| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,722 |
34,141 |
$1.38M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,275 |
11,842 |
$525K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,150 |
2,839 |
$250K |
| 99243 |
|
1,108 |
1,074 |
$99K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
173 |
156 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
956 |
696 |
$49K |
| 76801 |
|
547 |
485 |
$44K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
318 |
289 |
$38K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,039 |
6,548 |
$37K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
229 |
178 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
637 |
527 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
461 |
359 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
307 |
285 |
$19K |
| 99381 |
|
375 |
313 |
$18K |
| 59514 |
|
33 |
25 |
$14K |
| 92567 |
|
1,090 |
1,026 |
$14K |
| 93000 |
|
1,854 |
1,600 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
455 |
109 |
$11K |
| 92587 |
|
533 |
514 |
$10K |
| 59430 |
|
121 |
104 |
$9K |
| 81025 |
|
1,446 |
1,315 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,184 |
884 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
120 |
$8K |
| 99215 |
Prolong outpt/office vis |
188 |
100 |
$6K |
| 90715 |
|
204 |
159 |
$4K |
| 92557 |
|
130 |
112 |
$4K |
| 76818 |
|
74 |
31 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
60 |
55 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
81 |
76 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
43 |
42 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
350 |
127 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
26 |
$2K |
| 87428 |
|
95 |
71 |
$2K |
| 90674 |
|
164 |
124 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
153 |
91 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
334 |
290 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
42 |
$997.92 |
| 90756 |
|
41 |
40 |
$989.03 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
64 |
60 |
$955.64 |
| 90461 |
|
121 |
87 |
$760.50 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
21 |
13 |
$752.71 |
| 99307 |
|
20 |
18 |
$700.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
145 |
89 |
$556.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
40 |
$437.14 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
22 |
16 |
$426.56 |
| 90686 |
|
65 |
55 |
$373.23 |
| 90656 |
|
27 |
27 |
$354.64 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
15 |
$313.58 |
| 99490 |
Ccm add 20min |
26 |
25 |
$295.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
26 |
$261.10 |
| 73130 |
|
33 |
12 |
$224.39 |
| 81002 |
|
87 |
55 |
$222.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
40 |
$211.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$58.76 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,001 |
2,694 |
$0.00 |
| 90670 |
|
68 |
53 |
$0.00 |
| 99401 |
|
49 |
43 |
$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) |
16 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
12 |
$0.00 |