| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,793 |
28,838 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,221 |
28,252 |
$1.02M |
| 99233 |
Prolong inpt eval add15 m |
7,725 |
3,698 |
$247K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,360 |
2,339 |
$121K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,453 |
2,419 |
$96K |
| 99223 |
Prolong inpt eval add15 m |
1,029 |
1,014 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,848 |
4,788 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
890 |
889 |
$58K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,380 |
1,371 |
$47K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,548 |
1,468 |
$40K |
| 87428 |
|
782 |
757 |
$39K |
| 99215 |
Prolong outpt/office vis |
645 |
631 |
$35K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
420 |
419 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,497 |
2,464 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
242 |
241 |
$24K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
222 |
117 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
728 |
379 |
$16K |
| 92567 |
|
1,220 |
1,209 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
284 |
276 |
$13K |
| 95813 |
|
224 |
218 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
617 |
613 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
153 |
$5K |
| 92557 |
|
142 |
139 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
49 |
49 |
$4K |
| 69210 |
|
377 |
369 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
287 |
281 |
$4K |
| 90682 |
|
89 |
89 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
161 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
285 |
283 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 90686 |
|
1,496 |
1,482 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
349 |
346 |
$2K |
| 99220 |
|
26 |
26 |
$2K |
| 51798 |
|
237 |
235 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
42 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 31575 |
|
12 |
12 |
$1K |
| 99173 |
|
53 |
53 |
$878.97 |
| 99459 |
|
48 |
48 |
$777.08 |
| 0072A |
|
16 |
16 |
$733.92 |
| 71046 |
Radiologic examination, chest; 2 views |
36 |
36 |
$478.35 |
| 81002 |
|
349 |
337 |
$372.39 |
| 92579 |
|
12 |
12 |
$360.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$311.94 |
| 99221 |
|
14 |
13 |
$311.60 |
| 92552 |
|
13 |
13 |
$281.67 |
| 73564 |
|
13 |
13 |
$271.61 |
| 96127 |
|
28 |
28 |
$139.59 |
| 81025 |
|
12 |
12 |
$69.96 |
| 99406 |
|
14 |
12 |
$54.94 |
| G0008 |
Administration of influenza virus vaccine |
89 |
89 |
$51.17 |
| 81003 |
|
50 |
49 |
$36.84 |
| 99443 |
|
14 |
14 |
$0.00 |
| 91307 |
|
16 |
16 |
$0.00 |
| 90688 |
|
16 |
16 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$0.00 |