| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,504 |
8,490 |
$584K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,362 |
6,582 |
$327K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,510 |
2,393 |
$216K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,833 |
2,693 |
$172K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
839 |
776 |
$138K |
| 99215 |
Prolong outpt/office vis |
485 |
398 |
$36K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
604 |
476 |
$34K |
| 11102 |
|
422 |
398 |
$19K |
| 17110 |
|
285 |
267 |
$15K |
| 59025 |
Fetal non-stress test |
830 |
636 |
$15K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
453 |
267 |
$14K |
| 99205 |
Prolong outpt/office vis |
92 |
86 |
$10K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
39 |
38 |
$10K |
| 95117 |
|
1,435 |
527 |
$9K |
| 80053 |
Comprehensive metabolic panel |
1,066 |
935 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
241 |
227 |
$7K |
| 95811 |
|
58 |
53 |
$6K |
| 82728 |
|
499 |
479 |
$6K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
99 |
53 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,457 |
1,221 |
$6K |
| 92567 |
|
831 |
787 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,255 |
2,048 |
$5K |
| 80050 |
General health panel |
172 |
160 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
45 |
43 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
60 |
51 |
$5K |
| 92557 |
|
163 |
157 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
166 |
157 |
$4K |
| 87428 |
|
54 |
54 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
670 |
463 |
$3K |
| 80400 |
|
95 |
81 |
$3K |
| 83550 |
|
367 |
350 |
$3K |
| 81025 |
|
394 |
366 |
$3K |
| 73630 |
|
178 |
127 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
325 |
303 |
$2K |
| 83540 |
|
399 |
378 |
$2K |
| 82607 |
|
181 |
173 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
134 |
122 |
$2K |
| 00731 |
|
13 |
13 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
21 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
116 |
106 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
26 |
$1K |
| 17000 |
|
59 |
54 |
$1K |
| 94762 |
|
56 |
54 |
$949.62 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$927.12 |
| 96158 |
|
13 |
12 |
$862.31 |
| 81002 |
|
406 |
369 |
$791.64 |
| 80061 |
Lipid panel |
75 |
75 |
$692.20 |
| 84681 |
|
27 |
26 |
$684.77 |
| 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) |
522 |
495 |
$675.97 |
| 84439 |
|
149 |
137 |
$602.09 |
| 83735 |
|
128 |
100 |
$565.38 |
| 83525 |
|
41 |
40 |
$562.27 |
| 82533 |
|
32 |
29 |
$560.81 |
| 92552 |
|
25 |
25 |
$560.38 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
203 |
186 |
$530.36 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
12 |
$465.67 |
| 84481 |
|
30 |
30 |
$355.91 |
| 92556 |
|
12 |
12 |
$307.51 |
| 95115 |
|
53 |
26 |
$234.82 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$169.34 |
| 84550 |
|
41 |
41 |
$111.58 |
| 85651 |
|
14 |
14 |
$36.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$34.48 |
| 17003 |
|
12 |
12 |
$30.85 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
134 |
77 |
$28.77 |
| 51798 |
|
12 |
12 |
$25.73 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
25 |
24 |
$3.73 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
77 |
39 |
$0.83 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
46 |
25 |
$0.00 |
| 96367 |
|
78 |
40 |
$0.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
22 |
14 |
$0.00 |