| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,778 |
35,129 |
$1.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,474 |
25,866 |
$886K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,517 |
3,869 |
$165K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,503 |
1,350 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
594 |
536 |
$38K |
| 99223 |
Prolong inpt eval add15 m |
1,182 |
973 |
$37K |
| 99233 |
Prolong inpt eval add15 m |
1,961 |
860 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,408 |
1,211 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
23,539 |
18,447 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,099 |
1,923 |
$23K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
404 |
156 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
329 |
301 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
346 |
319 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
361 |
321 |
$11K |
| 99220 |
|
174 |
135 |
$7K |
| 99441 |
|
599 |
420 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
207 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
101 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
98 |
87 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
75 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
149 |
132 |
$4K |
| 99215 |
Prolong outpt/office vis |
118 |
96 |
$4K |
| 85027 |
|
999 |
863 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
393 |
245 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
69 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,459 |
2,598 |
$3K |
| 82962 |
|
2,781 |
2,048 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
66 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
721 |
591 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
762 |
674 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
260 |
136 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
16 |
13 |
$2K |
| 81003 |
|
2,661 |
2,012 |
$2K |
| 99442 |
|
153 |
91 |
$2K |
| 90686 |
|
635 |
578 |
$2K |
| 99173 |
|
193 |
184 |
$1K |
| 90674 |
|
123 |
101 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
122 |
43 |
$879.79 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
92 |
83 |
$691.26 |
| 99222 |
Initial hospital care, per day, moderate complexity |
44 |
37 |
$674.13 |
| 90682 |
|
18 |
12 |
$605.62 |
| 92551 |
|
95 |
91 |
$567.74 |
| 76642 |
|
14 |
12 |
$552.10 |
| 99219 |
|
28 |
26 |
$551.73 |
| 99497 |
|
55 |
38 |
$436.88 |
| 90756 |
|
54 |
43 |
$417.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
100 |
$353.20 |
| 94010 |
|
43 |
40 |
$331.24 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
63 |
43 |
$330.21 |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$295.17 |
| 85018 |
|
105 |
96 |
$289.63 |
| 80053 |
Comprehensive metabolic panel |
241 |
199 |
$276.63 |
| 90661 |
|
18 |
13 |
$260.86 |
| 95251 |
|
49 |
38 |
$257.82 |
| 96127 |
|
109 |
80 |
$246.66 |
| 87807 |
|
13 |
13 |
$159.62 |
| 82044 |
|
50 |
29 |
$131.94 |
| 80061 |
Lipid panel |
125 |
92 |
$125.34 |
| 99177 |
|
13 |
12 |
$100.44 |
| 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) |
70 |
46 |
$64.46 |
| 36416 |
|
27 |
24 |
$60.30 |
| 94729 |
|
28 |
26 |
$54.62 |
| 80305 |
|
14 |
12 |
$34.42 |
| 81002 |
|
72 |
54 |
$32.92 |
| G0008 |
Administration of influenza virus vaccine |
143 |
111 |
$16.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$3.35 |
| 3008F |
|
102 |
82 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
13 |
$0.00 |
| 1000F |
|
77 |
50 |
$0.00 |
| 1034F |
|
19 |
14 |
$0.00 |
| 90656 |
|
18 |
12 |
$0.00 |
| 3074F |
|
65 |
54 |
$0.00 |
| 90694 |
|
15 |
14 |
$0.00 |
| 90670 |
|
66 |
64 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90685 |
|
28 |
26 |
$0.00 |
| 3078F |
|
28 |
24 |
$0.00 |
| 1033F |
|
52 |
36 |
$0.00 |
| 90648 |
|
79 |
62 |
$0.00 |