| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,993 |
25,463 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,401 |
12,086 |
$587K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,412 |
4,776 |
$368K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
647 |
620 |
$353K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,219 |
4,074 |
$314K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,209 |
8,806 |
$152K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,369 |
1,330 |
$109K |
| 87428 |
|
1,357 |
1,275 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
818 |
780 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,390 |
1,288 |
$68K |
| 59430 |
|
1,026 |
989 |
$67K |
| 99381 |
|
949 |
907 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,101 |
1,675 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
560 |
535 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,023 |
518 |
$34K |
| 81002 |
|
10,761 |
7,155 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,045 |
1,957 |
$26K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
342 |
299 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
553 |
538 |
$24K |
| 81025 |
|
3,531 |
3,288 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
441 |
401 |
$18K |
| 90461 |
|
6,018 |
4,928 |
$18K |
| 87807 |
|
835 |
798 |
$8K |
| 90677 |
|
200 |
197 |
$8K |
| 99383 |
|
92 |
89 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
310 |
146 |
$7K |
| 76801 |
|
92 |
84 |
$7K |
| 83655 |
|
702 |
677 |
$6K |
| 81003 |
|
4,639 |
3,448 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
417 |
412 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
661 |
619 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
62 |
56 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
28 |
24 |
$3K |
| 99382 |
|
26 |
26 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
27 |
$2K |
| 92567 |
|
197 |
190 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
12 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
20 |
$2K |
| 99442 |
|
77 |
71 |
$2K |
| 90686 |
|
1,626 |
1,306 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| 85018 |
|
968 |
925 |
$1K |
| 92551 |
|
651 |
587 |
$1K |
| 92557 |
|
43 |
39 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
96 |
$985.50 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$721.43 |
| 92579 |
|
12 |
12 |
$472.92 |
| 90670 |
|
3,091 |
2,718 |
$446.96 |
| 99221 |
|
14 |
13 |
$424.94 |
| 92555 |
|
12 |
12 |
$234.78 |
| 92587 |
|
15 |
12 |
$173.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$166.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$161.99 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
45 |
29 |
$145.66 |
| 3044F |
|
233 |
167 |
$100.00 |
| 96160 |
|
265 |
148 |
$55.38 |
| 90656 |
|
135 |
132 |
$0.03 |
| 90723 |
|
1,838 |
1,660 |
$0.02 |
| 90680 |
|
2,494 |
2,243 |
$0.02 |
| 90648 |
|
2,769 |
2,484 |
$0.02 |
| 3079F |
|
2,845 |
2,400 |
$0.00 |
| 3074F |
|
19,757 |
15,214 |
$0.00 |
| 1036F |
|
16,957 |
12,941 |
$0.00 |
| 3075F |
|
1,785 |
1,516 |
$0.00 |
| 3008F |
|
3,309 |
2,799 |
$0.00 |
| 96127 |
|
707 |
597 |
$0.00 |
| 90696 |
|
114 |
107 |
$0.00 |
| 1126F |
|
648 |
461 |
$0.00 |
| 90698 |
|
442 |
388 |
$0.00 |
| 0503F |
|
244 |
236 |
$0.00 |
| 90651 |
|
143 |
132 |
$0.00 |
| 90716 |
|
482 |
435 |
$0.00 |
| 90688 |
|
213 |
208 |
$0.00 |
| 99024 |
|
54 |
52 |
$0.00 |
| 3080F |
|
85 |
70 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
18 |
$0.00 |
| 99173 |
|
657 |
594 |
$0.00 |
| 1159F |
|
3,928 |
3,347 |
$0.00 |
| 90633 |
|
1,740 |
1,583 |
$0.00 |
| 90700 |
|
324 |
287 |
$0.00 |
| 3078F |
|
18,592 |
14,300 |
$0.00 |
| 90734 |
|
215 |
204 |
$0.00 |
| 3725F |
|
1,756 |
1,564 |
$0.00 |
| 1160F |
|
4,262 |
3,646 |
$0.00 |
| 3077F |
|
294 |
250 |
$0.00 |
| 90707 |
|
471 |
424 |
$0.00 |
| 90710 |
|
156 |
143 |
$0.00 |
| 90715 |
|
67 |
62 |
$0.00 |
| 0502F |
|
181 |
128 |
$0.00 |
| 1090F |
|
18 |
15 |
$0.00 |