| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138,359 |
126,959 |
$4.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85,765 |
80,458 |
$3.88M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,874 |
14,295 |
$516K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,825 |
4,581 |
$439K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,001 |
6,749 |
$407K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,267 |
6,936 |
$377K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,525 |
4,238 |
$317K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,261 |
5,765 |
$290K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,107 |
5,770 |
$282K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,304 |
4,210 |
$250K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,506 |
7,152 |
$244K |
| 90670 |
|
5,078 |
4,867 |
$215K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
34,583 |
27,886 |
$207K |
| 99233 |
Prolong inpt eval add15 m |
6,488 |
2,576 |
$176K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,437 |
2,375 |
$156K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,904 |
6,922 |
$147K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,792 |
7,452 |
$100K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
685 |
655 |
$95K |
| 93000 |
|
7,664 |
7,318 |
$79K |
| 99223 |
Prolong inpt eval add15 m |
1,272 |
1,193 |
$67K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,613 |
1,538 |
$58K |
| 69210 |
|
2,194 |
1,624 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,937 |
3,685 |
$52K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,130 |
1,109 |
$50K |
| 90633 |
|
2,868 |
2,761 |
$48K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,423 |
1,906 |
$45K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,302 |
5,709 |
$40K |
| 20610 |
|
1,081 |
916 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,853 |
1,842 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,193 |
3,069 |
$36K |
| 90710 |
|
832 |
801 |
$36K |
| 92557 |
|
1,437 |
1,347 |
$34K |
| 93016 |
|
2,160 |
2,075 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,149 |
1,094 |
$32K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
396 |
373 |
$32K |
| 95816 |
|
606 |
570 |
$29K |
| 93458 |
|
341 |
329 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,659 |
1,502 |
$27K |
| 99222 |
Initial hospital care, per day, moderate complexity |
846 |
771 |
$25K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
323 |
310 |
$24K |
| 90648 |
|
3,864 |
3,724 |
$23K |
| 31579 |
|
245 |
239 |
$22K |
| 90716 |
|
682 |
668 |
$21K |
| 90734 |
|
1,092 |
1,050 |
$21K |
| 93018 |
|
2,193 |
2,104 |
$20K |
| 99215 |
Prolong outpt/office vis |
327 |
320 |
$19K |
| 98942 |
|
889 |
716 |
$19K |
| 99243 |
|
320 |
314 |
$16K |
| 31231 |
|
208 |
196 |
$16K |
| 82962 |
|
4,328 |
4,165 |
$15K |
| 90707 |
|
796 |
770 |
$15K |
| 43235 |
|
169 |
166 |
$14K |
| 99442 |
|
792 |
763 |
$13K |
| 90686 |
|
1,989 |
1,898 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
432 |
402 |
$12K |
| 95115 |
|
1,738 |
819 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
363 |
343 |
$11K |
| 92567 |
|
1,031 |
967 |
$10K |
| 90651 |
|
495 |
478 |
$10K |
| 95117 |
|
1,262 |
559 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
379 |
367 |
$10K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
929 |
726 |
$9K |
| 59515 |
|
16 |
13 |
$9K |
| 99381 |
|
159 |
140 |
$9K |
| 90700 |
|
2,229 |
2,127 |
$8K |
| 90680 |
|
2,909 |
2,763 |
$8K |
| 90723 |
|
1,671 |
1,616 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,492 |
1,323 |
$8K |
| 59410 |
|
14 |
12 |
$7K |
| 99254 |
|
99 |
99 |
$7K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
29 |
28 |
$7K |
| 92504 |
|
675 |
624 |
$7K |
| 95885 |
|
308 |
301 |
$6K |
| 91200 |
|
533 |
517 |
$6K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
63 |
63 |
$6K |
| 99205 |
Prolong outpt/office vis |
59 |
59 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
123 |
119 |
$6K |
| 81002 |
|
1,651 |
1,534 |
$5K |
| 90674 |
|
361 |
343 |
$5K |
| 99441 |
|
585 |
555 |
$5K |
| 47562 |
|
12 |
12 |
$5K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
121 |
29 |
$5K |
| 90713 |
|
1,186 |
1,126 |
$5K |
| 90756 |
|
235 |
222 |
$5K |
| 27096 |
|
34 |
29 |
$4K |
| 90685 |
|
517 |
506 |
$4K |
| 90698 |
|
1,060 |
1,003 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
26 |
25 |
$4K |
| 81025 |
|
565 |
528 |
$4K |
| 90744 |
|
1,086 |
1,031 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
288 |
269 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
83 |
$3K |
| 99221 |
|
141 |
131 |
$3K |
| 99174 |
|
356 |
343 |
$3K |
| 99460 |
|
40 |
39 |
$3K |
| 90671 |
|
172 |
155 |
$3K |
| 95251 |
|
199 |
186 |
$2K |
| 90715 |
|
453 |
425 |
$2K |
| 51798 |
|
402 |
361 |
$2K |
| 45384 |
|
12 |
12 |
$2K |
| 95886 |
|
46 |
43 |
$2K |
| 87807 |
|
178 |
174 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
185 |
177 |
$2K |
| 91065 |
|
70 |
68 |
$2K |
| 90696 |
|
786 |
756 |
$2K |
| 64483 |
|
17 |
15 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
439 |
387 |
$2K |
| 43249 |
|
28 |
27 |
$1K |
| 99252 |
|
47 |
43 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
93 |
$1K |
| 99219 |
|
43 |
39 |
$1K |
| 90461 |
|
691 |
657 |
$1K |
| 99255 |
|
12 |
12 |
$1K |
| 90647 |
|
130 |
112 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
25 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
13 |
$1K |
| 31575 |
|
23 |
23 |
$1K |
| 95910 |
|
13 |
13 |
$1K |
| 90937 |
|
23 |
12 |
$876.48 |
| 99383 |
|
13 |
13 |
$874.08 |
| 73610 |
|
125 |
114 |
$691.93 |
| 90677 |
|
487 |
456 |
$601.13 |
| 90681 |
|
231 |
224 |
$584.93 |
| 99406 |
|
109 |
99 |
$568.62 |
| 93793 |
|
150 |
75 |
$560.49 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
404 |
122 |
$530.12 |
| 73630 |
|
86 |
82 |
$478.16 |
| 64493 |
|
13 |
13 |
$457.34 |
| 90656 |
|
255 |
250 |
$450.97 |
| 99443 |
|
14 |
14 |
$439.70 |
| 99306 |
Prolong nursin fac eval 15m |
22 |
22 |
$395.55 |
| 59025 |
Fetal non-stress test |
18 |
14 |
$381.14 |
| 99305 |
|
22 |
19 |
$358.18 |
| 93880 |
|
26 |
26 |
$353.08 |
| 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 |
95 |
90 |
$345.61 |
| 99152 |
|
54 |
49 |
$342.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
15 |
14 |
$303.73 |
| 64495 |
|
13 |
13 |
$257.07 |
| 73562 |
|
39 |
37 |
$250.80 |
| 94726 |
|
72 |
70 |
$249.13 |
| 64494 |
|
13 |
13 |
$248.37 |
| 94729 |
|
62 |
60 |
$202.13 |
| 94060 |
|
26 |
26 |
$201.88 |
| 93923 |
|
12 |
12 |
$201.28 |
| 11721 |
|
14 |
13 |
$178.17 |
| 90619 |
|
100 |
98 |
$158.06 |
| 98940 |
|
18 |
14 |
$150.95 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$148.15 |
| 94750 |
|
46 |
44 |
$142.65 |
| 99318 |
|
62 |
62 |
$136.20 |
| 95249 |
|
12 |
12 |
$100.74 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$84.55 |
| 96127 |
|
14 |
13 |
$40.76 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
33 |
30 |
$27.34 |
| 99307 |
|
34 |
25 |
$18.11 |
| 98943 |
|
41 |
28 |
$10.92 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
37 |
28 |
$7.50 |
| 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) |
49 |
44 |
$3.23 |
| 90697 |
|
226 |
224 |
$0.00 |