| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,591 |
26,447 |
$2.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,346 |
27,729 |
$1.56M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
8,342 |
3,328 |
$818K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23,062 |
7,041 |
$569K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,734 |
8,437 |
$552K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,092 |
5,195 |
$453K |
| 99215 |
Prolong outpt/office vis |
4,369 |
3,573 |
$393K |
| 99233 |
Prolong inpt eval add15 m |
12,817 |
3,697 |
$385K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,769 |
3,387 |
$226K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,061 |
5,009 |
$209K |
| 99223 |
Prolong inpt eval add15 m |
3,046 |
2,438 |
$178K |
| 99205 |
Prolong outpt/office vis |
1,510 |
1,343 |
$170K |
| 76818 |
|
3,156 |
1,540 |
$145K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,872 |
2,264 |
$130K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,218 |
973 |
$123K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,687 |
1,447 |
$119K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,532 |
2,774 |
$118K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,870 |
3,346 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,544 |
1,354 |
$103K |
| 97803 |
|
1,383 |
1,258 |
$95K |
| 59515 |
|
80 |
77 |
$79K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
299 |
94 |
$77K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,438 |
1,395 |
$71K |
| 59410 |
|
84 |
78 |
$62K |
| 10060 |
|
1,262 |
824 |
$61K |
| 17110 |
|
816 |
673 |
$60K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
623 |
590 |
$59K |
| 76820 |
|
2,943 |
1,361 |
$57K |
| 43775 |
|
94 |
68 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,030 |
2,472 |
$51K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
956 |
788 |
$47K |
| S9083 |
Global fee urgent care centers |
596 |
426 |
$46K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,119 |
998 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
638 |
569 |
$41K |
| 99460 |
|
779 |
713 |
$40K |
| 96112 |
|
660 |
520 |
$39K |
| 95782 |
|
337 |
328 |
$33K |
| 94010 |
|
2,589 |
2,205 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
503 |
395 |
$31K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,594 |
633 |
$29K |
| 99385 |
|
399 |
316 |
$29K |
| 99462 |
|
1,105 |
762 |
$28K |
| 99221 |
|
598 |
527 |
$25K |
| 99471 |
|
57 |
41 |
$22K |
| 76821 |
|
878 |
372 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
296 |
244 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
256 |
222 |
$19K |
| 99381 |
|
287 |
279 |
$19K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
82 |
69 |
$18K |
| 99292 |
|
587 |
348 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
546 |
459 |
$16K |
| 94729 |
|
1,036 |
890 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
4,453 |
3,538 |
$15K |
| 76981 |
|
270 |
238 |
$15K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
492 |
232 |
$14K |
| 95816 |
|
526 |
421 |
$12K |
| 96127 |
|
5,003 |
3,910 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,512 |
2,040 |
$11K |
| 76813 |
|
188 |
167 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
188 |
135 |
$11K |
| 94060 |
|
744 |
603 |
$11K |
| 54150 |
|
84 |
80 |
$10K |
| 31575 |
|
129 |
105 |
$10K |
| 97802 |
|
196 |
172 |
$10K |
| 76801 |
|
152 |
132 |
$9K |
| 99386 |
|
89 |
72 |
$9K |
| 76830 |
Ultrasound, transvaginal |
104 |
97 |
$9K |
| 36573 |
|
57 |
52 |
$9K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
64 |
45 |
$8K |
| 10040 |
|
382 |
261 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
203 |
151 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
160 |
134 |
$7K |
| 11102 |
|
120 |
98 |
$7K |
| 94727 |
|
246 |
185 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
102 |
75 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
537 |
470 |
$5K |
| 87430 |
|
2,131 |
1,687 |
$5K |
| 94726 |
|
669 |
597 |
$4K |
| 81025 |
|
1,295 |
1,106 |
$4K |
| 95719 |
|
30 |
30 |
$4K |
| 94664 |
|
374 |
313 |
$4K |
| 11901 |
|
82 |
75 |
$4K |
| 54161 |
|
27 |
26 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
174 |
132 |
$4K |
| 99417 |
Prolong home eval add 15m |
428 |
298 |
$4K |
| 95886 |
|
61 |
61 |
$3K |
| 95117 |
|
378 |
183 |
$3K |
| 87400 |
|
1,593 |
1,149 |
$3K |
| 93790 |
|
476 |
417 |
$3K |
| 95720 |
|
25 |
13 |
$3K |
| 92551 |
|
213 |
207 |
$2K |
| 95822 |
|
95 |
85 |
$2K |
| 99459 |
|
110 |
109 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
403 |
317 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
35 |
28 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
204 |
190 |
$2K |
| 37252 |
|
24 |
12 |
$2K |
| 51798 |
|
400 |
330 |
$2K |
| 11900 |
|
72 |
44 |
$1K |
| 95885 |
|
106 |
81 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
316 |
258 |
$1K |
| 51702 |
|
65 |
51 |
$1K |
| 99195 |
|
39 |
27 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
168 |
90 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
103 |
$1K |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
110 |
90 |
$837.39 |
| 76937 |
|
187 |
125 |
$835.65 |
| 99408 |
|
31 |
27 |
$796.36 |
| 99497 |
|
32 |
26 |
$788.88 |
| 81002 |
|
1,396 |
998 |
$672.28 |
| 90686 |
|
41 |
37 |
$631.59 |
| 95908 |
|
13 |
12 |
$578.76 |
| 99173 |
|
264 |
255 |
$552.67 |
| 92015 |
Determination of refractive state |
45 |
44 |
$463.33 |
| 69210 |
|
12 |
12 |
$455.33 |
| 81003 |
|
3,038 |
2,201 |
$434.31 |
| 92201 |
|
30 |
24 |
$420.54 |
| 99235 |
|
14 |
12 |
$406.87 |
| 99443 |
|
31 |
26 |
$387.97 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
105 |
25 |
$373.29 |
| 71046 |
Radiologic examination, chest; 2 views |
61 |
44 |
$371.09 |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$364.46 |
| 96040 |
|
53 |
51 |
$364.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
36 |
$356.12 |
| 99024 |
|
3,853 |
2,664 |
$343.74 |
| 96160 |
|
991 |
816 |
$304.28 |
| 94618 |
|
13 |
12 |
$231.46 |
| 36410 |
|
21 |
20 |
$225.22 |
| 93308 |
|
41 |
29 |
$169.05 |
| 86710 |
|
134 |
96 |
$150.72 |
| 99219 |
|
27 |
27 |
$127.13 |
| 74328 |
|
14 |
13 |
$125.87 |
| 91200 |
|
19 |
15 |
$103.09 |
| 99307 |
|
16 |
14 |
$80.22 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
220 |
155 |
$36.06 |
| 93016 |
|
26 |
26 |
$27.54 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
14 |
$26.25 |
| 3044F |
|
900 |
608 |
$26.02 |
| 82962 |
|
133 |
57 |
$17.68 |
| 99078 |
|
20 |
15 |
$16.10 |
| 76604 |
|
40 |
27 |
$13.16 |
| 3074F |
|
301 |
187 |
$13.01 |
| 3078F |
|
315 |
196 |
$8.01 |
| 3046F |
|
54 |
34 |
$2.00 |
| 94761 |
|
25 |
12 |
$1.00 |
| 3079F |
|
29 |
15 |
$1.00 |
| 1036F |
|
744 |
524 |
$0.00 |
| 3008F |
|
10,304 |
7,815 |
$0.00 |
| 1101F |
|
901 |
667 |
$0.00 |
| 3048F |
|
117 |
74 |
$0.00 |
| 1034F |
|
136 |
74 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
47 |
39 |
$0.00 |
| 3049F |
|
69 |
44 |
$0.00 |
| 3351F |
|
138 |
128 |
$0.00 |
| 4010F |
|
184 |
145 |
$0.00 |
| 0503F |
|
66 |
37 |
$0.00 |
| 4013F |
|
487 |
303 |
$0.00 |
| 0502F |
|
982 |
656 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
14 |
13 |
$0.00 |
| 3050F |
|
24 |
12 |
$0.00 |