| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
96,568 |
34,759 |
$705K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12,648 |
12,082 |
$599K |
| 99233 |
Prolong inpt eval add15 m |
59,066 |
23,375 |
$539K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,032 |
41,918 |
$452K |
| 99223 |
Prolong inpt eval add15 m |
17,762 |
17,553 |
$207K |
| 76813 |
|
6,336 |
5,924 |
$207K |
| 99215 |
Prolong outpt/office vis |
6,019 |
5,575 |
$174K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,184 |
7,164 |
$154K |
| 99222 |
Initial hospital care, per day, moderate complexity |
10,530 |
10,422 |
$115K |
| 76801 |
|
3,474 |
3,238 |
$94K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
4,385 |
3,808 |
$93K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
7,334 |
7,239 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,653 |
11,247 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,890 |
4,878 |
$61K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
9,745 |
9,678 |
$60K |
| 43775 |
|
443 |
439 |
$59K |
| 47379 |
|
605 |
586 |
$35K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,450 |
2,259 |
$33K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
643 |
421 |
$32K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,104 |
552 |
$27K |
| 99205 |
Prolong outpt/office vis |
1,762 |
1,758 |
$25K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,065 |
1,381 |
$20K |
| 99418 |
Prolong nursin fac eval 15m |
1,351 |
1,109 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
663 |
638 |
$14K |
| 76820 |
|
1,299 |
975 |
$14K |
| 99255 |
|
956 |
926 |
$13K |
| 00731 |
|
1,463 |
1,377 |
$12K |
| 99254 |
|
977 |
955 |
$9K |
| 99221 |
|
1,107 |
1,086 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
719 |
717 |
$7K |
| 77014 |
|
1,580 |
174 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
74 |
72 |
$4K |
| 99417 |
Prolong home eval add 15m |
207 |
203 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,260 |
1,248 |
$4K |
| 43235 |
|
74 |
71 |
$4K |
| 99242 |
|
49 |
39 |
$3K |
| 77427 |
|
409 |
180 |
$3K |
| 01961 |
|
472 |
465 |
$3K |
| 76821 |
|
420 |
263 |
$3K |
| 00840 |
|
271 |
265 |
$3K |
| 00813 |
|
402 |
393 |
$3K |
| 00797 |
|
186 |
183 |
$2K |
| 00790 |
|
408 |
380 |
$2K |
| 99235 |
|
184 |
155 |
$2K |
| 00811 |
|
378 |
358 |
$2K |
| 99356 |
|
262 |
258 |
$2K |
| 76825 |
|
60 |
60 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
275 |
270 |
$2K |
| 99253 |
|
322 |
315 |
$1K |
| 22853 |
|
26 |
26 |
$1K |
| 77334 |
|
186 |
153 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
12 |
$1K |
| 76827 |
|
61 |
61 |
$1K |
| 01480 |
|
162 |
145 |
$1K |
| 99460 |
|
209 |
208 |
$965.38 |
| 36224 |
|
15 |
12 |
$936.17 |
| 36620 |
|
413 |
379 |
$820.40 |
| 93325 |
|
246 |
242 |
$676.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
458 |
409 |
$642.49 |
| 51798 |
|
538 |
517 |
$618.91 |
| 90677 |
|
207 |
196 |
$605.87 |
| 95251 |
|
695 |
670 |
$596.07 |
| 99415 |
Prolong outpt/office vis |
443 |
435 |
$517.85 |
| 99462 |
|
180 |
135 |
$513.14 |
| 00400 |
|
144 |
122 |
$448.87 |
| 77300 |
|
128 |
121 |
$420.22 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
14 |
13 |
$392.85 |
| 00732 |
|
14 |
12 |
$347.12 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
814 |
724 |
$237.42 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
101 |
101 |
$227.10 |
| 91200 |
|
32 |
32 |
$224.35 |
| 99236 |
Prolong inpt eval add15 m |
33 |
29 |
$220.91 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
96 |
93 |
$219.80 |
| 93320 |
|
109 |
106 |
$157.67 |
| 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 |
429 |
406 |
$150.80 |
| 93312 |
|
13 |
13 |
$143.77 |
| 99490 |
Ccm add 20min |
85 |
85 |
$135.33 |
| 36556 |
|
64 |
55 |
$127.02 |
| 76937 |
|
29 |
28 |
$108.40 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
29 |
$105.99 |
| 77263 |
|
28 |
28 |
$99.41 |
| 81002 |
|
1,484 |
1,402 |
$92.61 |
| 20930 |
|
12 |
12 |
$82.43 |
| 99292 |
|
18 |
12 |
$76.57 |
| 94728 |
|
42 |
42 |
$75.23 |
| 99234 |
|
29 |
26 |
$74.70 |
| 94010 |
|
28 |
28 |
$58.69 |
| 45300 |
|
65 |
65 |
$36.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
16 |
$24.53 |
| 87807 |
|
17 |
16 |
$23.75 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$19.48 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
250 |
241 |
$19.30 |
| 88720 |
|
19 |
13 |
$12.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
196 |
195 |
$8.54 |
| 90461 |
|
137 |
136 |
$7.05 |
| 99367 |
|
123 |
76 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
53 |
$0.00 |
| 00940 |
|
13 |
13 |
$0.00 |
| 00812 |
|
128 |
120 |
$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) |
100 |
86 |
$0.00 |
| 99245 |
|
14 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 01844 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
12 |
$0.00 |