| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,134 |
48,077 |
$3.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,648 |
29,097 |
$2.59M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,616 |
14,215 |
$983K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,445 |
14,103 |
$981K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,323 |
6,087 |
$412K |
| 99233 |
Prolong inpt eval add15 m |
8,112 |
3,669 |
$366K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26,586 |
26,069 |
$316K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
6,026 |
5,405 |
$287K |
| 90686 |
|
13,067 |
12,749 |
$231K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,354 |
3,123 |
$223K |
| 99460 |
|
2,476 |
2,266 |
$215K |
| 90670 |
|
11,112 |
10,870 |
$212K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,770 |
3,676 |
$197K |
| 99223 |
Prolong inpt eval add15 m |
1,851 |
1,783 |
$176K |
| 90698 |
|
9,069 |
8,867 |
$172K |
| 90680 |
|
8,840 |
8,692 |
$163K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,997 |
5,823 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,646 |
2,591 |
$131K |
| 99381 |
|
1,762 |
1,695 |
$117K |
| 90633 |
|
5,742 |
5,549 |
$104K |
| 90744 |
|
4,311 |
4,236 |
$80K |
| 90461 |
|
1,266 |
1,254 |
$73K |
| 90697 |
|
3,934 |
3,859 |
$70K |
| 90671 |
|
2,907 |
2,853 |
$68K |
| 87428 |
|
1,304 |
1,267 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
939 |
909 |
$62K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,437 |
3,301 |
$44K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
51 |
41 |
$44K |
| 90651 |
|
821 |
811 |
$39K |
| 92551 |
|
6,187 |
5,943 |
$36K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
873 |
743 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
581 |
536 |
$28K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,770 |
2,361 |
$26K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
271 |
262 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,531 |
1,218 |
$25K |
| 99173 |
|
5,761 |
5,461 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
5,319 |
4,977 |
$21K |
| 99462 |
|
541 |
400 |
$20K |
| 90656 |
|
1,099 |
1,077 |
$20K |
| 90716 |
|
935 |
889 |
$18K |
| 90707 |
|
966 |
919 |
$18K |
| 90734 |
|
313 |
311 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
101 |
90 |
$16K |
| 99349 |
|
377 |
328 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,871 |
1,745 |
$14K |
| D1206 |
Topical application of fluoride varnish |
729 |
609 |
$13K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
298 |
203 |
$13K |
| H1000 |
Prenatal care, at-risk assessment |
166 |
150 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
885 |
729 |
$11K |
| 0001A |
|
275 |
273 |
$10K |
| G9357 |
Post-partum screenings, evaluations and education performed |
116 |
94 |
$10K |
| 0002A |
|
240 |
240 |
$10K |
| D0145 |
Oral evaluation for a patient under three years of age |
431 |
353 |
$8K |
| 90696 |
|
391 |
387 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
776 |
738 |
$7K |
| 90710 |
|
380 |
377 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
119 |
109 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
508 |
474 |
$6K |
| 90715 |
|
232 |
230 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
128 |
125 |
$6K |
| 0071A |
|
123 |
123 |
$5K |
| 0072A |
|
123 |
123 |
$5K |
| 85027 |
|
976 |
928 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
118 |
90 |
$4K |
| 99307 |
|
459 |
448 |
$4K |
| 96127 |
|
929 |
915 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
162 |
145 |
$3K |
| 0012A |
|
64 |
63 |
$2K |
| 0011A |
|
65 |
64 |
$2K |
| 90674 |
|
254 |
235 |
$2K |
| 87481 |
|
82 |
39 |
$2K |
| 87081 |
|
308 |
262 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
367 |
355 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$2K |
| 36416 |
|
756 |
712 |
$2K |
| 99215 |
Prolong outpt/office vis |
18 |
12 |
$2K |
| 54150 |
|
19 |
14 |
$2K |
| 82950 |
|
281 |
269 |
$2K |
| 81025 |
|
572 |
518 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
41 |
39 |
$839.67 |
| 99305 |
|
41 |
40 |
$839.30 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
294 |
127 |
$816.00 |
| 85660 |
|
169 |
157 |
$735.54 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$710.00 |
| 80053 |
Comprehensive metabolic panel |
66 |
63 |
$681.76 |
| 80061 |
Lipid panel |
49 |
48 |
$618.32 |
| 90685 |
|
29 |
29 |
$554.12 |
| 0004A |
|
14 |
14 |
$520.00 |
| 59426 |
|
87 |
85 |
$491.00 |
| 90380 |
|
32 |
28 |
$389.06 |
| 95819 |
|
58 |
56 |
$237.62 |
| 90381 |
|
28 |
27 |
$216.00 |
| 87807 |
|
12 |
12 |
$123.10 |
| 87400 |
|
30 |
13 |
$120.00 |
| 85014 |
|
90 |
77 |
$96.00 |
| 85018 |
|
90 |
77 |
$96.00 |
| 81002 |
|
6,740 |
3,458 |
$51.10 |
| 97802 |
|
58 |
55 |
$36.00 |
| 1159F |
|
365 |
357 |
$0.00 |
| 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) |
40 |
40 |
$0.00 |
| 3078F |
|
28 |
28 |
$0.00 |
| 59430 |
|
125 |
93 |
$0.00 |
| 3074F |
|
59 |
56 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |