| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,407 |
40,165 |
$1.98M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,647 |
20,647 |
$1.38M |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,716 |
9,027 |
$403K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,730 |
2,543 |
$98K |
| 99215 |
Prolong outpt/office vis |
837 |
647 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
893 |
833 |
$72K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,730 |
5,294 |
$66K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,350 |
762 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
737 |
676 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,599 |
4,158 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,849 |
1,248 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
1,210 |
254 |
$34K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,284 |
1,120 |
$34K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
746 |
502 |
$30K |
| 90832 |
Psychotherapy, 30 minutes with patient |
979 |
687 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,926 |
1,307 |
$25K |
| 90670 |
|
235 |
233 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
386 |
291 |
$19K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
387 |
318 |
$18K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
131 |
120 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
153 |
$13K |
| 90686 |
|
1,700 |
1,548 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
618 |
475 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
163 |
122 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
286 |
95 |
$10K |
| 59426 |
|
187 |
138 |
$7K |
| 59425 |
|
132 |
116 |
$6K |
| 90698 |
|
186 |
169 |
$5K |
| 95251 |
|
404 |
268 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
492 |
341 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
39 |
30 |
$3K |
| 83037 |
|
1,189 |
791 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
14 |
12 |
$2K |
| 99442 |
|
313 |
165 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
192 |
176 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
12 |
$2K |
| 90685 |
|
80 |
79 |
$2K |
| 90682 |
|
162 |
136 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
39 |
26 |
$947.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$761.16 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
25 |
$743.54 |
| 90633 |
|
40 |
36 |
$740.32 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
53 |
26 |
$602.98 |
| 99217 |
|
32 |
25 |
$549.79 |
| 98968 |
|
109 |
78 |
$543.48 |
| 90656 |
|
105 |
92 |
$472.18 |
| 99000 |
|
193 |
173 |
$416.82 |
| 83655 |
|
56 |
52 |
$381.72 |
| 95806 |
|
12 |
12 |
$378.36 |
| 94726 |
|
54 |
50 |
$359.79 |
| 90474 |
|
26 |
25 |
$353.90 |
| 81003 |
|
388 |
287 |
$346.04 |
| 81025 |
|
60 |
51 |
$292.66 |
| 99443 |
|
27 |
14 |
$256.99 |
| 20611 |
|
20 |
13 |
$234.89 |
| 94060 |
|
40 |
36 |
$223.90 |
| 80305 |
|
32 |
27 |
$217.10 |
| 94729 |
|
42 |
38 |
$191.55 |
| 96127 |
|
177 |
160 |
$82.19 |
| 99173 |
|
13 |
13 |
$26.88 |
| 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) |
309 |
148 |
$14.63 |
| 3074F |
|
8,210 |
6,698 |
$0.00 |
| 3008F |
|
11,183 |
8,811 |
$0.00 |
| 1000F |
|
8,105 |
6,499 |
$0.00 |
| 3079F |
|
1,037 |
803 |
$0.00 |
| 1036F |
|
5,004 |
3,589 |
$0.00 |
| 3017F |
|
536 |
368 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,987 |
1,424 |
$0.00 |
| 1034F |
|
214 |
189 |
$0.00 |
| 4000F |
|
246 |
214 |
$0.00 |
| 90677 |
|
56 |
51 |
$0.00 |
| 3075F |
|
60 |
42 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
40 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
21 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 3014F |
|
86 |
72 |
$0.00 |
| 91307 |
|
17 |
14 |
$0.00 |
| 90697 |
|
26 |
25 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
12 |
$0.00 |
| 3078F |
|
6,811 |
5,440 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,782 |
2,299 |
$0.00 |
| 3725F |
|
10,741 |
7,494 |
$0.00 |
| 3015F |
|
241 |
192 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,494 |
1,292 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,597 |
1,869 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,466 |
1,064 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$0.00 |
| 90671 |
|
56 |
54 |
$0.00 |
| 3288F |
|
27 |
13 |
$0.00 |
| 90734 |
|
21 |
14 |
$0.00 |
| 4040F |
|
24 |
12 |
$0.00 |