| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156,081 |
129,464 |
$8.97M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,335 |
79,167 |
$3.87M |
| 99233 |
Prolong inpt eval add15 m |
34,580 |
11,428 |
$851K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
27,108 |
9,943 |
$470K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
6,538 |
5,035 |
$395K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,986 |
4,347 |
$383K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18,327 |
15,882 |
$358K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
21,776 |
7,341 |
$294K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,361 |
6,293 |
$262K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
18,219 |
15,789 |
$257K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
4,428 |
2,229 |
$244K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,239 |
4,553 |
$239K |
| 76641 |
|
12,583 |
6,883 |
$238K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
10,209 |
8,592 |
$235K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,519 |
1,669 |
$233K |
| 93000 |
|
30,281 |
24,060 |
$231K |
| 99243 |
|
2,956 |
2,725 |
$226K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,526 |
3,473 |
$198K |
| 95912 |
|
2,025 |
1,643 |
$196K |
| 0002A |
|
5,252 |
4,980 |
$185K |
| 0001A |
|
5,547 |
5,151 |
$183K |
| 99223 |
Prolong inpt eval add15 m |
3,514 |
2,854 |
$183K |
| 99215 |
Prolong outpt/office vis |
3,609 |
2,710 |
$181K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,273 |
1,991 |
$179K |
| 20552 |
|
8,269 |
6,243 |
$175K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
51,953 |
41,316 |
$160K |
| 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 |
3,517 |
2,751 |
$154K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,722 |
3,429 |
$149K |
| 11043 |
|
3,265 |
1,151 |
$146K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,630 |
3,807 |
$145K |
| 76818 |
|
3,351 |
1,693 |
$141K |
| 97810 |
|
12,426 |
8,857 |
$134K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,248 |
1,185 |
$132K |
| 64615 |
|
2,494 |
2,228 |
$123K |
| 95886 |
|
2,099 |
1,690 |
$119K |
| 76830 |
Ultrasound, transvaginal |
3,666 |
3,229 |
$112K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
901 |
853 |
$107K |
| 20611 |
|
3,852 |
2,764 |
$103K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,589 |
3,733 |
$97K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,220 |
5,966 |
$97K |
| 99242 |
|
1,644 |
1,481 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
802 |
730 |
$83K |
| 76801 |
|
1,914 |
1,685 |
$76K |
| 71045 |
Radiologic examination, chest; single view |
22,679 |
17,908 |
$75K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
696 |
604 |
$62K |
| 27096 |
|
2,009 |
1,599 |
$61K |
| 93975 |
|
1,302 |
1,165 |
$58K |
| 11044 |
|
1,069 |
328 |
$55K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,642 |
2,275 |
$50K |
| 64493 |
|
1,158 |
861 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
405 |
377 |
$45K |
| 93298 |
|
5,200 |
3,916 |
$45K |
| 76813 |
|
1,598 |
1,422 |
$44K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
768 |
686 |
$44K |
| 99205 |
Prolong outpt/office vis |
372 |
334 |
$43K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,463 |
2,951 |
$43K |
| 76642 |
|
2,609 |
2,002 |
$40K |
| 99464 |
|
700 |
648 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
8,156 |
7,053 |
$39K |
| 20610 |
|
1,738 |
1,383 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
521 |
465 |
$34K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
793 |
669 |
$34K |
| 0003A |
|
944 |
882 |
$33K |
| 77065 |
Tomosynthesis, mammo |
1,752 |
1,343 |
$32K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
230 |
223 |
$30K |
| 0012A |
|
906 |
838 |
$30K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
202 |
193 |
$29K |
| 64494 |
|
1,159 |
863 |
$28K |
| 99460 |
|
577 |
553 |
$27K |
| 93299 |
|
733 |
389 |
$26K |
| 0011A |
|
846 |
763 |
$25K |
| 99254 |
|
285 |
254 |
$23K |
| 99385 |
|
186 |
165 |
$23K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
882 |
743 |
$22K |
| 64495 |
|
921 |
663 |
$21K |
| 64405 |
|
479 |
348 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
620 |
577 |
$21K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
181 |
161 |
$21K |
| 0004A |
|
526 |
521 |
$20K |
| 93296 |
|
3,038 |
2,191 |
$19K |
| 99462 |
|
771 |
658 |
$19K |
| 76536 |
|
1,701 |
1,471 |
$19K |
| 51701 |
|
625 |
546 |
$17K |
| 93976 |
|
872 |
580 |
$17K |
| 90682 |
|
633 |
489 |
$17K |
| 0072A |
|
431 |
424 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
411 |
375 |
$17K |
| 99490 |
Ccm add 20min |
1,155 |
939 |
$17K |
| 96127 |
|
824 |
800 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
457 |
413 |
$16K |
| 0071A |
|
437 |
411 |
$16K |
| 77061 |
|
1,092 |
888 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,098 |
2,530 |
$13K |
| 73562 |
|
3,032 |
2,408 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,239 |
687 |
$12K |
| 92586 |
|
299 |
261 |
$12K |
| 73630 |
|
2,868 |
2,405 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
480 |
397 |
$11K |
| 93295 |
|
927 |
633 |
$11K |
| 11721 |
|
2,149 |
1,699 |
$11K |
| 0064A |
|
329 |
283 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
560 |
457 |
$10K |
| 52000 |
|
244 |
198 |
$10K |
| 94010 |
|
1,902 |
1,490 |
$10K |
| 29515 |
|
326 |
291 |
$9K |
| 97811 |
|
916 |
394 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
865 |
390 |
$9K |
| 73030 |
|
2,397 |
1,990 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
752 |
684 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
302 |
270 |
$9K |
| 99386 |
|
59 |
57 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
600 |
482 |
$9K |
| 76942 |
|
188 |
165 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
229 |
206 |
$9K |
| 76770 |
|
695 |
540 |
$8K |
| 20553 |
|
261 |
175 |
$8K |
| 51798 |
|
1,517 |
1,231 |
$8K |
| 71250 |
|
500 |
427 |
$8K |
| 90686 |
|
1,632 |
1,491 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$7K |
| 93016 |
|
844 |
752 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
195 |
146 |
$7K |
| 81025 |
|
1,314 |
1,168 |
$7K |
| 99220 |
|
166 |
134 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
303 |
276 |
$6K |
| 81003 |
|
8,999 |
6,912 |
$6K |
| 64505 |
|
170 |
123 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
200 |
184 |
$6K |
| 93971 |
|
766 |
661 |
$6K |
| 95816 |
|
310 |
247 |
$6K |
| 77066 |
Tomosynthesis, mammo |
294 |
247 |
$6K |
| 77080 |
|
1,329 |
1,164 |
$6K |
| 95806 |
|
122 |
114 |
$6K |
| 29125 |
|
287 |
194 |
$6K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
958 |
767 |
$6K |
| 80305 |
|
1,321 |
1,129 |
$6K |
| 0031A |
|
189 |
180 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
200 |
173 |
$6K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
86 |
27 |
$6K |
| 94726 |
|
1,147 |
1,015 |
$5K |
| 99442 |
|
184 |
159 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
150 |
142 |
$5K |
| 93970 |
|
472 |
404 |
$5K |
| 93018 |
|
842 |
751 |
$5K |
| 51797 |
|
45 |
38 |
$4K |
| 99173 |
|
637 |
615 |
$4K |
| 72110 |
|
697 |
597 |
$4K |
| 96161 |
|
194 |
190 |
$4K |
| 99177 |
|
198 |
194 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
214 |
177 |
$4K |
| 73221 |
|
99 |
96 |
$4K |
| 94729 |
|
1,226 |
1,080 |
$4K |
| 99307 |
|
227 |
184 |
$4K |
| 46600 |
|
94 |
89 |
$4K |
| 51741 |
|
184 |
141 |
$4K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
37 |
13 |
$3K |
| 73130 |
|
815 |
582 |
$3K |
| 77062 |
|
253 |
218 |
$3K |
| 73610 |
|
828 |
715 |
$3K |
| 74018 |
|
903 |
685 |
$3K |
| 20550 |
|
152 |
133 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
31 |
27 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
116 |
$3K |
| 51729 |
|
45 |
38 |
$3K |
| 87210 |
|
810 |
454 |
$3K |
| 70496 |
|
115 |
79 |
$3K |
| 93294 |
|
510 |
371 |
$3K |
| 99152 |
|
465 |
361 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
82 |
66 |
$2K |
| 74183 |
|
60 |
57 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
751 |
607 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
100 |
81 |
$2K |
| 99219 |
|
35 |
31 |
$2K |
| 11057 |
|
187 |
160 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
38 |
$2K |
| 72141 |
|
40 |
40 |
$2K |
| 99241 |
|
53 |
49 |
$2K |
| 70498 |
|
71 |
49 |
$2K |
| 82962 |
|
1,931 |
1,403 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
275 |
124 |
$1K |
| 59025 |
Fetal non-stress test |
54 |
51 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
73 |
35 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
736 |
593 |
$1K |
| 95251 |
|
147 |
127 |
$1K |
| 83986 |
|
499 |
423 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
171 |
140 |
$1K |
| 95811 |
|
13 |
13 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
71 |
29 |
$1K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
470 |
393 |
$1K |
| 96160 |
|
76 |
69 |
$1K |
| 90656 |
|
74 |
74 |
$1K |
| 99235 |
|
14 |
13 |
$1K |
| 76998 |
|
29 |
26 |
$1K |
| 91320 |
|
13 |
13 |
$1K |
| 51784 |
|
44 |
37 |
$1K |
| 0124A |
|
35 |
29 |
$920.00 |
| 73110 |
|
224 |
192 |
$897.12 |
| 99463 |
|
12 |
12 |
$825.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
109 |
104 |
$765.29 |
| 87428 |
|
40 |
34 |
$739.72 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
216 |
176 |
$726.88 |
| 46221 |
|
14 |
12 |
$703.34 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
154 |
134 |
$685.66 |
| 72100 |
|
151 |
123 |
$676.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
541 |
427 |
$641.26 |
| 77092 |
|
577 |
467 |
$638.84 |
| 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) |
189 |
186 |
$636.60 |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
14 |
$632.30 |
| 0073A |
|
16 |
15 |
$600.00 |
| 99292 |
|
16 |
14 |
$575.19 |
| 76825 |
|
13 |
12 |
$548.24 |
| 72197 |
|
13 |
13 |
$529.84 |
| 76376 |
|
180 |
128 |
$503.56 |
| 90671 |
|
13 |
13 |
$492.40 |
| 94618 |
|
88 |
64 |
$437.72 |
| 76820 |
|
24 |
12 |
$368.40 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
210 |
181 |
$362.45 |
| 36416 |
|
110 |
105 |
$360.88 |
| 73502 |
|
83 |
76 |
$355.47 |
| 90480 |
|
13 |
13 |
$320.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$309.90 |
| 99153 |
Mod sedat endo service >5yrs |
45 |
39 |
$301.14 |
| 73140 |
|
68 |
66 |
$250.21 |
| 90662 |
|
32 |
28 |
$237.26 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$212.41 |
| 76870 |
|
12 |
12 |
$209.66 |
| 11056 |
|
31 |
24 |
$199.50 |
| 76827 |
|
13 |
12 |
$189.86 |
| 29540 |
|
12 |
12 |
$186.75 |
| 72070 |
|
45 |
38 |
$169.00 |
| 94060 |
|
28 |
25 |
$138.09 |
| 72050 |
|
18 |
16 |
$108.96 |
| 93291 |
|
30 |
12 |
$106.96 |
| 73080 |
|
28 |
27 |
$106.71 |
| 97535 |
Self-care/home management training, each 15 minutes |
73 |
49 |
$71.68 |
| 73564 |
|
29 |
13 |
$65.00 |
| 73560 |
|
13 |
12 |
$56.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
144 |
108 |
$52.21 |
| 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 |
25 |
$42.28 |
| 82947 |
|
23 |
12 |
$30.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
29 |
28 |
$28.26 |
| G8410 |
Footwear evaluation performed and documented |
1,422 |
1,236 |
$0.04 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
97 |
93 |
$0.02 |
| J3490 |
Unclassified drugs |
240 |
215 |
$0.02 |
| 90461 |
|
1,072 |
986 |
$0.00 |
| 91300 |
|
11,822 |
10,608 |
$0.00 |
| 90661 |
|
353 |
352 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
382 |
253 |
$0.00 |
| 90670 |
|
66 |
39 |
$0.00 |
| 77089 |
|
42 |
27 |
$0.00 |
| 91311 |
|
23 |
14 |
$0.00 |
| 99072 |
|
72 |
67 |
$0.00 |
| 82948 |
|
16 |
12 |
$0.00 |
| 1494F |
|
14 |
12 |
$0.00 |
| 91312 |
|
16 |
16 |
$0.00 |
| 90653 |
|
13 |
13 |
$0.00 |
| 99024 |
|
917 |
814 |
$0.00 |
| G9634 |
Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved |
737 |
649 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
7,427 |
5,087 |
$0.00 |
| 4171F |
|
155 |
155 |
$0.00 |
| 91307 |
|
900 |
801 |
$0.00 |
| 90674 |
|
321 |
312 |
$0.00 |
| 90698 |
|
257 |
229 |
$0.00 |
| G8416 |
Clinician documented that patient was not an eligible candidate for footwear evaluation measure |
115 |
73 |
$0.00 |
| 90680 |
|
39 |
39 |
$0.00 |
| 91306 |
|
316 |
272 |
$0.00 |
| 91303 |
|
184 |
176 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
104 |
94 |
$0.00 |
| 91301 |
|
1,641 |
1,546 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
563 |
439 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
46 |
24 |
$0.00 |
| 90677 |
|
137 |
136 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| G9228 |
Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) |
13 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 0503F |
|
34 |
32 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |