| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141,080 |
134,833 |
$8.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70,863 |
68,418 |
$4.75M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45,068 |
43,927 |
$3.18M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
24,013 |
23,416 |
$3.07M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,921 |
7,692 |
$742K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,574 |
6,511 |
$657K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,943 |
5,924 |
$585K |
| 99233 |
Prolong inpt eval add15 m |
13,504 |
4,638 |
$555K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
25,882 |
4,792 |
$467K |
| 99215 |
Prolong outpt/office vis |
4,112 |
4,000 |
$369K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
8,952 |
8,792 |
$278K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,344 |
2,328 |
$249K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,098 |
2,027 |
$202K |
| 99223 |
Prolong inpt eval add15 m |
2,232 |
2,185 |
$182K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,962 |
1,948 |
$169K |
| 59025 |
Fetal non-stress test |
4,476 |
3,148 |
$164K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,167 |
4,068 |
$155K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,206 |
1,204 |
$140K |
| 90686 |
|
8,685 |
8,628 |
$122K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,986 |
1,968 |
$105K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,864 |
951 |
$93K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,755 |
1,715 |
$81K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,785 |
1,265 |
$78K |
| 97803 |
|
1,842 |
1,510 |
$74K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
73 |
70 |
$72K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,924 |
2,551 |
$70K |
| 92551 |
|
8,543 |
8,493 |
$63K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,193 |
1,152 |
$55K |
| 90670 |
|
3,833 |
3,802 |
$54K |
| 99243 |
|
584 |
582 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,592 |
2,532 |
$39K |
| 90723 |
|
2,532 |
2,512 |
$38K |
| 90647 |
|
2,409 |
2,382 |
$35K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
548 |
539 |
$33K |
| 90680 |
|
1,857 |
1,842 |
$28K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$26K |
| 92567 |
|
3,001 |
2,958 |
$26K |
| 64405 |
|
457 |
435 |
$21K |
| 99499 |
|
663 |
652 |
$18K |
| 90633 |
|
1,119 |
1,111 |
$17K |
| 20610 |
|
604 |
481 |
$17K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
540 |
339 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
194 |
179 |
$16K |
| 99205 |
Prolong outpt/office vis |
146 |
144 |
$15K |
| 99356 |
|
418 |
347 |
$15K |
| 99255 |
|
108 |
106 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
247 |
118 |
$14K |
| 81003 |
|
7,143 |
7,008 |
$13K |
| 90677 |
|
975 |
953 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
281 |
275 |
$13K |
| 90688 |
|
828 |
826 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
203 |
198 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,247 |
1,207 |
$12K |
| 92557 |
|
620 |
609 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,190 |
1,169 |
$11K |
| 96127 |
|
2,690 |
2,538 |
$11K |
| 99173 |
|
6,497 |
6,459 |
$11K |
| 90651 |
|
781 |
779 |
$10K |
| 52000 |
|
116 |
115 |
$10K |
| 81025 |
|
1,162 |
1,143 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
407 |
332 |
$9K |
| 64450 |
|
235 |
225 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
423 |
246 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
154 |
147 |
$8K |
| 90697 |
|
613 |
599 |
$8K |
| 93000 |
|
1,135 |
1,118 |
$8K |
| 99188 |
|
561 |
546 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
882 |
696 |
$7K |
| 99429 |
|
707 |
693 |
$6K |
| 93971 |
|
286 |
284 |
$6K |
| 51798 |
|
1,341 |
1,311 |
$6K |
| 99381 |
|
55 |
55 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
373 |
366 |
$5K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
62 |
55 |
$5K |
| 90674 |
|
225 |
224 |
$5K |
| 92523 |
|
41 |
41 |
$5K |
| 64615 |
|
70 |
69 |
$5K |
| 99305 |
|
65 |
63 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
43 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
28 |
25 |
$4K |
| 97597 |
|
308 |
218 |
$4K |
| 92579 |
|
152 |
151 |
$4K |
| 95251 |
|
281 |
280 |
$4K |
| 90656 |
|
564 |
562 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
182 |
180 |
$3K |
| 69210 |
|
154 |
152 |
$3K |
| 11043 |
|
72 |
40 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
103 |
101 |
$3K |
| 99383 |
|
24 |
24 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
52 |
51 |
$2K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
83 |
82 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
27 |
27 |
$2K |
| 85610 |
|
884 |
636 |
$2K |
| 97802 |
|
37 |
37 |
$2K |
| 76801 |
|
72 |
70 |
$2K |
| 90734 |
|
172 |
171 |
$2K |
| 93015 |
|
52 |
52 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
94 |
68 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
169 |
$2K |
| D9999 |
Unspecified adjunctive procedure, by report |
92 |
67 |
$2K |
| 90681 |
|
158 |
156 |
$2K |
| 90715 |
|
102 |
102 |
$2K |
| D1206 |
Topical application of fluoride varnish |
92 |
67 |
$2K |
| 95813 |
|
37 |
36 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 82962 |
|
583 |
570 |
$1K |
| 96112 |
|
17 |
16 |
$1K |
| 92587 |
|
88 |
86 |
$1K |
| 90710 |
|
77 |
76 |
$1K |
| 95117 |
|
168 |
98 |
$989.11 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
270 |
251 |
$961.27 |
| 95800 |
|
43 |
43 |
$937.17 |
| 92526 |
|
21 |
18 |
$928.72 |
| 90716 |
|
66 |
63 |
$884.93 |
| 95812 |
|
41 |
39 |
$878.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
58 |
$833.28 |
| 90619 |
|
38 |
38 |
$708.84 |
| 99443 |
|
15 |
14 |
$633.09 |
| 99252 |
|
15 |
13 |
$626.60 |
| 99242 |
|
14 |
14 |
$590.32 |
| 92610 |
|
12 |
12 |
$577.57 |
| 73630 |
|
31 |
30 |
$573.42 |
| 94010 |
|
57 |
57 |
$571.41 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
103 |
101 |
$557.39 |
| 51705 |
|
14 |
12 |
$552.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
38 |
$539.29 |
| 92582 |
|
12 |
12 |
$516.12 |
| 90707 |
|
25 |
25 |
$492.25 |
| 90696 |
|
39 |
38 |
$461.81 |
| 0011A |
|
32 |
32 |
$436.16 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
12 |
$355.41 |
| 73562 |
|
20 |
13 |
$340.57 |
| 99177 |
|
105 |
104 |
$316.72 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
19 |
15 |
$314.21 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
45 |
44 |
$276.58 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
55 |
$262.98 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
67 |
66 |
$254.74 |
| 73610 |
|
14 |
13 |
$235.47 |
| 92555 |
|
15 |
15 |
$231.56 |
| 92553 |
|
12 |
12 |
$218.50 |
| 76376 |
|
27 |
26 |
$167.90 |
| 86580 |
|
13 |
13 |
$74.11 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
15 |
$36.84 |
| 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) |
13 |
13 |
$31.14 |
| 3074F |
|
407 |
386 |
$0.00 |
| 1126F |
|
34 |
33 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 99072 |
|
9,166 |
8,800 |
$0.00 |
| 1159F |
|
2,056 |
1,967 |
$0.00 |
| 3078F |
|
759 |
724 |
$0.00 |
| 1160F |
|
1,193 |
1,157 |
$0.00 |