| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,899 |
19,476 |
$845K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,281 |
21,880 |
$665K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,711 |
4,122 |
$188K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,461 |
3,609 |
$138K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,093 |
1,889 |
$123K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,309 |
2,176 |
$121K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,903 |
2,755 |
$86K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,247 |
1,095 |
$70K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,277 |
1,212 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,207 |
1,118 |
$60K |
| 99215 |
Prolong outpt/office vis |
988 |
909 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,238 |
1,164 |
$20K |
| 20610 |
|
510 |
405 |
$17K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
54 |
54 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
200 |
191 |
$16K |
| 99205 |
Prolong outpt/office vis |
238 |
229 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
541 |
366 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
295 |
275 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
371 |
348 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,027 |
385 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
90 |
80 |
$6K |
| 91200 |
|
854 |
812 |
$6K |
| 76775 |
|
340 |
309 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
214 |
189 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
313 |
193 |
$5K |
| 99385 |
|
81 |
75 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
480 |
400 |
$4K |
| 99386 |
|
66 |
66 |
$4K |
| 73564 |
|
474 |
253 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
289 |
268 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
61 |
54 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
246 |
228 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
52 |
40 |
$2K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
19 |
19 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
420 |
341 |
$2K |
| 81003 |
|
1,131 |
796 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
24 |
14 |
$899.47 |
| 93018 |
|
127 |
123 |
$896.26 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
14 |
$858.02 |
| 93016 |
|
76 |
73 |
$840.35 |
| 99221 |
|
32 |
12 |
$620.22 |
| 76770 |
|
30 |
28 |
$589.03 |
| 81025 |
|
144 |
118 |
$565.97 |
| 71046 |
Radiologic examination, chest; 2 views |
40 |
38 |
$352.68 |
| 51741 |
|
15 |
14 |
$195.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
14 |
$100.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
90 |
83 |
$87.43 |
| 93000 |
|
30 |
28 |
$54.90 |
| 90715 |
|
53 |
47 |
$32.34 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
141 |
93 |
$4.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
37 |
25 |
$1.70 |
| 3078F |
|
2,755 |
2,605 |
$1.15 |
| 3074F |
|
1,833 |
1,730 |
$0.89 |
| 3079F |
|
760 |
728 |
$0.46 |
| 3077F |
|
1,175 |
1,116 |
$0.41 |
| 3075F |
|
681 |
658 |
$0.33 |
| 3044F |
|
211 |
206 |
$0.03 |
| 3080F |
|
117 |
110 |
$0.01 |
| 4003F |
|
1,737 |
1,539 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$0.00 |
| 94760 |
|
280 |
235 |
$0.00 |
| 90686 |
|
183 |
151 |
$0.00 |
| 90636 |
|
34 |
24 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
33 |
32 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 99024 |
|
45 |
44 |
$0.00 |
| 90651 |
|
20 |
15 |
$0.00 |