| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,481 |
24,633 |
$2.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,795 |
21,004 |
$1.59M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,042 |
1,862 |
$206K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,500 |
1,310 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,104 |
1,010 |
$124K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,495 |
1,424 |
$111K |
| 87428 |
|
2,793 |
2,489 |
$104K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,870 |
1,660 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
899 |
747 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
518 |
429 |
$48K |
| 90686 |
|
2,669 |
2,075 |
$45K |
| 97803 |
|
1,645 |
1,473 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
397 |
295 |
$39K |
| 99233 |
Prolong inpt eval add15 m |
1,666 |
517 |
$37K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
691 |
600 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
993 |
875 |
$34K |
| 99223 |
Prolong inpt eval add15 m |
681 |
553 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
423 |
358 |
$32K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
705 |
621 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
242 |
233 |
$30K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,470 |
1,400 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
253 |
239 |
$29K |
| 92551 |
|
1,892 |
1,752 |
$17K |
| 20610 |
|
321 |
227 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
995 |
901 |
$12K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
136 |
60 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
201 |
194 |
$12K |
| 76830 |
Ultrasound, transvaginal |
150 |
142 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
595 |
545 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
453 |
434 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
488 |
140 |
$7K |
| 96127 |
|
1,672 |
1,528 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
676 |
537 |
$7K |
| 99174 |
|
1,101 |
1,044 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
112 |
96 |
$6K |
| 81025 |
|
837 |
766 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
110 |
39 |
$5K |
| 3008F |
|
17,339 |
14,561 |
$5K |
| 99442 |
|
339 |
296 |
$5K |
| 99173 |
|
1,622 |
1,459 |
$4K |
| 83518 |
|
499 |
463 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
26 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
402 |
322 |
$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) |
119 |
116 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
78 |
27 |
$3K |
| 90648 |
|
132 |
113 |
$2K |
| 90656 |
|
120 |
105 |
$2K |
| 90670 |
|
117 |
90 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
417 |
338 |
$2K |
| 99459 |
|
129 |
124 |
$2K |
| 99220 |
|
28 |
28 |
$2K |
| 96160 |
|
787 |
693 |
$2K |
| 87807 |
|
152 |
129 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
13 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
213 |
158 |
$1K |
| 76536 |
|
14 |
13 |
$962.77 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
155 |
127 |
$955.24 |
| 36415 |
Collection of venous blood by venipuncture |
349 |
330 |
$775.53 |
| 99443 |
|
48 |
42 |
$728.93 |
| G0009 |
Administration of pneumococcal vaccine |
16 |
14 |
$690.75 |
| 96161 |
|
295 |
262 |
$644.78 |
| 82962 |
|
285 |
236 |
$564.61 |
| 99441 |
|
163 |
153 |
$560.83 |
| 0072A |
|
15 |
13 |
$520.00 |
| 99217 |
|
15 |
15 |
$428.72 |
| 90734 |
|
16 |
13 |
$325.92 |
| 94060 |
|
28 |
24 |
$288.87 |
| 90651 |
|
14 |
12 |
$279.35 |
| 81002 |
|
63 |
57 |
$270.54 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$231.65 |
| 3074F |
|
382 |
302 |
$125.04 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$109.92 |
| 3078F |
|
275 |
216 |
$92.01 |
| W7000 |
|
19 |
17 |
$87.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$82.50 |
| 98968 |
|
30 |
22 |
$57.00 |
| 90662 |
|
57 |
40 |
$53.78 |
| 3075F |
|
42 |
39 |
$40.00 |
| 94760 |
|
30 |
25 |
$21.45 |
| 3077F |
|
21 |
12 |
$0.00 |
| 3079F |
|
171 |
138 |
$0.00 |
| INVCD |
|
34 |
34 |
$0.00 |
| 90677 |
|
15 |
13 |
$0.00 |