| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,585 |
56,532 |
$2.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,414 |
58,671 |
$1.96M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,287 |
21,514 |
$1.73M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,303 |
9,834 |
$1.14M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
7,467 |
7,174 |
$651K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15,479 |
14,924 |
$593K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
11,995 |
11,587 |
$542K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,002 |
9,752 |
$511K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,554 |
2,279 |
$236K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,324 |
3,998 |
$190K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,219 |
2,090 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,528 |
2,204 |
$174K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,319 |
1,489 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,235 |
2,161 |
$165K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,649 |
2,505 |
$164K |
| 96127 |
|
8,324 |
7,229 |
$146K |
| 99215 |
Prolong outpt/office vis |
1,916 |
1,753 |
$123K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
16,995 |
14,675 |
$109K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,722 |
1,649 |
$97K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,564 |
1,223 |
$96K |
| 90837 |
Psychotherapy, 53 minutes with patient |
703 |
510 |
$67K |
| 76830 |
Ultrasound, transvaginal |
807 |
772 |
$57K |
| 11721 |
|
4,446 |
4,013 |
$54K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,433 |
1,384 |
$54K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,278 |
1,199 |
$53K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,985 |
1,952 |
$50K |
| 99223 |
Prolong inpt eval add15 m |
571 |
486 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
646 |
643 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
674 |
649 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
541 |
528 |
$45K |
| A0425 |
Ground mileage, per statute mile |
262 |
248 |
$44K |
| 87634 |
|
494 |
469 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
10,704 |
9,901 |
$26K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,484 |
530 |
$26K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
419 |
386 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
167 |
161 |
$22K |
| 59025 |
Fetal non-stress test |
682 |
353 |
$19K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
230 |
227 |
$18K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,413 |
847 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
381 |
353 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
168 |
167 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
271 |
263 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
202 |
173 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
122 |
120 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
453 |
440 |
$11K |
| 90461 |
|
2,397 |
2,312 |
$11K |
| 20610 |
|
213 |
203 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
117 |
117 |
$9K |
| 94060 |
|
690 |
661 |
$9K |
| 72114 |
|
293 |
287 |
$9K |
| 88307 |
|
94 |
89 |
$8K |
| 99460 |
|
119 |
113 |
$7K |
| 76801 |
|
57 |
54 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
516 |
450 |
$6K |
| 94726 |
|
587 |
561 |
$5K |
| 88312 |
|
171 |
169 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
933 |
815 |
$4K |
| 88304 |
|
295 |
281 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
425 |
377 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,053 |
969 |
$4K |
| 73630 |
|
155 |
147 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
398 |
388 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
44 |
44 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
233 |
232 |
$3K |
| 94729 |
|
632 |
604 |
$3K |
| 92134 |
|
181 |
168 |
$3K |
| 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) |
97 |
95 |
$3K |
| 81025 |
|
380 |
350 |
$3K |
| 11720 |
|
564 |
510 |
$3K |
| 90686 |
|
1,585 |
1,557 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
74 |
70 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
117 |
117 |
$2K |
| 73610 |
|
113 |
97 |
$2K |
| 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) |
205 |
195 |
$2K |
| 93016 |
|
117 |
109 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
112 |
30 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
127 |
24 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,171 |
1,115 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
66 |
$2K |
| 97162 |
|
41 |
39 |
$2K |
| 99220 |
|
28 |
24 |
$2K |
| G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
33 |
15 |
$2K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13 |
12 |
$2K |
| 93018 |
|
117 |
109 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
30 |
25 |
$1K |
| 99205 |
Prolong outpt/office vis |
16 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
105 |
$1K |
| 90670 |
|
787 |
760 |
$1K |
| 73110 |
|
52 |
41 |
$1K |
| 90677 |
|
285 |
284 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
33 |
28 |
$1K |
| 83655 |
|
66 |
64 |
$992.13 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$929.23 |
| 81003 |
|
365 |
338 |
$894.49 |
| 51701 |
|
25 |
24 |
$834.39 |
| 87210 |
|
116 |
106 |
$799.03 |
| 11719 |
|
270 |
240 |
$772.69 |
| 73564 |
|
38 |
36 |
$757.85 |
| 71046 |
Radiologic examination, chest; 2 views |
45 |
44 |
$636.55 |
| 99188 |
|
42 |
41 |
$534.30 |
| 99462 |
|
18 |
13 |
$482.84 |
| J3490 |
Unclassified drugs |
193 |
86 |
$468.73 |
| 99307 |
|
19 |
19 |
$426.16 |
| 90734 |
|
48 |
48 |
$338.80 |
| 73140 |
|
22 |
13 |
$305.87 |
| 85018 |
|
106 |
104 |
$304.94 |
| 90716 |
|
61 |
61 |
$295.55 |
| 73562 |
|
13 |
12 |
$292.62 |
| 94618 |
|
14 |
14 |
$272.85 |
| 90633 |
|
177 |
174 |
$225.16 |
| 90707 |
|
92 |
92 |
$211.28 |
| 99173 |
|
91 |
90 |
$181.14 |
| 74420 |
|
12 |
12 |
$178.05 |
| 93000 |
|
13 |
13 |
$158.36 |
| 92015 |
Determination of refractive state |
13 |
12 |
$137.25 |
| 90785 |
|
36 |
28 |
$100.61 |
| 11056 |
|
16 |
14 |
$97.22 |
| 90647 |
|
594 |
583 |
$79.35 |
| 90723 |
|
569 |
552 |
$78.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$70.65 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
18 |
16 |
$47.13 |
| 90681 |
|
60 |
58 |
$39.04 |
| 36416 |
|
62 |
61 |
$21.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$9.28 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
44 |
41 |
$7.01 |
| 90651 |
|
39 |
39 |
$0.03 |
| 99406 |
|
91 |
84 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
97 |
88 |
$0.00 |
| 96380 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
46 |
13 |
$0.00 |