| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,973 |
43,249 |
$2.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,058 |
22,205 |
$1.10M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,807 |
4,793 |
$425K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,458 |
3,428 |
$289K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,789 |
9,737 |
$255K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,770 |
2,755 |
$239K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,079 |
2,067 |
$132K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
294 |
178 |
$119K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,809 |
9,745 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,115 |
2,786 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
969 |
963 |
$92K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
9,157 |
9,138 |
$87K |
| 93000 |
|
10,808 |
10,658 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
735 |
734 |
$67K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,852 |
1,354 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,093 |
3,079 |
$55K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,033 |
1,020 |
$53K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,730 |
11,219 |
$44K |
| 90461 |
|
4,695 |
4,679 |
$29K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
827 |
823 |
$26K |
| 99215 |
Prolong outpt/office vis |
448 |
442 |
$25K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
360 |
355 |
$23K |
| 69210 |
|
959 |
954 |
$14K |
| 64615 |
|
170 |
166 |
$11K |
| 96127 |
|
3,166 |
3,157 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
90 |
90 |
$7K |
| 92557 |
|
243 |
243 |
$7K |
| 99459 |
|
485 |
473 |
$7K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
54 |
54 |
$7K |
| 85018 |
|
2,035 |
2,023 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
279 |
276 |
$4K |
| 99442 |
|
403 |
401 |
$4K |
| 92567 |
|
303 |
303 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
314 |
311 |
$4K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
24 |
24 |
$3K |
| 92551 |
|
319 |
317 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
711 |
670 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
208 |
206 |
$3K |
| 95024 |
|
53 |
49 |
$3K |
| 20610 |
|
95 |
79 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| 95886 |
|
61 |
38 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
14 |
$2K |
| 97597 |
|
254 |
163 |
$2K |
| 99381 |
|
24 |
24 |
$2K |
| 99441 |
|
177 |
174 |
$2K |
| 93296 |
|
259 |
259 |
$2K |
| 0081A |
|
44 |
44 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
78 |
37 |
$1K |
| 90674 |
|
84 |
84 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
37 |
26 |
$1K |
| 95117 |
|
121 |
78 |
$1K |
| 0071A |
|
43 |
43 |
$1K |
| 99443 |
|
51 |
51 |
$934.67 |
| 0082A |
|
28 |
28 |
$917.40 |
| 93793 |
|
376 |
153 |
$906.33 |
| 99177 |
|
533 |
533 |
$821.16 |
| 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) |
372 |
367 |
$703.17 |
| 31575 |
|
12 |
12 |
$695.78 |
| 43235 |
|
13 |
13 |
$674.10 |
| 99173 |
|
41 |
41 |
$659.94 |
| 95115 |
|
181 |
85 |
$651.63 |
| 0072A |
|
27 |
27 |
$628.83 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$618.51 |
| 92504 |
|
30 |
29 |
$599.39 |
| 95251 |
|
45 |
39 |
$385.59 |
| 90686 |
|
4,809 |
4,799 |
$371.05 |
| 87254 |
|
18 |
18 |
$362.88 |
| 73610 |
|
21 |
12 |
$359.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$311.76 |
| 90670 |
|
2,590 |
2,579 |
$257.99 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
48 |
48 |
$251.09 |
| 73562 |
|
19 |
12 |
$250.80 |
| 11721 |
|
24 |
24 |
$246.88 |
| 81002 |
|
69 |
65 |
$211.83 |
| 92552 |
|
14 |
14 |
$207.36 |
| 94727 |
|
36 |
36 |
$202.68 |
| 93295 |
|
25 |
25 |
$184.61 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
15 |
$183.96 |
| 94729 |
|
36 |
36 |
$150.23 |
| 94060 |
|
24 |
24 |
$149.14 |
| 93018 |
|
25 |
25 |
$141.05 |
| 87420 |
|
12 |
12 |
$131.28 |
| ATP16 |
|
12 |
12 |
$108.90 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
16 |
$99.51 |
| 99000 |
|
2,366 |
2,342 |
$49.41 |
| 82962 |
|
261 |
238 |
$42.58 |
| 90744 |
|
174 |
174 |
$0.00 |
| 90697 |
|
128 |
127 |
$0.00 |
| 90716 |
|
123 |
123 |
$0.00 |
| 90680 |
|
1,616 |
1,610 |
$0.00 |
| 90723 |
|
415 |
412 |
$0.00 |
| 90651 |
|
165 |
164 |
$0.00 |
| 90698 |
|
1,052 |
1,048 |
$0.00 |
| 91307 |
|
78 |
78 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 82040 |
|
57 |
56 |
$0.00 |
| 94760 |
|
111 |
106 |
$0.00 |
| 96161 |
|
29 |
29 |
$0.00 |
| 36416 |
|
438 |
438 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
69 |
68 |
$0.00 |
| 90677 |
|
47 |
47 |
$0.00 |
| 84075 |
|
57 |
56 |
$0.00 |
| 96160 |
|
307 |
305 |
$0.00 |
| 90633 |
|
1,129 |
1,126 |
$0.00 |
| 90648 |
|
424 |
421 |
$0.00 |
| 90707 |
|
79 |
79 |
$0.00 |
| 90710 |
|
105 |
105 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90685 |
|
416 |
414 |
$0.00 |
| 84450 |
|
57 |
56 |
$0.00 |
| 84460 |
|
57 |
56 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 82247 |
|
57 |
56 |
$0.00 |
| 80061 |
Lipid panel |
26 |
26 |
$0.00 |
| 91308 |
|
99 |
98 |
$0.00 |