| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,562 |
15,691 |
$1.02M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,285 |
7,813 |
$656K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,117 |
7,261 |
$632K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,792 |
11,171 |
$535K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,296 |
5,542 |
$525K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,738 |
3,624 |
$330K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,910 |
9,394 |
$285K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,441 |
4,278 |
$196K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,689 |
3,358 |
$125K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,416 |
1,353 |
$105K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,643 |
5,337 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
915 |
882 |
$78K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,592 |
4,503 |
$69K |
| 99215 |
Prolong outpt/office vis |
674 |
541 |
$64K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
531 |
500 |
$64K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,943 |
1,730 |
$53K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,977 |
1,906 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
921 |
717 |
$28K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,095 |
3,662 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
260 |
244 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
944 |
427 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
155 |
$16K |
| D0145 |
Oral evaluation for a patient under three years of age |
470 |
463 |
$14K |
| 92567 |
|
903 |
875 |
$10K |
| 90670 |
|
1,449 |
1,419 |
$9K |
| 88304 |
|
1,115 |
858 |
$8K |
| 96127 |
|
702 |
689 |
$8K |
| 93000 |
|
706 |
630 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
232 |
208 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
102 |
40 |
$7K |
| 90686 |
|
2,149 |
2,052 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
484 |
183 |
$6K |
| 88307 |
|
146 |
117 |
$6K |
| D1206 |
Topical application of fluoride varnish |
243 |
237 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
261 |
231 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
237 |
200 |
$3K |
| 90680 |
|
1,019 |
1,000 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
49 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
100 |
91 |
$2K |
| 90461 |
|
2,746 |
2,637 |
$2K |
| 90715 |
|
64 |
61 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
14 |
13 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
52 |
50 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
34 |
25 |
$2K |
| 90474 |
|
155 |
155 |
$2K |
| 62323 |
|
28 |
26 |
$2K |
| 92557 |
|
65 |
64 |
$2K |
| 88342 |
|
65 |
42 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
47 |
12 |
$1K |
| 94060 |
|
143 |
137 |
$1K |
| 99173 |
|
98 |
97 |
$955.77 |
| 99381 |
|
14 |
12 |
$919.62 |
| 90697 |
|
568 |
561 |
$845.82 |
| 20610 |
|
16 |
14 |
$833.28 |
| 99460 |
|
13 |
12 |
$768.91 |
| 90656 |
|
333 |
328 |
$766.94 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
30 |
12 |
$707.61 |
| 90723 |
|
144 |
139 |
$643.80 |
| 31231 |
|
13 |
12 |
$616.30 |
| 90633 |
|
293 |
291 |
$514.41 |
| 92587 |
|
12 |
12 |
$440.28 |
| 93016 |
|
30 |
29 |
$433.38 |
| 90648 |
|
336 |
323 |
$353.63 |
| 93018 |
|
30 |
29 |
$319.77 |
| 81025 |
|
32 |
27 |
$243.50 |
| 85018 |
|
109 |
104 |
$234.39 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$214.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$211.57 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
12 |
$205.68 |
| 90700 |
|
27 |
27 |
$73.10 |
| 96161 |
|
1,924 |
1,772 |
$71.75 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
76 |
75 |
$51.31 |
| 36416 |
|
109 |
104 |
$11.90 |
| 96160 |
|
121 |
112 |
$0.00 |
| 90671 |
|
24 |
24 |
$0.00 |
| 99188 |
|
133 |
132 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90677 |
|
379 |
378 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90651 |
|
36 |
34 |
$0.00 |
| 99140 |
|
60 |
49 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$0.00 |