| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,443 |
17,208 |
$1.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,209 |
14,780 |
$1.03M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,552 |
2,471 |
$285K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22,836 |
5,060 |
$235K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,791 |
1,609 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,476 |
1,451 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,921 |
6,694 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,245 |
1,223 |
$137K |
| 99233 |
Prolong inpt eval add15 m |
4,347 |
1,703 |
$90K |
| 99223 |
Prolong inpt eval add15 m |
1,933 |
1,435 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,079 |
916 |
$47K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,286 |
2,172 |
$37K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,443 |
2,039 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,824 |
2,187 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
297 |
274 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,079 |
1,953 |
$15K |
| 99401 |
|
1,351 |
1,325 |
$15K |
| 99174 |
|
582 |
567 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
919 |
670 |
$13K |
| 90461 |
|
1,247 |
1,205 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
621 |
483 |
$12K |
| 92588 |
|
900 |
875 |
$10K |
| 94729 |
|
813 |
752 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,870 |
918 |
$7K |
| 87428 |
|
255 |
228 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
86 |
80 |
$6K |
| 94727 |
|
757 |
689 |
$5K |
| 99173 |
|
455 |
445 |
$4K |
| 90686 |
|
831 |
806 |
$3K |
| 94010 |
|
486 |
456 |
$3K |
| 90670 |
|
563 |
551 |
$3K |
| 90658 |
|
181 |
173 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
44 |
36 |
$2K |
| 92558 |
|
207 |
203 |
$2K |
| 90633 |
|
88 |
88 |
$2K |
| 87807 |
|
271 |
261 |
$2K |
| 99254 |
|
34 |
26 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
189 |
126 |
$2K |
| 83655 |
|
124 |
122 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
179 |
115 |
$1K |
| 90715 |
|
91 |
90 |
$1K |
| 90648 |
|
182 |
182 |
$979.70 |
| 94618 |
|
145 |
139 |
$891.72 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
175 |
132 |
$761.78 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
233 |
175 |
$504.13 |
| 94060 |
|
12 |
12 |
$486.13 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$477.36 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
37 |
29 |
$377.65 |
| 99305 |
|
18 |
13 |
$356.02 |
| 90657 |
|
31 |
31 |
$350.07 |
| 0071A |
|
14 |
12 |
$320.00 |
| 90696 |
|
13 |
13 |
$296.00 |
| 93000 |
|
101 |
87 |
$295.07 |
| 85018 |
|
141 |
139 |
$263.44 |
| 96127 |
|
136 |
127 |
$257.57 |
| 36415 |
Collection of venous blood by venipuncture |
583 |
499 |
$255.93 |
| 90698 |
|
13 |
13 |
$224.00 |
| 90970 |
|
40 |
33 |
$166.75 |
| 81003 |
|
33 |
27 |
$150.79 |
| 90649 |
|
15 |
14 |
$116.04 |
| 90710 |
|
36 |
36 |
$112.00 |
| 90619 |
|
12 |
12 |
$50.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$48.00 |
| 90620 |
|
191 |
183 |
$40.00 |
| 71250 |
|
145 |
125 |
$35.64 |
| 80053 |
Comprehensive metabolic panel |
424 |
370 |
$34.74 |
| 90723 |
|
139 |
129 |
$20.00 |
| 81002 |
|
12 |
12 |
$18.96 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
71 |
69 |
$17.90 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
18 |
16 |
$16.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
210 |
182 |
$6.80 |
| 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) |
198 |
165 |
$3.22 |
| 96160 |
|
13 |
13 |
$2.57 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
69 |
64 |
$0.00 |
| 81000 |
|
33 |
29 |
$0.00 |
| 36416 |
|
129 |
121 |
$0.00 |
| 90647 |
|
163 |
148 |
$0.00 |
| 90680 |
|
88 |
88 |
$0.00 |
| 90651 |
|
84 |
84 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
45 |
40 |
$0.00 |
| 91307 |
|
16 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
33 |
32 |
$0.00 |
| 99454 |
|
16 |
12 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 94726 |
|
65 |
61 |
$0.00 |
| 80061 |
Lipid panel |
221 |
187 |
$0.00 |
| 99072 |
|
268 |
238 |
$0.00 |
| 99177 |
|
269 |
260 |
$0.00 |
| 90734 |
|
79 |
78 |
$0.00 |
| 99497 |
|
208 |
149 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |