| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,415 |
46,544 |
$2.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,798 |
37,812 |
$2.14M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
9,188 |
2,674 |
$303K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,782 |
2,905 |
$274K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,040 |
2,867 |
$261K |
| 99223 |
Prolong inpt eval add15 m |
1,853 |
1,663 |
$194K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,664 |
2,369 |
$177K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,585 |
2,448 |
$175K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,671 |
3,397 |
$114K |
| 99215 |
Prolong outpt/office vis |
1,055 |
984 |
$98K |
| 99205 |
Prolong outpt/office vis |
805 |
748 |
$94K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,002 |
1,913 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
880 |
802 |
$63K |
| 87428 |
|
2,071 |
1,906 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,948 |
3,525 |
$55K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,025 |
848 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
824 |
731 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
609 |
586 |
$48K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
734 |
639 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
568 |
538 |
$40K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,597 |
1,454 |
$36K |
| 80305 |
|
867 |
601 |
$30K |
| 76830 |
Ultrasound, transvaginal |
436 |
406 |
$29K |
| 99221 |
|
529 |
501 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,680 |
1,574 |
$25K |
| 3008F |
|
11,794 |
9,931 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
279 |
268 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,352 |
1,255 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,873 |
1,560 |
$21K |
| 90686 |
|
1,751 |
1,616 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
218 |
207 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
2,207 |
1,980 |
$17K |
| 62323 |
|
283 |
265 |
$16K |
| 93000 |
|
1,601 |
1,497 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
280 |
142 |
$14K |
| 92551 |
|
1,173 |
1,111 |
$13K |
| 93298 |
|
579 |
544 |
$12K |
| 93296 |
|
975 |
890 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
344 |
324 |
$10K |
| 3074F |
|
10,086 |
9,051 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$10K |
| 3078F |
|
8,942 |
7,994 |
$8K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
48 |
12 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
382 |
353 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
115 |
52 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
86 |
77 |
$6K |
| 93294 |
|
592 |
544 |
$6K |
| 81003 |
|
1,472 |
1,382 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
403 |
384 |
$5K |
| 81025 |
|
562 |
517 |
$4K |
| 96127 |
|
1,100 |
1,016 |
$4K |
| 76820 |
|
117 |
52 |
$4K |
| 90670 |
|
392 |
365 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
100 |
88 |
$3K |
| 3079F |
|
4,179 |
3,820 |
$3K |
| 4040F |
|
333 |
313 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
85 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
318 |
299 |
$3K |
| 1220F |
|
7,825 |
6,744 |
$2K |
| 93297 |
|
284 |
263 |
$2K |
| 90677 |
|
53 |
43 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
276 |
258 |
$2K |
| 1036F |
|
143 |
131 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
51 |
46 |
$2K |
| 3080F |
|
1,413 |
1,290 |
$2K |
| 64493 |
|
22 |
14 |
$2K |
| 20553 |
|
45 |
43 |
$1K |
| 64494 |
|
17 |
13 |
$1K |
| 64495 |
|
17 |
13 |
$1K |
| 87807 |
|
112 |
110 |
$1K |
| 99219 |
|
33 |
30 |
$1K |
| 1123F |
|
140 |
132 |
$1K |
| 99406 |
|
83 |
74 |
$1K |
| 95910 |
|
15 |
13 |
$1K |
| 95886 |
|
15 |
13 |
$1K |
| 3077F |
|
2,586 |
2,312 |
$1K |
| 90715 |
|
51 |
44 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
71 |
69 |
$958.47 |
| 3075F |
|
1,923 |
1,763 |
$882.94 |
| 3044F |
|
180 |
119 |
$749.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
115 |
104 |
$714.80 |
| 90647 |
|
213 |
193 |
$579.04 |
| 99220 |
|
13 |
12 |
$504.15 |
| 90474 |
|
13 |
13 |
$486.58 |
| 99443 |
|
37 |
37 |
$475.95 |
| 90680 |
|
13 |
13 |
$460.30 |
| 95819 |
|
17 |
16 |
$456.95 |
| 90656 |
|
103 |
78 |
$404.54 |
| 51798 |
|
61 |
56 |
$364.51 |
| 90633 |
|
25 |
25 |
$355.31 |
| 99442 |
|
49 |
42 |
$325.36 |
| 4000F |
|
21 |
19 |
$303.45 |
| 73630 |
|
15 |
14 |
$201.88 |
| G8482 |
Influenza immunization administered or previously received |
79 |
76 |
$170.13 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
22 |
15 |
$155.20 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
12 |
12 |
$94.16 |
| 90723 |
|
224 |
196 |
$89.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
51 |
36 |
$78.40 |
| 93295 |
|
14 |
13 |
$69.12 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
13 |
$65.85 |
| 99441 |
|
17 |
12 |
$29.64 |
| 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) |
15 |
14 |
$18.88 |
| 1101F |
|
7,314 |
6,470 |
$0.00 |
| 1126F |
|
2,469 |
2,187 |
$0.00 |
| 99024 |
|
798 |
743 |
$0.00 |
| 1125F |
|
833 |
746 |
$0.00 |
| 0509F |
|
104 |
98 |
$0.00 |
| 4010F |
|
207 |
178 |
$0.00 |
| 1170F |
|
821 |
706 |
$0.00 |
| 1111F |
|
52 |
50 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 3288F |
|
3,800 |
3,319 |
$0.00 |
| 1159F |
|
406 |
340 |
$0.00 |
| 1090F |
|
3,213 |
2,855 |
$0.00 |
| 1003F |
|
3,785 |
3,365 |
$0.00 |
| 1160F |
|
421 |
355 |
$0.00 |
| 1124F |
|
405 |
349 |
$0.00 |
| 1100F |
|
141 |
127 |
$0.00 |
| 90681 |
|
16 |
14 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |