| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
8,915 |
3,129 |
$284K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,788 |
5,267 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,038 |
7,078 |
$254K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,107 |
2,800 |
$217K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,974 |
2,890 |
$214K |
| 99223 |
Prolong inpt eval add15 m |
2,899 |
2,225 |
$192K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,015 |
2,726 |
$90K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,059 |
2,794 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,294 |
5,852 |
$68K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,207 |
1,012 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
649 |
570 |
$52K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,383 |
597 |
$48K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
868 |
718 |
$47K |
| 99460 |
|
584 |
555 |
$42K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
467 |
151 |
$40K |
| 99220 |
|
541 |
438 |
$36K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,413 |
1,688 |
$26K |
| 99462 |
|
733 |
636 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
953 |
771 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
837 |
315 |
$21K |
| 76821 |
|
1,858 |
921 |
$20K |
| 76820 |
|
1,385 |
686 |
$10K |
| 90698 |
|
1,182 |
1,103 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,023 |
2,060 |
$8K |
| 99215 |
Prolong outpt/office vis |
96 |
77 |
$7K |
| 99221 |
|
145 |
76 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
75 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
574 |
552 |
$6K |
| 90670 |
|
1,205 |
1,120 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
99 |
48 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
95 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
127 |
95 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
225 |
159 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
285 |
249 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
355 |
326 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
28 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
44 |
39 |
$2K |
| 76825 |
|
33 |
27 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
682 |
417 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
155 |
75 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
53 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
137 |
$1K |
| 90686 |
|
930 |
917 |
$1K |
| 90474 |
|
311 |
304 |
$1K |
| 93297 |
|
142 |
136 |
$902.33 |
| 90744 |
|
113 |
104 |
$513.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
66 |
$422.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$395.70 |
| 90680 |
|
530 |
473 |
$181.50 |
| 70450 |
Computed tomography, head or brain; without contrast material |
19 |
13 |
$172.33 |
| 93000 |
|
29 |
28 |
$158.44 |
| 77080 |
|
13 |
12 |
$153.12 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
14 |
$140.15 |
| 93296 |
|
70 |
69 |
$97.18 |
| 85018 |
|
106 |
106 |
$57.21 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
138 |
126 |
$56.16 |
| 93325 |
|
33 |
27 |
$36.55 |
| 90633 |
|
46 |
39 |
$31.50 |
| 1123F |
|
952 |
692 |
$0.00 |
| 3074F |
|
2,504 |
1,599 |
$0.00 |
| 3079F |
|
658 |
465 |
$0.00 |
| 90677 |
|
139 |
86 |
$0.00 |
| 90697 |
|
73 |
54 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 3075F |
|
18 |
14 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |
| 3078F |
|
2,011 |
1,351 |
$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) |
30 |
28 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |