| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181,395 |
161,796 |
$11.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110,571 |
100,014 |
$9.63M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43,919 |
42,873 |
$1.60M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,733 |
11,614 |
$1.18M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,523 |
10,469 |
$1.08M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,022 |
8,735 |
$824K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37,878 |
37,452 |
$777K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,729 |
6,678 |
$754K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14,114 |
13,136 |
$474K |
| 90461 |
|
7,758 |
7,475 |
$252K |
| 87428 |
|
3,516 |
3,404 |
$246K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18,248 |
9,626 |
$231K |
| 99215 |
Prolong outpt/office vis |
1,724 |
1,476 |
$215K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,551 |
1,502 |
$208K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,128 |
14,509 |
$185K |
| 90677 |
|
923 |
920 |
$184K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,145 |
11,997 |
$176K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,263 |
4,872 |
$157K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,572 |
1,475 |
$137K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,307 |
14,869 |
$128K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,275 |
4,115 |
$123K |
| 93924 |
|
881 |
877 |
$121K |
| 90697 |
|
970 |
959 |
$118K |
| 92551 |
|
11,966 |
11,778 |
$110K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
755 |
738 |
$101K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
859 |
849 |
$99K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,927 |
1,832 |
$97K |
| 92015 |
Determination of refractive state |
4,934 |
4,911 |
$88K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
490 |
379 |
$65K |
| 31231 |
|
368 |
356 |
$63K |
| 96127 |
|
15,667 |
15,099 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
432 |
428 |
$50K |
| 92552 |
|
1,534 |
1,413 |
$41K |
| 92060 |
|
944 |
933 |
$35K |
| 95117 |
|
3,550 |
1,608 |
$29K |
| 90686 |
|
27,701 |
20,709 |
$29K |
| 99385 |
|
262 |
261 |
$28K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
100 |
81 |
$26K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,865 |
759 |
$26K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,947 |
523 |
$26K |
| J0717 |
Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
36 |
26 |
$25K |
| 90619 |
|
154 |
154 |
$24K |
| 99306 |
Prolong nursin fac eval 15m |
306 |
283 |
$22K |
| 99177 |
|
4,149 |
4,097 |
$21K |
| 90651 |
|
1,380 |
955 |
$20K |
| 92588 |
|
601 |
598 |
$20K |
| 20610 |
|
404 |
363 |
$19K |
| 92587 |
|
1,163 |
1,141 |
$19K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,065 |
553 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
847 |
376 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,009 |
859 |
$17K |
| 92511 |
|
162 |
155 |
$16K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
220 |
199 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
348 |
340 |
$14K |
| 99384 |
|
87 |
87 |
$14K |
| 90670 |
|
4,990 |
4,020 |
$13K |
| 92557 |
|
408 |
399 |
$12K |
| 97014 |
|
480 |
115 |
$12K |
| 69210 |
|
340 |
329 |
$12K |
| 0071A |
|
309 |
306 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
78 |
78 |
$11K |
| 31575 |
|
92 |
86 |
$9K |
| 90734 |
|
445 |
445 |
$9K |
| 99459 |
|
416 |
396 |
$8K |
| 90710 |
|
1,285 |
947 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
63 |
$8K |
| 95800 |
|
151 |
148 |
$7K |
| 80305 |
|
797 |
755 |
$7K |
| 90474 |
|
646 |
642 |
$7K |
| 99334 |
|
402 |
330 |
$6K |
| 0072A |
|
199 |
196 |
$6K |
| 99383 |
|
49 |
49 |
$6K |
| 90682 |
|
191 |
174 |
$6K |
| 90656 |
|
4,199 |
4,193 |
$5K |
| 90671 |
|
51 |
50 |
$5K |
| 99173 |
|
34,695 |
24,789 |
$4K |
| 95024 |
|
30 |
28 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
804 |
727 |
$4K |
| 90620 |
|
278 |
181 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
91 |
52 |
$3K |
| 92550 |
|
232 |
229 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,395 |
349 |
$3K |
| 90698 |
|
1,862 |
1,363 |
$3K |
| 90633 |
|
1,924 |
1,462 |
$2K |
| 86328 |
|
53 |
47 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
51 |
48 |
$2K |
| 99487 |
Ccm add 20min |
28 |
28 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
36 |
$2K |
| 96401 |
|
18 |
16 |
$2K |
| 99460 |
|
25 |
24 |
$2K |
| 88738 |
|
517 |
516 |
$2K |
| 99381 |
|
14 |
14 |
$2K |
| 91320 |
|
15 |
15 |
$2K |
| S9083 |
Global fee urgent care centers |
19 |
18 |
$2K |
| 96160 |
|
950 |
892 |
$2K |
| 94010 |
|
56 |
55 |
$2K |
| 94664 |
|
97 |
81 |
$1K |
| 90674 |
|
80 |
80 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
111 |
109 |
$1K |
| 91065 |
|
22 |
15 |
$1K |
| 99348 |
|
276 |
185 |
$1K |
| 90621 |
|
29 |
28 |
$1K |
| 99243 |
|
12 |
12 |
$1K |
| 90480 |
|
37 |
36 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
214 |
147 |
$1K |
| 97802 |
|
449 |
384 |
$1K |
| 0001A |
|
30 |
25 |
$1K |
| 73560 |
|
37 |
36 |
$1K |
| 90715 |
|
662 |
459 |
$1K |
| 99347 |
|
122 |
104 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
53 |
52 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
582 |
572 |
$1K |
| 92567 |
|
73 |
65 |
$991.18 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
30 |
28 |
$944.98 |
| 96161 |
|
567 |
467 |
$898.34 |
| 90681 |
|
772 |
679 |
$877.84 |
| 99305 |
|
17 |
17 |
$868.18 |
| 99174 |
|
186 |
173 |
$792.54 |
| 81025 |
|
102 |
100 |
$709.19 |
| 90696 |
|
389 |
244 |
$680.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
59 |
$675.31 |
| 93000 |
|
119 |
100 |
$626.57 |
| 90473 |
|
40 |
40 |
$617.70 |
| 90673 |
|
112 |
112 |
$588.58 |
| 90680 |
|
720 |
559 |
$583.64 |
| 0081A |
|
14 |
13 |
$560.00 |
| 90723 |
|
350 |
349 |
$509.11 |
| 95806 |
|
14 |
12 |
$479.84 |
| 90688 |
|
302 |
302 |
$474.59 |
| 97162 |
|
12 |
12 |
$420.00 |
| 99072 |
|
3,749 |
3,535 |
$400.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
40 |
36 |
$364.72 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
29 |
$361.72 |
| 83655 |
|
148 |
86 |
$360.00 |
| 36416 |
|
372 |
293 |
$240.00 |
| 99324 |
|
13 |
13 |
$207.00 |
| 81002 |
|
1,055 |
1,039 |
$204.96 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$190.34 |
| 99188 |
|
13 |
13 |
$186.66 |
| 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) |
278 |
252 |
$138.92 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
111 |
91 |
$137.40 |
| 90744 |
|
325 |
262 |
$112.00 |
| 81000 |
|
73 |
73 |
$101.50 |
| S8110 |
Peak expiratory flow rate (physician services) |
17 |
14 |
$68.90 |
| 90647 |
|
38 |
16 |
$25.25 |
| 99000 |
|
1,987 |
1,831 |
$22.28 |
| 90648 |
|
95 |
95 |
$20.52 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
116 |
90 |
$20.06 |
| 97010 |
|
1,564 |
393 |
$14.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
12 |
$14.00 |
| 94760 |
|
1,573 |
1,473 |
$4.59 |
| 3008F |
|
3,495 |
3,408 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
934 |
928 |
$0.00 |
| 87807 |
|
1,697 |
1,051 |
$0.00 |
| 91307 |
|
713 |
638 |
$0.00 |
| 99024 |
|
355 |
265 |
$0.00 |
| 87081 |
|
1,898 |
1,168 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
34 |
34 |
$0.00 |
| 3074F |
|
26 |
25 |
$0.00 |
| 99070 |
|
24 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
12 |
$0.00 |
| 90716 |
|
21 |
13 |
$0.00 |
| 99051 |
|
604 |
540 |
$0.00 |
| 91300 |
|
154 |
145 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
741 |
630 |
$0.00 |
| 4551F |
|
77 |
74 |
$0.00 |
| 91308 |
|
60 |
57 |
$0.00 |
| 90672 |
|
37 |
30 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
26 |
25 |
$0.00 |
| 90707 |
|
44 |
26 |
$0.00 |
| 90661 |
|
37 |
37 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |