| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,658 |
22,059 |
$1.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,944 |
14,075 |
$1.39M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,899 |
16,624 |
$752K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,107 |
5,008 |
$712K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,564 |
5,163 |
$681K |
| 90461 |
|
8,558 |
8,405 |
$514K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,893 |
2,862 |
$466K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,616 |
2,241 |
$394K |
| 99215 |
Prolong outpt/office vis |
2,281 |
2,146 |
$334K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,398 |
1,373 |
$252K |
| 99442 |
|
2,632 |
2,538 |
$235K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,917 |
10,973 |
$219K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,433 |
2,221 |
$217K |
| 99441 |
|
4,239 |
3,989 |
$212K |
| 99173 |
|
5,113 |
5,046 |
$200K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,955 |
1,930 |
$159K |
| 92558 |
|
2,588 |
2,543 |
$129K |
| 90791 |
Psychiatric diagnostic evaluation |
1,115 |
1,077 |
$122K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
800 |
781 |
$88K |
| 0002A |
|
2,359 |
2,354 |
$86K |
| 99443 |
|
815 |
776 |
$84K |
| 0001A |
|
2,552 |
2,534 |
$78K |
| 96127 |
|
6,589 |
5,188 |
$78K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
850 |
841 |
$69K |
| 92587 |
|
2,994 |
2,967 |
$59K |
| 99205 |
Prolong outpt/office vis |
444 |
431 |
$56K |
| 36415 |
Collection of venous blood by venipuncture |
6,926 |
6,552 |
$39K |
| 90474 |
|
2,006 |
1,981 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,645 |
1,625 |
$31K |
| 0003A |
|
756 |
734 |
$29K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
244 |
179 |
$23K |
| 99177 |
|
570 |
563 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,093 |
1,056 |
$21K |
| 90686 |
|
5,779 |
5,702 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
250 |
237 |
$16K |
| 0071A |
|
369 |
363 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
241 |
196 |
$14K |
| 90836 |
|
235 |
212 |
$11K |
| 0072A |
|
278 |
272 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
86 |
85 |
$10K |
| 81025 |
|
1,159 |
1,124 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
306 |
153 |
$9K |
| 96160 |
|
2,577 |
2,458 |
$8K |
| 96161 |
|
736 |
717 |
$7K |
| 99384 |
|
26 |
26 |
$7K |
| 83037 |
|
1,045 |
1,013 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
65 |
64 |
$6K |
| 99460 |
|
92 |
85 |
$6K |
| 20553 |
|
124 |
93 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
85 |
45 |
$5K |
| 73630 |
|
408 |
301 |
$5K |
| 59025 |
Fetal non-stress test |
122 |
66 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
27 |
$4K |
| 97597 |
|
183 |
79 |
$4K |
| 99354 |
|
43 |
42 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
238 |
235 |
$3K |
| 90670 |
|
2,960 |
2,923 |
$3K |
| 0124A |
|
102 |
101 |
$3K |
| 0081A |
|
81 |
81 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
25 |
$3K |
| 99383 |
|
15 |
14 |
$3K |
| 69210 |
|
58 |
55 |
$3K |
| 88738 |
|
526 |
524 |
$3K |
| 87631 |
|
21 |
20 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
36 |
26 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
27 |
27 |
$2K |
| 99381 |
|
15 |
15 |
$2K |
| 90715 |
|
88 |
88 |
$2K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$2K |
| 76801 |
|
13 |
12 |
$2K |
| 20610 |
|
62 |
52 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
53 |
53 |
$2K |
| 51798 |
|
233 |
222 |
$2K |
| 90480 |
|
347 |
345 |
$2K |
| 58300 |
|
12 |
12 |
$2K |
| 0154A |
|
70 |
67 |
$2K |
| 81003 |
|
1,095 |
1,053 |
$1K |
| 99305 |
|
24 |
24 |
$1K |
| 0173A |
|
61 |
59 |
$1K |
| 90473 |
|
20 |
20 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$1K |
| 92652 |
|
14 |
14 |
$1K |
| 97803 |
|
34 |
24 |
$1K |
| 94760 |
|
802 |
738 |
$1K |
| 99201 |
|
24 |
24 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
260 |
245 |
$996.78 |
| 0004A |
|
28 |
28 |
$840.00 |
| 36416 |
|
612 |
583 |
$815.92 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
36 |
34 |
$789.26 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$729.57 |
| 11721 |
|
30 |
30 |
$646.88 |
| 0073A |
|
13 |
13 |
$638.38 |
| 91320 |
|
48 |
48 |
$579.82 |
| 90732 |
|
15 |
15 |
$557.04 |
| 87430 |
|
27 |
27 |
$442.21 |
| 0054A |
|
13 |
12 |
$409.68 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$390.52 |
| 90649 |
|
332 |
330 |
$335.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
73 |
71 |
$321.46 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
40 |
35 |
$310.83 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$307.16 |
| 73562 |
|
17 |
16 |
$281.09 |
| 90785 |
|
86 |
41 |
$273.00 |
| 90734 |
|
45 |
42 |
$254.30 |
| 90710 |
|
339 |
337 |
$237.85 |
| 90656 |
|
39 |
39 |
$187.14 |
| 90685 |
|
680 |
678 |
$172.28 |
| 0053A |
|
16 |
15 |
$171.22 |
| 82044 |
|
39 |
39 |
$117.90 |
| 90647 |
|
1,823 |
1,799 |
$81.48 |
| 99001 |
|
345 |
322 |
$78.96 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
13 |
$47.23 |
| G0008 |
Administration of influenza virus vaccine |
104 |
104 |
$17.52 |
| 90723 |
|
1,773 |
1,755 |
$15.00 |
| 90662 |
|
41 |
41 |
$1.26 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
12 |
$0.03 |
| 90680 |
|
1,419 |
1,404 |
$0.00 |
| 90657 |
|
45 |
45 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 91307 |
|
498 |
481 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
24 |
24 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 90696 |
|
17 |
16 |
$0.00 |
| 90633 |
|
306 |
304 |
$0.00 |
| 99408 |
|
182 |
181 |
$0.00 |
| 91300 |
|
553 |
516 |
$0.00 |
| 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) |
28 |
25 |
$0.00 |
| 1100F |
|
104 |
102 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 92553 |
|
60 |
60 |
$0.00 |
| 90668 |
|
209 |
209 |
$0.00 |
| 90672 |
|
35 |
35 |
$0.00 |
| 1124F |
|
12 |
12 |
$0.00 |