| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,375 |
89,525 |
$4.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,563 |
24,844 |
$1.14M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39,843 |
15,550 |
$672K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,384 |
10,310 |
$405K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,699 |
9,643 |
$367K |
| 99223 |
Prolong inpt eval add15 m |
8,259 |
7,962 |
$365K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,799 |
8,642 |
$363K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28,462 |
28,062 |
$334K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,905 |
12,747 |
$262K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,407 |
6,350 |
$251K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,176 |
10,941 |
$238K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,505 |
5,771 |
$234K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,142 |
6,920 |
$203K |
| 99215 |
Prolong outpt/office vis |
3,806 |
3,306 |
$189K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,176 |
5,761 |
$174K |
| 99233 |
Prolong inpt eval add15 m |
12,329 |
4,668 |
$157K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22,870 |
16,576 |
$152K |
| 90677 |
|
1,045 |
1,024 |
$147K |
| 92551 |
|
11,773 |
11,602 |
$134K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,151 |
3,875 |
$118K |
| 99188 |
|
5,452 |
5,403 |
$85K |
| 90619 |
|
612 |
579 |
$75K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,182 |
5,039 |
$56K |
| 90686 |
|
10,091 |
9,658 |
$55K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,432 |
1,381 |
$54K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,770 |
4,746 |
$48K |
| 90461 |
|
2,485 |
2,461 |
$48K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,752 |
1,929 |
$40K |
| 99254 |
|
363 |
359 |
$35K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
956 |
908 |
$35K |
| 90651 |
|
839 |
811 |
$34K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,115 |
507 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,855 |
1,788 |
$24K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,291 |
5,660 |
$21K |
| 90474 |
|
1,879 |
1,852 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,040 |
1,768 |
$20K |
| 96127 |
|
6,357 |
6,113 |
$18K |
| 90688 |
|
811 |
795 |
$15K |
| 99177 |
|
1,462 |
1,450 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
267 |
249 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,149 |
1,039 |
$14K |
| 97802 |
|
282 |
281 |
$14K |
| 0071A |
|
284 |
283 |
$11K |
| 90480 |
|
283 |
277 |
$10K |
| 96161 |
|
3,282 |
3,221 |
$10K |
| 90670 |
|
1,832 |
1,782 |
$10K |
| 90620 |
|
261 |
254 |
$10K |
| 0072A |
|
249 |
246 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
632 |
619 |
$10K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
7,322 |
4,470 |
$9K |
| 91320 |
|
77 |
77 |
$9K |
| 93924 |
|
142 |
142 |
$9K |
| 99306 |
Prolong nursin fac eval 15m |
598 |
480 |
$9K |
| 83655 |
|
1,000 |
979 |
$9K |
| 0124A |
|
232 |
224 |
$9K |
| 3008F |
|
11,229 |
10,464 |
$8K |
| 90961 |
|
223 |
213 |
$8K |
| 69210 |
|
518 |
409 |
$7K |
| 90674 |
|
330 |
321 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
144 |
144 |
$6K |
| 90734 |
|
239 |
238 |
$6K |
| 36416 |
|
693 |
641 |
$6K |
| 0054A |
|
157 |
147 |
$6K |
| 90716 |
|
589 |
565 |
$5K |
| 90656 |
|
1,534 |
1,529 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
116 |
$5K |
| 99205 |
Prolong outpt/office vis |
68 |
66 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
42 |
30 |
$4K |
| 99401 |
|
228 |
224 |
$4K |
| 0154A |
|
118 |
107 |
$4K |
| 0074A |
|
93 |
88 |
$3K |
| 99442 |
|
301 |
274 |
$3K |
| 91319 |
|
43 |
43 |
$3K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
1,571 |
601 |
$3K |
| 97803 |
|
111 |
109 |
$3K |
| 99174 |
|
542 |
531 |
$3K |
| 99307 |
|
805 |
764 |
$3K |
| 99173 |
|
8,587 |
8,227 |
$3K |
| 0052A |
|
66 |
65 |
$3K |
| 90707 |
|
413 |
407 |
$2K |
| 99221 |
|
174 |
169 |
$2K |
| 90698 |
|
1,493 |
1,469 |
$2K |
| 0001A |
|
47 |
47 |
$2K |
| 90715 |
|
181 |
171 |
$2K |
| 90680 |
|
1,473 |
1,458 |
$2K |
| 90621 |
|
69 |
63 |
$2K |
| 0081A |
|
49 |
48 |
$2K |
| 90700 |
|
552 |
528 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
159 |
83 |
$2K |
| 0051A |
|
40 |
39 |
$1K |
| 90633 |
|
802 |
774 |
$1K |
| 96160 |
|
1,443 |
1,428 |
$1K |
| 90658 |
|
86 |
86 |
$1K |
| 0082A |
|
36 |
31 |
$1K |
| 90671 |
|
23 |
18 |
$980.60 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$958.57 |
| 0002A |
|
23 |
23 |
$920.00 |
| 99305 |
|
82 |
70 |
$796.31 |
| 90662 |
|
441 |
399 |
$732.42 |
| 90962 |
|
19 |
18 |
$728.46 |
| 99495 |
|
12 |
12 |
$622.08 |
| G0008 |
Administration of influenza virus vaccine |
1,158 |
1,001 |
$546.32 |
| 0083A |
|
13 |
13 |
$520.00 |
| 96380 |
|
36 |
36 |
$399.83 |
| 90661 |
|
84 |
81 |
$389.36 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
34 |
14 |
$381.51 |
| 99304 |
|
13 |
13 |
$364.46 |
| 90744 |
|
639 |
614 |
$301.85 |
| 90723 |
|
373 |
357 |
$271.00 |
| 90687 |
|
14 |
14 |
$232.68 |
| 90648 |
|
593 |
569 |
$212.76 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
39 |
38 |
$193.50 |
| 93000 |
|
32 |
29 |
$189.15 |
| 95115 |
|
39 |
13 |
$158.26 |
| 94664 |
|
13 |
13 |
$156.31 |
| 96381 |
|
13 |
13 |
$156.14 |
| 90713 |
|
27 |
27 |
$145.43 |
| 99441 |
|
16 |
16 |
$89.70 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
331 |
287 |
$86.18 |
| 90682 |
|
13 |
13 |
$53.37 |
| 90672 |
|
16 |
13 |
$22.70 |
| 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 |
68 |
62 |
$21.98 |
| H0033 |
Oral medication administration, direct observation |
59 |
56 |
$16.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
360 |
310 |
$0.00 |
| 3078F |
|
4,421 |
4,223 |
$0.00 |
| 1159F |
|
4,079 |
3,705 |
$0.00 |
| 1160F |
|
3,434 |
3,120 |
$0.00 |
| 3077F |
|
885 |
836 |
$0.00 |
| 1100F |
|
390 |
372 |
$0.00 |
| 3288F |
|
75 |
72 |
$0.00 |
| 3725F |
|
134 |
121 |
$0.00 |
| 3045F |
|
34 |
31 |
$0.00 |
| 3051F |
|
32 |
31 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
15 |
$0.00 |
| 0518F |
|
23 |
21 |
$0.00 |
| 3046F |
|
13 |
12 |
$0.00 |
| 3074F |
|
3,698 |
3,546 |
$0.00 |
| 3075F |
|
442 |
415 |
$0.00 |
| 3044F |
|
1,601 |
1,441 |
$0.00 |
| 3079F |
|
910 |
846 |
$0.00 |
| 1034F |
|
57 |
55 |
$0.00 |
| 3048F |
|
593 |
563 |
$0.00 |
| 3017F |
|
115 |
92 |
$0.00 |
| 3049F |
|
77 |
71 |
$0.00 |
| 99000 |
|
125 |
124 |
$0.00 |
| 1111F |
|
709 |
649 |
$0.00 |
| 1101F |
|
69 |
66 |
$0.00 |
| 3080F |
|
104 |
98 |
$0.00 |
| 3061F |
|
15 |
14 |
$0.00 |
| 1036F |
|
39 |
33 |
$0.00 |
| 1035F |
|
293 |
271 |
$0.00 |
| 99454 |
|
12 |
12 |
$0.00 |