| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69,962 |
60,061 |
$2.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,502 |
26,328 |
$1.43M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24,478 |
9,323 |
$470K |
| 99233 |
Prolong inpt eval add15 m |
7,282 |
2,812 |
$183K |
| 87428 |
|
3,043 |
2,925 |
$176K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
25,095 |
17,811 |
$106K |
| 71046 |
Radiologic examination, chest; 2 views |
13,152 |
11,124 |
$65K |
| H0001 |
Alcohol and/or drug assessment |
553 |
401 |
$63K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,865 |
2,305 |
$62K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
8,295 |
2,874 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,631 |
1,404 |
$48K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,369 |
1,345 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
672 |
623 |
$41K |
| 99215 |
Prolong outpt/office vis |
886 |
725 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,302 |
1,119 |
$39K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,559 |
1,223 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,880 |
3,654 |
$36K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
805 |
703 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
629 |
568 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
453 |
438 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
9,567 |
6,860 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
421 |
377 |
$26K |
| 80305 |
|
3,398 |
2,485 |
$24K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,159 |
1,143 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,730 |
3,503 |
$23K |
| 99254 |
|
280 |
239 |
$20K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
323 |
250 |
$16K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
606 |
273 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
419 |
374 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
252 |
191 |
$14K |
| 95117 |
|
1,525 |
945 |
$14K |
| 96127 |
|
3,762 |
2,888 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
205 |
197 |
$13K |
| 90461 |
|
1,753 |
1,663 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,584 |
2,498 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,027 |
869 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
215 |
109 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
425 |
384 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
951 |
370 |
$11K |
| 73630 |
|
1,361 |
1,112 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
261 |
213 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
377 |
334 |
$9K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
160 |
152 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
221 |
173 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
314 |
241 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
582 |
442 |
$6K |
| 11721 |
|
721 |
510 |
$6K |
| 93000 |
|
616 |
481 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
55 |
55 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
492 |
420 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
94 |
75 |
$5K |
| 99460 |
|
186 |
151 |
$4K |
| H0006 |
Alcohol and/or drug services; case management |
444 |
264 |
$4K |
| 76642 |
|
137 |
116 |
$3K |
| 73610 |
|
430 |
361 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
33 |
26 |
$3K |
| 90686 |
|
3,794 |
3,615 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
71 |
61 |
$3K |
| 76830 |
Ultrasound, transvaginal |
54 |
52 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
769 |
584 |
$3K |
| 73110 |
|
231 |
178 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
27 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
107 |
82 |
$2K |
| 99173 |
|
466 |
439 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
343 |
158 |
$2K |
| 94010 |
|
126 |
116 |
$2K |
| 99462 |
|
116 |
91 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
102 |
85 |
$1K |
| 11102 |
|
32 |
29 |
$1K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
16 |
13 |
$1K |
| 85610 |
|
608 |
250 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
216 |
196 |
$1K |
| 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) |
299 |
237 |
$1K |
| 72110 |
|
100 |
92 |
$1K |
| 73564 |
|
139 |
122 |
$1K |
| 82962 |
|
1,266 |
983 |
$1K |
| 74018 |
|
268 |
226 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
19 |
17 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
17 |
13 |
$909.52 |
| 72100 |
|
125 |
110 |
$893.24 |
| 99220 |
|
14 |
12 |
$878.25 |
| 45388 |
|
15 |
14 |
$835.57 |
| 59025 |
Fetal non-stress test |
75 |
49 |
$823.94 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
159 |
120 |
$792.61 |
| 90832 |
Psychotherapy, 30 minutes with patient |
41 |
12 |
$703.18 |
| 87807 |
|
60 |
58 |
$602.04 |
| 99417 |
Prolong home eval add 15m |
29 |
27 |
$590.49 |
| 99442 |
|
101 |
69 |
$551.08 |
| 0081A |
|
14 |
13 |
$532.12 |
| 0082A |
|
13 |
13 |
$532.00 |
| 0072A |
|
12 |
12 |
$491.20 |
| 81025 |
|
95 |
78 |
$463.50 |
| 81001 |
|
466 |
331 |
$451.77 |
| 73030 |
|
56 |
50 |
$434.86 |
| 98928 |
|
17 |
13 |
$432.10 |
| 93793 |
|
136 |
37 |
$367.62 |
| 76536 |
|
37 |
29 |
$361.44 |
| 36416 |
|
992 |
615 |
$344.78 |
| 20611 |
|
18 |
13 |
$326.32 |
| 51798 |
|
83 |
59 |
$312.93 |
| 36415 |
Collection of venous blood by venipuncture |
771 |
660 |
$309.18 |
| 92551 |
|
53 |
53 |
$273.34 |
| 93971 |
|
13 |
12 |
$260.11 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
17 |
14 |
$257.24 |
| 95816 |
|
14 |
12 |
$216.79 |
| 99401 |
|
13 |
13 |
$200.96 |
| 73130 |
|
29 |
25 |
$189.28 |
| 99177 |
|
13 |
13 |
$169.00 |
| 92015 |
Determination of refractive state |
12 |
12 |
$150.12 |
| 94060 |
|
25 |
24 |
$144.65 |
| 93016 |
|
15 |
12 |
$138.02 |
| 17110 |
|
14 |
12 |
$132.45 |
| 11056 |
|
16 |
14 |
$128.36 |
| 94726 |
|
25 |
24 |
$122.49 |
| 93018 |
|
15 |
12 |
$97.49 |
| 94729 |
|
25 |
24 |
$95.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$78.57 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
18 |
13 |
$72.53 |
| 73562 |
|
18 |
14 |
$64.72 |
| 90656 |
|
230 |
227 |
$29.81 |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
212 |
183 |
$0.83 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
57 |
50 |
$0.37 |
| 91308 |
|
27 |
13 |
$0.06 |
| 90677 |
|
24 |
24 |
$0.03 |
| 91307 |
|
12 |
12 |
$0.03 |
| 90670 |
|
102 |
89 |
$0.00 |
| 90648 |
|
107 |
100 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |