| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113,149 |
98,789 |
$3.76M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
53,047 |
18,376 |
$1.40M |
| 99233 |
Prolong inpt eval add15 m |
14,193 |
4,466 |
$527K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31,263 |
29,314 |
$396K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,324 |
5,699 |
$279K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,294 |
5,865 |
$268K |
| 99225 |
|
8,278 |
4,938 |
$262K |
| 99219 |
|
5,996 |
5,485 |
$261K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,724 |
7,995 |
$218K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,290 |
3,104 |
$203K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,087 |
3,791 |
$183K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,422 |
2,362 |
$176K |
| 99217 |
|
4,377 |
4,011 |
$175K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,162 |
2,958 |
$168K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,028 |
8,325 |
$148K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,296 |
3,946 |
$146K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
4,304 |
2,957 |
$103K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,951 |
2,661 |
$101K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,751 |
1,127 |
$64K |
| 90834 |
Psychotherapy, 45 minutes with patient |
729 |
651 |
$58K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
644 |
612 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
680 |
651 |
$47K |
| 99349 |
|
1,110 |
826 |
$33K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
637 |
323 |
$20K |
| 99334 |
|
295 |
289 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
101 |
$9K |
| 90658 |
|
467 |
461 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
145 |
127 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
446 |
397 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
212 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
31 |
$3K |
| 81025 |
|
338 |
321 |
$2K |
| 0002A |
|
88 |
79 |
$2K |
| 90670 |
|
985 |
964 |
$2K |
| 90688 |
|
185 |
176 |
$2K |
| 0001A |
|
88 |
77 |
$1K |
| 90723 |
|
669 |
657 |
$1K |
| 81003 |
|
4,157 |
2,730 |
$1K |
| 99305 |
|
34 |
34 |
$864.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
90 |
66 |
$831.97 |
| 90710 |
|
241 |
234 |
$825.88 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
382 |
336 |
$805.19 |
| 99381 |
|
13 |
12 |
$785.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
691 |
631 |
$762.13 |
| 90680 |
|
582 |
570 |
$728.70 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
19 |
12 |
$724.42 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
168 |
163 |
$706.96 |
| 76818 |
|
24 |
12 |
$612.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
132 |
119 |
$580.64 |
| 90633 |
|
877 |
830 |
$549.69 |
| 90647 |
|
654 |
642 |
$543.19 |
| 87807 |
|
48 |
41 |
$502.82 |
| 0003A |
|
12 |
12 |
$420.00 |
| 76801 |
|
13 |
12 |
$293.20 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
13 |
$286.09 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
22 |
19 |
$139.80 |
| 86580 |
|
85 |
82 |
$139.51 |
| 90734 |
|
19 |
15 |
$117.41 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
61 |
41 |
$76.52 |
| 90685 |
|
96 |
96 |
$41.52 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$3.12 |
| 90700 |
|
12 |
12 |
$0.00 |
| 888888 |
|
26 |
26 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |