| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119,651 |
111,966 |
$7.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,778 |
49,711 |
$3.74M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,011 |
14,966 |
$1.40M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,332 |
13,690 |
$1.30M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,936 |
7,919 |
$763K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25,724 |
9,341 |
$725K |
| 99215 |
Prolong outpt/office vis |
7,963 |
6,218 |
$632K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12,956 |
12,666 |
$532K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,659 |
2,558 |
$298K |
| 90698 |
|
8,748 |
8,733 |
$289K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,821 |
2,814 |
$286K |
| 99233 |
Prolong inpt eval add15 m |
4,462 |
1,608 |
$167K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,047 |
4,892 |
$153K |
| 90686 |
|
9,473 |
9,399 |
$138K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
904 |
855 |
$130K |
| 99255 |
|
932 |
788 |
$101K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
563 |
520 |
$99K |
| 90670 |
|
7,531 |
7,522 |
$96K |
| 87428 |
|
1,334 |
1,309 |
$82K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
355 |
350 |
$79K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,641 |
1,613 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
782 |
765 |
$63K |
| 36902 |
|
466 |
433 |
$58K |
| 99205 |
Prolong outpt/office vis |
400 |
383 |
$52K |
| 99254 |
|
560 |
512 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,794 |
1,426 |
$47K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,166 |
1,860 |
$38K |
| 99381 |
|
406 |
402 |
$36K |
| 90680 |
|
2,834 |
2,831 |
$36K |
| 0002A |
|
1,540 |
1,051 |
$35K |
| 0001A |
|
1,000 |
989 |
$34K |
| 90633 |
|
2,384 |
2,379 |
$33K |
| 90744 |
|
2,488 |
2,477 |
$32K |
| 99222 |
Initial hospital care, per day, moderate complexity |
732 |
660 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,866 |
1,813 |
$29K |
| 83655 |
|
1,848 |
1,838 |
$21K |
| 90677 |
|
1,737 |
1,734 |
$17K |
| 95886 |
|
305 |
301 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
286 |
259 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
775 |
214 |
$15K |
| 90656 |
|
838 |
836 |
$14K |
| 99253 |
|
211 |
199 |
$14K |
| 93970 |
|
793 |
746 |
$14K |
| 90710 |
|
477 |
476 |
$13K |
| 20610 |
|
361 |
335 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,660 |
2,054 |
$11K |
| 90681 |
|
730 |
728 |
$10K |
| 99383 |
|
117 |
116 |
$10K |
| 95816 |
|
300 |
278 |
$10K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
37 |
37 |
$9K |
| 93295 |
|
346 |
341 |
$9K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
26 |
26 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
598 |
566 |
$8K |
| 99384 |
|
88 |
88 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
165 |
165 |
$7K |
| 92551 |
|
185 |
183 |
$7K |
| 95951 |
|
63 |
14 |
$7K |
| 93296 |
|
484 |
475 |
$7K |
| 99188 |
|
271 |
270 |
$6K |
| 87807 |
|
484 |
479 |
$6K |
| 0071A |
|
288 |
179 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
309 |
191 |
$6K |
| 73630 |
|
332 |
279 |
$6K |
| 95782 |
|
26 |
26 |
$5K |
| 85018 |
|
2,436 |
2,425 |
$5K |
| 99382 |
|
62 |
62 |
$5K |
| 95913 |
|
39 |
38 |
$5K |
| 36907 |
|
90 |
81 |
$5K |
| 95720 |
|
37 |
12 |
$5K |
| 51798 |
|
557 |
503 |
$5K |
| 0072A |
|
239 |
145 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
6,774 |
5,178 |
$4K |
| 90651 |
|
455 |
454 |
$4K |
| 90734 |
|
233 |
233 |
$4K |
| 73610 |
|
197 |
172 |
$4K |
| 73030 |
|
238 |
204 |
$4K |
| 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) |
2,469 |
2,030 |
$3K |
| 92587 |
|
94 |
94 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
49 |
49 |
$3K |
| 0004A |
|
139 |
91 |
$3K |
| 93971 |
|
208 |
203 |
$3K |
| 11730 |
|
81 |
70 |
$3K |
| 99305 |
|
114 |
105 |
$3K |
| 90707 |
|
121 |
121 |
$3K |
| 95251 |
|
118 |
115 |
$3K |
| 93016 |
|
249 |
241 |
$3K |
| 64615 |
|
24 |
24 |
$3K |
| 93018 |
|
249 |
241 |
$2K |
| D1206 |
Topical application of fluoride varnish |
120 |
120 |
$2K |
| 77427 |
|
23 |
15 |
$2K |
| 95911 |
|
24 |
24 |
$2K |
| 0124A |
|
77 |
42 |
$2K |
| 90715 |
|
64 |
64 |
$2K |
| 81025 |
|
211 |
206 |
$2K |
| 90716 |
|
124 |
124 |
$2K |
| 11721 |
|
271 |
262 |
$2K |
| 20552 |
|
56 |
56 |
$1K |
| 99318 |
|
32 |
32 |
$1K |
| 64483 |
|
12 |
12 |
$1K |
| 99443 |
|
118 |
109 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
24 |
24 |
$1K |
| 94060 |
|
154 |
145 |
$1K |
| 95912 |
|
13 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$1K |
| 90696 |
|
40 |
40 |
$1K |
| 99406 |
|
84 |
78 |
$1K |
| 93298 |
|
105 |
101 |
$1K |
| 99152 |
|
152 |
145 |
$1K |
| 90619 |
|
91 |
91 |
$919.44 |
| 99173 |
|
138 |
138 |
$896.21 |
| 99336 |
|
12 |
12 |
$855.81 |
| 90480 |
|
26 |
26 |
$840.24 |
| 72100 |
|
42 |
39 |
$800.06 |
| 94729 |
|
127 |
119 |
$791.34 |
| 95811 |
|
12 |
12 |
$761.88 |
| 73564 |
|
28 |
24 |
$642.98 |
| 92558 |
|
26 |
25 |
$613.20 |
| 51741 |
|
14 |
13 |
$590.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
194 |
162 |
$580.15 |
| 82947 |
|
149 |
148 |
$536.64 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$496.58 |
| 81003 |
|
278 |
252 |
$421.69 |
| 0003A |
|
14 |
14 |
$408.00 |
| 90648 |
|
38 |
38 |
$390.13 |
| 94726 |
|
51 |
49 |
$386.13 |
| 93922 |
|
46 |
45 |
$364.81 |
| 90700 |
|
12 |
12 |
$313.08 |
| 99221 |
|
13 |
13 |
$298.57 |
| 82962 |
|
302 |
254 |
$294.90 |
| 93308 |
|
13 |
13 |
$277.96 |
| 11732 |
|
16 |
13 |
$256.33 |
| 90381 |
|
25 |
25 |
$239.03 |
| 85014 |
|
104 |
104 |
$235.61 |
| 11719 |
|
90 |
90 |
$142.54 |
| 99442 |
|
27 |
26 |
$112.10 |
| 96161 |
|
36 |
36 |
$103.98 |
| 94375 |
|
12 |
12 |
$79.48 |
| 95874 |
|
14 |
13 |
$73.56 |
| 99441 |
|
14 |
14 |
$68.87 |
| 87210 |
|
15 |
13 |
$60.80 |
| 36416 |
|
274 |
236 |
$42.46 |
| 93325 |
|
12 |
12 |
$14.69 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |