| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139,537 |
124,327 |
$5.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
145,020 |
121,557 |
$4.47M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
66,805 |
60,461 |
$3.30M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26,762 |
24,972 |
$2.00M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22,440 |
20,116 |
$1.50M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,818 |
12,716 |
$1.02M |
| 59426 |
|
7,413 |
4,381 |
$606K |
| 59425 |
|
6,702 |
5,058 |
$504K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,807 |
5,184 |
$483K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,450 |
7,047 |
$357K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,902 |
6,571 |
$298K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19,937 |
9,317 |
$264K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
57,350 |
49,696 |
$252K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18,880 |
17,814 |
$222K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,384 |
3,657 |
$220K |
| 59410 |
|
287 |
265 |
$194K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,425 |
2,095 |
$140K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,578 |
1,487 |
$136K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,688 |
3,349 |
$120K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,714 |
1,412 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,155 |
3,762 |
$111K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,169 |
2,476 |
$88K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
144 |
133 |
$86K |
| 80050 |
General health panel |
6,969 |
5,656 |
$85K |
| 80061 |
Lipid panel |
23,497 |
19,733 |
$84K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,156 |
1,978 |
$83K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,638 |
2,150 |
$78K |
| 96160 |
|
4,113 |
3,577 |
$70K |
| 99215 |
Prolong outpt/office vis |
1,545 |
1,310 |
$62K |
| 80053 |
Comprehensive metabolic panel |
24,394 |
20,902 |
$57K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
7,449 |
6,184 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,528 |
4,188 |
$47K |
| 99177 |
|
5,659 |
5,140 |
$46K |
| 99490 |
Ccm add 20min |
9,025 |
7,869 |
$46K |
| 3008F |
|
79,871 |
69,359 |
$45K |
| 81025 |
|
8,664 |
7,507 |
$44K |
| 96127 |
|
8,663 |
7,449 |
$38K |
| 81003 |
|
23,735 |
18,561 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
683 |
596 |
$35K |
| 92558 |
|
6,657 |
5,967 |
$34K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17,817 |
14,894 |
$32K |
| 84443 |
Thyroid stimulating hormone (TSH) |
10,001 |
8,461 |
$30K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
371 |
284 |
$30K |
| 90791 |
Psychiatric diagnostic evaluation |
392 |
378 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
13,332 |
11,135 |
$25K |
| 90461 |
|
38,660 |
35,038 |
$21K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
301 |
237 |
$20K |
| 90670 |
|
13,989 |
12,863 |
$19K |
| 87807 |
|
1,646 |
1,552 |
$19K |
| 83655 |
|
1,423 |
1,296 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
766 |
636 |
$18K |
| 36416 |
|
5,770 |
5,274 |
$17K |
| 82607 |
|
3,203 |
2,616 |
$14K |
| 90686 |
|
16,876 |
15,694 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
259 |
135 |
$13K |
| 76801 |
|
237 |
209 |
$13K |
| 90651 |
|
1,392 |
1,218 |
$11K |
| 82728 |
|
2,724 |
2,291 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
217 |
190 |
$11K |
| 96161 |
|
1,360 |
1,179 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
204 |
182 |
$11K |
| 82746 |
|
2,492 |
2,052 |
$10K |
| 95819 |
|
574 |
499 |
$10K |
| 85027 |
|
4,566 |
3,930 |
$9K |
| 99439 |
|
650 |
586 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,946 |
3,374 |
$7K |
| 95822 |
|
511 |
339 |
$7K |
| 99385 |
|
118 |
106 |
$7K |
| 83540 |
|
4,009 |
3,360 |
$7K |
| 83550 |
|
2,819 |
2,375 |
$7K |
| 84439 |
|
2,472 |
2,157 |
$7K |
| 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) |
2,324 |
1,762 |
$7K |
| 82950 |
|
2,913 |
2,719 |
$6K |
| 86140 |
|
3,681 |
3,196 |
$6K |
| 90716 |
|
2,882 |
2,610 |
$6K |
| 80076 |
|
2,688 |
2,361 |
$6K |
| 90715 |
|
389 |
317 |
$6K |
| 90734 |
|
820 |
723 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
795 |
643 |
$6K |
| 99205 |
Prolong outpt/office vis |
80 |
64 |
$6K |
| 59515 |
|
17 |
12 |
$5K |
| 99381 |
|
66 |
61 |
$5K |
| 99383 |
|
60 |
41 |
$5K |
| 90723 |
|
9,965 |
9,283 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
308 |
258 |
$5K |
| 90677 |
|
1,718 |
1,656 |
$5K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
1,291 |
1,035 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
114 |
79 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
317 |
261 |
$4K |
| 95816 |
|
268 |
232 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
68 |
28 |
$4K |
| 90707 |
|
2,987 |
2,728 |
$4K |
| 95251 |
|
411 |
345 |
$3K |
| 85652 |
|
3,512 |
3,026 |
$3K |
| 90674 |
|
534 |
499 |
$3K |
| 92551 |
|
420 |
365 |
$3K |
| 82565 |
|
1,952 |
1,691 |
$3K |
| 84480 |
|
694 |
573 |
$3K |
| 82947 |
|
714 |
603 |
$2K |
| 99406 |
|
541 |
447 |
$2K |
| 90680 |
|
3,968 |
3,684 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
16 |
12 |
$2K |
| 84550 |
|
1,697 |
1,427 |
$2K |
| 90647 |
|
9,819 |
9,091 |
$2K |
| 86431 |
|
1,028 |
874 |
$2K |
| 84702 |
|
324 |
224 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
130 |
115 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
170 |
152 |
$1K |
| 99408 |
|
478 |
419 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
594 |
472 |
$1K |
| 99382 |
|
24 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
38 |
$1K |
| 84403 |
|
290 |
220 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
162 |
148 |
$1K |
| 90671 |
|
1,505 |
1,380 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
974 |
726 |
$1K |
| 82550 |
|
654 |
560 |
$1K |
| 85014 |
|
1,069 |
1,012 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
186 |
167 |
$1K |
| 84436 |
|
884 |
704 |
$1K |
| 85018 |
|
1,015 |
963 |
$1K |
| 90681 |
|
1,317 |
1,207 |
$1K |
| 90633 |
|
4,290 |
3,960 |
$1K |
| 90480 |
|
28 |
28 |
$1K |
| 59025 |
Fetal non-stress test |
31 |
24 |
$1K |
| 90710 |
|
225 |
196 |
$934.37 |
| 99441 |
|
155 |
94 |
$851.92 |
| 83735 |
|
564 |
479 |
$793.03 |
| 83880 |
|
144 |
109 |
$667.42 |
| 83690 |
|
292 |
257 |
$659.97 |
| 84479 |
|
665 |
516 |
$652.82 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
39 |
$601.94 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
27 |
$577.61 |
| 87081 |
|
175 |
160 |
$501.06 |
| 86235 |
|
15 |
12 |
$500.00 |
| 71046 |
Radiologic examination, chest; 2 views |
224 |
189 |
$480.94 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
620 |
402 |
$446.93 |
| 99454 |
|
177 |
157 |
$412.20 |
| 90474 |
|
51 |
41 |
$354.82 |
| 82150 |
|
152 |
139 |
$342.03 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
58 |
54 |
$338.16 |
| 80074 |
|
20 |
17 |
$326.48 |
| 90656 |
|
136 |
127 |
$291.00 |
| 84153 |
|
67 |
56 |
$285.00 |
| 87150 |
|
35 |
34 |
$277.90 |
| 96380 |
|
36 |
17 |
$268.32 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
17 |
14 |
$263.14 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
137 |
123 |
$259.10 |
| 86803 |
|
41 |
37 |
$237.85 |
| 90696 |
|
245 |
214 |
$212.26 |
| 86160 |
|
36 |
17 |
$204.63 |
| 81001 |
|
139 |
125 |
$195.41 |
| 82962 |
|
399 |
272 |
$186.68 |
| 82043 |
|
92 |
74 |
$175.85 |
| 99457 |
|
66 |
62 |
$174.72 |
| 85045 |
|
194 |
163 |
$171.23 |
| 82570 |
|
129 |
108 |
$169.47 |
| 99497 |
|
32 |
25 |
$158.31 |
| 73130 |
|
74 |
37 |
$157.98 |
| 86592 |
|
174 |
159 |
$151.98 |
| 86225 |
|
25 |
22 |
$151.00 |
| 3074F |
|
3,773 |
3,224 |
$140.93 |
| 3046F |
|
1,874 |
1,540 |
$140.81 |
| 90661 |
|
71 |
51 |
$139.92 |
| 90662 |
|
16 |
15 |
$139.88 |
| 86038 |
|
17 |
16 |
$135.39 |
| 86696 |
|
15 |
15 |
$130.46 |
| 87340 |
|
81 |
71 |
$121.98 |
| 82533 |
|
24 |
15 |
$112.85 |
| 3078F |
|
3,653 |
3,051 |
$110.00 |
| 99401 |
|
16 |
12 |
$107.10 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
13 |
13 |
$94.74 |
| 3079F |
|
975 |
814 |
$90.02 |
| 99397 |
|
137 |
109 |
$85.10 |
| 3044F |
|
14,899 |
12,297 |
$80.04 |
| 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 |
17 |
17 |
$79.37 |
| 99051 |
|
31 |
29 |
$75.84 |
| 86695 |
|
15 |
15 |
$73.21 |
| 90700 |
|
171 |
158 |
$68.66 |
| 99442 |
|
13 |
12 |
$63.58 |
| 72170 |
|
16 |
14 |
$47.32 |
| 86787 |
|
39 |
31 |
$46.36 |
| 82105 |
|
16 |
16 |
$45.27 |
| 84460 |
|
136 |
119 |
$39.51 |
| 84450 |
|
136 |
119 |
$38.51 |
| 84156 |
|
24 |
22 |
$32.43 |
| 87511 |
|
14 |
14 |
$31.58 |
| 80051 |
|
19 |
17 |
$27.80 |
| 82310 |
|
101 |
93 |
$25.13 |
| 90688 |
|
228 |
217 |
$20.95 |
| 86762 |
|
41 |
33 |
$11.66 |
| 3075F |
|
310 |
257 |
$10.00 |
| 3045F |
|
446 |
389 |
$10.00 |
| 82247 |
|
125 |
109 |
$9.74 |
| 87451 |
|
14 |
14 |
$9.46 |
| 86850 |
|
44 |
33 |
$7.91 |
| 84075 |
|
124 |
108 |
$5.18 |
| 82040 |
|
124 |
108 |
$4.95 |
| 84155 |
|
124 |
108 |
$3.66 |
| 84520 |
|
94 |
89 |
$3.56 |
| 86901 |
|
42 |
33 |
$2.42 |
| 86900 |
|
42 |
33 |
$2.42 |
| 84132 |
|
83 |
77 |
$2.18 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
27 |
$2.17 |
| 84295 |
|
82 |
76 |
$0.19 |
| 82374 |
|
82 |
76 |
$0.19 |
| 82435 |
|
82 |
76 |
$0.17 |
| 3048F |
|
9,815 |
8,190 |
$0.04 |
| 1170F |
|
959 |
692 |
$0.04 |
| 3049F |
|
6,101 |
5,094 |
$0.02 |
| 3292F |
|
1,942 |
1,680 |
$0.00 |
| 3052F |
|
759 |
618 |
$0.00 |
| 90620 |
|
55 |
54 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$0.00 |
| 82952 |
|
47 |
39 |
$0.00 |
| 3294F |
|
57 |
51 |
$0.00 |
| 91307 |
|
14 |
13 |
$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) |
582 |
541 |
$0.00 |
| 3050F |
|
4,801 |
4,026 |
$0.00 |
| 3077F |
|
243 |
198 |
$0.00 |
| 3051F |
|
1,248 |
1,033 |
$0.00 |
| 90685 |
|
127 |
126 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 0502F |
|
141 |
108 |
$0.00 |
| 99072 |
|
44 |
41 |
$0.00 |
| 90687 |
|
59 |
53 |
$0.00 |
| 1159F |
|
27 |
25 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| 54150 |
|
16 |
15 |
$0.00 |
| 1124F |
|
14 |
12 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
14 |
$0.00 |