| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125,613 |
112,835 |
$5.26M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
112,057 |
32,759 |
$5.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90,314 |
82,747 |
$4.89M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
55,511 |
51,271 |
$4.46M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
89,739 |
82,995 |
$4.25M |
| 99233 |
Prolong inpt eval add15 m |
32,908 |
13,475 |
$2.17M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25,473 |
24,225 |
$1.99M |
| 99223 |
Prolong inpt eval add15 m |
18,711 |
14,676 |
$1.85M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
56,617 |
52,867 |
$1.73M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
12,227 |
5,420 |
$1.63M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25,297 |
24,006 |
$1.33M |
| 99222 |
Initial hospital care, per day, moderate complexity |
15,421 |
11,873 |
$1.17M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27,562 |
25,803 |
$1.07M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,780 |
8,209 |
$975K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
33,696 |
17,929 |
$825K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
151,703 |
113,585 |
$818K |
| 99215 |
Prolong outpt/office vis |
8,944 |
8,102 |
$706K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
10,863 |
9,934 |
$698K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
4,421 |
4,321 |
$447K |
| 99205 |
Prolong outpt/office vis |
4,302 |
4,127 |
$439K |
| 43282 |
|
491 |
441 |
$421K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,759 |
7,330 |
$359K |
| 88307 |
|
5,806 |
4,753 |
$338K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
11,390 |
4,801 |
$326K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,025 |
3,852 |
$299K |
| 99221 |
|
5,377 |
4,861 |
$288K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,622 |
10,592 |
$272K |
| 93458 |
|
1,455 |
1,282 |
$259K |
| 00840 |
|
2,142 |
2,063 |
$244K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
337 |
318 |
$215K |
| 00731 |
|
3,901 |
3,695 |
$214K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
3,364 |
3,038 |
$194K |
| 00790 |
|
1,345 |
1,248 |
$171K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,389 |
4,133 |
$168K |
| 88342 |
|
7,364 |
6,151 |
$165K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,040 |
1,962 |
$162K |
| 01961 |
|
1,496 |
1,451 |
$146K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,709 |
1,902 |
$146K |
| 00797 |
|
949 |
922 |
$139K |
| 47562 |
|
354 |
313 |
$128K |
| 93880 |
|
4,955 |
4,653 |
$127K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,149 |
2,802 |
$127K |
| 43775 |
|
356 |
332 |
$127K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,277 |
3,967 |
$120K |
| 93970 |
|
5,026 |
4,548 |
$118K |
| 99220 |
|
1,220 |
1,148 |
$114K |
| 95951 |
|
544 |
276 |
$112K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,359 |
877 |
$105K |
| 01922 |
|
1,041 |
970 |
$90K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,629 |
1,599 |
$88K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
731 |
706 |
$82K |
| 75574 |
|
1,127 |
1,072 |
$80K |
| 20610 |
|
2,098 |
1,763 |
$80K |
| 59514 |
|
99 |
96 |
$78K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
486 |
464 |
$77K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,119 |
1,881 |
$75K |
| 00400 |
|
1,039 |
920 |
$71K |
| 99217 |
|
1,825 |
1,739 |
$70K |
| 99219 |
|
939 |
896 |
$69K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
849 |
835 |
$65K |
| 31500 |
|
695 |
610 |
$63K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,555 |
1,459 |
$63K |
| 88341 |
|
3,774 |
943 |
$62K |
| 10060 |
|
865 |
781 |
$54K |
| 99460 |
|
934 |
888 |
$54K |
| 95886 |
|
1,018 |
810 |
$53K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
476 |
450 |
$51K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
400 |
351 |
$50K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,476 |
3,311 |
$50K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
420 |
408 |
$45K |
| 99225 |
|
1,111 |
781 |
$43K |
| 59430 |
|
270 |
262 |
$43K |
| 93922 |
|
4,033 |
3,720 |
$42K |
| 95813 |
|
596 |
575 |
$41K |
| 00813 |
|
520 |
504 |
$41K |
| 88304 |
|
4,191 |
3,841 |
$40K |
| 99234 |
|
507 |
487 |
$37K |
| 95816 |
|
1,040 |
955 |
$37K |
| 00300 |
|
393 |
374 |
$37K |
| 93295 |
|
2,190 |
2,046 |
$37K |
| 36556 |
|
690 |
604 |
$36K |
| 93971 |
|
3,028 |
2,766 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
672 |
654 |
$36K |
| 93016 |
|
2,053 |
1,923 |
$34K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
438 |
416 |
$34K |
| 99218 |
|
591 |
563 |
$34K |
| 93312 |
|
462 |
437 |
$32K |
| 00811 |
|
530 |
513 |
$31K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,040 |
464 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,204 |
1,057 |
$29K |
| 93925 |
|
1,210 |
1,148 |
$29K |
| 95720 |
|
190 |
109 |
$28K |
| 88187 |
|
1,317 |
1,256 |
$28K |
| 99442 |
|
4,793 |
4,507 |
$27K |
| 59025 |
Fetal non-stress test |
1,537 |
776 |
$27K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
123 |
116 |
$27K |
| 92928 |
|
78 |
67 |
$27K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,389 |
1,124 |
$27K |
| 12001 |
|
922 |
882 |
$27K |
| 00920 |
|
382 |
366 |
$26K |
| 93018 |
|
2,022 |
1,900 |
$25K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,395 |
1,288 |
$25K |
| 76825 |
|
509 |
473 |
$25K |
| T2023 |
Targeted case management; per month |
671 |
655 |
$23K |
| 01480 |
|
263 |
245 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,257 |
772 |
$22K |
| 81003 |
|
2,142 |
1,992 |
$21K |
| 00910 |
|
381 |
365 |
$21K |
| 85060 |
|
1,422 |
1,279 |
$21K |
| 90791 |
Psychiatric diagnostic evaluation |
209 |
203 |
$20K |
| 31575 |
|
460 |
419 |
$20K |
| 69210 |
|
729 |
644 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
280 |
269 |
$18K |
| 00952 |
|
290 |
283 |
$17K |
| 99409 |
|
759 |
674 |
$17K |
| 43235 |
|
253 |
238 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
690 |
684 |
$17K |
| 93298 |
|
1,049 |
938 |
$17K |
| 88173 |
|
368 |
301 |
$16K |
| 12011 |
|
425 |
400 |
$16K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
273 |
250 |
$15K |
| 52356 |
|
56 |
54 |
$15K |
| 64615 |
|
176 |
170 |
$15K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
503 |
497 |
$15K |
| 99443 |
|
1,305 |
1,218 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,079 |
1,009 |
$15K |
| 93294 |
|
1,389 |
1,296 |
$14K |
| 81514 |
|
67 |
67 |
$14K |
| 12002 |
|
333 |
308 |
$14K |
| 99406 |
|
2,035 |
1,915 |
$13K |
| 88141 |
|
1,195 |
1,171 |
$13K |
| 01810 |
|
151 |
144 |
$12K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,244 |
1,076 |
$11K |
| 76830 |
Ultrasound, transvaginal |
566 |
517 |
$11K |
| 92133 |
|
835 |
793 |
$11K |
| 93978 |
|
521 |
489 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
392 |
356 |
$11K |
| 93926 |
|
791 |
702 |
$11K |
| 97802 |
|
1,177 |
319 |
$11K |
| 99140 |
|
455 |
398 |
$11K |
| 94726 |
|
1,518 |
1,486 |
$11K |
| 99235 |
|
113 |
107 |
$10K |
| 88112 |
|
490 |
420 |
$10K |
| 99152 |
|
1,205 |
1,110 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
418 |
202 |
$10K |
| 58571 |
|
15 |
15 |
$9K |
| 92083 |
|
511 |
492 |
$9K |
| 94729 |
|
1,668 |
1,630 |
$9K |
| 99226 |
|
159 |
124 |
$9K |
| 76827 |
|
513 |
469 |
$9K |
| 93308 |
|
543 |
452 |
$9K |
| 88311 |
|
1,096 |
834 |
$8K |
| 99462 |
|
307 |
159 |
$8K |
| 94010 |
|
1,546 |
1,496 |
$8K |
| 76820 |
|
550 |
284 |
$8K |
| 99441 |
|
1,746 |
1,655 |
$8K |
| 95819 |
|
162 |
157 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,014 |
868 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
113 |
99 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
256 |
239 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
256 |
239 |
$7K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
25 |
25 |
$7K |
| 31231 |
|
73 |
55 |
$6K |
| D7140 |
Extraction, erupted tooth or exposed root |
79 |
12 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
273 |
258 |
$6K |
| 76937 |
|
760 |
635 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
443 |
422 |
$6K |
| 93272 |
|
405 |
388 |
$6K |
| 44970 |
|
14 |
14 |
$6K |
| 99292 |
|
87 |
59 |
$6K |
| 99408 |
|
318 |
147 |
$6K |
| 93976 |
|
230 |
143 |
$5K |
| 93882 |
|
356 |
335 |
$5K |
| 92978 |
|
86 |
74 |
$5K |
| 95913 |
|
55 |
54 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
822 |
766 |
$5K |
| 93660 |
|
75 |
75 |
$5K |
| 99224 |
|
202 |
146 |
$5K |
| 88302 |
|
1,077 |
836 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
128 |
77 |
$4K |
| 80053 |
Comprehensive metabolic panel |
672 |
638 |
$4K |
| 29125 |
|
196 |
165 |
$4K |
| 94060 |
|
607 |
590 |
$4K |
| 73610 |
|
200 |
190 |
$4K |
| 00918 |
|
45 |
40 |
$4K |
| 88360 |
|
146 |
123 |
$4K |
| 73130 |
|
264 |
244 |
$4K |
| 87070 |
|
612 |
551 |
$4K |
| 95953 |
|
24 |
15 |
$4K |
| 54150 |
|
56 |
53 |
$3K |
| 73630 |
|
253 |
238 |
$3K |
| 93244 |
|
228 |
221 |
$3K |
| 92134 |
|
199 |
195 |
$3K |
| 52000 |
|
64 |
60 |
$3K |
| 88189 |
|
55 |
50 |
$3K |
| 95718 |
|
31 |
26 |
$3K |
| 93000 |
|
187 |
179 |
$3K |
| 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) |
1,306 |
1,231 |
$3K |
| 87186 |
|
395 |
353 |
$3K |
| 88312 |
|
152 |
82 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
279 |
272 |
$2K |
| 90836 |
|
39 |
29 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
114 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
14 |
12 |
$2K |
| 58300 |
|
64 |
63 |
$2K |
| 95811 |
|
27 |
24 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
446 |
419 |
$2K |
| 93227 |
|
186 |
180 |
$2K |
| 73110 |
|
88 |
79 |
$2K |
| 36620 |
|
59 |
51 |
$2K |
| 80061 |
Lipid panel |
216 |
210 |
$2K |
| 76818 |
|
61 |
25 |
$2K |
| 00126 |
|
25 |
25 |
$2K |
| 73564 |
|
44 |
42 |
$2K |
| 10061 |
|
13 |
12 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
160 |
152 |
$1K |
| 95911 |
|
17 |
15 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
704 |
633 |
$1K |
| 52310 |
|
14 |
13 |
$1K |
| 92567 |
|
17 |
17 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
256 |
239 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
159 |
140 |
$1K |
| 01830 |
|
14 |
13 |
$1K |
| 51798 |
|
86 |
73 |
$1K |
| 52332 |
|
12 |
12 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
28 |
25 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16 |
15 |
$1K |
| 95806 |
|
38 |
37 |
$985.35 |
| 62270 |
|
32 |
29 |
$978.35 |
| 93975 |
|
27 |
26 |
$929.35 |
| 88300 |
|
401 |
376 |
$927.46 |
| 81025 |
|
140 |
132 |
$920.94 |
| 96127 |
|
600 |
565 |
$908.55 |
| 93623 |
|
15 |
12 |
$863.10 |
| 00532 |
|
12 |
12 |
$862.60 |
| 85027 |
|
185 |
173 |
$831.24 |
| 99385 |
|
13 |
13 |
$806.93 |
| 88108 |
|
57 |
43 |
$806.25 |
| 01965 |
|
14 |
14 |
$789.96 |
| 00812 |
|
13 |
12 |
$726.40 |
| 90686 |
|
54 |
52 |
$649.01 |
| 95251 |
|
289 |
265 |
$624.63 |
| 73140 |
|
15 |
12 |
$579.20 |
| 87205 |
|
164 |
152 |
$528.24 |
| 88313 |
|
62 |
19 |
$491.30 |
| 27096 |
|
17 |
12 |
$438.48 |
| 93571 |
|
15 |
14 |
$436.67 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
76 |
73 |
$423.83 |
| 93228 |
|
43 |
41 |
$394.65 |
| 76801 |
|
12 |
12 |
$372.68 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
169 |
162 |
$361.62 |
| 93297 |
|
57 |
51 |
$326.52 |
| 99307 |
|
60 |
60 |
$295.59 |
| 75565 |
|
39 |
37 |
$275.53 |
| 87077 |
|
42 |
37 |
$262.24 |
| 80305 |
|
12 |
12 |
$259.47 |
| 78264 |
|
16 |
16 |
$232.11 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$225.10 |
| 73030 |
|
13 |
13 |
$219.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
25 |
$208.10 |
| 90656 |
|
21 |
19 |
$181.04 |
| 3078F |
|
3,726 |
3,319 |
$90.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
51 |
$84.74 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$66.26 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
107 |
93 |
$65.56 |
| 93225 |
|
13 |
13 |
$49.76 |
| 3079F |
|
1,985 |
1,856 |
$0.48 |
| 3080F |
|
1,111 |
1,043 |
$0.24 |
| 3044F |
|
638 |
530 |
$0.09 |
| 3074F |
|
3,644 |
3,215 |
$0.06 |
| 3051F |
|
222 |
182 |
$0.05 |
| 3077F |
|
1,838 |
1,697 |
$0.03 |
| 3046F |
|
215 |
164 |
$0.01 |
| 3075F |
|
1,423 |
1,367 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| 3725F |
|
15 |
13 |
$0.00 |
| 1159F |
|
13 |
12 |
$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) |
293 |
278 |
$0.00 |
| 1160F |
|
13 |
12 |
$0.00 |
| 99459 |
|
34 |
33 |
$0.00 |
| 3008F |
|
961 |
835 |
$0.00 |
| 1034F |
|
267 |
222 |
$0.00 |
| 3052F |
|
101 |
92 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,181 |
3,008 |
$0.00 |
| 1036F |
|
639 |
533 |
$0.00 |
| 1111F |
|
1,227 |
1,177 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
2,062 |
1,941 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
575 |
544 |
$0.00 |
| 99024 |
|
13 |
12 |
$0.00 |
| 1035F |
|
22 |
21 |
$0.00 |