| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
62,075 |
52,515 |
$3.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,442 |
33,950 |
$3.24M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,624 |
8,845 |
$2.83M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,728 |
5,146 |
$2.65M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,953 |
1,192 |
$1.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,830 |
14,311 |
$709K |
| 36415 |
Collection of venous blood by venipuncture |
15,379 |
12,604 |
$388K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,005 |
1,791 |
$333K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,420 |
7,158 |
$241K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,327 |
1,300 |
$236K |
| 80053 |
Comprehensive metabolic panel |
9,392 |
8,008 |
$217K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,218 |
724 |
$137K |
| 99215 |
Prolong outpt/office vis |
1,256 |
1,110 |
$129K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,185 |
1,009 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
511 |
496 |
$101K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,375 |
1,255 |
$87K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,011 |
303 |
$64K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
536 |
474 |
$63K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,445 |
1,263 |
$50K |
| 90686 |
|
3,208 |
2,995 |
$48K |
| 80061 |
Lipid panel |
1,730 |
1,487 |
$48K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,671 |
2,348 |
$47K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
533 |
453 |
$39K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
322 |
264 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
961 |
898 |
$29K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
823 |
704 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
110 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,079 |
2,028 |
$27K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
296 |
231 |
$25K |
| 90670 |
|
1,212 |
1,173 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
282 |
235 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
283 |
262 |
$23K |
| 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) |
1,132 |
1,066 |
$19K |
| 84484 |
|
269 |
184 |
$19K |
| 81001 |
|
984 |
818 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
898 |
849 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
195 |
181 |
$17K |
| 92551 |
|
730 |
715 |
$17K |
| 85610 |
|
1,701 |
1,108 |
$11K |
| 90680 |
|
624 |
609 |
$11K |
| 90723 |
|
562 |
538 |
$10K |
| 87631 |
|
67 |
64 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
399 |
150 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
231 |
198 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
280 |
234 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
78 |
76 |
$7K |
| 90647 |
|
375 |
361 |
$7K |
| 90633 |
|
313 |
304 |
$6K |
| 90677 |
|
158 |
157 |
$5K |
| 84703 |
|
63 |
60 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
52 |
24 |
$4K |
| 90697 |
|
262 |
257 |
$3K |
| 90651 |
|
184 |
163 |
$3K |
| 99173 |
|
578 |
561 |
$3K |
| 90648 |
|
197 |
189 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
104 |
85 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
77 |
66 |
$2K |
| 85730 |
|
102 |
83 |
$2K |
| 80305 |
|
35 |
28 |
$2K |
| 83605 |
|
40 |
33 |
$2K |
| 90656 |
|
175 |
174 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
24 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
27 |
27 |
$1K |
| 90715 |
|
74 |
60 |
$1K |
| 90734 |
|
80 |
71 |
$1K |
| 83690 |
|
54 |
46 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
26 |
13 |
$1K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
20 |
14 |
$953.49 |
| 87081 |
|
14 |
14 |
$941.88 |
| 81002 |
|
105 |
98 |
$802.08 |
| 84439 |
|
50 |
41 |
$739.57 |
| 0124A |
|
31 |
28 |
$607.71 |
| 90710 |
|
25 |
24 |
$594.19 |
| 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 |
29 |
16 |
$497.02 |
| 99177 |
|
308 |
303 |
$459.19 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
16 |
12 |
$417.49 |
| 93793 |
|
38 |
26 |
$391.17 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$350.00 |
| 90696 |
|
14 |
13 |
$242.71 |
| 90700 |
|
12 |
12 |
$241.56 |
| 84460 |
|
12 |
12 |
$165.44 |
| 99406 |
|
32 |
16 |
$158.92 |
| 84450 |
|
12 |
12 |
$134.42 |
| 85018 |
|
13 |
13 |
$73.32 |
| G0008 |
Administration of influenza virus vaccine |
55 |
40 |
$70.42 |