| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128,123 |
122,910 |
$8.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85,407 |
82,349 |
$7.32M |
| 99233 |
Prolong inpt eval add15 m |
76,372 |
29,472 |
$5.20M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
85,208 |
30,359 |
$3.93M |
| 99223 |
Prolong inpt eval add15 m |
22,932 |
22,647 |
$2.79M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18,266 |
18,263 |
$1.62M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18,846 |
18,547 |
$1.39M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,484 |
10,483 |
$1.38M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
486 |
485 |
$749K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,728 |
2,360 |
$684K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,364 |
6,273 |
$582K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,068 |
5,766 |
$525K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,619 |
11,572 |
$460K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,254 |
4,251 |
$396K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,865 |
7,848 |
$302K |
| 95720 |
|
2,034 |
1,002 |
$265K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
902 |
900 |
$195K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,577 |
4,379 |
$186K |
| 99460 |
|
2,037 |
2,035 |
$181K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,949 |
8,876 |
$178K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,725 |
2,719 |
$175K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
960 |
960 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,684 |
1,683 |
$157K |
| 43762 |
|
813 |
805 |
$156K |
| 97803 |
|
5,062 |
4,932 |
$152K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,390 |
1,388 |
$130K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,081 |
2,081 |
$126K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,947 |
3,920 |
$112K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
410 |
410 |
$99K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,058 |
1,341 |
$92K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
672 |
668 |
$86K |
| 95886 |
|
1,521 |
1,517 |
$76K |
| 59510 |
|
43 |
43 |
$73K |
| 92567 |
|
4,793 |
4,737 |
$64K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
16,110 |
14,060 |
$62K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
666 |
665 |
$62K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,421 |
3,405 |
$61K |
| 95117 |
|
6,981 |
3,952 |
$61K |
| 92579 |
|
1,497 |
1,483 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
512 |
512 |
$53K |
| 99221 |
|
708 |
693 |
$50K |
| 99215 |
Prolong outpt/office vis |
420 |
404 |
$49K |
| 97802 |
|
891 |
891 |
$46K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,721 |
1,098 |
$44K |
| 54150 |
|
467 |
467 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,061 |
1,060 |
$33K |
| 99219 |
|
257 |
250 |
$30K |
| 76801 |
|
285 |
285 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,015 |
2,001 |
$29K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
192 |
192 |
$27K |
| 95909 |
|
409 |
408 |
$25K |
| 95811 |
|
285 |
280 |
$25K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
668 |
388 |
$24K |
| 73521 |
|
666 |
657 |
$23K |
| 95911 |
|
215 |
215 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
246 |
217 |
$22K |
| 99464 |
|
321 |
321 |
$22K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
151 |
151 |
$21K |
| 99462 |
|
542 |
495 |
$21K |
| 95816 |
|
546 |
535 |
$20K |
| 20611 |
|
291 |
287 |
$19K |
| 92552 |
|
646 |
638 |
$17K |
| 76818 |
|
167 |
78 |
$16K |
| 25605 |
|
34 |
34 |
$16K |
| 99218 |
|
180 |
173 |
$15K |
| 93298 |
|
879 |
868 |
$15K |
| 0072A |
|
379 |
379 |
$15K |
| 99381 |
|
153 |
153 |
$15K |
| 92556 |
|
463 |
457 |
$15K |
| 0071A |
|
339 |
338 |
$14K |
| 95819 |
|
507 |
486 |
$13K |
| 73630 |
|
653 |
561 |
$13K |
| 99205 |
Prolong outpt/office vis |
68 |
68 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
161 |
149 |
$13K |
| 73090 |
|
496 |
390 |
$12K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
31 |
14 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
2,524 |
2,436 |
$12K |
| 59426 |
|
13 |
13 |
$12K |
| 93970 |
|
587 |
570 |
$12K |
| 0004A |
|
271 |
271 |
$11K |
| 90686 |
|
4,054 |
4,049 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
89 |
89 |
$10K |
| 81025 |
|
1,287 |
1,284 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
89 |
$9K |
| Q4050 |
Cast supplies, for unlisted types and materials of casts |
258 |
258 |
$9K |
| 92587 |
|
453 |
450 |
$9K |
| 99471 |
|
12 |
12 |
$8K |
| 92551 |
|
810 |
807 |
$8K |
| 73140 |
|
263 |
227 |
$8K |
| 77080 |
|
284 |
284 |
$8K |
| 90715 |
|
276 |
276 |
$8K |
| 0002A |
|
196 |
196 |
$8K |
| 73130 |
|
260 |
217 |
$8K |
| 93295 |
|
435 |
435 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
67 |
67 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
507 |
487 |
$7K |
| 95908 |
|
146 |
146 |
$7K |
| 92557 |
|
259 |
258 |
$7K |
| 93971 |
|
466 |
461 |
$7K |
| 99220 |
|
67 |
67 |
$7K |
| 73070 |
|
279 |
249 |
$7K |
| 90473 |
|
413 |
413 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
722 |
601 |
$6K |
| 90474 |
|
329 |
329 |
$6K |
| 0001A |
|
149 |
149 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
124 |
124 |
$6K |
| 73120 |
|
240 |
175 |
$6K |
| 76642 |
|
84 |
82 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
182 |
119 |
$5K |
| 73100 |
|
187 |
163 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
448 |
323 |
$5K |
| 96127 |
|
1,219 |
1,216 |
$5K |
| 94729 |
|
646 |
645 |
$5K |
| 95822 |
|
132 |
120 |
$5K |
| 93294 |
|
342 |
342 |
$4K |
| 96161 |
|
883 |
814 |
$4K |
| 99217 |
|
106 |
106 |
$4K |
| 91320 |
|
44 |
44 |
$4K |
| 99406 |
|
359 |
351 |
$4K |
| 93000 |
|
468 |
468 |
$4K |
| 87807 |
|
347 |
344 |
$4K |
| 90677 |
|
654 |
654 |
$4K |
| 73610 |
|
128 |
115 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
211 |
206 |
$4K |
| 94726 |
|
439 |
438 |
$4K |
| 17250 |
|
62 |
57 |
$4K |
| 11750 |
|
28 |
24 |
$3K |
| 73562 |
|
129 |
112 |
$3K |
| 90480 |
|
80 |
80 |
$3K |
| 51798 |
|
518 |
514 |
$3K |
| 92250 |
|
118 |
118 |
$3K |
| 11044 |
|
26 |
25 |
$3K |
| 95782 |
|
25 |
25 |
$3K |
| 99305 |
|
44 |
44 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
406 |
399 |
$3K |
| 73110 |
|
82 |
63 |
$2K |
| 76830 |
Ultrasound, transvaginal |
28 |
28 |
$2K |
| 94060 |
|
237 |
237 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
26 |
$2K |
| 42830 |
|
12 |
12 |
$2K |
| 92555 |
|
103 |
102 |
$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) |
803 |
768 |
$2K |
| 73030 |
|
70 |
69 |
$2K |
| 0064A |
|
43 |
43 |
$2K |
| 73590 |
|
59 |
53 |
$2K |
| 72082 |
|
29 |
29 |
$2K |
| 45330 |
|
12 |
12 |
$1K |
| 90656 |
|
318 |
318 |
$1K |
| 0124A |
|
35 |
35 |
$1K |
| 94010 |
|
233 |
233 |
$1K |
| 92553 |
|
41 |
41 |
$1K |
| 95806 |
|
38 |
38 |
$1K |
| 93016 |
|
79 |
79 |
$1K |
| 99201 |
|
33 |
33 |
$1K |
| 99152 |
|
145 |
133 |
$1K |
| 93018 |
|
118 |
118 |
$1K |
| 72100 |
|
38 |
38 |
$1K |
| 0081A |
|
26 |
26 |
$1K |
| 0082A |
|
24 |
24 |
$960.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$923.27 |
| 62323 |
|
13 |
13 |
$903.10 |
| 43235 |
|
12 |
12 |
$896.12 |
| 99173 |
|
320 |
320 |
$811.82 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$685.10 |
| G0008 |
Administration of influenza virus vaccine |
263 |
263 |
$646.98 |
| 36556 |
|
12 |
12 |
$641.64 |
| 0074A |
|
16 |
16 |
$640.00 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
18 |
12 |
$631.75 |
| 90688 |
|
372 |
372 |
$608.46 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$584.88 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
56 |
56 |
$574.18 |
| 20240 |
|
15 |
15 |
$547.19 |
| 85018 |
|
229 |
225 |
$534.83 |
| 87210 |
|
108 |
106 |
$532.56 |
| 0003A |
|
13 |
13 |
$520.00 |
| 97804 |
|
12 |
12 |
$498.81 |
| 92134 |
|
25 |
25 |
$469.76 |
| 73502 |
|
16 |
16 |
$465.25 |
| 96380 |
|
16 |
16 |
$313.28 |
| 74018 |
|
12 |
12 |
$218.88 |
| 77001 |
|
12 |
12 |
$211.16 |
| 81002 |
|
70 |
54 |
$200.20 |
| 73560 |
|
12 |
12 |
$191.23 |
| 11721 |
|
12 |
12 |
$181.52 |
| 96160 |
|
2,139 |
2,134 |
$65.52 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$31.98 |
| 90670 |
|
2,682 |
2,682 |
$3.00 |
| 90698 |
|
2,649 |
2,649 |
$1.56 |
| 90687 |
|
145 |
145 |
$1.45 |
| 90680 |
|
1,601 |
1,601 |
$0.83 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
15 |
$0.62 |
| 90633 |
|
309 |
309 |
$0.14 |
| 90661 |
|
14 |
14 |
$0.02 |
| 90685 |
|
112 |
112 |
$0.00 |
| 90710 |
|
118 |
118 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| 90744 |
|
592 |
592 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 90651 |
|
81 |
81 |
$0.00 |
| 90674 |
|
57 |
57 |
$0.00 |
| 91319 |
|
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
28 |
$0.00 |