| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72,358 |
64,282 |
$3.85M |
| 36478 |
|
2,707 |
1,997 |
$2.24M |
| 99215 |
Prolong outpt/office vis |
24,903 |
23,403 |
$1.59M |
| 36465 |
|
1,253 |
969 |
$1.06M |
| 99490 |
Ccm add 20min |
50,720 |
50,024 |
$1.02M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,247 |
9,022 |
$865K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,485 |
17,929 |
$739K |
| 93925 |
|
8,133 |
7,940 |
$654K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,652 |
23,083 |
$635K |
| 93970 |
|
7,368 |
7,289 |
$504K |
| 93880 |
|
7,728 |
7,565 |
$474K |
| 99439 |
|
19,340 |
18,890 |
$473K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,968 |
4,717 |
$442K |
| 36466 |
|
483 |
365 |
$440K |
| 99483 |
Prolong outpt/office vis |
4,888 |
4,657 |
$406K |
| 93923 |
|
8,775 |
8,541 |
$381K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
6,746 |
6,649 |
$381K |
| 76536 |
|
7,087 |
6,982 |
$355K |
| 94621 |
|
5,687 |
5,600 |
$320K |
| 93924 |
|
5,990 |
5,815 |
$308K |
| 99443 |
|
4,893 |
4,640 |
$254K |
| 95923 |
|
6,017 |
5,924 |
$220K |
| 94729 |
|
11,486 |
11,246 |
$219K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,387 |
2,257 |
$198K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,798 |
3,774 |
$190K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,735 |
7,174 |
$190K |
| 93971 |
|
4,961 |
3,794 |
$189K |
| 94060 |
|
11,477 |
11,226 |
$167K |
| 94727 |
|
11,486 |
11,248 |
$166K |
| 93975 |
|
1,925 |
1,874 |
$161K |
| 95886 |
|
2,444 |
2,334 |
$148K |
| 93892 |
|
1,942 |
1,872 |
$147K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
8,285 |
1,488 |
$129K |
| 93890 |
|
1,927 |
1,860 |
$114K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,081 |
6,742 |
$109K |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
4,441 |
4,436 |
$100K |
| 76775 |
|
3,644 |
3,584 |
$99K |
| 93886 |
|
1,944 |
1,874 |
$97K |
| 99489 |
Ccm add 20min |
1,550 |
1,479 |
$95K |
| 92546 |
|
2,985 |
2,928 |
$95K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,149 |
2,124 |
$94K |
| 95913 |
|
1,114 |
1,052 |
$93K |
| 90682 |
|
2,094 |
1,983 |
$91K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15,862 |
12,556 |
$91K |
| 92540 |
|
3,201 |
3,146 |
$90K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,527 |
1,191 |
$87K |
| 95816 |
|
1,049 |
941 |
$82K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12,728 |
12,313 |
$82K |
| 93922 |
|
3,508 |
3,464 |
$81K |
| 90677 |
|
712 |
643 |
$80K |
| 94375 |
|
5,719 |
5,632 |
$79K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
8,943 |
8,505 |
$77K |
| 90834 |
Psychotherapy, 45 minutes with patient |
989 |
600 |
$75K |
| 95921 |
|
2,933 |
2,857 |
$71K |
| 99487 |
Ccm add 20min |
1,845 |
1,765 |
$71K |
| 99497 |
|
2,842 |
2,712 |
$69K |
| 99442 |
|
1,949 |
1,868 |
$67K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,516 |
1,400 |
$60K |
| 99407 |
|
5,165 |
4,674 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
951 |
910 |
$58K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
10,967 |
10,368 |
$57K |
| 95943 |
|
2,106 |
2,104 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,112 |
3,949 |
$53K |
| 94010 |
|
2,561 |
2,517 |
$45K |
| L0631 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
161 |
124 |
$42K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
157 |
149 |
$41K |
| 95911 |
|
578 |
560 |
$40K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
219 |
219 |
$40K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,309 |
1,217 |
$38K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
1,672 |
1,622 |
$36K |
| 92537 |
|
3,097 |
3,031 |
$32K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
1,003 |
489 |
$32K |
| 90837 |
Psychotherapy, 53 minutes with patient |
356 |
267 |
$27K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
1,000 |
489 |
$26K |
| 91065 |
|
497 |
401 |
$24K |
| 76830 |
Ultrasound, transvaginal |
340 |
336 |
$24K |
| 99385 |
|
283 |
273 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
493 |
352 |
$24K |
| 95912 |
|
272 |
268 |
$23K |
| 90739 |
|
233 |
225 |
$23K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
762 |
732 |
$20K |
| 99457 |
|
1,530 |
1,433 |
$19K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
11,530 |
9,014 |
$18K |
| 93000 |
|
1,944 |
1,865 |
$18K |
| 87428 |
|
899 |
848 |
$18K |
| 90715 |
|
530 |
498 |
$17K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
799 |
774 |
$16K |
| 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) |
3,734 |
3,237 |
$15K |
| 95957 |
|
561 |
476 |
$15K |
| 82962 |
|
19,714 |
18,518 |
$14K |
| 99386 |
|
147 |
140 |
$14K |
| 93224 |
|
290 |
287 |
$13K |
| 99484 |
|
1,465 |
1,447 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
88 |
80 |
$11K |
| 92250 |
|
606 |
600 |
$11K |
| 90732 |
|
141 |
139 |
$9K |
| 99454 |
|
733 |
684 |
$9K |
| 99205 |
Prolong outpt/office vis |
64 |
64 |
$8K |
| 90686 |
|
464 |
458 |
$8K |
| 80305 |
|
2,342 |
2,047 |
$7K |
| 0064A |
|
200 |
196 |
$7K |
| 91200 |
|
538 |
535 |
$6K |
| 92653 |
|
556 |
474 |
$6K |
| 99406 |
|
855 |
771 |
$6K |
| 93978 |
|
104 |
102 |
$6K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
954 |
839 |
$6K |
| 90662 |
|
861 |
842 |
$5K |
| 90651 |
|
25 |
24 |
$5K |
| 95800 |
|
99 |
97 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
614 |
312 |
$5K |
| 0011A |
|
135 |
135 |
$5K |
| 99441 |
|
197 |
188 |
$5K |
| 76981 |
|
104 |
94 |
$5K |
| 0012A |
|
128 |
126 |
$5K |
| 99349 |
|
80 |
72 |
$5K |
| 20611 |
|
170 |
138 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
335 |
287 |
$4K |
| 91322 |
|
89 |
69 |
$4K |
| 99305 |
|
67 |
55 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
74 |
25 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$4K |
| 95930 |
|
542 |
470 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,052 |
1,951 |
$4K |
| 94726 |
|
169 |
167 |
$3K |
| 90670 |
|
27 |
27 |
$3K |
| 96138 |
|
704 |
542 |
$3K |
| 92548 |
|
158 |
156 |
$3K |
| 96132 |
|
103 |
91 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
52 |
40 |
$2K |
| 99458 |
|
222 |
205 |
$2K |
| 95813 |
|
12 |
12 |
$2K |
| L0627 |
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
13 |
$2K |
| 99050 |
|
303 |
278 |
$2K |
| 64632 |
|
176 |
168 |
$2K |
| 94200 |
|
180 |
180 |
$2K |
| 94664 |
|
255 |
240 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
86 |
55 |
$2K |
| 90688 |
|
89 |
86 |
$1K |
| 95812 |
|
12 |
12 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
779 |
738 |
$1K |
| 99355 |
|
30 |
29 |
$1K |
| 99496 |
|
12 |
12 |
$1K |
| 90673 |
|
20 |
20 |
$1K |
| 90480 |
|
74 |
67 |
$1K |
| 99342 |
|
47 |
47 |
$1K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
179 |
179 |
$1K |
| 99318 |
|
34 |
34 |
$1K |
| 95249 |
|
140 |
134 |
$951.79 |
| 99354 |
|
30 |
29 |
$890.27 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
162 |
159 |
$851.90 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
22 |
15 |
$793.58 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
48 |
18 |
$751.67 |
| G0180 |
Physician or allowed practitioner 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 |
84 |
79 |
$702.52 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
26 |
$686.86 |
| 62323 |
|
17 |
14 |
$657.80 |
| 99348 |
|
47 |
33 |
$644.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
84 |
79 |
$629.98 |
| 0134A |
|
22 |
17 |
$576.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
283 |
246 |
$574.47 |
| 99223 |
Prolong inpt eval add15 m |
18 |
16 |
$573.75 |
| 99350 |
Prolong home eval add 15m |
16 |
14 |
$572.30 |
| 36415 |
Collection of venous blood by venipuncture |
328 |
327 |
$525.93 |
| 20610 |
|
18 |
18 |
$521.06 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
82 |
82 |
$515.12 |
| 87807 |
|
78 |
71 |
$446.67 |
| G0008 |
Administration of influenza virus vaccine |
1,082 |
1,063 |
$428.34 |
| 96116 |
|
18 |
13 |
$396.78 |
| 3074F |
|
4,938 |
4,486 |
$354.60 |
| 93242 |
|
45 |
45 |
$308.80 |
| 3078F |
|
4,386 |
3,976 |
$276.50 |
| 93244 |
|
25 |
25 |
$249.10 |
| 93976 |
|
12 |
12 |
$173.72 |
| 95251 |
|
15 |
14 |
$170.54 |
| 76942 |
|
19 |
15 |
$169.70 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
32 |
32 |
$166.05 |
| 81002 |
|
148 |
145 |
$135.61 |
| 20552 |
|
18 |
13 |
$118.90 |
| 3079F |
|
1,750 |
1,610 |
$116.18 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
19 |
15 |
$106.00 |
| 3075F |
|
1,394 |
1,282 |
$89.15 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
81 |
68 |
$80.78 |
| 3044F |
|
1,174 |
1,148 |
$66.14 |
| 99072 |
|
2,229 |
2,145 |
$50.00 |
| 99606 |
|
672 |
609 |
$37.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
125 |
107 |
$35.96 |
| 1160F |
|
2,602 |
2,316 |
$21.12 |
| 1159F |
|
2,604 |
2,318 |
$21.12 |
| 3051F |
|
326 |
320 |
$19.00 |
| 94760 |
|
144 |
144 |
$6.64 |
| 3052F |
|
94 |
94 |
$3.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
29 |
17 |
$1.00 |
| G0009 |
Administration of pneumococcal vaccine |
173 |
163 |
$0.00 |
| 3014F |
|
34 |
31 |
$0.00 |
| 3015F |
|
19 |
17 |
$0.00 |