| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116,347 |
106,057 |
$9.71M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
94,957 |
43,114 |
$3.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,610 |
38,763 |
$2.57M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17,805 |
17,115 |
$1.85M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
5,526 |
4,171 |
$1.27M |
| 99233 |
Prolong inpt eval add15 m |
28,799 |
13,337 |
$1.18M |
| 99223 |
Prolong inpt eval add15 m |
8,994 |
8,560 |
$689K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,844 |
7,546 |
$671K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,192 |
11,036 |
$645K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,853 |
8,541 |
$548K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,910 |
4,739 |
$475K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,886 |
4,826 |
$383K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
7,841 |
7,335 |
$362K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,727 |
5,326 |
$328K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,466 |
6,122 |
$223K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,849 |
6,497 |
$212K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,200 |
4,818 |
$207K |
| 29581 |
|
4,742 |
2,283 |
$182K |
| 59426 |
|
317 |
210 |
$174K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,894 |
4,756 |
$172K |
| 99220 |
|
2,354 |
2,282 |
$164K |
| 59025 |
Fetal non-stress test |
6,740 |
3,592 |
$153K |
| 76813 |
|
2,964 |
2,927 |
$131K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
25,942 |
19,286 |
$129K |
| 76801 |
|
3,537 |
3,461 |
$121K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,128 |
3,604 |
$121K |
| 99215 |
Prolong outpt/office vis |
1,490 |
1,387 |
$114K |
| S9083 |
Global fee urgent care centers |
2,137 |
1,792 |
$111K |
| 93000 |
|
12,276 |
11,507 |
$107K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,051 |
2,886 |
$97K |
| 59425 |
|
251 |
203 |
$87K |
| 93925 |
|
583 |
526 |
$61K |
| 88307 |
|
823 |
779 |
$53K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
505 |
254 |
$52K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
278 |
277 |
$47K |
| 99225 |
|
2,606 |
2,275 |
$43K |
| 99205 |
Prolong outpt/office vis |
376 |
356 |
$40K |
| 99221 |
|
724 |
696 |
$39K |
| 99219 |
|
755 |
739 |
$38K |
| 99217 |
|
2,110 |
2,064 |
$36K |
| 95816 |
|
529 |
492 |
$35K |
| 93970 |
|
245 |
233 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,669 |
2,549 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
618 |
616 |
$22K |
| 95800 |
|
215 |
169 |
$19K |
| 76818 |
|
381 |
280 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
311 |
310 |
$16K |
| 92557 |
|
1,018 |
937 |
$16K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
55 |
25 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
308 |
300 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
809 |
786 |
$14K |
| 99201 |
|
289 |
286 |
$14K |
| 88312 |
|
676 |
639 |
$13K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
742 |
390 |
$13K |
| 99152 |
|
819 |
702 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,784 |
5,472 |
$11K |
| 99226 |
|
525 |
469 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
325 |
319 |
$10K |
| 88342 |
|
440 |
417 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
677 |
426 |
$10K |
| 97802 |
|
900 |
830 |
$10K |
| 99255 |
|
65 |
65 |
$9K |
| 97803 |
|
1,224 |
1,085 |
$7K |
| 93298 |
|
669 |
625 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,385 |
11,651 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
558 |
539 |
$6K |
| 93458 |
|
40 |
40 |
$6K |
| 88304 |
|
688 |
651 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
115 |
$6K |
| 92567 |
|
1,055 |
980 |
$6K |
| 93015 |
|
109 |
100 |
$5K |
| 76820 |
|
270 |
184 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
39 |
39 |
$5K |
| 87428 |
|
6,011 |
5,627 |
$5K |
| 95886 |
|
48 |
42 |
$5K |
| 99497 |
|
397 |
302 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
428 |
151 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
343 |
82 |
$4K |
| 92588 |
|
241 |
227 |
$4K |
| 93296 |
|
470 |
421 |
$3K |
| J2785 |
Injection, regadenoson, 0.1 mg |
24 |
24 |
$3K |
| 95251 |
|
159 |
146 |
$3K |
| 95819 |
|
51 |
44 |
$3K |
| 64483 |
|
14 |
14 |
$3K |
| 31575 |
|
30 |
29 |
$2K |
| 95885 |
|
42 |
42 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
55 |
50 |
$2K |
| 99305 |
|
144 |
128 |
$2K |
| 99442 |
|
363 |
353 |
$2K |
| 90461 |
|
141 |
139 |
$2K |
| 93880 |
|
27 |
25 |
$2K |
| 99348 |
|
91 |
79 |
$2K |
| 81002 |
|
8,352 |
7,926 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$2K |
| 90715 |
|
677 |
614 |
$2K |
| 99454 |
|
232 |
212 |
$2K |
| 31231 |
|
12 |
12 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
2,468 |
2,375 |
$2K |
| 51798 |
|
150 |
146 |
$1K |
| 90686 |
|
264 |
258 |
$1K |
| 73630 |
|
1,760 |
1,680 |
$1K |
| 99253 |
|
14 |
14 |
$1K |
| 99457 |
|
158 |
146 |
$1K |
| 99441 |
|
1,361 |
1,343 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22 |
21 |
$1K |
| 73610 |
|
1,762 |
1,690 |
$1K |
| 93246 |
|
134 |
126 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,050 |
973 |
$1K |
| 97804 |
|
30 |
30 |
$1K |
| 93248 |
|
81 |
78 |
$1K |
| 73110 |
|
771 |
736 |
$1K |
| 73130 |
|
977 |
913 |
$1K |
| 73140 |
|
837 |
787 |
$1K |
| 99406 |
|
105 |
95 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,314 |
2,004 |
$991.28 |
| 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) |
584 |
539 |
$960.65 |
| 81025 |
|
5,203 |
4,913 |
$892.73 |
| 99199 |
Unlisted special service, procedure or report |
34 |
12 |
$880.86 |
| 99349 |
|
29 |
26 |
$870.11 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
19 |
14 |
$829.01 |
| 76825 |
|
12 |
12 |
$816.06 |
| 99385 |
|
14 |
14 |
$780.04 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
61 |
55 |
$778.12 |
| 92550 |
|
299 |
279 |
$762.56 |
| 93798 |
|
94 |
13 |
$762.40 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$742.90 |
| J1756 |
Injection, iron sucrose, 1 mg |
30 |
12 |
$735.17 |
| 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) |
29 |
26 |
$691.51 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
988 |
930 |
$678.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,389 |
1,197 |
$627.43 |
| 93308 |
|
45 |
39 |
$503.08 |
| 92015 |
Determination of refractive state |
52 |
48 |
$493.94 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
12 |
12 |
$432.00 |
| 90473 |
|
52 |
52 |
$426.75 |
| 69210 |
|
42 |
31 |
$414.29 |
| 90700 |
|
165 |
158 |
$398.68 |
| 12001 |
|
76 |
75 |
$396.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$387.60 |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
640 |
613 |
$364.00 |
| 93228 |
|
55 |
53 |
$342.20 |
| 99443 |
|
43 |
42 |
$323.20 |
| 93295 |
|
12 |
12 |
$313.73 |
| 99458 |
|
34 |
31 |
$304.86 |
| 76827 |
|
12 |
12 |
$295.48 |
| 99153 |
Mod sedat endo service >5yrs |
41 |
28 |
$279.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
207 |
155 |
$276.91 |
| 93018 |
|
39 |
38 |
$274.71 |
| 93016 |
|
66 |
64 |
$270.50 |
| 73562 |
|
1,061 |
999 |
$259.01 |
| 51701 |
|
14 |
12 |
$248.88 |
| 73080 |
|
60 |
55 |
$240.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,497 |
3,209 |
$171.94 |
| 90672 |
|
28 |
27 |
$165.35 |
| L3923 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
514 |
483 |
$162.46 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
29 |
26 |
$158.28 |
| 10060 |
|
64 |
60 |
$146.00 |
| 73030 |
|
273 |
261 |
$144.67 |
| 29125 |
|
55 |
51 |
$144.00 |
| 90474 |
|
12 |
12 |
$138.00 |
| 90713 |
|
13 |
12 |
$116.22 |
| 90648 |
|
73 |
70 |
$110.98 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
53 |
$110.68 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
339 |
321 |
$101.26 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
668 |
625 |
$97.00 |
| 76642 |
|
26 |
24 |
$62.33 |
| 99453 |
|
12 |
12 |
$59.48 |
| G0008 |
Administration of influenza virus vaccine |
17 |
13 |
$57.92 |
| L3260 |
Surgical boot/shoe, each |
477 |
456 |
$44.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
487 |
453 |
$42.60 |
| 29515 |
|
31 |
31 |
$42.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
74 |
67 |
$33.01 |
| 82962 |
|
414 |
378 |
$30.64 |
| 93325 |
|
12 |
12 |
$30.03 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
1,541 |
1,469 |
$26.75 |
| 88150 |
|
20 |
20 |
$26.36 |
| 71101 |
|
12 |
12 |
$25.00 |
| 69209 |
|
229 |
207 |
$23.83 |
| 96160 |
|
13 |
12 |
$23.49 |
| 90656 |
|
17 |
17 |
$20.44 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
450 |
401 |
$17.00 |
| 73660 |
|
18 |
17 |
$15.00 |
| 93294 |
|
13 |
13 |
$14.34 |
| 87807 |
|
512 |
488 |
$12.02 |
| A4565 |
Slings |
207 |
200 |
$12.00 |
| 82948 |
|
75 |
71 |
$11.52 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
716 |
374 |
$6.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
226 |
190 |
$4.86 |
| 86308 |
|
297 |
287 |
$3.00 |
| 3078F |
|
1,604 |
1,430 |
$2.00 |
| 3074F |
|
1,328 |
1,210 |
$2.00 |
| 0502F |
|
5,068 |
3,905 |
$0.00 |
| 3077F |
|
139 |
128 |
$0.00 |
| 72100 |
|
13 |
12 |
$0.00 |
| A9273 |
Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type |
38 |
38 |
$0.00 |
| 3075F |
|
54 |
51 |
$0.00 |
| 36416 |
|
315 |
303 |
$0.00 |
| 99024 |
|
19 |
16 |
$0.00 |
| 0503F |
|
158 |
144 |
$0.00 |
| 3079F |
|
97 |
93 |
$0.00 |
| 99070 |
|
120 |
108 |
$0.00 |
| L3808 |
Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment |
40 |
37 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |