| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90,914 |
83,727 |
$4.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82,841 |
76,298 |
$4.86M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
22,334 |
21,281 |
$2.11M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24,532 |
11,080 |
$894K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,129 |
7,934 |
$704K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
6,475 |
3,135 |
$672K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,081 |
3,878 |
$573K |
| 99233 |
Prolong inpt eval add15 m |
11,069 |
5,418 |
$475K |
| 99223 |
Prolong inpt eval add15 m |
4,715 |
4,231 |
$439K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,458 |
8,252 |
$415K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,712 |
3,614 |
$360K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,892 |
6,548 |
$355K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,215 |
4,120 |
$335K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,145 |
2,971 |
$281K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,295 |
6,047 |
$237K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,222 |
1,173 |
$236K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,752 |
2,602 |
$189K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
37,865 |
33,976 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,210 |
2,193 |
$174K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,964 |
2,465 |
$128K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,823 |
1,746 |
$102K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,031 |
1,940 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
894 |
888 |
$88K |
| 71045 |
Radiologic examination, chest; single view |
20,762 |
16,199 |
$87K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
110 |
107 |
$85K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,174 |
2,939 |
$78K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,106 |
2,076 |
$69K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
260 |
242 |
$69K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
149 |
40 |
$62K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,009 |
1,985 |
$54K |
| 99215 |
Prolong outpt/office vis |
653 |
613 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,431 |
3,314 |
$52K |
| 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 |
1,031 |
858 |
$46K |
| 59025 |
Fetal non-stress test |
1,466 |
1,053 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,401 |
6,788 |
$42K |
| 59430 |
|
151 |
146 |
$39K |
| 43249 |
|
256 |
243 |
$33K |
| 99292 |
|
555 |
356 |
$32K |
| 81025 |
|
4,129 |
3,939 |
$32K |
| 90723 |
|
1,534 |
1,521 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
5,017 |
4,801 |
$27K |
| 81003 |
|
12,191 |
9,668 |
$26K |
| 93880 |
|
1,299 |
1,150 |
$26K |
| 87428 |
|
470 |
458 |
$25K |
| 99220 |
|
422 |
396 |
$25K |
| 99460 |
|
265 |
252 |
$22K |
| 76642 |
|
832 |
804 |
$21K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
124 |
25 |
$18K |
| 93298 |
|
1,513 |
1,188 |
$17K |
| 90648 |
|
1,986 |
1,967 |
$15K |
| 11721 |
|
2,463 |
2,282 |
$15K |
| 0001A |
|
461 |
449 |
$15K |
| 93296 |
|
1,594 |
1,532 |
$15K |
| 76801 |
|
178 |
172 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
554 |
531 |
$13K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
54 |
54 |
$13K |
| 99219 |
|
247 |
233 |
$13K |
| 99307 |
|
977 |
913 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
122 |
121 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
855 |
814 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
228 |
225 |
$11K |
| 93280 |
|
548 |
524 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
624 |
555 |
$11K |
| 95251 |
|
552 |
534 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
96 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
219 |
208 |
$10K |
| 90670 |
|
1,446 |
1,431 |
$10K |
| 99205 |
Prolong outpt/office vis |
73 |
68 |
$9K |
| 87400 |
|
595 |
338 |
$9K |
| 93295 |
|
449 |
432 |
$9K |
| 93000 |
|
799 |
766 |
$9K |
| 74018 |
|
1,442 |
1,160 |
$9K |
| 93299 |
|
256 |
176 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
5,051 |
4,541 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
116 |
112 |
$7K |
| 77066 |
Tomosynthesis, mammo |
176 |
164 |
$7K |
| 73630 |
|
511 |
349 |
$6K |
| 20610 |
|
203 |
173 |
$6K |
| 90671 |
|
545 |
542 |
$6K |
| 72110 |
|
346 |
223 |
$5K |
| 73562 |
|
332 |
302 |
$5K |
| 90681 |
|
693 |
686 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
116 |
114 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
122 |
119 |
$5K |
| 77065 |
Tomosynthesis, mammo |
148 |
139 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
194 |
108 |
$4K |
| 90633 |
|
501 |
498 |
$4K |
| 54150 |
|
26 |
26 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
90 |
89 |
$4K |
| 99152 |
|
194 |
179 |
$4K |
| 93970 |
|
206 |
192 |
$3K |
| 93016 |
|
345 |
336 |
$3K |
| 94726 |
|
472 |
467 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
87 |
79 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
150 |
148 |
$3K |
| 93971 |
|
256 |
240 |
$3K |
| 93272 |
|
194 |
194 |
$3K |
| 99406 |
|
371 |
270 |
$3K |
| 72141 |
|
42 |
42 |
$3K |
| 0002A |
|
136 |
68 |
$3K |
| 93018 |
|
278 |
269 |
$3K |
| 93294 |
|
275 |
265 |
$3K |
| 99188 |
|
117 |
116 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
115 |
114 |
$2K |
| 94729 |
|
490 |
483 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
15 |
15 |
$2K |
| 93283 |
|
75 |
74 |
$2K |
| 99383 |
|
24 |
24 |
$2K |
| 51798 |
|
255 |
242 |
$2K |
| 73030 |
|
293 |
211 |
$2K |
| 90686 |
|
350 |
349 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
36 |
$2K |
| 93458 |
|
14 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
41 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
29 |
27 |
$2K |
| 76830 |
Ultrasound, transvaginal |
45 |
45 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
61 |
61 |
$2K |
| 95811 |
|
21 |
20 |
$2K |
| 90710 |
|
67 |
66 |
$2K |
| 71250 |
|
41 |
39 |
$2K |
| 81002 |
|
485 |
371 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
29 |
25 |
$1K |
| 73110 |
|
128 |
73 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
39 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
26 |
$1K |
| 76641 |
|
48 |
48 |
$1K |
| 93227 |
|
63 |
62 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
47 |
46 |
$1K |
| 93297 |
|
57 |
53 |
$1K |
| 99493 |
|
24 |
24 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
15 |
$1K |
| 88307 |
|
15 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
40 |
39 |
$1K |
| 72100 |
|
152 |
141 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
47 |
$944.60 |
| 99459 |
|
52 |
52 |
$917.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
210 |
206 |
$821.86 |
| 90677 |
|
43 |
43 |
$746.04 |
| 99385 |
|
12 |
12 |
$735.93 |
| 11720 |
|
158 |
144 |
$670.67 |
| 95115 |
|
84 |
37 |
$629.29 |
| 0011A |
|
114 |
43 |
$575.96 |
| 90707 |
|
26 |
26 |
$555.81 |
| 87420 |
|
43 |
40 |
$553.31 |
| 88312 |
|
37 |
33 |
$520.59 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$516.12 |
| 91010 |
|
13 |
13 |
$482.51 |
| 90672 |
|
76 |
76 |
$480.58 |
| 73130 |
|
72 |
49 |
$477.51 |
| 71271 |
|
12 |
12 |
$476.65 |
| 94060 |
|
65 |
64 |
$475.29 |
| 90700 |
|
26 |
26 |
$465.96 |
| 95819 |
|
13 |
13 |
$450.94 |
| 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) |
210 |
191 |
$421.76 |
| 73610 |
|
53 |
52 |
$387.24 |
| 74022 |
|
28 |
26 |
$381.78 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$347.55 |
| 91037 |
|
13 |
13 |
$343.96 |
| 90716 |
|
37 |
37 |
$334.93 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
33 |
26 |
$327.76 |
| 76770 |
|
16 |
16 |
$326.58 |
| 90656 |
|
31 |
31 |
$324.02 |
| 90837 |
Psychotherapy, 53 minutes with patient |
15 |
12 |
$289.99 |
| 96161 |
|
95 |
93 |
$283.68 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$282.82 |
| 87807 |
|
18 |
17 |
$236.65 |
| 90734 |
|
12 |
12 |
$125.22 |
| 90647 |
|
12 |
12 |
$124.58 |
| 72050 |
|
12 |
12 |
$97.60 |
| 99441 |
|
17 |
13 |
$46.39 |
| 99442 |
|
14 |
13 |
$5.36 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |