| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,064 |
57,890 |
$3.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,132 |
43,603 |
$3.05M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,870 |
9,839 |
$805K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,981 |
5,674 |
$629K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
8,049 |
8,044 |
$601K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,044 |
5,205 |
$426K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,874 |
3,869 |
$425K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,659 |
3,656 |
$270K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,818 |
1,818 |
$267K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,607 |
1,893 |
$256K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,531 |
2,324 |
$249K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,103 |
3,102 |
$244K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
31,344 |
27,803 |
$216K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,165 |
2,163 |
$173K |
| 64721 |
|
433 |
429 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,492 |
1,491 |
$111K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,109 |
4,071 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,251 |
1,251 |
$95K |
| 99215 |
Prolong outpt/office vis |
795 |
605 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,413 |
2,260 |
$83K |
| 76830 |
Ultrasound, transvaginal |
871 |
866 |
$77K |
| 93000 |
|
5,646 |
5,597 |
$72K |
| 76813 |
|
545 |
545 |
$71K |
| 76818 |
|
538 |
308 |
$66K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
454 |
453 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
731 |
722 |
$50K |
| 76801 |
|
343 |
342 |
$46K |
| 90832 |
Psychotherapy, 30 minutes with patient |
944 |
754 |
$41K |
| 99310 |
Prolong nursin fac eval 15m |
613 |
514 |
$40K |
| 99306 |
Prolong nursin fac eval 15m |
421 |
412 |
$40K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
332 |
331 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
474 |
474 |
$38K |
| 90837 |
Psychotherapy, 53 minutes with patient |
435 |
346 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,999 |
2,892 |
$36K |
| 93458 |
|
164 |
162 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,993 |
2,975 |
$29K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
152 |
152 |
$24K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
648 |
371 |
$22K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
484 |
483 |
$20K |
| 99385 |
|
244 |
244 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
556 |
235 |
$20K |
| 90756 |
|
820 |
819 |
$19K |
| 93298 |
|
1,102 |
1,098 |
$19K |
| 99442 |
|
799 |
726 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
255 |
251 |
$17K |
| 90674 |
|
637 |
637 |
$16K |
| 76000 |
|
348 |
339 |
$16K |
| 93295 |
|
406 |
406 |
$13K |
| 94729 |
|
447 |
443 |
$13K |
| 76942 |
|
550 |
542 |
$12K |
| 20610 |
|
245 |
244 |
$12K |
| 93016 |
|
734 |
733 |
$12K |
| 76820 |
|
320 |
195 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
169 |
156 |
$11K |
| 93018 |
|
788 |
786 |
$10K |
| 94727 |
|
416 |
412 |
$10K |
| 90688 |
|
556 |
554 |
$9K |
| 94060 |
|
190 |
189 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
160 |
151 |
$8K |
| 99152 |
|
939 |
904 |
$8K |
| 81025 |
|
3,618 |
3,575 |
$8K |
| 92552 |
|
240 |
239 |
$7K |
| 99406 |
|
749 |
733 |
$7K |
| 92551 |
|
999 |
999 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
108 |
107 |
$6K |
| 76882 |
|
325 |
226 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
26 |
26 |
$6K |
| 85027 |
|
1,810 |
1,523 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
77 |
37 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
4,804 |
4,577 |
$5K |
| 97803 |
|
145 |
136 |
$5K |
| 90715 |
|
96 |
96 |
$4K |
| 59425 |
|
12 |
12 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
188 |
94 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
37 |
37 |
$4K |
| 0011A |
|
151 |
150 |
$4K |
| 99418 |
Prolong nursin fac eval 15m |
60 |
56 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
366 |
365 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$3K |
| 0012A |
|
93 |
93 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
26 |
$3K |
| 94010 |
|
123 |
122 |
$3K |
| 99441 |
|
187 |
179 |
$3K |
| 93307 |
|
74 |
71 |
$2K |
| 64483 |
|
14 |
14 |
$2K |
| 96127 |
|
640 |
634 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
546 |
466 |
$2K |
| 93015 |
|
24 |
24 |
$2K |
| 76821 |
|
20 |
12 |
$2K |
| 90661 |
|
54 |
54 |
$1K |
| 99307 |
|
79 |
55 |
$1K |
| 75574 |
|
16 |
16 |
$1K |
| 93660 |
|
12 |
12 |
$1K |
| 99443 |
|
26 |
26 |
$1K |
| 59025 |
Fetal non-stress test |
23 |
12 |
$1K |
| 93227 |
|
25 |
25 |
$1K |
| 3074F |
|
2,268 |
2,215 |
$1K |
| 72114 |
|
27 |
25 |
$891.08 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
40 |
40 |
$824.61 |
| 93299 |
|
14 |
14 |
$819.49 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
83 |
83 |
$801.75 |
| 99305 |
|
14 |
14 |
$793.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
31 |
$791.68 |
| 99173 |
|
1,349 |
1,348 |
$728.98 |
| 3079F |
|
600 |
594 |
$640.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$587.41 |
| 93296 |
|
89 |
89 |
$585.16 |
| 81003 |
|
280 |
277 |
$521.29 |
| 93294 |
|
25 |
25 |
$507.35 |
| 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) |
111 |
107 |
$459.05 |
| 3078F |
|
987 |
970 |
$440.00 |
| 93297 |
|
20 |
20 |
$393.47 |
| 97802 |
|
15 |
15 |
$342.86 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
69 |
69 |
$325.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$306.23 |
| 51798 |
|
24 |
24 |
$223.94 |
| 93225 |
|
12 |
12 |
$217.57 |
| 86580 |
|
39 |
39 |
$196.36 |
| 87210 |
|
56 |
55 |
$181.32 |
| 94760 |
|
139 |
127 |
$159.87 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
82 |
82 |
$154.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
300 |
296 |
$135.63 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
15 |
$118.96 |
| 81002 |
|
37 |
37 |
$68.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$67.07 |
| 3008F |
|
43,510 |
41,711 |
$50.00 |
| 3044F |
|
13 |
13 |
$40.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
29 |
$34.45 |
| 36416 |
|
318 |
318 |
$26.65 |
| 90686 |
|
716 |
714 |
$20.61 |
| 3075F |
|
25 |
25 |
$20.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
174 |
174 |
$17.54 |
| 90633 |
|
97 |
97 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,557 |
1,521 |
$0.00 |
| 90670 |
|
340 |
335 |
$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) |
1,666 |
1,642 |
$0.00 |
| 99499 |
|
166 |
166 |
$0.00 |
| 99080 |
|
544 |
516 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
60 |
59 |
$0.00 |
| 1124F |
|
24 |
24 |
$0.00 |
| 3077F |
|
15 |
14 |
$0.00 |
| 4004F |
|
232 |
224 |
$0.00 |
| 1160F |
|
94 |
89 |
$0.00 |
| 3016F |
|
85 |
85 |
$0.00 |
| 1159F |
|
109 |
104 |
$0.00 |
| 0518F |
|
15 |
15 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
16 |
16 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 90685 |
|
93 |
91 |
$0.00 |
| 99072 |
|
35 |
35 |
$0.00 |
| 87400 |
|
35 |
34 |
$0.00 |
| 90671 |
|
27 |
27 |
$0.00 |
| 3028F |
|
14 |
14 |
$0.00 |
| 0502F |
|
17 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 1111F |
|
994 |
924 |
$0.00 |
| 1123F |
|
410 |
409 |
$0.00 |
| 99024 |
|
895 |
827 |
$0.00 |
| 36591 |
|
19 |
14 |
$0.00 |
| 90680 |
|
106 |
105 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
42 |
40 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 3080F |
|
25 |
25 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |