| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171,758 |
144,495 |
$11.07M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
21,023 |
5,964 |
$6.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96,237 |
79,883 |
$4.36M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
9,906 |
2,352 |
$4.05M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
22,560 |
18,712 |
$2.97M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18,823 |
17,015 |
$2.88M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
25,785 |
9,695 |
$2.76M |
| 99215 |
Prolong outpt/office vis |
20,958 |
17,803 |
$2.49M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
47,504 |
40,926 |
$2.41M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
22,998 |
6,900 |
$2.38M |
| H1000 |
Prenatal care, at-risk assessment |
45,015 |
32,697 |
$2.34M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
57,104 |
24,591 |
$2.05M |
| 17106 |
|
4,426 |
3,074 |
$2.02M |
| 99233 |
Prolong inpt eval add15 m |
27,095 |
10,217 |
$1.89M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
12,798 |
11,001 |
$1.83M |
| 99460 |
|
27,073 |
22,632 |
$1.64M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
13,793 |
4,326 |
$1.42M |
| 99222 |
Initial hospital care, per day, moderate complexity |
12,512 |
10,901 |
$1.24M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,161 |
9,481 |
$1.09M |
| 95720 |
|
6,047 |
2,855 |
$924K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,438 |
7,145 |
$781K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,205 |
8,614 |
$771K |
| 99205 |
Prolong outpt/office vis |
4,185 |
3,463 |
$701K |
| 17108 |
|
849 |
682 |
$674K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,618 |
4,254 |
$593K |
| 17107 |
|
1,148 |
803 |
$585K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,734 |
5,219 |
$559K |
| 96910 |
|
4,293 |
1,906 |
$484K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,671 |
3,049 |
$469K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,736 |
4,772 |
$416K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,583 |
14,736 |
$379K |
| 93304 |
|
5,812 |
4,425 |
$376K |
| 95813 |
|
1,446 |
1,213 |
$351K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
57,361 |
42,066 |
$316K |
| 93320 |
|
12,307 |
10,751 |
$291K |
| 99223 |
Prolong inpt eval add15 m |
2,983 |
2,347 |
$271K |
| 99221 |
|
3,339 |
2,793 |
$239K |
| 99462 |
|
9,430 |
7,404 |
$230K |
| 93000 |
|
28,197 |
24,343 |
$230K |
| 99245 |
|
1,200 |
1,051 |
$200K |
| 17110 |
|
1,422 |
1,308 |
$200K |
| 99243 |
|
1,930 |
1,626 |
$196K |
| 59410 |
|
232 |
195 |
$181K |
| 93325 |
|
23,042 |
18,616 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,784 |
1,650 |
$163K |
| 96920 |
|
614 |
308 |
$151K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27,849 |
21,912 |
$146K |
| 95951 |
|
577 |
220 |
$140K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,487 |
1,851 |
$125K |
| 59025 |
Fetal non-stress test |
9,322 |
7,440 |
$116K |
| 99468 |
|
117 |
105 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,366 |
2,179 |
$86K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
803 |
685 |
$84K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
228 |
169 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
768 |
739 |
$77K |
| 99219 |
|
654 |
630 |
$77K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,692 |
1,552 |
$73K |
| 59430 |
|
734 |
693 |
$70K |
| 17111 |
|
325 |
316 |
$61K |
| 87428 |
|
1,706 |
1,567 |
$57K |
| 80053 |
Comprehensive metabolic panel |
7,152 |
4,878 |
$48K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
607 |
521 |
$45K |
| 99217 |
|
876 |
834 |
$44K |
| 54161 |
|
177 |
170 |
$44K |
| 99254 |
|
498 |
386 |
$41K |
| 93321 |
|
8,086 |
6,154 |
$40K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
935 |
720 |
$39K |
| 93970 |
|
2,065 |
1,539 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
656 |
641 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
841 |
697 |
$37K |
| 54150 |
|
230 |
218 |
$36K |
| 90461 |
|
2,079 |
1,560 |
$33K |
| 59514 |
|
268 |
234 |
$32K |
| 96112 |
|
1,210 |
1,005 |
$30K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
24 |
$28K |
| 54304 |
|
121 |
71 |
$25K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
817 |
363 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,951 |
2,888 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
563 |
346 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
364 |
248 |
$22K |
| 43775 |
|
106 |
34 |
$22K |
| 72082 |
|
832 |
789 |
$21K |
| 76801 |
|
319 |
266 |
$21K |
| 72084 |
|
253 |
229 |
$19K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
653 |
531 |
$19K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
324 |
254 |
$19K |
| 99476 |
|
43 |
26 |
$18K |
| 96922 |
|
45 |
29 |
$18K |
| 99220 |
|
201 |
138 |
$16K |
| 99463 |
|
198 |
181 |
$15K |
| 93015 |
|
261 |
231 |
$13K |
| 93224 |
|
479 |
447 |
$13K |
| 81025 |
|
5,083 |
3,656 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,060 |
2,654 |
$13K |
| 99443 |
|
388 |
310 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
365 |
308 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
207 |
186 |
$11K |
| 93308 |
|
243 |
188 |
$11K |
| 99253 |
|
186 |
159 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
176 |
122 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,663 |
1,607 |
$11K |
| 99234 |
|
105 |
92 |
$10K |
| 81003 |
|
10,832 |
7,900 |
$10K |
| 93971 |
|
925 |
706 |
$10K |
| 99464 |
|
180 |
157 |
$10K |
| 94690 |
|
637 |
565 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
266 |
212 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
8,787 |
6,882 |
$8K |
| 99255 |
|
72 |
55 |
$8K |
| 82728 |
|
1,334 |
1,166 |
$8K |
| 76775 |
|
483 |
456 |
$8K |
| 96132 |
|
71 |
49 |
$6K |
| 76830 |
Ultrasound, transvaginal |
133 |
124 |
$6K |
| 76770 |
|
62 |
52 |
$6K |
| 99442 |
|
356 |
261 |
$6K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$5K |
| 82607 |
|
642 |
577 |
$5K |
| 83735 |
|
2,787 |
1,147 |
$5K |
| 83615 |
|
3,276 |
1,630 |
$5K |
| 95819 |
|
24 |
13 |
$5K |
| 93298 |
|
368 |
268 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
98 |
64 |
$5K |
| 99292 |
|
46 |
28 |
$5K |
| 96921 |
|
14 |
12 |
$5K |
| 83550 |
|
1,305 |
1,141 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
358 |
330 |
$4K |
| 90686 |
|
2,392 |
2,270 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
566 |
445 |
$4K |
| 99471 |
|
31 |
12 |
$4K |
| 83540 |
|
1,297 |
1,135 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
491 |
257 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
100 |
91 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
33 |
25 |
$3K |
| 76825 |
|
17 |
15 |
$3K |
| 99381 |
|
39 |
37 |
$3K |
| 87807 |
|
390 |
348 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
45 |
26 |
$3K |
| 97597 |
|
238 |
141 |
$3K |
| 95718 |
|
38 |
25 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
168 |
154 |
$3K |
| 93244 |
|
116 |
109 |
$3K |
| 85045 |
|
715 |
621 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| 99235 |
|
12 |
12 |
$2K |
| 99242 |
|
39 |
37 |
$2K |
| 93307 |
|
40 |
31 |
$2K |
| 86300 |
|
144 |
127 |
$2K |
| 51798 |
|
715 |
552 |
$2K |
| 90474 |
|
427 |
422 |
$2K |
| 52000 |
|
18 |
17 |
$2K |
| 82378 |
|
170 |
148 |
$2K |
| 99225 |
|
24 |
16 |
$1K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
66 |
55 |
$1K |
| 98929 |
|
80 |
63 |
$1K |
| 93248 |
|
78 |
52 |
$1K |
| 90670 |
|
3,169 |
2,785 |
$1K |
| 96127 |
|
1,246 |
985 |
$1K |
| 3074F |
|
92,987 |
80,415 |
$1K |
| 84100 |
|
1,474 |
621 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
148 |
78 |
$1K |
| 73080 |
|
48 |
45 |
$1K |
| J2785 |
Injection, regadenoson, 0.1 mg |
37 |
29 |
$1K |
| 76818 |
|
14 |
12 |
$1K |
| 29065 |
|
14 |
13 |
$1K |
| 92552 |
|
185 |
183 |
$1K |
| 99188 |
|
91 |
88 |
$1K |
| 76827 |
|
18 |
16 |
$897.87 |
| 99454 |
|
31 |
29 |
$881.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
30 |
$833.39 |
| 72083 |
|
12 |
12 |
$798.68 |
| 82962 |
|
1,070 |
892 |
$742.15 |
| 93288 |
|
15 |
13 |
$737.99 |
| 20610 |
|
116 |
109 |
$726.14 |
| 95251 |
|
595 |
439 |
$681.96 |
| 73110 |
|
42 |
37 |
$677.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
534 |
490 |
$658.18 |
| 73090 |
|
47 |
38 |
$651.13 |
| 81002 |
|
849 |
727 |
$608.33 |
| 93356 |
|
15 |
15 |
$577.88 |
| 99252 |
|
19 |
13 |
$576.11 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
45 |
42 |
$540.92 |
| 85018 |
|
451 |
387 |
$534.05 |
| 95886 |
|
13 |
12 |
$504.75 |
| 90688 |
|
264 |
254 |
$495.04 |
| 99224 |
|
17 |
15 |
$463.63 |
| 90647 |
|
1,758 |
1,591 |
$462.02 |
| 76857 |
|
12 |
12 |
$447.69 |
| 96900 |
|
22 |
17 |
$438.13 |
| 92557 |
|
12 |
12 |
$428.00 |
| 83655 |
|
71 |
70 |
$426.00 |
| 93296 |
|
26 |
25 |
$411.95 |
| 93294 |
|
13 |
12 |
$409.98 |
| 90680 |
|
1,500 |
1,357 |
$399.01 |
| 99152 |
|
30 |
27 |
$385.66 |
| 90723 |
|
2,094 |
1,800 |
$385.01 |
| 93242 |
|
74 |
69 |
$382.46 |
| 93016 |
|
12 |
12 |
$368.42 |
| 69210 |
|
14 |
14 |
$320.80 |
| 93246 |
|
62 |
39 |
$313.88 |
| 90633 |
|
725 |
710 |
$308.43 |
| 73630 |
|
39 |
28 |
$292.01 |
| 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 |
206 |
168 |
$289.22 |
| 98927 |
|
13 |
13 |
$281.40 |
| 92567 |
|
14 |
13 |
$268.48 |
| 3078F |
|
89,726 |
75,406 |
$215.61 |
| 93245 |
|
12 |
12 |
$194.46 |
| 99441 |
|
19 |
12 |
$149.52 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
14 |
13 |
$148.92 |
| 99173 |
|
1,681 |
1,568 |
$139.14 |
| 3075F |
|
2,943 |
2,621 |
$135.20 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
13 |
13 |
$131.93 |
| A4215 |
Needle, sterile, any size, each |
49 |
38 |
$126.60 |
| 29125 |
|
13 |
13 |
$106.97 |
| 90715 |
|
55 |
53 |
$58.22 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
95 |
91 |
$56.48 |
| 90734 |
|
147 |
140 |
$55.00 |
| 81001 |
|
48 |
48 |
$50.16 |
| 73590 |
|
13 |
13 |
$44.59 |
| 90707 |
|
108 |
105 |
$44.00 |
| 90696 |
|
50 |
50 |
$44.00 |
| 76376 |
|
16 |
12 |
$43.11 |
| 1036F |
|
54,048 |
40,887 |
$42.08 |
| 96160 |
|
236 |
210 |
$30.70 |
| 90710 |
|
38 |
38 |
$22.00 |
| 3046F |
|
338 |
225 |
$20.00 |
| 99177 |
|
520 |
404 |
$14.00 |
| 88738 |
|
144 |
118 |
$13.18 |
| 90700 |
|
26 |
25 |
$11.00 |
| 90716 |
|
138 |
131 |
$11.00 |
| 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) |
233 |
228 |
$10.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
110 |
104 |
$6.16 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
98 |
96 |
$0.28 |
| 3725F |
|
28,011 |
19,995 |
$0.00 |
| 90648 |
|
446 |
396 |
$0.00 |
| 3077F |
|
1,596 |
1,406 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,172 |
5,037 |
$0.00 |
| 1159F |
|
1,797 |
1,243 |
$0.00 |
| 1160F |
|
2,239 |
1,639 |
$0.00 |
| 2028F |
|
99 |
92 |
$0.00 |
| 0502F |
|
79 |
62 |
$0.00 |
| 3051F |
|
32 |
25 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
26 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
16 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,631 |
6,289 |
$0.00 |
| 3079F |
|
9,057 |
7,622 |
$0.00 |
| 90651 |
|
222 |
218 |
$0.00 |
| 1125F |
|
1,378 |
1,164 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
396 |
318 |
$0.00 |
| 3008F |
|
4,246 |
3,149 |
$0.00 |
| 0503F |
|
311 |
262 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
283 |
204 |
$0.00 |
| 99024 |
|
389 |
271 |
$0.00 |
| 1126F |
|
1,549 |
1,316 |
$0.00 |
| 92551 |
|
1,291 |
1,208 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
356 |
230 |
$0.00 |
| 99000 |
|
143 |
121 |
$0.00 |
| 3080F |
|
313 |
282 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
44 |
37 |
$0.00 |
| 3044F |
|
98 |
88 |
$0.00 |
| 90674 |
|
67 |
62 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |
| 1220F |
|
331 |
236 |
$0.00 |
| 3052F |
|
15 |
12 |
$0.00 |
| 96161 |
|
29 |
28 |
$0.00 |