| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138,342 |
126,895 |
$4.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117,294 |
110,678 |
$4.28M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20,155 |
19,377 |
$981K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,680 |
10,142 |
$600K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
5,671 |
5,565 |
$401K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12,735 |
12,361 |
$398K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,922 |
4,636 |
$345K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,958 |
1,835 |
$258K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,077 |
4,947 |
$132K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,542 |
10,851 |
$132K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,867 |
5,604 |
$129K |
| 99215 |
Prolong outpt/office vis |
3,420 |
2,821 |
$116K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
20,845 |
17,910 |
$114K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,056 |
2,006 |
$112K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,075 |
2,570 |
$103K |
| 51701 |
|
3,914 |
3,611 |
$101K |
| 92557 |
|
3,536 |
3,351 |
$94K |
| 20610 |
|
2,456 |
2,227 |
$91K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,247 |
912 |
$81K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,026 |
1,007 |
$80K |
| 52000 |
|
1,414 |
1,355 |
$78K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
354 |
317 |
$74K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
166 |
75 |
$72K |
| 99243 |
|
1,392 |
1,352 |
$72K |
| 95811 |
|
1,215 |
1,192 |
$65K |
| 51729 |
|
556 |
509 |
$64K |
| 20611 |
|
1,289 |
1,157 |
$60K |
| 95886 |
|
2,569 |
2,480 |
$59K |
| 93000 |
|
6,340 |
6,081 |
$58K |
| 93458 |
|
686 |
658 |
$57K |
| 93971 |
|
3,660 |
3,196 |
$52K |
| 93970 |
|
2,552 |
2,466 |
$52K |
| 51784 |
|
933 |
766 |
$48K |
| 92567 |
|
4,307 |
4,080 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,552 |
2,563 |
$41K |
| 52281 |
|
439 |
430 |
$40K |
| 51797 |
|
556 |
509 |
$37K |
| 94060 |
|
3,888 |
3,760 |
$35K |
| 93296 |
|
3,352 |
3,247 |
$34K |
| 99406 |
|
5,389 |
5,104 |
$33K |
| 36475 |
|
103 |
66 |
$31K |
| 99152 |
|
3,689 |
3,402 |
$30K |
| 31575 |
|
583 |
561 |
$30K |
| 43248 |
|
308 |
300 |
$29K |
| 73110 |
|
1,779 |
1,448 |
$29K |
| 93018 |
|
3,072 |
2,989 |
$26K |
| 95913 |
|
199 |
192 |
$24K |
| 93294 |
|
1,405 |
1,369 |
$24K |
| 62323 |
|
371 |
350 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
383 |
358 |
$23K |
| 99442 |
|
1,421 |
1,400 |
$22K |
| 93295 |
|
691 |
667 |
$21K |
| 73030 |
|
1,436 |
1,306 |
$21K |
| 93298 |
|
1,217 |
1,169 |
$19K |
| 99443 |
|
845 |
829 |
$19K |
| 95816 |
|
966 |
928 |
$18K |
| 51700 |
|
515 |
341 |
$18K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,801 |
3,506 |
$16K |
| 99350 |
Prolong home eval add 15m |
440 |
415 |
$15K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
450 |
441 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,023 |
992 |
$13K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
924 |
884 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
200 |
186 |
$13K |
| 31231 |
|
162 |
158 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
384 |
359 |
$12K |
| 95911 |
|
209 |
194 |
$12K |
| 94729 |
|
4,086 |
3,952 |
$12K |
| 73130 |
|
715 |
619 |
$12K |
| 51798 |
|
1,584 |
1,415 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
447 |
381 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
5,797 |
5,504 |
$11K |
| 94726 |
|
3,267 |
3,161 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
520 |
298 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,225 |
2,115 |
$10K |
| 99441 |
|
976 |
922 |
$10K |
| 95251 |
|
1,496 |
1,428 |
$9K |
| 27096 |
|
159 |
152 |
$9K |
| 93350 |
|
219 |
218 |
$9K |
| 97597 |
|
1,475 |
1,020 |
$8K |
| 81003 |
|
6,453 |
6,013 |
$8K |
| 95909 |
|
223 |
216 |
$8K |
| 73564 |
|
454 |
403 |
$8K |
| 99245 |
|
82 |
80 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
396 |
388 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
721 |
433 |
$8K |
| 11721 |
|
762 |
733 |
$8K |
| 73620 |
|
497 |
438 |
$7K |
| 90686 |
|
654 |
629 |
$7K |
| 93880 |
|
495 |
488 |
$6K |
| 29848 |
|
25 |
25 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
360 |
338 |
$6K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
42 |
39 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
91 |
82 |
$6K |
| 93272 |
|
285 |
276 |
$5K |
| 93280 |
|
249 |
183 |
$5K |
| 43249 |
|
105 |
99 |
$5K |
| 93016 |
|
337 |
323 |
$5K |
| 99254 |
|
55 |
55 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
65 |
62 |
$4K |
| 95908 |
|
129 |
128 |
$4K |
| 52260 |
|
47 |
44 |
$4K |
| 77014 |
|
152 |
36 |
$4K |
| 73630 |
|
214 |
192 |
$3K |
| 22853 |
|
15 |
14 |
$3K |
| 20553 |
|
134 |
130 |
$3K |
| 64493 |
|
67 |
46 |
$3K |
| 81002 |
|
1,376 |
1,315 |
$3K |
| 95910 |
|
66 |
61 |
$3K |
| 76801 |
|
42 |
37 |
$3K |
| 69210 |
|
177 |
135 |
$3K |
| 59025 |
Fetal non-stress test |
97 |
51 |
$3K |
| 77427 |
|
28 |
13 |
$3K |
| 52356 |
|
14 |
14 |
$3K |
| 51741 |
|
612 |
560 |
$3K |
| 99255 |
|
26 |
26 |
$2K |
| 93922 |
|
278 |
271 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
45 |
44 |
$2K |
| 95885 |
|
222 |
211 |
$2K |
| 99349 |
|
98 |
91 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
49 |
46 |
$2K |
| 93925 |
|
127 |
123 |
$2K |
| 99459 |
|
169 |
164 |
$2K |
| 52310 |
|
13 |
12 |
$2K |
| 80305 |
|
221 |
216 |
$2K |
| 64494 |
|
58 |
41 |
$2K |
| 73562 |
|
98 |
90 |
$1K |
| 93299 |
|
104 |
99 |
$1K |
| 95912 |
|
20 |
18 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 73560 |
|
65 |
55 |
$1K |
| 30802 |
|
24 |
24 |
$1K |
| 73502 |
|
48 |
43 |
$980.83 |
| 77334 |
|
16 |
12 |
$979.01 |
| 76942 |
|
26 |
24 |
$923.39 |
| 92579 |
|
42 |
37 |
$816.06 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
71 |
40 |
$804.64 |
| 64615 |
|
14 |
12 |
$744.27 |
| 81025 |
|
115 |
106 |
$708.37 |
| 97598 |
|
57 |
40 |
$679.86 |
| 96127 |
|
198 |
193 |
$668.17 |
| 77263 |
|
14 |
13 |
$648.33 |
| 95970 |
|
33 |
29 |
$573.62 |
| 74420 |
|
46 |
39 |
$472.23 |
| 11720 |
|
93 |
89 |
$407.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
24 |
$400.18 |
| 99242 |
|
12 |
12 |
$390.00 |
| 93308 |
|
41 |
40 |
$341.28 |
| 93227 |
|
12 |
12 |
$314.76 |
| 90756 |
|
20 |
20 |
$312.00 |
| 43450 |
|
13 |
13 |
$303.65 |
| 73600 |
|
25 |
24 |
$302.03 |
| 99407 |
|
31 |
29 |
$272.93 |
| 73610 |
|
13 |
13 |
$269.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
53 |
$258.58 |
| 94618 |
|
13 |
13 |
$232.42 |
| 73140 |
|
12 |
12 |
$187.02 |
| 92504 |
|
14 |
14 |
$138.31 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
120 |
109 |
$119.10 |
| 94664 |
|
13 |
13 |
$87.81 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
12 |
12 |
$65.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
98 |
95 |
$47.45 |
| 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) |
515 |
483 |
$22.26 |
| 1036F |
|
122,792 |
112,981 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
118,483 |
109,111 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
62,155 |
57,710 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
43,173 |
40,021 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
54,078 |
50,217 |
$0.00 |
| 3044F |
|
180 |
174 |
$0.00 |
| 3017F |
|
63,372 |
59,534 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
29,671 |
27,793 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
10,481 |
9,847 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
10,089 |
9,156 |
$0.00 |
| 99024 |
|
17,679 |
13,380 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
32,382 |
30,211 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
17,757 |
16,545 |
$0.00 |
| 1101F |
|
4,877 |
4,418 |
$0.00 |
| G8405 |
Lower extremity neurological exam not performed |
142 |
132 |
$0.00 |
| 1111F |
|
149 |
128 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
25 |
24 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,636 |
1,541 |
$0.00 |
| 3052F |
|
13 |
12 |
$0.00 |
| 0503F |
|
80 |
68 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
114 |
106 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
14 |
$0.00 |
| 4004F |
|
60,060 |
55,692 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
77,434 |
72,677 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
226,008 |
209,657 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
112,341 |
103,376 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
18,397 |
17,311 |
$0.00 |
| 3046F |
|
3,651 |
3,485 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
9,203 |
8,634 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
9,765 |
8,624 |
$0.00 |
| 4040F |
|
5,383 |
4,884 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
2,323 |
1,648 |
$0.00 |
| 0502F |
|
1,650 |
1,068 |
$0.00 |
| G9709 |
Hospice services used by patient any time during the measurement period |
296 |
223 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
1,126 |
1,059 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,858 |
1,748 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
2,095 |
1,908 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
1,970 |
1,831 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
877 |
839 |
$0.00 |
| 3045F |
|
94 |
91 |
$0.00 |
| 2022F |
|
421 |
404 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
53 |
53 |
$0.00 |
| 20930 |
|
27 |
26 |
$0.00 |
| 3051F |
|
14 |
12 |
$0.00 |