| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,460 |
38,606 |
$3.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,634 |
12,427 |
$1.36M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,311 |
4,776 |
$566K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,645 |
4,394 |
$541K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,180 |
18,038 |
$373K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,651 |
1,436 |
$246K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,533 |
7,930 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,424 |
1,364 |
$169K |
| 96118 |
|
437 |
361 |
$102K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14,489 |
12,561 |
$101K |
| 90670 |
|
2,323 |
2,180 |
$93K |
| 96133 |
|
295 |
260 |
$69K |
| 96132 |
|
836 |
703 |
$66K |
| 99215 |
Prolong outpt/office vis |
363 |
337 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
432 |
416 |
$45K |
| 90686 |
|
6,200 |
6,018 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
247 |
232 |
$30K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
177 |
173 |
$26K |
| 96139 |
|
122 |
102 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
361 |
332 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
247 |
230 |
$16K |
| 90723 |
|
987 |
937 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,045 |
969 |
$14K |
| 92567 |
|
966 |
923 |
$11K |
| 90680 |
|
626 |
589 |
$11K |
| 99205 |
Prolong outpt/office vis |
56 |
54 |
$11K |
| 92557 |
|
414 |
400 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
70 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,129 |
707 |
$10K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
41 |
13 |
$9K |
| 90474 |
|
651 |
600 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
104 |
98 |
$8K |
| 96119 |
|
57 |
52 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
101 |
38 |
$7K |
| 90633 |
|
611 |
564 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
77 |
72 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
271 |
266 |
$7K |
| 96116 |
|
94 |
90 |
$6K |
| 90647 |
|
1,078 |
1,012 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
26 |
25 |
$5K |
| 90651 |
|
47 |
41 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
509 |
318 |
$3K |
| 96138 |
|
123 |
116 |
$3K |
| 93000 |
|
200 |
188 |
$3K |
| 92587 |
|
188 |
186 |
$3K |
| 96127 |
|
340 |
322 |
$2K |
| 90734 |
|
45 |
41 |
$2K |
| 90710 |
|
30 |
30 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
14 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
13 |
$1K |
| 96161 |
|
476 |
422 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$1K |
| 90716 |
|
26 |
25 |
$1K |
| 96120 |
|
41 |
38 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
58 |
26 |
$1K |
| 97597 |
|
62 |
38 |
$851.59 |
| 93325 |
|
42 |
37 |
$836.38 |
| 90696 |
|
45 |
44 |
$786.06 |
| 95251 |
|
38 |
38 |
$753.56 |
| 95806 |
|
13 |
12 |
$604.23 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16 |
12 |
$549.87 |
| 90700 |
|
44 |
43 |
$527.16 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
12 |
$519.96 |
| 11721 |
|
67 |
57 |
$368.39 |
| 93272 |
|
12 |
12 |
$344.16 |
| 99315 |
|
23 |
19 |
$340.26 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
40 |
$265.67 |
| 90707 |
|
13 |
12 |
$257.73 |
| V5266 |
Battery for use in hearing device |
27 |
27 |
$202.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
50 |
25 |
$186.66 |
| 99310 |
Prolong nursin fac eval 15m |
21 |
12 |
$180.53 |
| 11720 |
|
44 |
39 |
$144.97 |
| 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) |
12 |
12 |
$130.32 |
| 99307 |
|
29 |
27 |
$48.92 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
14 |
$44.80 |
| 90685 |
|
69 |
69 |
$35.70 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$0.00 |