| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,168 |
43,645 |
$3.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,610 |
43,141 |
$2.48M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,186 |
9,922 |
$738K |
| 59425 |
|
7,379 |
4,998 |
$387K |
| 59426 |
|
5,663 |
2,634 |
$377K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,806 |
5,917 |
$285K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,735 |
2,388 |
$143K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,554 |
1,177 |
$143K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
2,232 |
2,003 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,620 |
1,253 |
$112K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,499 |
1,272 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,050 |
910 |
$85K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,224 |
1,008 |
$79K |
| 36415 |
Collection of venous blood by venipuncture |
26,078 |
20,904 |
$77K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
702 |
630 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
572 |
533 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,882 |
5,640 |
$44K |
| 90834 |
Psychotherapy, 45 minutes with patient |
501 |
349 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,613 |
2,018 |
$29K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
415 |
337 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
570 |
444 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,152 |
945 |
$28K |
| 81003 |
|
18,840 |
11,102 |
$28K |
| 59430 |
|
231 |
176 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
950 |
734 |
$18K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
928 |
785 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
328 |
260 |
$15K |
| 90686 |
|
3,417 |
3,037 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
326 |
283 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
121 |
81 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
133 |
112 |
$9K |
| 73110 |
|
367 |
258 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
473 |
380 |
$9K |
| 99215 |
Prolong outpt/office vis |
150 |
112 |
$9K |
| 99307 |
|
982 |
728 |
$6K |
| 59025 |
Fetal non-stress test |
435 |
204 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
368 |
306 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
174 |
132 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
232 |
208 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
38 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
314 |
193 |
$2K |
| 81025 |
|
518 |
401 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
37 |
$2K |
| 73630 |
|
116 |
68 |
$2K |
| 73130 |
|
57 |
42 |
$1K |
| 81002 |
|
927 |
512 |
$1K |
| 20610 |
|
34 |
26 |
$1K |
| 96121 |
|
26 |
13 |
$1K |
| 90688 |
|
213 |
192 |
$1K |
| 90715 |
|
147 |
122 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
74 |
59 |
$1K |
| 95251 |
|
51 |
43 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
64 |
31 |
$981.77 |
| 90670 |
|
744 |
596 |
$963.90 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
446 |
315 |
$895.52 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
28 |
$843.44 |
| 62323 |
|
13 |
12 |
$725.66 |
| 96116 |
|
26 |
13 |
$503.00 |
| 97597 |
|
24 |
12 |
$461.58 |
| 73140 |
|
16 |
12 |
$431.24 |
| 87070 |
|
84 |
51 |
$367.42 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
257 |
208 |
$348.55 |
| 73030 |
|
15 |
13 |
$340.09 |
| 90723 |
|
320 |
258 |
$305.30 |
| 90656 |
|
31 |
27 |
$277.62 |
| 74018 |
|
34 |
12 |
$244.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
13 |
$218.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
331 |
262 |
$218.42 |
| 96127 |
|
70 |
57 |
$151.89 |
| 90474 |
|
39 |
27 |
$136.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
57 |
45 |
$100.80 |
| 90648 |
|
742 |
595 |
$97.94 |
| 99177 |
|
12 |
12 |
$66.83 |
| 36416 |
|
14 |
12 |
$36.63 |
| 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) |
548 |
492 |
$36.05 |
| 90633 |
|
99 |
90 |
$33.74 |
| 76830 |
Ultrasound, transvaginal |
46 |
44 |
$0.00 |
| 90732 |
|
25 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
130 |
130 |
$0.00 |
| 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 |
584 |
562 |
$0.00 |
| 90681 |
|
29 |
25 |
$0.00 |