 |
249 |
$1K |
| 99173 |
|
548 |
513 |
$897.37 |
| 99381 |
|
16 |
12 |
$839.19 |
| 0002A |
|
28 |
27 |
$822.34 |
| 0001A |
|
27 |
27 |
$792.68 |
| 85018 |
|
454 |
320 |
$712.13 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
62 |
62 |
$501.29 |
| 93224 |
|
14 |
14 |
$473.49 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
15 |
$406.31 |
| 17000 |
|
14 |
12 |
$346.68 |
| 99441 |
|
52 |
29 |
$293.46 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
31 |
$222.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
31 |
$151.16 |
| 36415 |
Collection of venous blood by venipuncture |
359 |
289 |
$105.18 |
| 90658 |
|
123 |
82 |
$96.81 |
| 36416 |
|
345 |
194 |
$61.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$46.93 |
| 99406 |
|
16 |
14 |
$44.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
18 |
$8.23 |
| 90633 |
|
477 |
431 |
$0.03 |
| 90685 |
|
354 |
296 |
$0.00 |
| 1160F |
|
121 |
114 |
$0.00 |
| 90670 |
|
2,019 |
1,773 |
$0.00 |
| 91300 |
|
51 |
40 |
$0.00 |
| 1159F |
|
121 |
114 |
$0.00 |
| 90707 |
|
16 |
12 |
$0.00 |
| 90648 |
|
322 |
306 |
$0.00 |
| 3078F |
|
17 |
17 |
$0.00 |
| 90680 |
|
1,345 |
1,208 |
$0.00 |
| 90698 |
|
1,523 |
1,391 |
$0.00 |
| 90723 |
|
259 |
252 |
$0.00 |
| 90744 |
|
1,288 |
1,070 |
$0.00 |
| 90686 |
|
1,061 |
971 |
$0.00 |
| 1036F |
|
130 |
117 |
$0.00 |
| 3008F |
|
1,101 |
983 |
$0.00 |
| 90716 |
|
29 |
28 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
706 |
443 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
103 |
89 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
257 |
202 |
$0.00 |
| 99024 |
|
53 |
36 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
104 |
90 |
$0.00 |
| 3074F |
|
18 |
18 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
14 |
$0.00 |