| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34,055 |
33,829 |
$5.07M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44,574 |
44,243 |
$4.66M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12,011 |
11,885 |
$2.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,539 |
14,359 |
$1.21M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
6,085 |
5,725 |
$866K |
| 99233 |
Prolong inpt eval add15 m |
10,390 |
4,185 |
$849K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,739 |
3,629 |
$711K |
| 99215 |
Prolong outpt/office vis |
5,074 |
5,003 |
$607K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,655 |
688 |
$416K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,127 |
2,124 |
$404K |
| 93325 |
|
11,898 |
10,673 |
$374K |
| 54150 |
|
1,892 |
1,848 |
$361K |
| 99460 |
|
4,131 |
4,054 |
$319K |
| 93320 |
|
6,157 |
5,758 |
$274K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,604 |
2,556 |
$258K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
622 |
149 |
$246K |
| 94010 |
|
6,520 |
6,386 |
$245K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
1,823 |
350 |
$203K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,767 |
2,703 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,517 |
3,459 |
$185K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,735 |
2,715 |
$183K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,525 |
279 |
$182K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,842 |
1,815 |
$172K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,262 |
962 |
$140K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
225 |
50 |
$134K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,198 |
9,599 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,956 |
1,867 |
$104K |
| 93000 |
|
4,116 |
4,036 |
$93K |
| 94060 |
|
1,193 |
1,182 |
$77K |
| 99255 |
|
590 |
461 |
$70K |
| 99462 |
|
1,794 |
1,379 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
483 |
480 |
$68K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
392 |
391 |
$62K |
| 95782 |
|
412 |
410 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
925 |
923 |
$47K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
403 |
401 |
$43K |
| 93321 |
|
1,717 |
1,558 |
$41K |
| 93304 |
|
426 |
399 |
$41K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
883 |
876 |
$38K |
| 99254 |
|
220 |
215 |
$37K |
| 99222 |
Initial hospital care, per day, moderate complexity |
271 |
269 |
$35K |
| 99243 |
|
248 |
248 |
$34K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,320 |
2,301 |
$29K |
| 99245 |
|
172 |
160 |
$25K |
| 90677 |
|
258 |
257 |
$24K |
| 93226 |
|
247 |
244 |
$22K |
| 76825 |
|
106 |
99 |
$17K |
| 95251 |
|
453 |
446 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
163 |
160 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
382 |
377 |
$12K |
| 90698 |
|
533 |
528 |
$11K |
| 93227 |
|
324 |
321 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
270 |
267 |
$10K |
| 76827 |
|
107 |
98 |
$9K |
| 93308 |
|
94 |
88 |
$8K |
| 90697 |
|
141 |
141 |
$8K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$7K |
| 93298 |
|
274 |
273 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
25 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
321 |
316 |
$5K |
| 99220 |
|
27 |
27 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
24 |
24 |
$5K |
| 90670 |
|
755 |
749 |
$4K |
| 90686 |
|
674 |
672 |
$4K |
| 93294 |
|
107 |
106 |
$3K |
| 90656 |
|
207 |
207 |
$3K |
| 94621 |
|
25 |
25 |
$3K |
| 90680 |
|
510 |
508 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
63 |
24 |
$2K |
| 83655 |
|
130 |
130 |
$2K |
| D1206 |
Topical application of fluoride varnish |
119 |
119 |
$2K |
| 90619 |
|
29 |
29 |
$2K |
| 96161 |
|
609 |
512 |
$2K |
| 92551 |
|
104 |
104 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$1K |
| 99221 |
|
14 |
14 |
$1K |
| 81025 |
|
126 |
122 |
$954.11 |
| 90744 |
|
155 |
153 |
$872.40 |
| 95012 |
|
39 |
38 |
$796.52 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$750.94 |
| 99490 |
Ccm add 20min |
16 |
14 |
$630.28 |
| 85018 |
|
181 |
180 |
$589.33 |
| 87807 |
|
31 |
31 |
$513.42 |
| 90633 |
|
82 |
82 |
$486.46 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$459.50 |
| 90715 |
|
13 |
13 |
$174.95 |
| 90707 |
|
12 |
12 |
$161.80 |
| 90734 |
|
14 |
14 |
$71.75 |
| 90716 |
|
12 |
12 |
$70.61 |
| 81002 |
|
17 |
14 |
$30.28 |