| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78,465 |
57,416 |
$14.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,879 |
24,234 |
$5.40M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,102 |
8,825 |
$2.68M |
| 90837 |
Psychotherapy, 53 minutes with patient |
12,533 |
5,276 |
$2.20M |
| X5622 |
|
7,817 |
7,118 |
$2.16M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,619 |
7,895 |
$1.67M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,111 |
7,858 |
$1.49M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,678 |
2,062 |
$439K |
| 99215 |
Prolong outpt/office vis |
1,548 |
1,353 |
$256K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,171 |
1,047 |
$238K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
3,939 |
3,699 |
$203K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,771 |
3,864 |
$176K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,084 |
960 |
$165K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
882 |
828 |
$137K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,279 |
2,926 |
$123K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
666 |
565 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,961 |
1,629 |
$91K |
| 99307 |
|
418 |
382 |
$71K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
11,130 |
8,714 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
312 |
248 |
$50K |
| 11721 |
|
444 |
398 |
$40K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
153 |
133 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
449 |
360 |
$29K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
110 |
90 |
$28K |
| 99460 |
|
80 |
77 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
113 |
113 |
$16K |
| 99188 |
|
5,547 |
4,193 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
138 |
127 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
80 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
40 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
35 |
25 |
$8K |
| 99462 |
|
19 |
13 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
221 |
166 |
$5K |
| 99335 |
|
14 |
12 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
232 |
168 |
$3K |
| 91320 |
|
60 |
39 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
272 |
146 |
$2K |
| 51798 |
|
16 |
12 |
$2K |
| 99347 |
|
13 |
13 |
$1K |
| 90682 |
|
143 |
127 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,176 |
4,937 |
$751.48 |
| 90480 |
|
87 |
55 |
$751.11 |
| 96127 |
|
7,987 |
6,468 |
$387.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,825 |
4,902 |
$387.16 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21 |
12 |
$379.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,095 |
5,025 |
$265.60 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$261.08 |
| 90686 |
|
2,811 |
2,514 |
$215.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
909 |
780 |
$202.17 |
| 90715 |
|
363 |
347 |
$192.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
722 |
442 |
$140.86 |
| 90785 |
|
2,899 |
952 |
$127.30 |
| 0124A |
|
59 |
32 |
$118.89 |
| 20610 |
|
21 |
13 |
$83.86 |
| 92551 |
|
3,681 |
2,787 |
$37.46 |
| 0031A |
|
15 |
15 |
$27.72 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
383 |
354 |
$14.95 |
| 99173 |
|
3,610 |
2,745 |
$9.73 |
| 90461 |
|
3,516 |
2,983 |
$0.52 |
| 90744 |
|
174 |
173 |
$0.04 |
| 90670 |
|
1,939 |
1,754 |
$0.03 |
| 90680 |
|
587 |
543 |
$0.03 |
| 90698 |
|
1,658 |
1,539 |
$0.03 |
| 90633 |
|
531 |
474 |
$0.00 |
| 0004A |
|
135 |
134 |
$0.00 |
| 0071A |
|
50 |
50 |
$0.00 |
| 90685 |
|
143 |
138 |
$0.00 |
| 0002A |
|
548 |
545 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 98929 |
|
24 |
19 |
$0.00 |
| 0001A |
|
559 |
556 |
$0.00 |
| 90651 |
|
90 |
84 |
$0.00 |
| 96161 |
|
454 |
425 |
$0.00 |
| 59410 |
|
12 |
12 |
$0.00 |
| 90688 |
|
34 |
28 |
$0.00 |
| 0072A |
|
26 |
26 |
$0.00 |
| 99243 |
|
13 |
13 |
$0.00 |
| 90619 |
|
24 |
16 |
$0.00 |