| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108,616 |
97,142 |
$2.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,123 |
57,722 |
$2.31M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,948 |
10,466 |
$364K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,422 |
8,265 |
$322K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
10,887 |
8,193 |
$205K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,223 |
3,181 |
$118K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,762 |
2,628 |
$92K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
8,162 |
6,409 |
$82K |
| 99460 |
|
959 |
925 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
815 |
783 |
$49K |
| 99310 |
Prolong nursin fac eval 15m |
1,737 |
1,235 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,435 |
3,102 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
823 |
811 |
$34K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
617 |
577 |
$31K |
| 99177 |
|
3,433 |
3,365 |
$30K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
907 |
871 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,374 |
1,336 |
$26K |
| 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 |
2,045 |
1,804 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,724 |
1,696 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
808 |
362 |
$13K |
| 92015 |
Determination of refractive state |
992 |
944 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,852 |
1,753 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
221 |
203 |
$7K |
| 99349 |
|
176 |
145 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,262 |
1,230 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
238 |
103 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
909 |
786 |
$5K |
| 95251 |
|
230 |
221 |
$5K |
| 95811 |
|
66 |
65 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
75 |
$3K |
| 99407 |
|
219 |
204 |
$3K |
| 20611 |
|
53 |
51 |
$3K |
| 20610 |
|
114 |
98 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
187 |
154 |
$2K |
| 99215 |
Prolong outpt/office vis |
31 |
29 |
$2K |
| 64483 |
|
33 |
27 |
$2K |
| 99173 |
|
788 |
779 |
$2K |
| 99307 |
|
453 |
387 |
$1K |
| 92060 |
|
112 |
111 |
$1K |
| 76942 |
|
107 |
92 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
25 |
25 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
16 |
14 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
29 |
26 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
26 |
$833.05 |
| 81002 |
|
441 |
412 |
$743.54 |
| 99497 |
|
34 |
28 |
$740.77 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
28 |
$721.02 |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$688.61 |
| 99385 |
|
14 |
13 |
$621.84 |
| 99442 |
|
59 |
47 |
$589.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
29 |
$530.30 |
| 99222 |
Initial hospital care, per day, moderate complexity |
19 |
14 |
$526.50 |
| 59025 |
Fetal non-stress test |
26 |
15 |
$477.06 |
| 99221 |
|
15 |
12 |
$415.40 |
| 20550 |
|
16 |
13 |
$333.93 |
| 99336 |
|
17 |
14 |
$239.68 |
| 99401 |
|
17 |
15 |
$188.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$159.95 |
| 90688 |
|
14 |
12 |
$113.35 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
14 |
$86.82 |
| 99223 |
Prolong inpt eval add15 m |
16 |
12 |
$80.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$68.72 |
| 81003 |
|
87 |
65 |
$61.87 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
13 |
$5.19 |
| 94760 |
|
218 |
206 |
$1.68 |
| 1124F |
|
848 |
745 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 4004F |
|
98 |
91 |
$0.00 |
| 3078F |
|
347 |
324 |
$0.00 |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
12 |
12 |
$0.00 |
| 1036F |
|
6,645 |
5,890 |
$0.00 |
| 3074F |
|
414 |
389 |
$0.00 |
| 3079F |
|
211 |
197 |
$0.00 |
| 3008F |
|
3,930 |
3,711 |
$0.00 |
| 3075F |
|
44 |
41 |
$0.00 |
| 1123F |
|
162 |
134 |
$0.00 |
| 90677 |
|
86 |
84 |
$0.00 |