| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,297 |
22,329 |
$956K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,200 |
10,782 |
$615K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,502 |
8,090 |
$403K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,719 |
10,438 |
$378K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,536 |
1,397 |
$93K |
| 80305 |
|
10,655 |
8,387 |
$92K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,045 |
2,786 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
958 |
794 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
808 |
771 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,096 |
5,520 |
$30K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
314 |
263 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,730 |
2,470 |
$17K |
| H0001 |
Alcohol and/or drug assessment |
88 |
80 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
194 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
794 |
286 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
771 |
262 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
363 |
263 |
$9K |
| 99215 |
Prolong outpt/office vis |
238 |
190 |
$9K |
| 92557 |
|
420 |
362 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
188 |
130 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
103 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
120 |
80 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
128 |
80 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
160 |
130 |
$5K |
| 92567 |
|
627 |
575 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
99 |
71 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
192 |
174 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
525 |
314 |
$4K |
| 95117 |
|
432 |
345 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
114 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
92 |
71 |
$2K |
| 92551 |
|
475 |
438 |
$2K |
| 90686 |
|
2,775 |
2,530 |
$2K |
| 99173 |
|
439 |
405 |
$2K |
| 11721 |
|
345 |
233 |
$2K |
| H0038 |
Self-help/peer services, per 15 minutes |
45 |
41 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
106 |
$1K |
| 99205 |
Prolong outpt/office vis |
32 |
24 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
63 |
29 |
$915.93 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17 |
12 |
$758.10 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
111 |
100 |
$705.67 |
| 81025 |
|
113 |
109 |
$603.69 |
| 83655 |
|
52 |
51 |
$546.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
29 |
$394.38 |
| 36416 |
|
406 |
357 |
$167.33 |
| 90651 |
|
91 |
82 |
$165.18 |
| 83718 |
|
21 |
17 |
$126.72 |
| 99000 |
|
180 |
161 |
$122.81 |
| 87807 |
|
14 |
13 |
$108.35 |
| 85018 |
|
37 |
37 |
$75.22 |
| 82465 |
|
21 |
17 |
$67.32 |
| 90473 |
|
12 |
12 |
$60.00 |
| 72100 |
|
16 |
13 |
$58.80 |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
14 |
14 |
$0.06 |
| 90633 |
|
207 |
173 |
$0.00 |
| 90670 |
|
690 |
619 |
$0.00 |
| 90648 |
|
181 |
161 |
$0.00 |
| 90685 |
|
171 |
134 |
$0.00 |
| 90734 |
|
15 |
14 |
$0.00 |
| 90698 |
|
219 |
195 |
$0.00 |
| 90723 |
|
126 |
108 |
$0.00 |
| 90680 |
|
21 |
15 |
$0.00 |
| 90744 |
|
16 |
12 |
$0.00 |