| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
314,587 |
282,178 |
$10.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171,446 |
158,536 |
$7.24M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46,191 |
42,448 |
$3.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41,548 |
40,949 |
$3.16M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26,772 |
26,353 |
$2.15M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
120,940 |
46,191 |
$1.37M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14,089 |
13,755 |
$1.21M |
| 99215 |
Prolong outpt/office vis |
15,309 |
13,923 |
$1.02M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
8,176 |
7,830 |
$929K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
2,624 |
840 |
$812K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,059 |
12,190 |
$743K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
2,794 |
655 |
$677K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
4,530 |
1,569 |
$509K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,583 |
7,290 |
$428K |
| 95720 |
|
3,355 |
1,912 |
$421K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
85,515 |
72,334 |
$413K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,893 |
4,809 |
$405K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,918 |
8,529 |
$394K |
| 99245 |
|
2,853 |
2,653 |
$378K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,858 |
6,521 |
$370K |
| 71045 |
Radiologic examination, chest; single view |
67,487 |
51,846 |
$350K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,728 |
12,039 |
$319K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,042 |
6,562 |
$308K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,807 |
1,189 |
$294K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
8,179 |
6,937 |
$293K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13,192 |
6,956 |
$292K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,770 |
4,228 |
$282K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36,484 |
27,452 |
$280K |
| 59025 |
Fetal non-stress test |
14,342 |
10,898 |
$278K |
| 99460 |
|
3,851 |
3,634 |
$276K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,611 |
3,537 |
$273K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,725 |
13,704 |
$269K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,707 |
7,298 |
$236K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,565 |
4,276 |
$227K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,172 |
2,924 |
$215K |
| 99233 |
Prolong inpt eval add15 m |
5,317 |
2,314 |
$211K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,086 |
1,919 |
$206K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,325 |
6,086 |
$191K |
| 71046 |
Radiologic examination, chest; 2 views |
25,445 |
24,665 |
$186K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
3,761 |
3,409 |
$174K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,563 |
2,452 |
$172K |
| 99381 |
|
2,098 |
2,048 |
$162K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
853 |
392 |
$153K |
| 99243 |
|
1,800 |
1,752 |
$145K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,967 |
1,876 |
$141K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,249 |
1,207 |
$119K |
| 74018 |
|
20,203 |
14,363 |
$116K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,964 |
1,872 |
$115K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,597 |
4,492 |
$113K |
| 95813 |
|
2,219 |
1,631 |
$110K |
| 54150 |
|
1,459 |
1,374 |
$102K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,821 |
3,335 |
$100K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
695 |
661 |
$96K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,473 |
4,306 |
$94K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,272 |
1,656 |
$90K |
| 88307 |
|
1,694 |
1,409 |
$90K |
| 99383 |
|
1,007 |
995 |
$88K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,302 |
1,241 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,433 |
1,351 |
$86K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,556 |
1,506 |
$79K |
| 62326 |
|
2,414 |
2,309 |
$78K |
| 99223 |
Prolong inpt eval add15 m |
698 |
668 |
$77K |
| 96112 |
|
874 |
834 |
$77K |
| 99220 |
|
668 |
649 |
$75K |
| 64643 |
|
872 |
832 |
$69K |
| 99384 |
|
670 |
658 |
$63K |
| 99468 |
|
87 |
79 |
$63K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,151 |
1,034 |
$62K |
| 87428 |
|
1,239 |
992 |
$62K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,573 |
1,390 |
$60K |
| 64642 |
|
837 |
802 |
$58K |
| 99464 |
|
763 |
695 |
$55K |
| 99242 |
|
1,086 |
958 |
$54K |
| 76770 |
|
2,056 |
1,979 |
$53K |
| 99382 |
|
619 |
607 |
$53K |
| 93320 |
|
3,647 |
3,336 |
$50K |
| 99254 |
|
468 |
415 |
$47K |
| 92579 |
|
2,540 |
2,519 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,277 |
10,059 |
$45K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
540 |
516 |
$43K |
| 99217 |
|
837 |
803 |
$42K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,188 |
2,149 |
$41K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,504 |
1,497 |
$40K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
689 |
623 |
$39K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
728 |
690 |
$38K |
| 99463 |
|
335 |
324 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,983 |
2,729 |
$34K |
| 01922 |
|
166 |
157 |
$33K |
| 99462 |
|
998 |
794 |
$33K |
| 92588 |
|
1,783 |
1,713 |
$31K |
| 92567 |
|
5,671 |
5,603 |
$29K |
| 73630 |
|
4,743 |
3,827 |
$27K |
| 92201 |
|
2,056 |
1,179 |
$27K |
| 99221 |
|
574 |
529 |
$27K |
| 01961 |
|
155 |
145 |
$26K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
337 |
325 |
$26K |
| 99205 |
Prolong outpt/office vis |
258 |
253 |
$24K |
| 92002 |
|
647 |
611 |
$23K |
| 86077 |
|
1,130 |
1,012 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
633 |
601 |
$22K |
| 99219 |
|
258 |
247 |
$22K |
| 92557 |
|
1,392 |
1,371 |
$21K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
98 |
95 |
$21K |
| 90791 |
Psychiatric diagnostic evaluation |
305 |
267 |
$20K |
| 95782 |
|
302 |
272 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
856 |
586 |
$19K |
| 73110 |
|
2,833 |
2,593 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,916 |
3,488 |
$18K |
| 94010 |
|
1,673 |
1,597 |
$18K |
| 11750 |
|
230 |
161 |
$16K |
| 25600 |
|
122 |
85 |
$16K |
| 95874 |
|
1,118 |
1,050 |
$16K |
| 99255 |
|
101 |
96 |
$15K |
| 93325 |
|
6,145 |
5,513 |
$14K |
| 73610 |
|
2,180 |
2,013 |
$14K |
| 99253 |
|
166 |
156 |
$14K |
| 88342 |
|
596 |
498 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,653 |
1,431 |
$12K |
| 73130 |
|
1,557 |
1,417 |
$10K |
| 95812 |
|
225 |
218 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
400 |
357 |
$9K |
| 95251 |
|
1,079 |
973 |
$9K |
| 99218 |
|
174 |
169 |
$9K |
| 73080 |
|
1,363 |
1,239 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
153 |
148 |
$8K |
| 85060 |
|
1,107 |
1,036 |
$8K |
| 72082 |
|
638 |
617 |
$7K |
| 99310 |
Prolong nursin fac eval 15m |
402 |
317 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
278 |
225 |
$7K |
| 49452 |
|
71 |
62 |
$7K |
| 92015 |
Determination of refractive state |
660 |
641 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
126 |
124 |
$7K |
| 73090 |
|
1,083 |
989 |
$6K |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
208 |
190 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
288 |
280 |
$6K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
53 |
53 |
$5K |
| 93321 |
|
1,006 |
891 |
$5K |
| 76642 |
|
264 |
223 |
$5K |
| 76506 |
|
383 |
276 |
$5K |
| 72170 |
|
836 |
805 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
166 |
163 |
$5K |
| 88141 |
|
287 |
280 |
$5K |
| 90461 |
|
3,552 |
989 |
$5K |
| 99241 |
|
138 |
132 |
$4K |
| 93304 |
|
160 |
147 |
$4K |
| 92134 |
|
308 |
296 |
$4K |
| 76818 |
|
121 |
104 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
527 |
396 |
$4K |
| 73562 |
|
635 |
543 |
$4K |
| 84165 |
|
1,557 |
1,304 |
$4K |
| 69210 |
|
208 |
186 |
$4K |
| 73590 |
|
690 |
590 |
$4K |
| 96131 |
|
32 |
27 |
$4K |
| 59430 |
|
52 |
40 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
42 |
39 |
$3K |
| 77072 |
|
429 |
416 |
$3K |
| 90836 |
|
52 |
41 |
$3K |
| 96160 |
|
2,886 |
2,794 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
56 |
54 |
$3K |
| 76830 |
Ultrasound, transvaginal |
110 |
109 |
$3K |
| 88304 |
|
324 |
240 |
$2K |
| 20611 |
|
103 |
81 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
96 |
52 |
$2K |
| 76820 |
|
143 |
80 |
$2K |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
95 |
78 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
40 |
37 |
$2K |
| 76801 |
|
63 |
62 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
253 |
88 |
$2K |
| 54161 |
|
14 |
14 |
$2K |
| 88189 |
|
15 |
12 |
$2K |
| 96130 |
|
31 |
26 |
$2K |
| 90480 |
|
219 |
215 |
$2K |
| 86334 |
|
409 |
330 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
216 |
157 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
390 |
373 |
$2K |
| 96380 |
|
140 |
140 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
36 |
29 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
82 |
52 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
167 |
135 |
$1K |
| 95886 |
|
44 |
41 |
$1K |
| 92060 |
|
41 |
41 |
$1K |
| 92587 |
|
104 |
103 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
24 |
24 |
$1K |
| 94729 |
|
210 |
203 |
$1K |
| 99100 |
|
14 |
13 |
$1K |
| 77073 |
|
102 |
101 |
$1K |
| 73030 |
|
179 |
165 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
48 |
48 |
$1K |
| 76825 |
|
13 |
12 |
$972.58 |
| 94060 |
|
145 |
140 |
$954.01 |
| 00126 |
|
16 |
14 |
$945.15 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
61 |
59 |
$943.36 |
| 88302 |
|
189 |
106 |
$910.41 |
| 93308 |
|
48 |
37 |
$800.77 |
| 92551 |
|
336 |
323 |
$773.20 |
| 92652 |
|
14 |
14 |
$747.74 |
| 43235 |
|
13 |
12 |
$734.34 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
264 |
243 |
$717.39 |
| 73560 |
|
113 |
96 |
$715.09 |
| 17110 |
|
14 |
13 |
$714.04 |
| 73140 |
|
142 |
135 |
$709.21 |
| 72131 |
|
24 |
24 |
$662.88 |
| 31575 |
|
13 |
12 |
$650.81 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
12 |
12 |
$650.65 |
| 99224 |
|
27 |
24 |
$632.18 |
| V5266 |
Battery for use in hearing device |
24 |
24 |
$573.74 |
| 58300 |
|
12 |
12 |
$569.28 |
| 92202 |
|
120 |
119 |
$562.40 |
| 90677 |
|
8,058 |
7,948 |
$558.41 |
| 73552 |
|
79 |
66 |
$527.88 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
39 |
27 |
$519.84 |
| 93975 |
|
12 |
12 |
$489.13 |
| 73502 |
|
74 |
66 |
$485.49 |
| 74230 |
|
25 |
25 |
$455.31 |
| 92133 |
|
32 |
26 |
$429.14 |
| 99225 |
|
23 |
14 |
$415.30 |
| 96136 |
|
29 |
26 |
$402.51 |
| 95117 |
|
52 |
24 |
$396.42 |
| 70486 |
|
12 |
12 |
$365.07 |
| 90686 |
|
24,862 |
24,222 |
$361.64 |
| 72081 |
|
37 |
37 |
$357.78 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
15 |
14 |
$351.70 |
| 96137 |
|
29 |
26 |
$324.54 |
| 76827 |
|
13 |
12 |
$319.43 |
| 93793 |
|
609 |
376 |
$317.62 |
| 87430 |
|
55 |
55 |
$310.64 |
| 76870 |
|
12 |
12 |
$303.34 |
| 88291 |
|
61 |
55 |
$279.62 |
| 76536 |
|
12 |
12 |
$272.76 |
| 93227 |
|
16 |
15 |
$227.89 |
| 73564 |
|
28 |
24 |
$226.71 |
| 96161 |
|
2,193 |
2,041 |
$206.55 |
| 99152 |
|
51 |
48 |
$190.10 |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
974 |
744 |
$180.74 |
| 90734 |
|
3,831 |
3,788 |
$154.72 |
| 88112 |
|
15 |
13 |
$151.82 |
| 93790 |
|
12 |
12 |
$150.73 |
| 93923 |
|
17 |
16 |
$145.67 |
| 77002 |
|
19 |
12 |
$116.60 |
| 72100 |
|
17 |
14 |
$111.83 |
| 94726 |
|
12 |
12 |
$107.24 |
| 73000 |
|
14 |
14 |
$87.28 |
| 96381 |
|
17 |
12 |
$82.50 |
| 81003 |
|
55 |
42 |
$66.57 |
| 90474 |
|
271 |
270 |
$26.21 |
| 90661 |
|
4,178 |
4,169 |
$24.72 |
| 90785 |
|
1,150 |
813 |
$20.02 |
| 99307 |
|
18 |
12 |
$4.56 |
| 92226 |
|
24 |
13 |
$3.12 |
| 90671 |
|
742 |
709 |
$1.29 |
| 90648 |
|
27,587 |
27,040 |
$0.02 |
| 4010F |
|
1,825 |
1,674 |
$0.01 |
| 90723 |
|
20,444 |
20,067 |
$0.01 |
| 94781 |
|
30 |
28 |
$0.00 |
| 3044F |
|
1,202 |
1,142 |
$0.00 |
| 3074F |
|
3,246 |
3,051 |
$0.00 |
| 90716 |
|
1,426 |
1,409 |
$0.00 |
| 90680 |
|
13,115 |
12,830 |
$0.00 |
| 90696 |
|
3,368 |
3,347 |
$0.00 |
| 1111F |
|
19,884 |
18,753 |
$0.00 |
| 90647 |
|
758 |
753 |
$0.00 |
| 90651 |
|
4,103 |
4,048 |
$0.00 |
| 3079F |
|
375 |
357 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
109 |
100 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
55 |
$0.00 |
| 3066F |
|
310 |
304 |
$0.00 |
| 94780 |
|
30 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$0.00 |
| 90620 |
|
1,396 |
1,382 |
$0.00 |
| 90381 |
|
76 |
76 |
$0.00 |
| 3075F |
|
47 |
47 |
$0.00 |
| 90656 |
|
150 |
150 |
$0.00 |
| 95806 |
|
53 |
50 |
$0.00 |
| 99024 |
|
26 |
25 |
$0.00 |
| 90670 |
|
20,559 |
20,129 |
$0.00 |
| 90715 |
|
2,275 |
2,254 |
$0.00 |
| 3725F |
|
3,088 |
2,896 |
$0.00 |
| 3078F |
|
2,544 |
2,401 |
$0.00 |
| 3288F |
|
2,732 |
2,592 |
$0.00 |
| 90633 |
|
10,455 |
10,319 |
$0.00 |
| 90681 |
|
2,012 |
1,997 |
$0.00 |
| 90710 |
|
7,362 |
7,283 |
$0.00 |
| 90707 |
|
1,401 |
1,386 |
$0.00 |
| 90713 |
|
25 |
25 |
$0.00 |
| 90700 |
|
3,873 |
3,831 |
$0.00 |
| 3077F |
|
96 |
88 |
$0.00 |
| 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) |
98 |
64 |
$0.00 |
| 91321 |
|
112 |
110 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
31 |
28 |
$0.00 |
| 94664 |
|
12 |
12 |
$0.00 |
| 99173 |
|
20 |
20 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |
| 91322 |
|
14 |
14 |
$0.00 |
| 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) |
34 |
25 |
$0.00 |