| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,825 |
48,409 |
$1.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,327 |
17,642 |
$815K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,516 |
4,459 |
$354K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,377 |
3,952 |
$306K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,769 |
3,374 |
$285K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,194 |
2,130 |
$177K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,363 |
1,290 |
$130K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,500 |
5,650 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,203 |
1,125 |
$88K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,399 |
6,833 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,073 |
4,963 |
$62K |
| 99243 |
|
776 |
682 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,607 |
2,356 |
$54K |
| 81002 |
|
17,427 |
11,903 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,085 |
2,998 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
518 |
489 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,879 |
1,504 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
811 |
750 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
748 |
670 |
$31K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
316 |
285 |
$30K |
| 90461 |
|
3,989 |
3,396 |
$25K |
| 87428 |
|
815 |
763 |
$24K |
| 27096 |
|
188 |
173 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,812 |
2,210 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
311 |
159 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,403 |
1,372 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,029 |
1,326 |
$11K |
| 81025 |
|
2,039 |
1,735 |
$11K |
| 92567 |
|
1,270 |
1,027 |
$10K |
| 80305 |
|
1,709 |
1,648 |
$8K |
| 99000 |
|
1,013 |
952 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
235 |
105 |
$8K |
| 90474 |
|
942 |
903 |
$8K |
| 59430 |
|
85 |
79 |
$7K |
| 92557 |
|
344 |
276 |
$7K |
| 99215 |
Prolong outpt/office vis |
87 |
68 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
53 |
51 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,065 |
910 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
329 |
283 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
12 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
38 |
$3K |
| 92555 |
|
212 |
175 |
$2K |
| 73100 |
|
80 |
65 |
$2K |
| 0001A |
|
211 |
205 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
36 |
31 |
$2K |
| 0002A |
|
144 |
144 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
354 |
332 |
$2K |
| 0071A |
|
37 |
37 |
$2K |
| 99334 |
|
41 |
39 |
$1K |
| 76942 |
|
44 |
42 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
35 |
33 |
$1K |
| 20553 |
|
50 |
42 |
$1K |
| 0072A |
|
28 |
28 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
61 |
37 |
$1K |
| 90715 |
|
85 |
75 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
68 |
61 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
15 |
$874.80 |
| 87807 |
|
86 |
81 |
$856.79 |
| 90686 |
|
1,708 |
1,692 |
$842.37 |
| 95811 |
|
12 |
12 |
$827.57 |
| 95251 |
|
104 |
93 |
$792.16 |
| 73630 |
|
33 |
24 |
$675.77 |
| 51798 |
|
153 |
140 |
$557.17 |
| 99221 |
|
12 |
12 |
$554.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
408 |
353 |
$389.29 |
| 81003 |
|
265 |
242 |
$293.10 |
| 0003A |
|
21 |
21 |
$292.00 |
| 90677 |
|
476 |
475 |
$285.55 |
| 81001 |
|
121 |
85 |
$274.32 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
49 |
44 |
$196.25 |
| 99443 |
|
12 |
12 |
$164.42 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$66.11 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
44 |
41 |
$61.46 |
| 99310 |
Prolong nursin fac eval 15m |
14 |
14 |
$52.70 |
| 92551 |
|
531 |
514 |
$4.59 |
| 91300 |
|
168 |
134 |
$0.20 |
| 90697 |
|
73 |
72 |
$0.18 |
| 91307 |
|
105 |
99 |
$0.13 |
| 1036F |
|
10,473 |
8,657 |
$0.13 |
| 1126F |
|
2,027 |
1,789 |
$0.10 |
| 1160F |
|
10,070 |
8,661 |
$0.00 |
| 90670 |
|
2,728 |
2,669 |
$0.00 |
| 90648 |
|
995 |
971 |
$0.00 |
| 90685 |
|
445 |
444 |
$0.00 |
| 3078F |
|
7,801 |
6,547 |
$0.00 |
| 90633 |
|
1,017 |
1,000 |
$0.00 |
| 90710 |
|
184 |
181 |
$0.00 |
| 90707 |
|
64 |
64 |
$0.00 |
| 3725F |
|
422 |
311 |
$0.00 |
| 3077F |
|
198 |
183 |
$0.00 |
| 99173 |
|
396 |
385 |
$0.00 |
| 1159F |
|
171 |
147 |
$0.00 |
| 90700 |
|
55 |
54 |
$0.00 |
| 90734 |
|
21 |
21 |
$0.00 |
| 99453 |
|
27 |
27 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$0.00 |
| 3074F |
|
8,576 |
7,181 |
$0.00 |
| 3008F |
|
10,523 |
8,733 |
$0.00 |
| 90723 |
|
508 |
491 |
$0.00 |
| 3079F |
|
752 |
674 |
$0.00 |
| 1125F |
|
4,237 |
3,633 |
$0.00 |
| 90651 |
|
89 |
85 |
$0.00 |
| 90698 |
|
872 |
852 |
$0.00 |
| 90656 |
|
274 |
273 |
$0.00 |
| 3075F |
|
134 |
122 |
$0.00 |
| 82962 |
|
539 |
484 |
$0.00 |
| 90744 |
|
257 |
245 |
$0.00 |
| 90680 |
|
1,261 |
1,225 |
$0.00 |
| 36416 |
|
536 |
486 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
393 |
357 |
$0.00 |
| 90696 |
|
76 |
75 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
54 |
39 |
$0.00 |
| 90716 |
|
63 |
63 |
$0.00 |
| 90619 |
|
35 |
28 |
$0.00 |
| 99024 |
|
130 |
103 |
$0.00 |
| 96127 |
|
95 |
83 |
$0.00 |
| 99454 |
|
12 |
12 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
19 |
12 |
$0.00 |