| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
29,600 |
10,712 |
$1.88M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,553 |
43,776 |
$1.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,480 |
53,217 |
$1.47M |
| 59425 |
|
8,737 |
7,279 |
$584K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,801 |
3,329 |
$545K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,420 |
6,410 |
$434K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,374 |
6,095 |
$424K |
| 99223 |
Prolong inpt eval add15 m |
2,949 |
2,902 |
$390K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,151 |
3,145 |
$257K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,731 |
2,729 |
$204K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,086 |
3,052 |
$197K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,819 |
1,814 |
$186K |
| 90961 |
|
949 |
949 |
$171K |
| 92551 |
|
7,601 |
7,593 |
$151K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,821 |
1,800 |
$135K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,231 |
1,230 |
$132K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
566 |
566 |
$126K |
| 90686 |
|
6,874 |
6,821 |
$121K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,759 |
2,702 |
$110K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
749 |
748 |
$103K |
| 99215 |
Prolong outpt/office vis |
790 |
684 |
$100K |
| 99205 |
Prolong outpt/office vis |
415 |
415 |
$79K |
| 87428 |
|
1,128 |
1,121 |
$69K |
| 59025 |
Fetal non-stress test |
2,064 |
1,495 |
$69K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
502 |
494 |
$64K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,589 |
2,183 |
$64K |
| 90670 |
|
3,520 |
3,509 |
$58K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
363 |
150 |
$54K |
| 98960 |
|
540 |
410 |
$43K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
53 |
53 |
$42K |
| 99173 |
|
5,915 |
5,913 |
$39K |
| 90697 |
|
1,067 |
1,032 |
$30K |
| 0012A |
|
769 |
769 |
$30K |
| 90723 |
|
1,672 |
1,665 |
$29K |
| 0011A |
|
789 |
789 |
$28K |
| 90633 |
|
1,531 |
1,505 |
$27K |
| 99243 |
|
178 |
178 |
$22K |
| 90680 |
|
1,225 |
1,195 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,621 |
2,596 |
$19K |
| 76830 |
Ultrasound, transvaginal |
162 |
160 |
$18K |
| 90648 |
|
967 |
958 |
$16K |
| Z1034 |
|
296 |
206 |
$16K |
| 99310 |
Prolong nursin fac eval 15m |
516 |
334 |
$15K |
| 90647 |
|
729 |
727 |
$13K |
| 90677 |
|
691 |
681 |
$12K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
17 |
13 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
123 |
120 |
$12K |
| 90651 |
|
469 |
468 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
454 |
422 |
$9K |
| 90681 |
|
542 |
539 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
114 |
111 |
$8K |
| 51798 |
|
681 |
671 |
$8K |
| 90962 |
|
55 |
55 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
788 |
775 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
42 |
42 |
$7K |
| 90656 |
|
373 |
372 |
$7K |
| 90710 |
|
352 |
346 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
26 |
26 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
39 |
39 |
$6K |
| 93793 |
|
482 |
335 |
$6K |
| 90734 |
|
311 |
311 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
63 |
$6K |
| 99462 |
|
162 |
109 |
$5K |
| 90700 |
|
305 |
304 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
101 |
100 |
$5K |
| 81002 |
|
3,459 |
3,284 |
$5K |
| 85018 |
|
2,138 |
2,068 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
38 |
37 |
$5K |
| 99460 |
|
57 |
57 |
$4K |
| 99254 |
|
28 |
26 |
$4K |
| 90716 |
|
221 |
219 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
40 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
64 |
64 |
$4K |
| 90707 |
|
179 |
176 |
$3K |
| 73564 |
|
94 |
90 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
12 |
$3K |
| 20610 |
|
67 |
52 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
58 |
52 |
$3K |
| 20553 |
|
63 |
59 |
$2K |
| 99253 |
|
27 |
27 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
39 |
39 |
$2K |
| 0071A |
|
56 |
56 |
$2K |
| 0072A |
|
58 |
58 |
$2K |
| 85610 |
|
565 |
383 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$2K |
| 90715 |
|
110 |
110 |
$2K |
| 99221 |
|
20 |
19 |
$2K |
| 59430 |
|
25 |
25 |
$2K |
| 90696 |
|
97 |
97 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
42 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 76642 |
|
14 |
13 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
235 |
235 |
$1K |
| 94010 |
|
41 |
41 |
$1K |
| 99381 |
|
14 |
14 |
$1K |
| 64483 |
|
20 |
14 |
$1K |
| 81025 |
|
336 |
330 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
54 |
53 |
$1K |
| 73030 |
|
43 |
41 |
$896.60 |
| 99305 |
|
28 |
28 |
$892.94 |
| 0001A |
|
20 |
20 |
$800.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
108 |
107 |
$773.46 |
| 90649 |
|
42 |
42 |
$747.00 |
| 0064A |
|
20 |
20 |
$740.00 |
| 0002A |
|
17 |
17 |
$680.00 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$659.77 |
| 90685 |
|
36 |
36 |
$651.77 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
20 |
12 |
$584.12 |
| 83655 |
|
40 |
40 |
$530.32 |
| 0082A |
|
13 |
13 |
$520.00 |
| 99316 |
|
12 |
12 |
$419.40 |
| 90698 |
|
40 |
40 |
$360.00 |
| 96127 |
|
48 |
48 |
$305.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
14 |
$274.89 |
| 90744 |
|
12 |
12 |
$108.00 |
| 87807 |
|
12 |
12 |
$104.88 |
| 99000 |
|
28 |
27 |
$100.11 |
| 82247 |
|
20 |
16 |
$93.34 |
| 82962 |
|
22 |
16 |
$54.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
13 |
12 |
$47.24 |
| 71045 |
Radiologic examination, chest; single view |
72 |
58 |
$32.64 |
| 81003 |
|
14 |
14 |
$27.68 |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
16 |
$4.44 |
| 3078F |
|
224 |
220 |
$0.00 |
| 3077F |
|
16 |
16 |
$0.00 |
| 3074F |
|
129 |
127 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
35 |
$0.00 |
| 90694 |
|
15 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |