| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104,773 |
97,694 |
$6.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65,427 |
61,298 |
$4.58M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,950 |
4,708 |
$497K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,430 |
4,420 |
$425K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,903 |
3,844 |
$338K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,217 |
3,211 |
$330K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,391 |
3,345 |
$264K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,537 |
3,458 |
$201K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,118 |
3,027 |
$196K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,978 |
2,339 |
$158K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,385 |
1,378 |
$143K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,647 |
1,338 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
598 |
591 |
$80K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,185 |
1,362 |
$75K |
| 99223 |
Prolong inpt eval add15 m |
695 |
649 |
$70K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,888 |
1,827 |
$66K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,748 |
1,732 |
$59K |
| 99205 |
Prolong outpt/office vis |
459 |
446 |
$59K |
| 71045 |
Radiologic examination, chest; single view |
10,644 |
9,399 |
$58K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
935 |
873 |
$53K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,634 |
1,617 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
989 |
920 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,709 |
2,624 |
$42K |
| 99222 |
Initial hospital care, per day, moderate complexity |
599 |
564 |
$41K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
635 |
607 |
$40K |
| 99233 |
Prolong inpt eval add15 m |
835 |
446 |
$38K |
| 92015 |
Determination of refractive state |
8,047 |
7,754 |
$36K |
| 90723 |
|
1,796 |
1,783 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
4,338 |
4,245 |
$32K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
259 |
256 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
506 |
471 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
472 |
458 |
$27K |
| 20610 |
|
793 |
665 |
$24K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
298 |
291 |
$24K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
503 |
493 |
$24K |
| 90670 |
|
3,347 |
3,332 |
$23K |
| 90686 |
|
3,654 |
3,634 |
$22K |
| 95720 |
|
172 |
151 |
$21K |
| 80053 |
Comprehensive metabolic panel |
2,575 |
1,891 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
581 |
562 |
$20K |
| 87428 |
|
376 |
371 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
811 |
782 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
258 |
254 |
$18K |
| 59430 |
|
63 |
63 |
$18K |
| 73221 |
|
297 |
286 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,866 |
2,194 |
$17K |
| 59025 |
Fetal non-stress test |
389 |
175 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,383 |
1,378 |
$16K |
| 73630 |
|
971 |
930 |
$14K |
| 90647 |
|
1,824 |
1,818 |
$14K |
| 87400 |
|
846 |
581 |
$14K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
218 |
213 |
$13K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
53 |
44 |
$13K |
| 74018 |
|
1,758 |
1,547 |
$12K |
| 0001A |
|
322 |
318 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
240 |
148 |
$11K |
| Q3014 |
Telehealth originating site facility fee |
464 |
461 |
$10K |
| 95811 |
|
123 |
119 |
$10K |
| 92134 |
|
406 |
393 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
5,145 |
4,837 |
$9K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
51 |
51 |
$8K |
| 81025 |
|
950 |
933 |
$8K |
| 99215 |
Prolong outpt/office vis |
100 |
93 |
$8K |
| 90633 |
|
885 |
877 |
$6K |
| 78226 |
|
246 |
240 |
$6K |
| 71250 |
|
168 |
164 |
$6K |
| 90672 |
|
704 |
702 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
122 |
122 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
64 |
59 |
$5K |
| 92002 |
|
129 |
128 |
$5K |
| 92136 |
|
313 |
155 |
$5K |
| 99188 |
|
243 |
242 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
278 |
270 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
60 |
$4K |
| 76642 |
|
127 |
123 |
$4K |
| 87430 |
|
232 |
228 |
$4K |
| 90681 |
|
504 |
502 |
$3K |
| 0002A |
|
197 |
87 |
$3K |
| 76830 |
Ultrasound, transvaginal |
86 |
85 |
$3K |
| 90677 |
|
296 |
295 |
$3K |
| 11750 |
|
20 |
12 |
$3K |
| 90698 |
|
116 |
115 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
67 |
66 |
$2K |
| 72100 |
|
304 |
298 |
$2K |
| 93971 |
|
166 |
160 |
$2K |
| 73610 |
|
314 |
298 |
$2K |
| 99221 |
|
41 |
37 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
60 |
60 |
$2K |
| 90710 |
|
120 |
119 |
$2K |
| 90651 |
|
220 |
217 |
$2K |
| 73030 |
|
281 |
273 |
$2K |
| 90734 |
|
215 |
213 |
$2K |
| 73130 |
|
219 |
211 |
$2K |
| 90680 |
|
193 |
193 |
$2K |
| 78816 |
|
26 |
26 |
$2K |
| 81002 |
|
461 |
341 |
$2K |
| 70498 |
|
33 |
28 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$2K |
| 99383 |
|
12 |
12 |
$2K |
| 27096 |
|
16 |
15 |
$2K |
| 73562 |
|
161 |
157 |
$1K |
| 90656 |
|
139 |
139 |
$1K |
| 90696 |
|
81 |
81 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$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) |
733 |
692 |
$1K |
| 90707 |
|
62 |
61 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
38 |
$1K |
| 74183 |
|
12 |
12 |
$1K |
| 82728 |
|
114 |
114 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$1K |
| 99460 |
|
16 |
15 |
$1K |
| 90697 |
|
52 |
52 |
$1K |
| 77080 |
|
137 |
137 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
17 |
17 |
$1K |
| 92552 |
|
62 |
62 |
$1K |
| 90671 |
|
97 |
97 |
$1K |
| 76801 |
|
15 |
14 |
$936.75 |
| 0011A |
|
162 |
55 |
$876.18 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
29 |
$828.20 |
| 73720 |
|
15 |
13 |
$797.69 |
| 90715 |
|
37 |
37 |
$796.61 |
| 83550 |
|
114 |
114 |
$781.68 |
| 90660 |
|
100 |
100 |
$733.46 |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$720.58 |
| 73700 |
|
18 |
15 |
$694.69 |
| 20611 |
|
14 |
13 |
$675.00 |
| 90648 |
|
126 |
126 |
$663.10 |
| V2020 |
Frames, purchases |
12 |
12 |
$649.11 |
| 83540 |
|
115 |
115 |
$577.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
28 |
$524.58 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
28 |
27 |
$464.45 |
| 81003 |
|
235 |
231 |
$418.98 |
| 74022 |
|
25 |
24 |
$408.94 |
| 85014 |
|
173 |
173 |
$404.68 |
| 85018 |
|
173 |
173 |
$404.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
15 |
$389.94 |
| 73110 |
|
51 |
50 |
$374.50 |
| 80305 |
|
44 |
38 |
$353.40 |
| 76536 |
|
14 |
14 |
$347.84 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$336.36 |
| 90700 |
|
15 |
15 |
$309.33 |
| 80061 |
Lipid panel |
34 |
25 |
$232.09 |
| 90716 |
|
26 |
26 |
$229.12 |
| 92250 |
|
14 |
13 |
$221.69 |
| 73560 |
|
29 |
28 |
$179.70 |
| 90744 |
|
24 |
24 |
$160.91 |
| 99173 |
|
30 |
30 |
$160.00 |
| 72040 |
|
19 |
19 |
$131.11 |
| 90619 |
|
12 |
12 |
$128.64 |
| 74019 |
|
12 |
12 |
$104.82 |
| 73502 |
|
14 |
14 |
$81.98 |
| 83615 |
|
13 |
13 |
$54.48 |
| 85027 |
|
23 |
13 |
$53.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
26 |
25 |
$41.91 |
| 90685 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |