| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,387 |
39,406 |
$2.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,923 |
24,297 |
$828K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,484 |
1,735 |
$311K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,248 |
3,226 |
$134K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,639 |
1,632 |
$114K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,532 |
1,393 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,321 |
1,320 |
$85K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,075 |
1,062 |
$64K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,333 |
866 |
$64K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
9,103 |
8,853 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,721 |
6,348 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
549 |
549 |
$34K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
318 |
316 |
$30K |
| 0002A |
|
540 |
540 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,394 |
3,348 |
$22K |
| 99223 |
Prolong inpt eval add15 m |
247 |
240 |
$21K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,082 |
1,912 |
$15K |
| 0001A |
|
303 |
303 |
$14K |
| 99215 |
Prolong outpt/office vis |
198 |
182 |
$13K |
| 62323 |
|
393 |
390 |
$13K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
500 |
473 |
$12K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
707 |
421 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
395 |
373 |
$12K |
| 20610 |
|
533 |
513 |
$9K |
| 64635 |
|
78 |
53 |
$6K |
| 90461 |
|
951 |
942 |
$4K |
| 99406 |
|
466 |
424 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,134 |
1,104 |
$4K |
| 99188 |
|
404 |
403 |
$3K |
| 99205 |
Prolong outpt/office vis |
50 |
50 |
$3K |
| 64636 |
|
76 |
53 |
$3K |
| 90686 |
|
660 |
655 |
$3K |
| 99443 |
|
130 |
115 |
$3K |
| 11721 |
|
324 |
324 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
133 |
$2K |
| 99152 |
|
1,044 |
926 |
$2K |
| 96127 |
|
3,707 |
3,551 |
$2K |
| 99173 |
|
271 |
270 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
78 |
76 |
$1K |
| 59025 |
Fetal non-stress test |
42 |
26 |
$1K |
| 81002 |
|
575 |
488 |
$1K |
| 97597 |
|
126 |
92 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
24 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$915.44 |
| 64493 |
|
24 |
24 |
$886.21 |
| 99442 |
|
80 |
74 |
$814.11 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$784.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
60 |
$709.14 |
| 90682 |
|
12 |
12 |
$669.22 |
| 0031A |
|
13 |
13 |
$596.32 |
| 51798 |
|
71 |
70 |
$526.78 |
| 64494 |
|
24 |
24 |
$499.42 |
| 95886 |
|
13 |
13 |
$456.91 |
| 92551 |
|
162 |
162 |
$450.64 |
| 94760 |
|
309 |
292 |
$434.89 |
| 99233 |
Prolong inpt eval add15 m |
19 |
14 |
$424.20 |
| 0011A |
|
12 |
12 |
$363.89 |
| 98928 |
|
12 |
12 |
$314.94 |
| 95806 |
|
13 |
13 |
$286.55 |
| 95251 |
|
27 |
25 |
$266.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
24 |
$247.76 |
| 90688 |
|
33 |
33 |
$240.31 |
| 93298 |
|
25 |
24 |
$230.87 |
| 20552 |
|
13 |
13 |
$192.66 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
54 |
48 |
$177.41 |
| 93000 |
|
37 |
36 |
$176.33 |
| 36415 |
Collection of venous blood by venipuncture |
1,065 |
1,034 |
$140.88 |
| 99000 |
|
586 |
481 |
$117.38 |
| 81001 |
|
38 |
33 |
$114.33 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
120 |
104 |
$112.97 |
| 83655 |
|
106 |
106 |
$108.79 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
702 |
696 |
$50.00 |
| 85018 |
|
93 |
93 |
$26.17 |
| 96160 |
|
164 |
163 |
$7.49 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90697 |
|
40 |
39 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 90677 |
|
49 |
48 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 91303 |
|
12 |
12 |
$0.00 |
| 90674 |
|
38 |
37 |
$0.00 |
| 90381 |
|
14 |
13 |
$0.00 |
| 90670 |
|
145 |
144 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 91300 |
|
739 |
681 |
$0.00 |
| 90648 |
|
94 |
93 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |