| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,578 |
38,889 |
$1.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,697 |
39,142 |
$1.30M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
61,840 |
22,053 |
$1.25M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,360 |
1,238 |
$742K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,541 |
4,910 |
$355K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,662 |
1,766 |
$305K |
| 99233 |
Prolong inpt eval add15 m |
10,469 |
3,856 |
$303K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
6,729 |
5,578 |
$272K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,837 |
2,551 |
$181K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,116 |
2,279 |
$177K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,381 |
5,010 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,968 |
2,557 |
$158K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,779 |
3,368 |
$154K |
| 99215 |
Prolong outpt/office vis |
1,832 |
1,551 |
$134K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,412 |
2,205 |
$121K |
| 76801 |
|
2,126 |
1,892 |
$96K |
| 95951 |
|
374 |
266 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,414 |
3,011 |
$70K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,716 |
1,621 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,798 |
4,250 |
$59K |
| 54150 |
|
475 |
429 |
$57K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,834 |
1,616 |
$54K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14,149 |
11,205 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
1,069 |
895 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,625 |
2,316 |
$43K |
| 95886 |
|
540 |
520 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,101 |
923 |
$37K |
| 59514 |
|
78 |
63 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
447 |
398 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
315 |
297 |
$22K |
| 0002A |
|
1,067 |
1,027 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,953 |
4,963 |
$19K |
| 0001A |
|
1,075 |
1,041 |
$18K |
| 95819 |
|
319 |
281 |
$17K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,152 |
545 |
$17K |
| 95718 |
|
181 |
164 |
$15K |
| 76818 |
|
271 |
172 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,814 |
2,797 |
$13K |
| 95913 |
|
73 |
71 |
$12K |
| 99219 |
|
262 |
249 |
$10K |
| 87428 |
|
546 |
461 |
$9K |
| 99221 |
|
304 |
259 |
$9K |
| 96161 |
|
1,140 |
858 |
$8K |
| 92928 |
|
33 |
25 |
$7K |
| 92551 |
|
866 |
808 |
$7K |
| 93000 |
|
936 |
860 |
$6K |
| 95909 |
|
85 |
84 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
133 |
120 |
$5K |
| 99205 |
Prolong outpt/office vis |
75 |
60 |
$5K |
| 90686 |
|
2,131 |
1,932 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
357 |
312 |
$4K |
| 59025 |
Fetal non-stress test |
338 |
288 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
447 |
400 |
$4K |
| 93015 |
|
116 |
105 |
$4K |
| 95911 |
|
29 |
27 |
$4K |
| 99381 |
|
73 |
53 |
$3K |
| 0004A |
|
197 |
193 |
$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) |
3,383 |
3,040 |
$3K |
| 90682 |
|
92 |
83 |
$3K |
| 11721 |
|
478 |
456 |
$3K |
| 90473 |
|
281 |
254 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
676 |
586 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
116 |
$2K |
| 81002 |
|
5,677 |
2,212 |
$2K |
| 93454 |
|
13 |
12 |
$2K |
| 0003A |
|
154 |
146 |
$2K |
| 95713 |
|
17 |
13 |
$2K |
| 87807 |
|
196 |
154 |
$2K |
| 98960 |
|
629 |
234 |
$2K |
| 99225 |
|
62 |
56 |
$1K |
| 81025 |
|
369 |
304 |
$1K |
| 99173 |
|
1,030 |
856 |
$1K |
| 85018 |
|
865 |
648 |
$1K |
| 90474 |
|
193 |
160 |
$1K |
| 95910 |
|
13 |
13 |
$1K |
| 95953 |
|
23 |
12 |
$1K |
| 99051 |
|
140 |
115 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
232 |
206 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
69 |
33 |
$1K |
| 95816 |
|
25 |
25 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
640 |
496 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$933.10 |
| 69210 |
|
38 |
32 |
$888.16 |
| 82962 |
|
855 |
709 |
$876.30 |
| 0071A |
|
23 |
17 |
$841.80 |
| 95251 |
|
55 |
53 |
$807.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
450 |
367 |
$670.88 |
| 0072A |
|
16 |
13 |
$641.66 |
| 76820 |
|
17 |
12 |
$592.06 |
| 92250 |
|
51 |
47 |
$588.98 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
28 |
13 |
$543.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,065 |
954 |
$515.50 |
| 94010 |
|
120 |
113 |
$397.54 |
| 99152 |
|
126 |
107 |
$339.04 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
31 |
25 |
$331.51 |
| 99442 |
|
326 |
227 |
$237.70 |
| 93244 |
|
13 |
13 |
$235.43 |
| 90688 |
|
17 |
16 |
$232.03 |
| 90673 |
|
51 |
47 |
$185.48 |
| 80061 |
Lipid panel |
32 |
28 |
$179.04 |
| 93016 |
|
13 |
12 |
$168.70 |
| 96380 |
|
19 |
12 |
$166.75 |
| 99441 |
|
198 |
146 |
$134.71 |
| 93242 |
|
13 |
13 |
$132.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$129.28 |
| 93018 |
|
13 |
12 |
$111.80 |
| 80305 |
|
24 |
15 |
$78.54 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
265 |
264 |
$76.66 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
13 |
12 |
$69.37 |
| 90670 |
|
2,179 |
1,821 |
$68.75 |
| 86308 |
|
19 |
17 |
$61.80 |
| 94760 |
|
203 |
165 |
$51.86 |
| 90680 |
|
1,324 |
1,069 |
$38.75 |
| 90723 |
|
1,420 |
1,146 |
$37.25 |
| 91300 |
|
1,155 |
983 |
$37.08 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
12 |
$31.59 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
30 |
$25.80 |
| 99406 |
|
31 |
29 |
$14.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
51 |
$13.67 |
| 90647 |
|
1,307 |
1,102 |
$12.25 |
| 90633 |
|
406 |
362 |
$0.01 |
| 99072 |
|
11,877 |
8,712 |
$0.00 |
| 90685 |
|
343 |
303 |
$0.00 |
| 90671 |
|
17 |
13 |
$0.00 |
| 90662 |
|
87 |
78 |
$0.00 |
| 99024 |
|
2,325 |
1,506 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
300 |
285 |
$0.00 |
| 90656 |
|
302 |
228 |
$0.00 |
| 90697 |
|
17 |
12 |
$0.00 |
| 91307 |
|
55 |
37 |
$0.00 |
| 0503F |
|
17 |
15 |
$0.00 |