| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253,389 |
230,086 |
$13.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172,959 |
154,297 |
$6.43M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
558 |
317 |
$298K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,314 |
2,966 |
$271K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,494 |
4,311 |
$215K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,503 |
3,954 |
$208K |
| 99215 |
Prolong outpt/office vis |
2,202 |
1,962 |
$176K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,093 |
4,717 |
$143K |
| 90686 |
|
11,931 |
11,179 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,054 |
4,397 |
$107K |
| 99223 |
Prolong inpt eval add15 m |
1,421 |
1,290 |
$80K |
| 99243 |
|
1,092 |
976 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
811 |
690 |
$74K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,773 |
2,614 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
650 |
580 |
$65K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,221 |
1,840 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
2,164 |
1,113 |
$60K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
19,131 |
16,488 |
$58K |
| 93000 |
|
7,781 |
7,064 |
$55K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
476 |
359 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
377 |
312 |
$36K |
| 92587 |
|
1,016 |
913 |
$31K |
| 90834 |
Psychotherapy, 45 minutes with patient |
727 |
528 |
$31K |
| 93922 |
|
935 |
824 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
315 |
304 |
$26K |
| 93926 |
|
1,297 |
1,167 |
$25K |
| 90791 |
Psychiatric diagnostic evaluation |
487 |
362 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
774 |
602 |
$24K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,923 |
1,024 |
$22K |
| 93970 |
|
1,287 |
1,163 |
$22K |
| 51798 |
|
4,179 |
3,466 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
161 |
155 |
$18K |
| 99304 |
|
692 |
605 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
285 |
246 |
$17K |
| 11721 |
|
2,423 |
2,103 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,056 |
2,887 |
$15K |
| 93880 |
|
714 |
631 |
$14K |
| 93971 |
|
1,148 |
1,064 |
$14K |
| 99442 |
|
508 |
465 |
$14K |
| 96127 |
|
1,141 |
1,000 |
$13K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
257 |
174 |
$13K |
| 0124A |
|
544 |
534 |
$13K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,240 |
678 |
$12K |
| 0001A |
|
336 |
322 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
247 |
231 |
$10K |
| 99401 |
|
380 |
339 |
$10K |
| 0002A |
|
264 |
260 |
$9K |
| 97597 |
|
715 |
327 |
$8K |
| 99245 |
|
52 |
42 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,146 |
6,566 |
$7K |
| 52000 |
|
135 |
112 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
224 |
160 |
$6K |
| 93923 |
|
240 |
226 |
$6K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
52 |
52 |
$6K |
| 99205 |
Prolong outpt/office vis |
57 |
54 |
$6K |
| 0004A |
|
163 |
149 |
$6K |
| 99443 |
|
129 |
111 |
$6K |
| 92552 |
|
515 |
478 |
$5K |
| 64400 |
|
84 |
79 |
$5K |
| 99254 |
|
53 |
52 |
$5K |
| 64615 |
|
228 |
185 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
621 |
423 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
330 |
273 |
$4K |
| 99217 |
|
197 |
163 |
$4K |
| 99242 |
|
79 |
72 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
519 |
219 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
96 |
85 |
$4K |
| 0003A |
|
107 |
103 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
208 |
144 |
$3K |
| 90732 |
|
55 |
52 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
143 |
52 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
384 |
320 |
$3K |
| 0011A |
|
96 |
95 |
$3K |
| 80053 |
Comprehensive metabolic panel |
602 |
487 |
$3K |
| 99385 |
|
39 |
39 |
$3K |
| 93018 |
|
441 |
426 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
