| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85,225 |
82,754 |
$7.01M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
9,909 |
5,190 |
$5.44M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,594 |
74,080 |
$4.66M |
| 99233 |
Prolong inpt eval add15 m |
46,673 |
22,539 |
$3.57M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17,968 |
17,701 |
$2.30M |
| 99223 |
Prolong inpt eval add15 m |
15,054 |
14,577 |
$2.19M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
41,006 |
19,136 |
$2.07M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18,909 |
18,670 |
$1.74M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14,817 |
14,290 |
$1.22M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15,356 |
15,143 |
$796K |
| 76801 |
|
4,240 |
3,945 |
$655K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,059 |
5,890 |
$655K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,622 |
2,088 |
$653K |
| 99490 |
Ccm add 20min |
16,422 |
16,379 |
$632K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,275 |
4,223 |
$626K |
| 64615 |
|
4,753 |
4,711 |
$575K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
73,695 |
63,750 |
$486K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,076 |
3,892 |
$430K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,825 |
1,810 |
$397K |
| 90461 |
|
4,767 |
4,708 |
$392K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,216 |
8,060 |
$341K |
| 99215 |
Prolong outpt/office vis |
2,689 |
2,325 |
$321K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,562 |
2,550 |
$270K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,214 |
9,014 |
$199K |
| 99385 |
|
936 |
932 |
$169K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,340 |
1,327 |
$138K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
585 |
581 |
$134K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,159 |
1,151 |
$121K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,102 |
2,031 |
$119K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
61 |
61 |
$113K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
419 |
408 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,947 |
2,854 |
$109K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
960 |
927 |
$98K |
| 97803 |
|
1,579 |
1,541 |
$90K |
| 93458 |
|
434 |
414 |
$85K |
| 90686 |
|
7,289 |
7,205 |
$82K |
| 59025 |
Fetal non-stress test |
2,406 |
1,980 |
$80K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,220 |
1,208 |
$78K |
| 95811 |
|
733 |
715 |
$77K |
| 64405 |
|
755 |
657 |
$73K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
695 |
511 |
$68K |
| 47563 |
|
123 |
120 |
$63K |
| 99205 |
Prolong outpt/office vis |
347 |
339 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
584 |
583 |
$62K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
181 |
159 |
$60K |
| 20610 |
|
953 |
885 |
$53K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
576 |
565 |
$51K |
| 99497 |
|
1,294 |
1,247 |
$49K |
| 81025 |
|
5,434 |
5,332 |
$47K |
| 94729 |
|
1,251 |
1,210 |
$47K |
| 64400 |
|
317 |
263 |
$46K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
444 |
441 |
$44K |
| 90715 |
|
1,231 |
1,204 |
$42K |
| 93295 |
|
1,383 |
1,346 |
$41K |
| 64450 |
|
714 |
616 |
$41K |
| 99386 |
|
225 |
223 |
$40K |
| 92557 |
|
1,187 |
1,173 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,474 |
2,341 |
$39K |
| 93297 |
|
2,961 |
2,909 |
$39K |
| 43235 |
|
253 |
242 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
757 |
752 |
$38K |
| 97802 |
|
414 |
409 |
$36K |
| 94726 |
|
960 |
930 |
$35K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
313 |
298 |
$35K |
| 99443 |
|
327 |
314 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,882 |
975 |
$33K |
| 99442 |
|
371 |
363 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,855 |
1,760 |
$31K |
| 90677 |
|
112 |
108 |
$30K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
30 |
25 |
$27K |
| 99383 |
|
176 |
172 |
$26K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
523 |
460 |
$26K |
| 94060 |
|
712 |
681 |
$26K |
| 99152 |
|
1,285 |
1,223 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,423 |
1,391 |
$24K |
| 59510 |
|
12 |
12 |
$24K |
| 99381 |
|
123 |
119 |
$22K |
| 20553 |
|
731 |
637 |
$21K |
| 99439 |
|
337 |
337 |
$20K |
| 90670 |
|
3,209 |
3,166 |
$19K |
| 99220 |
|
180 |
177 |
$19K |
| 93000 |
|
1,646 |
1,593 |
$18K |
| 92567 |
|
1,239 |
1,225 |
$17K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
56 |
52 |
$16K |
| 96127 |
|
1,918 |
1,897 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
480 |
312 |
$15K |
| 69210 |
|
370 |
358 |
$14K |
| 95117 |
|
1,501 |
730 |
$14K |
| 87428 |
|
193 |
190 |
$14K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
432 |
371 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
239 |
232 |
$12K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
258 |
252 |
$12K |
| 95886 |
|
113 |
113 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,359 |
1,337 |
$12K |
| 93294 |
|
739 |
731 |
$11K |
| 49083 |
|
80 |
51 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
103 |
$11K |
| 91200 |
|
827 |
825 |
$11K |
| 99406 |
|
1,118 |
1,086 |
$10K |
| 73630 |
|
547 |
462 |
$10K |
| 51798 |
|
978 |
939 |
$10K |
| 76830 |
Ultrasound, transvaginal |
102 |
97 |
$10K |
| 93018 |
|
973 |
957 |
$10K |
| 99382 |
|
65 |
65 |
$10K |
| 99384 |
|
59 |
59 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
342 |
334 |
$9K |
| 20551 |
|
231 |
149 |
$9K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
670 |
612 |
$9K |
| 90678 |
|
25 |
25 |
$8K |
| 90661 |
|
261 |
260 |
$8K |
| 93793 |
|
919 |
645 |
$7K |
| 90698 |
|
2,270 |
2,239 |
$7K |
| 90732 |
|
77 |
73 |
$7K |
| 76820 |
|
210 |
204 |
$7K |
| 31231 |
|
52 |
49 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
68 |
66 |
$6K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
13 |
13 |
$6K |
| 95806 |
|
99 |
98 |
$6K |
| 93248 |
|
242 |
241 |
$5K |
| 99496 |
|
30 |
30 |
$5K |
| 93298 |
|
294 |
283 |
$5K |
| 93016 |
|
327 |
322 |
$5K |
| 95885 |
|
64 |
63 |
$5K |
| 74240 |
|
76 |
69 |
$5K |
| 92504 |
|
216 |
204 |
$5K |
| 90651 |
|
280 |
277 |
$5K |
| 94010 |
|
197 |
192 |
$5K |
| 92551 |
|
358 |
356 |
$4K |
| 99221 |
|
49 |
49 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,140 |
1,059 |
$4K |
| 98968 |
|
114 |
106 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
461 |
441 |
$4K |
| 0011A |
|
101 |
100 |
$3K |
| 99173 |
|
518 |
512 |
$3K |
| 93296 |
|
354 |
338 |
$3K |
| 59899 |
|
26 |
26 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$3K |
| 43244 |
|
14 |
14 |
$3K |
| 0012A |
|
71 |
71 |
$3K |
| 43264 |
|
12 |
12 |
$3K |
| 31575 |
|
30 |
30 |
$3K |
| 85610 |
|
718 |
492 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
96 |
71 |
$2K |
| 90680 |
|
1,968 |
1,938 |
$2K |
| 95911 |
|
13 |
12 |
$2K |
| 99219 |
|
30 |
30 |
$2K |
| 95251 |
|
65 |
65 |
$2K |
| 76536 |
|
69 |
69 |
$2K |
| 96367 |
|
62 |
45 |
$2K |
| 96130 |
|
14 |
14 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$2K |
| 11102 |
|
26 |
25 |
$2K |
| 99441 |
|
42 |
42 |
$2K |
| 96131 |
|
14 |
14 |
$2K |
| 96121 |
|
12 |
12 |
$2K |
| 0031A |
|
42 |
42 |
$2K |
| 93299 |
|
69 |
66 |
$2K |
| 95923 |
|
12 |
12 |
$1K |
| 95819 |
|
13 |
13 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
872 |
814 |
$1K |
| 73564 |
|
56 |
56 |
$1K |
| 99195 |
|
12 |
12 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$1K |
| 96161 |
|
185 |
169 |
$1K |
| 20605 |
|
35 |
25 |
$1K |
| 99401 |
|
35 |
35 |
$974.12 |
| 96116 |
|
12 |
12 |
$922.87 |
| 73560 |
|
38 |
38 |
$843.95 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
97 |
94 |
$756.96 |
| 81002 |
|
583 |
566 |
$742.01 |
| 73562 |
|
41 |
40 |
$729.78 |
| 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 |
67 |
66 |
$702.73 |
| 96136 |
|
14 |
14 |
$681.03 |
| 76937 |
|
72 |
71 |
$633.43 |
| 96137 |
|
13 |
13 |
$628.40 |
| 81003 |
|
642 |
625 |
$607.54 |
| 71271 |
|
12 |
12 |
$599.97 |
| 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 |
199 |
188 |
$571.36 |
| 17000 |
|
12 |
12 |
$564.12 |
| 93925 |
|
29 |
29 |
$548.17 |
| 90707 |
|
92 |
92 |
$527.46 |
| 90633 |
|
713 |
710 |
$507.56 |
| 90688 |
|
83 |
83 |
$504.48 |
| 71250 |
|
13 |
13 |
$494.95 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
38 |
27 |
$417.83 |
| 93244 |
|
27 |
26 |
$411.25 |
| 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) |
42 |
42 |
$390.95 |
| 90744 |
|
1,008 |
1,002 |
$371.88 |
| 82962 |
|
143 |
134 |
$347.35 |
| 90710 |
|
308 |
306 |
$323.54 |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
12 |
12 |
$293.97 |
| 90474 |
|
12 |
12 |
$231.80 |
| 29540 |
|
17 |
14 |
$229.38 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$212.65 |
| 71045 |
Radiologic examination, chest; single view |
23 |
21 |
$201.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
167 |
118 |
$198.35 |
| 72170 |
|
14 |
13 |
$191.63 |
| 99407 |
|
13 |
13 |
$177.57 |
| 74420 |
|
14 |
13 |
$166.69 |
| 90723 |
|
81 |
81 |
$145.80 |
| 90648 |
|
354 |
350 |
$145.80 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
312 |
295 |
$69.09 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
149 |
135 |
$13.72 |
| 3080F |
|
1,965 |
1,915 |
$0.00 |
| 3008F |
|
60,179 |
58,436 |
$0.00 |
| 3079F |
|
11,242 |
11,066 |
$0.00 |
| 3074F |
|
38,925 |
37,951 |
$0.00 |
| 1123F |
|
11,057 |
10,678 |
$0.00 |
| 3075F |
|
3,429 |
3,375 |
$0.00 |
| 3044F |
|
2,826 |
2,736 |
$0.00 |
| 90716 |
|
83 |
83 |
$0.00 |
| 90696 |
|
41 |
40 |
$0.00 |
| Q0247 |
Injection, sotrovimab, 500 mg |
13 |
13 |
$0.00 |
| 1111F |
|
54 |
41 |
$0.00 |
| 91303 |
|
40 |
40 |
$0.00 |
| 3052F |
|
16 |
15 |
$0.00 |
| 3078F |
|
34,252 |
33,321 |
$0.00 |
| 3077F |
|
4,599 |
4,455 |
$0.00 |
| 90685 |
|
222 |
219 |
$0.00 |
| 90700 |
|
62 |
62 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| 3046F |
|
91 |
86 |
$0.00 |
| 90734 |
|
73 |
72 |
$0.00 |
| 90756 |
|
55 |
55 |
$0.00 |
| 90672 |
|
62 |
62 |
$0.00 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
35 |
35 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$0.00 |