| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69,366 |
62,737 |
$3.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,463 |
37,742 |
$2.87M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,874 |
13,862 |
$1.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,665 |
12,866 |
$952K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,153 |
10,145 |
$749K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,572 |
25,508 |
$613K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,304 |
3,864 |
$552K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,973 |
5,967 |
$446K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,301 |
4,259 |
$373K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,751 |
4,681 |
$361K |
| 99223 |
Prolong inpt eval add15 m |
2,489 |
2,392 |
$270K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,508 |
2,501 |
$250K |
| 99381 |
|
2,470 |
2,467 |
$215K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,817 |
2,808 |
$191K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,336 |
2,249 |
$177K |
| 99385 |
|
1,555 |
1,550 |
$154K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,394 |
2,289 |
$149K |
| 99383 |
|
1,529 |
1,528 |
$143K |
| 99233 |
Prolong inpt eval add15 m |
1,797 |
905 |
$103K |
| 99382 |
|
900 |
899 |
$84K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,042 |
7,009 |
$78K |
| 99386 |
|
579 |
577 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,420 |
4,319 |
$56K |
| 99215 |
Prolong outpt/office vis |
611 |
595 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,816 |
1,776 |
$54K |
| 83655 |
|
4,766 |
4,759 |
$53K |
| 99384 |
|
482 |
480 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,111 |
5,040 |
$47K |
| 87428 |
|
1,068 |
1,059 |
$30K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
523 |
515 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,302 |
1,288 |
$19K |
| 93000 |
|
2,525 |
2,493 |
$19K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
171 |
170 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,303 |
752 |
$18K |
| 99442 |
|
522 |
498 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,957 |
2,945 |
$16K |
| 95251 |
|
855 |
843 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
662 |
648 |
$14K |
| 90715 |
|
2,241 |
2,229 |
$12K |
| 85018 |
|
5,365 |
5,357 |
$11K |
| 90651 |
|
2,894 |
2,888 |
$11K |
| 96127 |
|
3,703 |
3,629 |
$10K |
| 82962 |
|
4,523 |
4,439 |
$10K |
| 90686 |
|
6,843 |
6,823 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,339 |
1,143 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,844 |
3,631 |
$9K |
| 80061 |
Lipid panel |
1,063 |
1,062 |
$9K |
| 99177 |
|
4,491 |
4,486 |
$7K |
| 92551 |
|
1,070 |
1,063 |
$7K |
| 83037 |
|
1,150 |
1,139 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
111 |
109 |
$7K |
| 87634 |
|
172 |
170 |
$7K |
| 94010 |
|
315 |
307 |
$6K |
| 81003 |
|
3,827 |
3,747 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
119 |
119 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
136 |
37 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
430 |
409 |
$4K |
| D0190 |
|
239 |
237 |
$4K |
| 92558 |
|
1,380 |
1,379 |
$3K |
| 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) |
1,415 |
1,374 |
$3K |
| 81002 |
|
1,606 |
1,528 |
$3K |
| 99441 |
|
197 |
194 |
$3K |
| 73630 |
|
144 |
103 |
$3K |
| 90756 |
|
113 |
111 |
$3K |
| 99188 |
|
275 |
275 |
$2K |
| 81025 |
|
327 |
316 |
$2K |
| 90670 |
|
7,697 |
7,690 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
14 |
$1K |
| 99406 |
|
208 |
198 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
277 |
271 |
$1K |
| 90656 |
|
716 |
716 |
$1K |
| 96161 |
|
715 |
635 |
$1K |
| 17110 |
|
19 |
15 |
$1K |
| 90621 |
|
147 |
145 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
19 |
$773.30 |
| 90734 |
|
1,951 |
1,949 |
$644.25 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$620.40 |
| 90682 |
|
12 |
12 |
$559.52 |
| 90716 |
|
2,791 |
2,790 |
$558.66 |
| 90674 |
|
39 |
39 |
$514.41 |
| 96160 |
|
45 |
41 |
$496.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
349 |
325 |
$465.90 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
26 |
24 |
$396.39 |
| 90707 |
|
2,751 |
2,747 |
$385.75 |
| 96380 |
|
90 |
90 |
$299.39 |
| 90688 |
|
17 |
17 |
$287.55 |
| 99443 |
|
12 |
12 |
$273.22 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
28 |
26 |
$242.20 |
| 90662 |
|
129 |
128 |
$226.43 |
| 98966 |
|
546 |
488 |
$204.19 |
| 90620 |
|
903 |
903 |
$128.00 |
| 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 |
15 |
15 |
$117.96 |
| G0008 |
Administration of influenza virus vaccine |
326 |
321 |
$95.17 |
| 94150 |
|
30 |
28 |
$89.64 |
| 99497 |
|
31 |
31 |
$67.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
135 |
118 |
$67.05 |
| 36416 |
|
19 |
18 |
$65.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
87 |
82 |
$62.24 |
| 90474 |
|
12 |
12 |
$36.24 |
| 90461 |
|
14,479 |
14,467 |
$21.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
14 |
$8.28 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
14 |
$5.92 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
29 |
28 |
$1.71 |
| 3008F |
|
40,571 |
38,430 |
$1.02 |
| 3074F |
|
30,764 |
29,833 |
$0.51 |
| 3078F |
|
25,168 |
24,580 |
$0.51 |
| 1159F |
|
26,328 |
24,466 |
$0.51 |
| 99499 |
|
155 |
155 |
$0.37 |
| 3048F |
|
461 |
461 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
392 |
390 |
$0.00 |
| 90696 |
|
2,311 |
2,306 |
$0.00 |
| 90723 |
|
2,401 |
2,399 |
$0.00 |
| 1036F |
|
25,774 |
23,930 |
$0.00 |
| 1035F |
|
1,144 |
1,047 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
73 |
73 |
$0.00 |
| 1000F |
|
3,118 |
3,107 |
$0.00 |
| 90697 |
|
2,045 |
2,045 |
$0.00 |
| 90680 |
|
6,353 |
6,346 |
$0.00 |
| 3075F |
|
5,533 |
5,411 |
$0.00 |
| 1125F |
|
4,636 |
4,430 |
$0.00 |
| 90744 |
|
2,353 |
2,351 |
$0.00 |
| 2023F |
|
312 |
307 |
$0.00 |
| 3079F |
|
11,850 |
11,449 |
$0.00 |
| 90698 |
|
2,999 |
2,995 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,759 |
11,566 |
$0.00 |
| 4010F |
|
540 |
500 |
$0.00 |
| 90647 |
|
3,048 |
3,046 |
$0.00 |
| 1034F |
|
4,639 |
4,263 |
$0.00 |
| 90619 |
|
946 |
945 |
$0.00 |
| 3080F |
|
1,786 |
1,728 |
$0.00 |
| 3044F |
|
2,094 |
2,062 |
$0.00 |
| 1126F |
|
9,566 |
9,184 |
$0.00 |
| 3052F |
|
660 |
649 |
$0.00 |
| 1123F |
|
106 |
105 |
$0.00 |
| 3061F |
|
184 |
183 |
$0.00 |
| 94760 |
|
52 |
52 |
$0.00 |
| 90381 |
|
59 |
58 |
$0.00 |
| 90700 |
|
2,750 |
2,742 |
$0.00 |
| 90713 |
|
39 |
38 |
$0.00 |
| 3051F |
|
1,139 |
1,124 |
$0.00 |
| 90633 |
|
5,351 |
5,344 |
$0.00 |
| 3045F |
|
268 |
263 |
$0.00 |
| 3077F |
|
2,364 |
2,292 |
$0.00 |
| 3046F |
|
1,450 |
1,413 |
$0.00 |
| 90710 |
|
2,349 |
2,346 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
51 |
51 |
$0.00 |
| 3511F |
|
980 |
976 |
$0.00 |
| 3725F |
|
10,520 |
10,227 |
$0.00 |
| 3288F |
|
778 |
729 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,365 |
1,347 |
$0.00 |
| 90672 |
|
129 |
129 |
$0.00 |
| 2022F |
|
39 |
38 |
$0.00 |
| 90648 |
|
664 |
664 |
$0.00 |
| 2028F |
|
79 |
79 |
$0.00 |
| 1160F |
|
29,926 |
27,772 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
137 |
137 |
$0.00 |
| 90685 |
|
384 |
383 |
$0.00 |
| 90671 |
|
2,062 |
2,062 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
205 |
197 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
135 |
134 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
17 |
17 |
$0.00 |
| 99173 |
|
112 |
111 |
$0.00 |
| 90380 |
|
43 |
43 |
$0.00 |