| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,370 |
42,536 |
$1.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,178 |
30,890 |
$1.40M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35,124 |
13,025 |
$625K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
994 |
683 |
$600K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
329 |
285 |
$453K |
| 99223 |
Prolong inpt eval add15 m |
9,213 |
7,950 |
$450K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,317 |
5,302 |
$405K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,108 |
4,466 |
$285K |
| 99233 |
Prolong inpt eval add15 m |
10,327 |
4,916 |
$254K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,183 |
1,824 |
$193K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
926 |
811 |
$183K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,009 |
2,556 |
$147K |
| 95816 |
|
2,022 |
1,680 |
$120K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,107 |
1,004 |
$105K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,169 |
3,647 |
$104K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,003 |
1,752 |
$75K |
| 59025 |
Fetal non-stress test |
2,237 |
1,589 |
$66K |
| 90791 |
Psychiatric diagnostic evaluation |
1,391 |
1,142 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,185 |
4,347 |
$54K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
989 |
849 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,313 |
2,903 |
$49K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,593 |
3,499 |
$46K |
| 99220 |
|
944 |
838 |
$46K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15,026 |
11,337 |
$45K |
| 99215 |
Prolong outpt/office vis |
856 |
734 |
$44K |
| 99205 |
Prolong outpt/office vis |
509 |
439 |
$41K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,054 |
2,377 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,810 |
2,576 |
$40K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
286 |
242 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,516 |
1,215 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
764 |
647 |
$32K |
| 99383 |
|
339 |
306 |
$29K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
420 |
222 |
$28K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
185 |
178 |
$28K |
| 95886 |
|
543 |
422 |
$24K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,056 |
1,252 |
$24K |
| 99222 |
Initial hospital care, per day, moderate complexity |
687 |
570 |
$22K |
| 64615 |
|
265 |
210 |
$21K |
| 59425 |
|
62 |
57 |
$20K |
| 59510 |
|
13 |
12 |
$20K |
| 93000 |
|
2,110 |
1,693 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,612 |
1,395 |
$18K |
| 81025 |
|
3,151 |
2,574 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
192 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
316 |
289 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
623 |
526 |
$13K |
| 59426 |
|
22 |
19 |
$13K |
| 99384 |
|
143 |
121 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
121 |
109 |
$9K |
| 43248 |
|
137 |
100 |
$9K |
| 87631 |
|
102 |
77 |
$9K |
| 72110 |
|
646 |
504 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
6,568 |
5,202 |
$8K |
| 99173 |
|
1,643 |
1,379 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
555 |
462 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
293 |
253 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
83 |
$7K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
18 |
15 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
125 |
110 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
268 |
197 |
$6K |
| 81003 |
|
3,524 |
2,925 |
$6K |
| 99217 |
|
221 |
195 |
$5K |
| 20553 |
|
175 |
148 |
$5K |
| 94060 |
|
252 |
178 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
84 |
59 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
65 |
49 |
$4K |
| 94729 |
|
198 |
146 |
$4K |
| 92551 |
|
515 |
432 |
$4K |
| 99459 |
|
245 |
205 |
$4K |
| 96118 |
|
30 |
24 |
$4K |
| 3008F |
|
79,066 |
63,494 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
815 |
641 |
$3K |
| 94726 |
|
150 |
110 |
$3K |
| 1111F |
|
3,283 |
2,799 |
$3K |
| 96127 |
|
457 |
400 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
78 |
55 |
$3K |
| 92552 |
|
134 |
119 |
$3K |
| 95909 |
|
35 |
30 |
$2K |
| 99307 |
|
424 |
367 |
$2K |
| 96132 |
|
92 |
54 |
$2K |
| 96137 |
|
97 |
55 |
$2K |
| 99255 |
|
15 |
12 |
$2K |
| 96160 |
|
149 |
96 |
$2K |
| 96136 |
|
147 |
91 |
$1K |
| 3078F |
|
7,179 |
5,937 |
$1K |
| 0503F |
|
980 |
730 |
$1K |
| 99382 |
|
16 |
14 |
$1K |
| 90686 |
|
579 |
500 |
$1K |
| 99442 |
|
60 |
55 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
225 |
189 |
$968.60 |
| 90756 |
|
107 |
79 |
$960.04 |
| 99497 |
|
172 |
123 |
$934.80 |
| 3074F |
|
6,455 |
5,411 |
$781.45 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
411 |
342 |
$712.41 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28 |
17 |
$709.64 |
| 99406 |
|
200 |
137 |
$690.26 |
| 90651 |
|
580 |
503 |
$684.02 |
| 3079F |
|
1,761 |
1,434 |
$660.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
374 |
330 |
$632.60 |
| 96101 |
|
14 |
13 |
$617.12 |
| 95885 |
|
12 |
12 |
$600.80 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
101 |
87 |
$594.97 |
| 96130 |
|
18 |
12 |
$540.52 |
| 90682 |
|
15 |
13 |
$531.41 |
| 1159F |
|
10,796 |
8,832 |
$491.71 |
| 3077F |
|
955 |
749 |
$460.02 |
| 1160F |
|
7,341 |
6,148 |
$395.06 |
| 90674 |
|
29 |
27 |
$360.68 |
| 90734 |
|
350 |
301 |
$325.72 |
| 99219 |
|
15 |
14 |
$325.38 |
| 90688 |
|
39 |
34 |
$324.69 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
88 |
62 |
$307.90 |
| 93296 |
|
32 |
26 |
$279.77 |
| 1126F |
|
231 |
192 |
$276.78 |
| 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) |
172 |
133 |
$268.76 |
| 99221 |
|
13 |
12 |
$251.03 |
| 73630 |
|
13 |
12 |
$227.57 |
| 99305 |
|
33 |
24 |
$215.29 |
| 93227 |
|
14 |
13 |
$201.26 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
15 |
15 |
$170.16 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
28 |
25 |
$163.98 |
| 90715 |
|
470 |
402 |
$163.21 |
| 72040 |
|
15 |
13 |
$155.09 |
| 93016 |
|
18 |
12 |
$147.54 |
| 90716 |
|
111 |
92 |
$147.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
26 |
13 |
$142.73 |
| 1125F |
|
117 |
101 |
$140.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
92 |
75 |
$132.02 |
| 93018 |
|
19 |
13 |
$129.61 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
105 |
97 |
$106.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
328 |
267 |
$106.11 |
| 90707 |
|
108 |
90 |
$99.52 |
| 3075F |
|
527 |
429 |
$80.00 |
| 81002 |
|
30 |
24 |
$73.40 |
| 72100 |
|
13 |
12 |
$69.82 |
| 51798 |
|
26 |
24 |
$69.24 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
69 |
53 |
$63.56 |
| 80053 |
Comprehensive metabolic panel |
209 |
164 |
$40.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
14 |
$20.96 |
| G0008 |
Administration of influenza virus vaccine |
61 |
59 |
$17.80 |
| 94760 |
|
23 |
21 |
$16.21 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
50 |
40 |
$12.79 |
| 3080F |
|
96 |
76 |
$10.00 |
| 0502F |
|
16,960 |
14,726 |
$10.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
18 |
15 |
$8.50 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
34 |
28 |
$1.92 |
| 99024 |
|
1,267 |
1,044 |
$0.00 |
| 3061F |
|
21,985 |
17,733 |
$0.00 |
| 2001F |
|
1,052 |
884 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
126 |
96 |
$0.00 |
| 90696 |
|
54 |
46 |
$0.00 |
| 4010F |
|
707 |
559 |
$0.00 |
| 1036F |
|
190 |
157 |
$0.00 |
| 2000F |
|
1,057 |
888 |
$0.00 |
| 3044F |
|
56 |
39 |
$0.00 |
| 1170F |
|
76 |
63 |
$0.00 |
| 1101F |
|
35 |
30 |
$0.00 |
| 3351F |
|
12 |
12 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
423 |
332 |
$0.00 |
| 90461 |
|
121 |
83 |
$0.00 |
| 3062F |
|
206 |
173 |
$0.00 |
| 3046F |
|
17 |
12 |
$0.00 |
| 90633 |
|
19 |
19 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |