| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,113 |
47,491 |
$2.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,939 |
20,060 |
$1.09M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,180 |
8,913 |
$687K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,307 |
7,977 |
$579K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39,846 |
15,793 |
$415K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,089 |
3,016 |
$236K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,247 |
2,107 |
$128K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,596 |
2,510 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
991 |
948 |
$70K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,301 |
2,164 |
$65K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,471 |
1,224 |
$58K |
| 90837 |
Psychotherapy, 53 minutes with patient |
632 |
413 |
$50K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,679 |
9,481 |
$42K |
| 99460 |
|
527 |
428 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
6,270 |
5,712 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,019 |
975 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,219 |
1,176 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
338 |
312 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
722 |
553 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
485 |
464 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,154 |
2,096 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
361 |
$17K |
| 99243 |
|
182 |
179 |
$15K |
| 90461 |
|
4,925 |
1,302 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,185 |
1,134 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
277 |
191 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
434 |
400 |
$11K |
| 99381 |
|
133 |
127 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
147 |
147 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,934 |
2,887 |
$7K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
69 |
69 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
174 |
167 |
$5K |
| 92567 |
|
593 |
581 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
68 |
67 |
$4K |
| 92015 |
Determination of refractive state |
569 |
533 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
426 |
327 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
35 |
31 |
$4K |
| 54150 |
|
93 |
71 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
118 |
115 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
156 |
112 |
$3K |
| 62326 |
|
53 |
50 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$3K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
40 |
12 |
$3K |
| 99384 |
|
27 |
26 |
$3K |
| 62323 |
|
69 |
64 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
154 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
39 |
39 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
73 |
67 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
242 |
164 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,871 |
1,001 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
22 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
77 |
50 |
$1K |
| 99215 |
Prolong outpt/office vis |
29 |
26 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
66 |
66 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
51 |
49 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
12 |
$1K |
| 99462 |
|
27 |
24 |
$984.36 |
| 92579 |
|
69 |
67 |
$816.48 |
| 74018 |
|
140 |
132 |
$806.39 |
| 99221 |
|
20 |
14 |
$794.56 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
12 |
$713.12 |
| 73630 |
|
95 |
84 |
$675.22 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
16 |
16 |
$652.54 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
13 |
$563.92 |
| 90677 |
|
1,289 |
1,275 |
$561.81 |
| 81003 |
|
247 |
237 |
$438.43 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$432.79 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$432.40 |
| 92587 |
|
31 |
28 |
$427.15 |
| 92557 |
|
25 |
25 |
$383.12 |
| 90686 |
|
6,059 |
5,830 |
$353.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
154 |
139 |
$317.46 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
301 |
192 |
$314.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
14 |
$303.34 |
| 84703 |
|
51 |
50 |
$301.77 |
| 0001A |
|
12 |
12 |
$240.00 |
| 20611 |
|
14 |
13 |
$224.86 |
| 0002A |
|
18 |
18 |
$200.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$154.71 |
| 76641 |
|
14 |
13 |
$154.20 |
| 73562 |
|
28 |
24 |
$137.64 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
29 |
28 |
$122.25 |
| 96160 |
|
223 |
200 |
$107.02 |
| 86580 |
|
12 |
12 |
$89.54 |
| 77080 |
|
70 |
69 |
$69.23 |
| 90656 |
|
596 |
595 |
$52.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
87 |
84 |
$50.75 |
| 73610 |
|
13 |
13 |
$49.93 |
| 80053 |
Comprehensive metabolic panel |
71 |
70 |
$40.60 |
| 87430 |
|
13 |
13 |
$28.24 |
| 80061 |
Lipid panel |
48 |
47 |
$28.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
32 |
$18.12 |
| 94760 |
|
22 |
22 |
$1.80 |
| 90697 |
|
1,479 |
1,441 |
$0.01 |
| 90648 |
|
2,775 |
2,724 |
$0.00 |
| 90670 |
|
4,564 |
4,457 |
$0.00 |
| 90633 |
|
729 |
712 |
$0.00 |
| 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) |
134 |
120 |
$0.00 |
| 90734 |
|
63 |
58 |
$0.00 |
| 3725F |
|
240 |
228 |
$0.00 |
| 90681 |
|
299 |
295 |
$0.00 |
| 3288F |
|
147 |
142 |
$0.00 |
| 90710 |
|
28 |
27 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
14 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 1111F |
|
2,925 |
2,776 |
$0.00 |
| 90723 |
|
1,457 |
1,439 |
$0.00 |
| 3044F |
|
41 |
38 |
$0.00 |
| 90680 |
|
1,025 |
1,004 |
$0.00 |
| 90651 |
|
120 |
115 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,438 |
1,373 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
64 |
64 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |