| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,278 |
9,495 |
$230K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,794 |
3,188 |
$225K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,418 |
3,786 |
$211K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15,566 |
3,304 |
$210K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,012 |
4,557 |
$204K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,942 |
2,506 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,837 |
6,422 |
$138K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,577 |
2,239 |
$136K |
| 99381 |
|
1,460 |
1,332 |
$90K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,013 |
2,579 |
$59K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,276 |
1,920 |
$52K |
| 99223 |
Prolong inpt eval add15 m |
605 |
534 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,693 |
3,278 |
$34K |
| 99220 |
|
410 |
363 |
$25K |
| 80305 |
|
8,492 |
6,157 |
$21K |
| 99219 |
|
285 |
261 |
$15K |
| 99217 |
|
556 |
500 |
$14K |
| 93922 |
|
1,196 |
869 |
$13K |
| 99401 |
|
2,889 |
2,203 |
$11K |
| 82947 |
|
7,373 |
5,182 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
727 |
558 |
$9K |
| 99224 |
|
641 |
272 |
$7K |
| 94010 |
|
936 |
643 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
101 |
$6K |
| 93000 |
|
953 |
692 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
65 |
$4K |
| 81003 |
|
4,510 |
3,418 |
$4K |
| 90674 |
|
221 |
171 |
$3K |
| 90670 |
|
2,928 |
2,451 |
$3K |
| 99226 |
|
73 |
37 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
716 |
370 |
$2K |
| 90697 |
|
550 |
504 |
$2K |
| 96127 |
|
1,067 |
508 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
195 |
98 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
600 |
519 |
$850.45 |
| 99233 |
Prolong inpt eval add15 m |
20 |
13 |
$769.57 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,114 |
770 |
$730.56 |
| 90680 |
|
1,961 |
1,630 |
$698.63 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$663.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
29 |
$660.07 |
| 90698 |
|
2,185 |
1,802 |
$591.75 |
| 81025 |
|
183 |
149 |
$511.11 |
| 90461 |
|
2,163 |
1,818 |
$412.40 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
12 |
$320.46 |
| 3077F |
|
1,329 |
1,050 |
$320.02 |
| 90723 |
|
283 |
260 |
$290.09 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$281.33 |
| 3080F |
|
784 |
611 |
$230.00 |
| 90744 |
|
1,431 |
1,148 |
$224.38 |
| 3079F |
|
650 |
535 |
$170.00 |
| 90716 |
|
550 |
422 |
$150.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
110 |
91 |
$129.88 |
| 3078F |
|
609 |
498 |
$120.03 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
111 |
91 |
$119.77 |
| 90647 |
|
399 |
365 |
$116.73 |
| 90633 |
|
1,204 |
1,027 |
$107.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
39 |
27 |
$101.91 |
| 90681 |
|
364 |
330 |
$100.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
471 |
365 |
$99.78 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
199 |
163 |
$98.74 |
| 3074F |
|
544 |
445 |
$80.01 |
| 3075F |
|
155 |
131 |
$50.00 |
| 90700 |
|
217 |
187 |
$31.89 |
| 90756 |
|
38 |
30 |
$23.51 |
| 90688 |
|
17 |
15 |
$22.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
52 |
42 |
$15.59 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
43 |
25 |
$8.77 |
| 94760 |
|
803 |
544 |
$7.30 |
| 90677 |
|
652 |
607 |
$2.14 |
| 3008F |
|
6,672 |
5,192 |
$0.05 |
| 90710 |
|
266 |
263 |
$0.02 |
| 90648 |
|
76 |
67 |
$0.01 |
| 1159F |
|
3,280 |
2,513 |
$0.01 |
| 1160F |
|
3,346 |
2,579 |
$0.01 |
| 1125F |
|
1,798 |
1,412 |
$0.01 |
| 1158F |
|
127 |
101 |
$0.00 |
| 90707 |
|
552 |
420 |
$0.00 |
| 99072 |
|
51 |
42 |
$0.00 |
| 1126F |
|
99 |
83 |
$0.00 |
| 3044F |
|
197 |
168 |
$0.00 |
| 3048F |
|
63 |
49 |
$0.00 |
| 3049F |
|
20 |
12 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 1170F |
|
17 |
16 |
$0.00 |