| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146,479 |
138,088 |
$11.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,227 |
46,041 |
$5.93M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17,951 |
17,911 |
$3.28M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16,250 |
16,185 |
$1.99M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15,401 |
15,112 |
$1.40M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19,169 |
7,644 |
$1.21M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,290 |
8,260 |
$914K |
| 99223 |
Prolong inpt eval add15 m |
5,686 |
5,470 |
$912K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,091 |
18,909 |
$906K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,257 |
11,247 |
$828K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,427 |
10,307 |
$707K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
72,953 |
60,658 |
$610K |
| 99215 |
Prolong outpt/office vis |
3,018 |
2,929 |
$520K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,616 |
6,612 |
$452K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,015 |
3,602 |
$448K |
| 99233 |
Prolong inpt eval add15 m |
4,910 |
1,828 |
$412K |
| 88342 |
|
7,539 |
7,442 |
$398K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,147 |
3,027 |
$364K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,319 |
3,315 |
$351K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,175 |
6,676 |
$350K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,116 |
4,045 |
$307K |
| 93975 |
|
979 |
970 |
$306K |
| 93304 |
|
1,823 |
1,755 |
$297K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,139 |
3,137 |
$286K |
| 76830 |
Ultrasound, transvaginal |
1,998 |
1,990 |
$280K |
| 88307 |
|
2,563 |
2,555 |
$275K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
10,058 |
3,976 |
$247K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,952 |
3,805 |
$239K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,950 |
2,947 |
$223K |
| 59025 |
Fetal non-stress test |
5,875 |
3,817 |
$217K |
| 93000 |
|
12,408 |
12,220 |
$205K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
907 |
889 |
$173K |
| 88341 |
|
1,763 |
1,737 |
$158K |
| 20610 |
|
2,597 |
1,929 |
$155K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
1,103 |
1,101 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,947 |
3,889 |
$144K |
| 99442 |
|
1,695 |
1,527 |
$136K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,292 |
1,289 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,114 |
1,113 |
$131K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,168 |
1,154 |
$124K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,008 |
2,437 |
$109K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
458 |
237 |
$108K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
744 |
719 |
$104K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
949 |
948 |
$93K |
| 99205 |
Prolong outpt/office vis |
383 |
383 |
$84K |
| 93325 |
|
4,149 |
3,946 |
$83K |
| 92134 |
|
3,061 |
2,947 |
$71K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
760 |
661 |
$70K |
| 99441 |
|
1,341 |
1,241 |
$67K |
| 95951 |
|
222 |
142 |
$64K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
918 |
918 |
$60K |
| 88173 |
|
678 |
653 |
$60K |
| 93970 |
|
307 |
304 |
$59K |
| 36415 |
Collection of venous blood by venipuncture |
35,383 |
33,912 |
$57K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,532 |
957 |
$56K |
| 88304 |
|
3,761 |
3,739 |
$53K |
| 99464 |
|
649 |
648 |
$52K |
| 76801 |
|
949 |
941 |
$52K |
| 76813 |
|
741 |
737 |
$49K |
| 88112 |
|
1,598 |
1,554 |
$46K |
| 99443 |
|
356 |
339 |
$44K |
| 92083 |
|
1,511 |
1,505 |
$42K |
| 93320 |
|
928 |
910 |
$41K |
| 97161 |
|
428 |
426 |
$41K |
| 76857 |
|
848 |
842 |
$41K |
| 99221 |
|
468 |
449 |
$38K |
| 88141 |
|
1,362 |
1,360 |
$38K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
463 |
460 |
$36K |
| 95720 |
|
148 |
118 |
$34K |
| 93321 |
|
1,332 |
1,283 |
$34K |
| 75574 |
|
302 |
301 |
$34K |
| 99460 |
|
317 |
317 |
$33K |
| 92133 |
|
1,478 |
1,478 |
$33K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
774 |
700 |
$32K |
| 92226 |
|
1,023 |
1,014 |
$32K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
33 |
33 |
$30K |
| 25600 |
|
67 |
65 |
$28K |
| 93298 |
|
749 |
747 |
$27K |
| 76825 |
|
92 |
85 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,447 |
1,420 |
$26K |
| 64483 |
|
182 |
160 |
$24K |
| 93296 |
|
1,513 |
1,512 |
$22K |
| 92202 |
|
1,465 |
1,462 |
$22K |
| 54161 |
|
92 |
92 |
$21K |
| 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) |
1,448 |
1,424 |
$18K |
| 93458 |
|
62 |
59 |
$17K |
| 90461 |
|
552 |
552 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
711 |
692 |
$16K |
| 94010 |
|
1,689 |
1,669 |
$15K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
65 |
65 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
188 |
187 |
$14K |
| 20611 |
|
126 |
114 |
$14K |
| 59514 |
|
12 |
12 |
$14K |
| 83037 |
|
1,450 |
1,439 |
$14K |
| 90686 |
|
1,356 |
1,355 |
$13K |
| 76775 |
|
209 |
209 |
$13K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
27 |
14 |
$12K |
| 99459 |
|
484 |
479 |
$12K |
| 97165 |
|
127 |
127 |
$11K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
765 |
736 |
$11K |
| 99462 |
|
217 |
197 |
$10K |
| 99253 |
|
78 |
78 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
182 |
180 |
$10K |
| 93971 |
|
69 |
64 |
$9K |
| 51798 |
|
813 |
775 |
$9K |
| 94726 |
|
698 |
696 |
$9K |
| 92201 |
|
328 |
327 |
$8K |
| 82962 |
|
3,078 |
3,025 |
$8K |
| 76820 |
|
217 |
172 |
$8K |
| 92225 |
|
249 |
249 |
$8K |
| 94729 |
|
828 |
826 |
$8K |
| 62323 |
|
53 |
52 |
$7K |
| 76827 |
|
92 |
85 |
$7K |
| 94060 |
|
599 |
599 |
$7K |
| 99477 |
|
16 |
16 |
$7K |
| 97162 |
|
67 |
64 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29 |
29 |
$6K |
| 46600 |
|
41 |
41 |
$6K |
| 93308 |
|
72 |
70 |
$6K |
| 93299 |
|
26 |
26 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
96 |
95 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
29 |
29 |
$4K |
| 81002 |
|
1,384 |
957 |
$4K |
| 95813 |
|
41 |
41 |
$4K |
| 92551 |
|
466 |
466 |
$4K |
| 92235 |
|
81 |
80 |
$4K |
| 95886 |
|
72 |
66 |
$4K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
26 |
12 |
$4K |
| 97535 |
Self-care/home management training, each 15 minutes |
111 |
102 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
406 |
406 |
$3K |
| 92250 |
|
138 |
137 |
$3K |
| 20550 |
|
49 |
44 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
609 |
601 |
$3K |
| 81003 |
|
1,442 |
1,324 |
$3K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
18 |
12 |
$3K |
| 76821 |
|
40 |
37 |
$2K |
| 93295 |
|
82 |
81 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$2K |
| 93294 |
|
162 |
162 |
$2K |
| 97760 |
|
38 |
37 |
$2K |
| 99152 |
|
113 |
111 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
301 |
297 |
$2K |
| 62321 |
|
12 |
12 |
$2K |
| 59430 |
|
13 |
12 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$2K |
| 99254 |
|
12 |
12 |
$2K |
| 76942 |
|
26 |
25 |
$2K |
| 95911 |
|
14 |
12 |
$2K |
| 90656 |
|
414 |
414 |
$2K |
| 76642 |
|
13 |
13 |
$1K |
| 90677 |
|
38 |
38 |
$1K |
| 99381 |
|
25 |
25 |
$1K |
| 95816 |
|
26 |
25 |
$1K |
| 88311 |
|
88 |
86 |
$1K |
| 20985 |
|
12 |
12 |
$1K |
| 90670 |
|
147 |
147 |
$1K |
| 99173 |
|
306 |
306 |
$1K |
| 88300 |
|
187 |
180 |
$923.28 |
| 64484 |
|
15 |
15 |
$761.44 |
| 99177 |
|
387 |
387 |
$749.92 |
| 97164 |
|
18 |
18 |
$721.84 |
| 51701 |
|
14 |
13 |
$634.04 |
| 93297 |
|
12 |
12 |
$611.79 |
| 93244 |
|
26 |
25 |
$597.85 |
| 97802 |
|
14 |
14 |
$597.75 |
| 90715 |
|
14 |
14 |
$547.61 |
| 93923 |
|
13 |
13 |
$541.73 |
| 81025 |
|
66 |
65 |
$487.03 |
| 96127 |
|
167 |
166 |
$483.85 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
84 |
83 |
$467.18 |
| 98966 |
|
29 |
27 |
$453.54 |
| 76514 |
|
43 |
43 |
$416.37 |
| 90698 |
|
152 |
152 |
$404.80 |
| 97803 |
|
15 |
15 |
$397.74 |
| 95251 |
|
12 |
12 |
$352.15 |
| 93016 |
|
12 |
12 |
$300.92 |
| 94664 |
|
213 |
211 |
$296.08 |
| 84703 |
|
38 |
37 |
$294.17 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
78 |
$290.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$264.48 |
| 98968 |
|
15 |
14 |
$227.65 |
| 93018 |
|
12 |
12 |
$198.61 |
| 99421 |
|
15 |
12 |
$164.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
193 |
191 |
$126.35 |
| 90680 |
|
53 |
53 |
$115.31 |
| 90744 |
|
13 |
13 |
$107.43 |
| 96161 |
|
155 |
153 |
$85.94 |
| 81001 |
|
14 |
13 |
$41.21 |
| 94760 |
|
32 |
30 |
$9.79 |
| 99024 |
|
3,552 |
3,229 |
$0.00 |
| 0502F |
|
762 |
465 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |