| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,720 |
20,657 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,135 |
22,284 |
$918K |
| 99223 |
Prolong inpt eval add15 m |
4,417 |
4,087 |
$201K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,214 |
3,013 |
$176K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,444 |
3,445 |
$109K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,287 |
1,217 |
$98K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,572 |
3,306 |
$94K |
| 87428 |
|
1,584 |
1,456 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,243 |
1,148 |
$52K |
| 99233 |
Prolong inpt eval add15 m |
1,768 |
883 |
$44K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
449 |
427 |
$42K |
| 99215 |
Prolong outpt/office vis |
503 |
469 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
460 |
427 |
$26K |
| 90834 |
Psychotherapy, 45 minutes with patient |
533 |
366 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
750 |
630 |
$21K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,119 |
903 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,214 |
701 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
8,743 |
7,730 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,320 |
1,157 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,125 |
622 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,355 |
1,017 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
431 |
384 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
166 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
814 |
752 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
848 |
786 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
326 |
277 |
$11K |
| 99406 |
|
1,559 |
1,349 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
222 |
182 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
794 |
737 |
$9K |
| 90688 |
|
708 |
681 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
467 |
201 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
229 |
218 |
$8K |
| 99310 |
Prolong nursin fac eval 15m |
290 |
197 |
$7K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,999 |
2,768 |
$5K |
| 36416 |
|
2,489 |
2,169 |
$5K |
| 90756 |
|
305 |
265 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
713 |
647 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
801 |
726 |
$4K |
| 20610 |
|
129 |
96 |
$3K |
| 87807 |
|
364 |
347 |
$3K |
| 81003 |
|
1,643 |
1,324 |
$3K |
| 92567 |
|
354 |
308 |
$3K |
| 82962 |
|
1,790 |
1,533 |
$3K |
| 90674 |
|
214 |
205 |
$3K |
| 91322 |
|
49 |
39 |
$2K |
| 95251 |
|
88 |
80 |
$2K |
| 0064A |
|
35 |
28 |
$1K |
| 81025 |
|
219 |
196 |
$1K |
| 85018 |
|
188 |
184 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
83 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
129 |
107 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
34 |
$986.18 |
| 99306 |
Prolong nursin fac eval 15m |
38 |
32 |
$980.38 |
| 90480 |
|
49 |
39 |
$877.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$794.16 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$756.18 |
| 80305 |
|
91 |
82 |
$678.59 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
129 |
114 |
$674.97 |
| 0134A |
|
18 |
16 |
$600.00 |
| 92557 |
|
15 |
15 |
$300.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
27 |
$286.97 |
| 99490 |
Ccm add 20min |
40 |
34 |
$254.16 |
| 99441 |
|
35 |
29 |
$219.13 |
| G0008 |
Administration of influenza virus vaccine |
101 |
84 |
$208.45 |
| 92552 |
|
20 |
17 |
$191.25 |
| 81002 |
|
193 |
172 |
$179.56 |
| 1123F |
|
118 |
104 |
$174.54 |
| 92553 |
|
14 |
12 |
$125.94 |
| 90715 |
|
15 |
14 |
$118.53 |
| 90658 |
|
24 |
19 |
$40.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
26 |
$26.14 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
18 |
15 |
$20.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
15 |
$8.18 |
| 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) |
46 |
42 |
$2.62 |
| 91306 |
|
35 |
28 |
$0.11 |
| 91313 |
|
18 |
16 |
$0.06 |
| 99024 |
|
13 |
12 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 4004F |
|
78 |
64 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
792 |
676 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |