| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76,944 |
72,219 |
$4.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,129 |
40,855 |
$2.93M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37,913 |
16,280 |
$1.48M |
| 99215 |
Prolong outpt/office vis |
7,897 |
6,879 |
$734K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,705 |
3,327 |
$425K |
| 99233 |
Prolong inpt eval add15 m |
7,956 |
3,733 |
$389K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,230 |
8,854 |
$349K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,247 |
3,782 |
$318K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,395 |
6,100 |
$299K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,323 |
6,853 |
$236K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,560 |
3,390 |
$214K |
| 76818 |
|
4,314 |
3,300 |
$204K |
| 71045 |
Radiologic examination, chest; single view |
42,631 |
30,221 |
$183K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,130 |
1,378 |
$132K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,485 |
903 |
$131K |
| 99223 |
Prolong inpt eval add15 m |
1,331 |
1,210 |
$124K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,525 |
3,504 |
$123K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,736 |
1,619 |
$99K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,131 |
2,036 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
846 |
825 |
$88K |
| 93793 |
|
16,802 |
13,758 |
$79K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,110 |
1,091 |
$74K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,813 |
2,798 |
$68K |
| 95813 |
|
1,258 |
1,211 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
706 |
680 |
$53K |
| 59025 |
Fetal non-stress test |
2,491 |
1,974 |
$51K |
| 76801 |
|
651 |
631 |
$49K |
| 95720 |
|
434 |
93 |
$48K |
| 93296 |
|
4,787 |
4,576 |
$48K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,140 |
10,191 |
$47K |
| 77427 |
|
441 |
237 |
$46K |
| 99255 |
|
534 |
348 |
$44K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,738 |
1,051 |
$41K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,069 |
1,061 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
721 |
591 |
$38K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
295 |
115 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,325 |
2,182 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
6,409 |
5,776 |
$32K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,600 |
1,541 |
$32K |
| 95951 |
|
281 |
66 |
$32K |
| 99221 |
|
714 |
652 |
$30K |
| 90791 |
Psychiatric diagnostic evaluation |
206 |
195 |
$30K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
118 |
118 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
559 |
503 |
$23K |
| 93295 |
|
1,008 |
956 |
$23K |
| 97597 |
|
625 |
326 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,297 |
1,175 |
$22K |
| 74018 |
|
4,783 |
3,618 |
$21K |
| 0002A |
|
651 |
621 |
$21K |
| 0001A |
|
717 |
683 |
$20K |
| 96130 |
|
177 |
170 |
$20K |
| 95886 |
|
278 |
270 |
$19K |
| 71250 |
|
638 |
611 |
$18K |
| 76642 |
|
810 |
698 |
$18K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
53 |
52 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
471 |
426 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
695 |
629 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
432 |
345 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$14K |
| 99205 |
Prolong outpt/office vis |
95 |
92 |
$13K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
898 |
822 |
$13K |
| 99245 |
|
150 |
98 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
308 |
296 |
$12K |
| 62323 |
|
82 |
82 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
257 |
234 |
$10K |
| 93016 |
|
1,010 |
979 |
$10K |
| 94729 |
|
445 |
430 |
$10K |
| 20610 |
|
293 |
272 |
$10K |
| 95913 |
|
52 |
51 |
$9K |
| 93970 |
|
499 |
468 |
$9K |
| 93018 |
|
911 |
880 |
$9K |
| 49083 |
|
45 |
37 |
$9K |
| 93971 |
|
854 |
805 |
$9K |
| 59430 |
|
38 |
38 |
$9K |
| 64615 |
|
140 |
136 |
$8K |
| 94726 |
|
378 |
363 |
$8K |
| 77334 |
|
61 |
52 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
394 |
356 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
94 |
$7K |
| 76820 |
|
396 |
282 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,326 |
1,280 |
$6K |
| 92557 |
|
206 |
188 |
$6K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
87 |
77 |
$5K |
| 76830 |
Ultrasound, transvaginal |
53 |
53 |
$5K |
| 78431 |
|
139 |
132 |
$5K |
| 77014 |
|
142 |
12 |
$5K |
| 93000 |
|
347 |
328 |
$5K |
| 77263 |
|
46 |
43 |
$4K |
| 31231 |
|
45 |
45 |
$4K |
| 93975 |
|
75 |
75 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
251 |
238 |
$4K |
| 99152 |
|
190 |
162 |
$4K |
| 77300 |
|
40 |
36 |
$4K |
| 0004A |
|
99 |
96 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
29 |
28 |
$3K |
| 99252 |
|
385 |
354 |
$3K |
| 93294 |
|
374 |
352 |
$3K |
| 84165 |
|
397 |
354 |
$3K |
| 92504 |
|
160 |
152 |
$3K |
| 43264 |
|
12 |
12 |
$3K |
| 94010 |
|
265 |
257 |
$3K |
| 81003 |
|
1,287 |
1,065 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$2K |
| 96136 |
|
50 |
49 |
$2K |
| 00731 |
|
114 |
110 |
$2K |
| 82962 |
|
1,090 |
1,029 |
$2K |
| 77066 |
Tomosynthesis, mammo |
59 |
57 |
$2K |
| 99235 |
|
16 |
15 |
$1K |
| 95718 |
|
19 |
12 |
$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) |
599 |
552 |
$1K |
| 74230 |
|
117 |
102 |
$1K |
| 76770 |
|
64 |
63 |
$1K |
| 95251 |
|
52 |
51 |
$1K |
| 99243 |
|
14 |
14 |
$1K |
| 81025 |
|
149 |
145 |
$1K |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$971.56 |
| 74183 |
|
12 |
12 |
$882.50 |
| 0124A |
|
51 |
30 |
$880.00 |
| 31575 |
|
15 |
15 |
$848.93 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
28 |
$812.18 |
| 73562 |
|
52 |
45 |
$721.35 |
| 99460 |
|
15 |
15 |
$691.50 |
| 99218 |
|
17 |
16 |
$690.02 |
| 36415 |
Collection of venous blood by venipuncture |
194 |
182 |
$598.08 |
| 95816 |
|
26 |
26 |
$584.23 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$557.41 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$550.98 |
| 73630 |
|
89 |
80 |
$537.61 |
| 0072A |
|
12 |
12 |
$480.00 |
| 92567 |
|
56 |
53 |
$467.23 |
| 86334 |
|
65 |
59 |
$446.49 |
| 76506 |
|
16 |
14 |
$433.51 |
| 0012A |
|
23 |
22 |
$429.71 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
14 |
$323.40 |
| 77280 |
|
12 |
12 |
$308.19 |
| 95819 |
|
13 |
13 |
$305.49 |
| 78492 |
|
15 |
14 |
$259.93 |
| 87428 |
|
12 |
12 |
$259.90 |
| 78434 |
|
25 |
25 |
$257.54 |
| 94375 |
|
19 |
12 |
$254.84 |
| 0011A |
|
20 |
20 |
$254.10 |
| 90474 |
|
12 |
12 |
$247.99 |
| 93308 |
|
12 |
12 |
$240.90 |
| 72100 |
|
27 |
27 |
$200.95 |
| 95806 |
|
12 |
12 |
$186.16 |
| 90686 |
|
218 |
214 |
$144.97 |
| 73502 |
|
25 |
24 |
$123.73 |
| 77001 |
|
21 |
13 |
$80.05 |
| 73610 |
|
13 |
13 |
$71.54 |
| 99406 |
|
13 |
12 |
$55.13 |
| 76937 |
|
20 |
12 |
$53.35 |
| 81002 |
|
13 |
13 |
$37.54 |
| G9920 |
Screening performed and negative |
199 |
191 |
$0.00 |
| 3078F |
|
457 |
420 |
$0.00 |
| 90648 |
|
149 |
145 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
58 |
50 |
$0.00 |
| 90670 |
|
105 |
91 |
$0.00 |
| 3074F |
|
340 |
317 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 3044F |
|
15 |
14 |
$0.00 |