| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,254 |
8,578 |
$582K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,230 |
4,046 |
$374K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,983 |
1,435 |
$184K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
862 |
862 |
$129K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
74 |
74 |
$127K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
458 |
458 |
$53K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
284 |
273 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
879 |
852 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
695 |
693 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
302 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
222 |
222 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
173 |
173 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
174 |
174 |
$14K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
210 |
210 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
124 |
121 |
$12K |
| 11721 |
|
988 |
988 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
805 |
784 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,170 |
1,997 |
$11K |
| 99443 |
|
135 |
135 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
133 |
133 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
88 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
307 |
299 |
$8K |
| 11056 |
|
227 |
227 |
$7K |
| 73630 |
|
265 |
238 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
134 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
339 |
326 |
$6K |
| 87807 |
|
360 |
348 |
$4K |
| 76801 |
|
25 |
25 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
24 |
24 |
$2K |
| 90474 |
|
107 |
107 |
$2K |
| 95886 |
|
13 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
111 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
31 |
28 |
$2K |
| 99442 |
|
12 |
12 |
$970.73 |
| 90715 |
|
62 |
62 |
$878.56 |
| 93000 |
|
121 |
121 |
$832.67 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
53 |
53 |
$493.85 |
| 20610 |
|
15 |
15 |
$476.26 |
| 90686 |
|
120 |
120 |
$377.27 |
| 73564 |
|
12 |
12 |
$328.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
14 |
$232.64 |
| 92567 |
|
15 |
15 |
$163.46 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
14 |
$38.96 |
| 0502F |
|
68 |
66 |
$0.00 |
| 90633 |
|
84 |
83 |
$0.00 |
| 90670 |
|
185 |
185 |
$0.00 |
| 96160 |
|
27 |
27 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90680 |
|
88 |
88 |
$0.00 |
| 90647 |
|
105 |
105 |
$0.00 |
| 90723 |
|
116 |
116 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |