| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28,106 |
27,854 |
$1.26M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
48,720 |
48,250 |
$1.22M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
6,490 |
5,855 |
$1.14M |
| 76813 |
|
9,059 |
8,025 |
$1.13M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,301 |
9,142 |
$847K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,063 |
18,127 |
$653K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,482 |
47,430 |
$594K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,855 |
8,388 |
$589K |
| 99233 |
Prolong inpt eval add15 m |
5,566 |
2,362 |
$330K |
| G9920 |
Screening performed and negative |
11,523 |
11,426 |
$248K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,423 |
2,367 |
$207K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,566 |
7,531 |
$171K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,910 |
5,883 |
$168K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33,875 |
22,670 |
$153K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,967 |
1,882 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,823 |
4,811 |
$141K |
| 99215 |
Prolong outpt/office vis |
1,746 |
1,567 |
$124K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,044 |
964 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,327 |
1,311 |
$93K |
| 59025 |
Fetal non-stress test |
9,394 |
5,902 |
$81K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,196 |
1,167 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,409 |
1,343 |
$71K |
| S0265 |
Genetic counseling, under physician supervision, each 15 minutes |
1,326 |
1,302 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,183 |
910 |
$61K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
576 |
521 |
$44K |
| 99205 |
Prolong outpt/office vis |
422 |
410 |
$42K |
| 92060 |
|
1,636 |
1,604 |
$41K |
| 92015 |
Determination of refractive state |
4,126 |
4,065 |
$37K |
| 90837 |
Psychotherapy, 53 minutes with patient |
226 |
177 |
$32K |
| 90461 |
|
5,415 |
5,393 |
$29K |
| 90480 |
|
617 |
580 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
274 |
254 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,230 |
3,212 |
$25K |
| 99222 |
Initial hospital care, per day, moderate complexity |
284 |
274 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
421 |
416 |
$19K |
| 95819 |
|
509 |
507 |
$18K |
| 92551 |
|
20,133 |
20,083 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
216 |
176 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
290 |
279 |
$13K |
| 95951 |
|
40 |
28 |
$11K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
81 |
62 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
493 |
483 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
44 |
42 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
191 |
173 |
$7K |
| 97803 |
|
203 |
169 |
$7K |
| 90686 |
|
3,824 |
3,803 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
408 |
398 |
$6K |
| Z4306 |
|
117 |
117 |
$6K |
| 0124A |
|
127 |
84 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
191 |
106 |
$5K |
| Z4305 |
|
36 |
36 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
58 |
58 |
$3K |
| 81003 |
|
1,939 |
1,745 |
$3K |
| 76820 |
|
79 |
55 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
82 |
82 |
$3K |
| 99254 |
|
27 |
26 |
$2K |
| 99188 |
|
242 |
240 |
$2K |
| 76801 |
|
21 |
18 |
$2K |
| 99221 |
|
26 |
26 |
$1K |
| Z4304 |
|
27 |
27 |
$1K |
| 92552 |
|
955 |
953 |
$1K |
| 0154A |
|
37 |
27 |
$1K |
| 96127 |
|
5,537 |
5,350 |
$1K |
| 90670 |
|
413 |
412 |
$907.12 |
| 92002 |
|
34 |
33 |
$843.59 |
| 90698 |
|
404 |
382 |
$763.43 |
| 83655 |
|
109 |
108 |
$735.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
109 |
78 |
$494.58 |
| 0072A |
|
267 |
267 |
$480.00 |
| 99241 |
|
12 |
12 |
$472.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
116 |
116 |
$469.68 |
| 95816 |
|
12 |
12 |
$426.35 |
| 90651 |
|
115 |
115 |
$322.82 |
| 0071A |
|
385 |
381 |
$309.20 |
| 90680 |
|
95 |
88 |
$297.23 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
20 |
19 |
$284.87 |
| 99000 |
|
203 |
201 |
$233.48 |
| 99173 |
|
18,199 |
18,179 |
$211.12 |
| 90656 |
|
197 |
195 |
$180.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$177.94 |
| 90744 |
|
27 |
27 |
$152.73 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
140 |
137 |
$116.42 |
| 81002 |
|
567 |
544 |
$115.51 |
| 99072 |
|
1,075 |
1,031 |
$98.00 |
| 87400 |
|
204 |
121 |
$91.78 |
| 92283 |
|
21 |
19 |
$81.06 |
| 90697 |
|
13 |
12 |
$75.00 |
| 85018 |
|
1,181 |
1,175 |
$74.50 |
| 90633 |
|
82 |
79 |
$45.08 |
| 94760 |
|
338 |
320 |
$44.86 |
| 90619 |
|
75 |
75 |
$36.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
69 |
69 |
$29.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
43 |
$19.48 |
| 90671 |
|
12 |
12 |
$18.01 |
| 80061 |
Lipid panel |
14 |
14 |
$11.42 |
| 90710 |
|
12 |
12 |
$9.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
37 |
37 |
$0.59 |
| 90685 |
|
29 |
26 |
$0.06 |
| 90688 |
|
71 |
71 |
$0.05 |
| 91315 |
|
12 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
80 |
80 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 99174 |
|
17 |
17 |
$0.00 |
| 91307 |
|
152 |
133 |
$0.00 |
| 0074A |
|
38 |
38 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 36416 |
|
39 |
39 |
$0.00 |
| 0111A |
|
12 |
12 |
$0.00 |
| 90734 |
|
42 |
42 |
$0.00 |
| 96160 |
|
353 |
351 |
$0.00 |
| 99051 |
|
416 |
404 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
140 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
86 |
86 |
$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) |
80 |
78 |
$0.00 |
| 0004A |
|
12 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99177 |
|
33 |
33 |
$0.00 |
| 0054A |
|
12 |
12 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 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 |
29 |
$0.00 |
| 91308 |
|
18 |
14 |
$0.00 |