| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,819 |
15,543 |
$1.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,795 |
13,642 |
$736K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,468 |
2,294 |
$264K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,782 |
1,643 |
$137K |
| 99215 |
Prolong outpt/office vis |
869 |
810 |
$72K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,810 |
1,656 |
$45K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,850 |
1,886 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,122 |
186 |
$36K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
536 |
358 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
277 |
263 |
$27K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
837 |
770 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
430 |
306 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
246 |
221 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
148 |
$13K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,029 |
783 |
$12K |
| 99205 |
Prolong outpt/office vis |
79 |
75 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
111 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
819 |
746 |
$9K |
| 0001A |
|
172 |
145 |
$5K |
| 11104 |
|
84 |
79 |
$5K |
| 0002A |
|
132 |
118 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
36 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
90 |
$3K |
| 90686 |
|
325 |
286 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
28 |
$2K |
| 17110 |
|
42 |
39 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
266 |
250 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
80 |
$2K |
| 11102 |
|
35 |
28 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
121 |
101 |
$1K |
| 0004A |
|
87 |
64 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
218 |
192 |
$1K |
| 13132 |
|
13 |
12 |
$1K |
| 99417 |
Prolong home eval add 15m |
29 |
26 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
29 |
25 |
$837.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
89 |
83 |
$542.92 |
| 87631 |
|
12 |
12 |
$513.47 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$513.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$368.49 |
| 90656 |
|
27 |
26 |
$279.02 |
| 0003A |
|
30 |
24 |
$260.47 |
| 99348 |
|
15 |
12 |
$157.36 |
| 99421 |
|
36 |
30 |
$28.08 |
| 81003 |
|
12 |
12 |
$25.67 |
| 3008F |
|
238 |
219 |
$0.00 |
| 99051 |
|
107 |
104 |
$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) |
42 |
38 |
$0.00 |