80 |
27 |
$2K |
| 99220 |
|
49 |
40 |
$2K |
| 11100 |
|
134 |
117 |
$2K |
| 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) |
641 |
624 |
$2K |
| 51797 |
|
28 |
24 |
$2K |
| 51728 |
|
28 |
24 |
$2K |
| 0064A |
|
49 |
48 |
$2K |
| 93458 |
|
14 |
14 |
$2K |
| 0054A |
|
82 |
75 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,129 |
943 |
$2K |
| 0071A |
|
47 |
47 |
$2K |
| 46600 |
|
58 |
55 |
$2K |
| 0072A |
|
47 |
47 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
156 |
152 |
$2K |
| 64616 |
|
42 |
39 |
$2K |
| 81003 |
|
7,674 |
6,319 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
619 |
505 |
$2K |
| 64405 |
|
85 |
79 |
$1K |
| 99152 |
|
74 |
69 |
$1K |
| 11056 |
|
106 |
92 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
33 |
28 |
$1K |
| 90674 |
|
120 |
110 |
$1K |
| 99225 |
|
99 |
56 |
$1K |
| 17110 |
|
66 |
55 |
$1K |
| 99173 |
|
199 |
177 |
$1K |
| 73620 |
|
106 |
84 |
$1K |
| 93295 |
|
76 |
57 |
$1K |
| 90715 |
|
44 |
42 |
$1K |
| 11043 |
|
27 |
12 |
$1K |
| 20611 |
|
26 |
25 |
$966.57 |
| 93294 |
|
215 |
196 |
$931.64 |
| 51741 |
|
78 |
66 |
$928.62 |
| 83550 |
|
281 |
260 |
$926.95 |
| 95811 |
|
14 |
13 |
$909.00 |
| 81002 |
|
5,008 |
3,944 |
$889.32 |
| 11055 |
|
77 |
64 |
$886.96 |
| 99307 |
|
70 |
65 |
$866.08 |
| 43235 |
|
16 |
16 |
$835.21 |
| 93016 |
|
93 |
92 |
$826.37 |
| 51784 |
|
28 |
24 |
$785.05 |
| 52287 |
|
13 |
13 |
$725.01 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
22 |
12 |
$722.00 |
| 90662 |
|
91 |
90 |
$714.98 |
| 98926 |
|
43 |
39 |
$693.39 |
| 83540 |
|
281 |
260 |
$685.94 |
| 20610 |
|
28 |
25 |
$669.77 |
| 99219 |
|
19 |
18 |
$639.50 |
| 36416 |
|
247 |
231 |
$630.78 |
| 99188 |
|
55 |
50 |
$538.40 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
153 |
101 |
$470.97 |
| 99441 |
|
395 |
388 |
$468.32 |
| 82947 |
|
198 |
191 |
$444.77 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$367.47 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
25 |
24 |
$367.06 |
| 83655 |
|
51 |
31 |
$358.36 |
| 93975 |
|
16 |
12 |
$332.81 |
| 95874 |
|
55 |
52 |
$322.80 |
| 96161 |
|
32 |
27 |
$255.00 |
| 94060 |
|
55 |
52 |
$247.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
14 |
$246.11 |
| 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 |
27 |
27 |
$225.26 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
173 |
94 |
$212.18 |
| 90670 |
|
86 |
75 |
$192.64 |
| 99497 |
|
16 |
15 |
$186.89 |
| 17000 |
|
29 |
24 |
$175.31 |
| 64450 |
|
37 |
36 |
$162.60 |
| G0009 |
Administration of pneumococcal vaccine |
31 |
27 |
$130.00 |
| 94726 |
|
25 |
24 |
$118.56 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
100 |
53 |
$116.19 |
| 71046 |
Radiologic examination, chest; 2 views |
22 |
12 |
$91.36 |
| 85610 |
|
108 |
83 |
$81.71 |
| 93280 |
|
12 |
12 |
$76.34 |
| 20553 |
|
14 |
14 |
$72.38 |
| G0008 |
Administration of influenza virus vaccine |
1,271 |
1,221 |
$48.83 |
| 82962 |
|
39 |
32 |
$31.36 |
| 85018 |
|
543 |
455 |
$30.95 |
| 82043 |
|
12 |
12 |
$30.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$21.28 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
279 |
232 |
$1.19 |
| 90671 |
|
12 |
12 |
$0.07 |
| 3074F |
|
8,728 |
8,409 |
$0.00 |
| 3079F |
|
4,208 |
4,050 |
$0.00 |
| 3075F |
|
2,111 |
2,060 |
$0.00 |
| 91307 |
|
146 |
143 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
13 |
12 |
$0.00 |
| 91305 |
|
91 |
84 |
$0.00 |
| 3080F |
|
38 |
36 |
$0.00 |
| 91301 |
|
97 |
95 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
33 |
33 |
$0.00 |
| 90656 |
|
169 |
161 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| 91306 |
|
49 |
48 |
$0.00 |
| 3078F |
|
11,010 |
10,617 |
$0.00 |
| 3077F |
|
1,381 |
1,291 |
$0.00 |
| 91300 |
|
1,024 |
927 |
$0.00 |
| 91312 |
|
543 |
534 |
$0.00 |
| 90461 |
|
342 |
313 |
$0.00 |
| 90653 |
|
17 |
15 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |