| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111,045 |
94,586 |
$4.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111,396 |
95,523 |
$3.85M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
13,031 |
2,931 |
$3.15M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
18,802 |
3,720 |
$1.54M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
17,379 |
4,083 |
$1.40M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,695 |
22,767 |
$1.36M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20,405 |
17,726 |
$1.27M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,190 |
13,956 |
$1.08M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39,044 |
13,880 |
$1.03M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25,109 |
20,703 |
$643K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
9,107 |
5,497 |
$601K |
| 99223 |
Prolong inpt eval add15 m |
9,596 |
7,861 |
$600K |
| 99233 |
Prolong inpt eval add15 m |
19,855 |
6,180 |
$563K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,898 |
6,244 |
$497K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,421 |
2,940 |
$496K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,281 |
4,913 |
$467K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,343 |
5,860 |
$443K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,401 |
6,113 |
$432K |
| 99468 |
|
726 |
526 |
$383K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
8,136 |
7,315 |
$379K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
1,320 |
312 |
$353K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
2,323 |
2,070 |
$265K |
| 99215 |
Prolong outpt/office vis |
3,140 |
2,647 |
$257K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,743 |
3,348 |
$225K |
| 59025 |
Fetal non-stress test |
8,845 |
6,554 |
$214K |
| 96161 |
|
14,730 |
12,639 |
$210K |
| 93325 |
|
3,958 |
3,041 |
$191K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
885 |
526 |
$153K |
| 76820 |
|
2,743 |
1,592 |
$152K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,055 |
2,463 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,749 |
1,522 |
$136K |
| 99243 |
|
1,383 |
1,295 |
$129K |
| 54150 |
|
791 |
681 |
$118K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,752 |
1,481 |
$117K |
| 76801 |
|
1,567 |
1,220 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,897 |
9,960 |
$109K |
| 99460 |
|
2,002 |
1,782 |
$103K |
| H0033 |
Oral medication administration, direct observation |
742 |
472 |
$101K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,882 |
2,484 |
$101K |
| 99219 |
|
1,073 |
988 |
$95K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,452 |
2,099 |
$94K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,684 |
2,430 |
$92K |
| 93320 |
|
2,321 |
2,066 |
$92K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,327 |
1,222 |
$91K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
903 |
836 |
$83K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,303 |
882 |
$80K |
| 3008F |
|
137,704 |
117,281 |
$79K |
| 99205 |
Prolong outpt/office vis |
856 |
653 |
$77K |
| 36415 |
Collection of venous blood by venipuncture |
28,588 |
25,197 |
$67K |
| 99173 |
|
6,358 |
5,769 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
930 |
797 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,846 |
3,192 |
$66K |
| 76827 |
|
965 |
753 |
$64K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,490 |
424 |
$63K |
| 96160 |
|
4,116 |
3,662 |
$58K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
42 |
39 |
$57K |
| 92551 |
|
6,599 |
5,991 |
$56K |
| 96127 |
|
12,596 |
10,037 |
$55K |
| 99471 |
|
99 |
74 |
$54K |
| 98960 |
|
815 |
575 |
$53K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,676 |
2,486 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,556 |
1,367 |
$47K |
| H2010 |
Comprehensive medication services, per 15 minutes |
714 |
348 |
$47K |
| 99217 |
|
913 |
850 |
$46K |
| 93000 |
|
2,178 |
2,018 |
$41K |
| 1159F |
|
52,498 |
45,601 |
$35K |
| 52000 |
|
481 |
290 |
$34K |
| 90836 |
|
958 |
673 |
$34K |
| 76830 |
Ultrasound, transvaginal |
519 |
490 |
$34K |
| 99218 |
|
630 |
529 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
465 |
413 |
$32K |
| 81025 |
|
5,927 |
5,158 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
668 |
620 |
$31K |
| 76828 |
|
530 |
408 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
697 |
623 |
$24K |
| 99201 |
|
776 |
723 |
$23K |
| 80305 |
|
3,401 |
1,782 |
$23K |
| 97597 |
|
1,779 |
1,115 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,552 |
1,383 |
$22K |
| 1160F |
|
33,307 |
28,394 |
$22K |
| 3074F |
|
40,252 |
34,040 |
$22K |
| 92587 |
|
632 |
616 |
$22K |
| 3078F |
|
34,919 |
29,565 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,028 |
534 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
168 |
167 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,179 |
1,078 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,372 |
701 |
$15K |
| 76813 |
|
278 |
181 |
$15K |
| 90686 |
|
11,732 |
10,447 |
$13K |
| 76821 |
|
191 |
92 |
$12K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
69 |
39 |
$11K |
| 3079F |
|
16,945 |
14,530 |
$10K |
| 92526 |
|
215 |
84 |
$10K |
| 99235 |
|
82 |
69 |
$10K |
| 90674 |
|
545 |
481 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
182 |
148 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
144 |
134 |
$9K |
| 81003 |
|
5,756 |
4,154 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,339 |
1,443 |
$8K |
| 90670 |
|
11,317 |
9,713 |
$8K |
| 99221 |
|
130 |
111 |
$7K |
| 87807 |
|
593 |
563 |
$7K |
| 90715 |
|
161 |
128 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
474 |
413 |
$6K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
780 |
616 |
$6K |
| 92060 |
|
151 |
146 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
456 |
429 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
115 |
95 |
$5K |
| 97802 |
|
169 |
164 |
$5K |
| 90620 |
|
265 |
222 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
57 |
54 |
$4K |
| 90677 |
|
2,304 |
2,152 |
$4K |
| 76825 |
|
33 |
24 |
$4K |
| 94060 |
|
101 |
76 |
$4K |
| 90688 |
|
794 |
686 |
$4K |
| 90723 |
|
9,648 |
8,392 |
$4K |
| 36416 |
|
1,390 |
1,172 |
$4K |
| 99383 |
|
47 |
29 |
$4K |
| 99490 |
Ccm add 20min |
255 |
217 |
$4K |
| 11721 |
|
673 |
601 |
$4K |
| 93304 |
|
96 |
41 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
361 |
234 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
361 |
234 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
40 |
39 |
$3K |
| 90461 |
|
15,840 |
13,644 |
$3K |
| 20610 |
|
96 |
61 |
$3K |
| 90734 |
|
197 |
164 |
$3K |
| 90680 |
|
8,367 |
7,219 |
$3K |
| 3075F |
|
5,041 |
4,362 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
31 |
25 |
$2K |
| 99442 |
|
102 |
69 |
$2K |
| 99443 |
|
115 |
57 |
$2K |
| 99605 |
|
70 |
42 |
$2K |
| 17000 |
|
438 |
357 |
$2K |
| 3077F |
|
3,186 |
2,742 |
$2K |
| 90707 |
|
2,881 |
2,546 |
$2K |
| 0503F |
|
1,873 |
1,719 |
$2K |
| 95251 |
|
195 |
162 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
135 |
106 |
$2K |
| 90474 |
|
206 |
191 |
$2K |
| 92567 |
|
136 |
129 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
46 |
44 |
$2K |
| 90756 |
|
108 |
101 |
$2K |
| 82950 |
|
415 |
349 |
$2K |
| 0502F |
|
35,931 |
26,121 |
$2K |
| 90716 |
|
2,211 |
1,986 |
$2K |
| 87806 |
|
215 |
136 |
$1K |
| 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) |
431 |
240 |
$1K |
| 90647 |
|
9,456 |
8,182 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
50 |
47 |
$1K |
| 90651 |
|
194 |
181 |
$1K |
| 99417 |
Prolong home eval add 15m |
45 |
38 |
$1K |
| 93976 |
|
20 |
13 |
$1K |
| 51797 |
|
19 |
17 |
$1K |
| 92588 |
|
27 |
27 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$1K |
| 17003 |
|
225 |
189 |
$994.48 |
| 87653 |
|
83 |
64 |
$976.84 |
| 1125F |
|
1,058 |
942 |
$975.04 |
| 90633 |
|
3,164 |
2,838 |
$947.15 |
| 99462 |
|
31 |
29 |
$922.20 |
| 93321 |
|
96 |
41 |
$891.10 |
| 51728 |
|
20 |
18 |
$869.53 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
19 |
15 |
$860.07 |
| 87480 |
|
169 |
123 |
$859.41 |
| 97803 |
|
56 |
52 |
$857.70 |
| 87660 |
|
169 |
123 |
$827.40 |
| 87510 |
|
169 |
123 |
$826.17 |
| 80053 |
Comprehensive metabolic panel |
554 |
295 |
$771.19 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
37 |
30 |
$742.24 |
| 80050 |
General health panel |
120 |
68 |
$711.21 |
| 84443 |
Thyroid stimulating hormone (TSH) |
214 |
130 |
$690.02 |
| 84702 |
|
160 |
69 |
$681.08 |
| 96380 |
|
32 |
27 |
$670.52 |
| 93970 |
|
45 |
40 |
$592.19 |
| 51701 |
|
22 |
12 |
$572.72 |
| 51784 |
|
20 |
18 |
$552.55 |
| 98926 |
|
16 |
12 |
$547.57 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
36 |
27 |
$546.86 |
| 99152 |
|
42 |
38 |
$545.65 |
| 99441 |
|
59 |
37 |
$536.20 |
| 11102 |
|
34 |
26 |
$523.81 |
| 86762 |
|
142 |
95 |
$490.07 |
| 93244 |
|
24 |
24 |
$489.54 |
| 97813 |
|
94 |
71 |
$446.92 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
181 |
108 |
$444.29 |
| 87340 |
|
177 |
114 |
$425.47 |
| 93227 |
|
13 |
13 |
$379.01 |
| 80061 |
Lipid panel |
254 |
122 |
$372.02 |
| 3080F |
|
530 |
458 |
$370.02 |
| 97814 |
|
69 |
56 |
$342.04 |
| 90661 |
|
1,049 |
928 |
$313.23 |
| 1170F |
|
710 |
560 |
$307.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
259 |
140 |
$265.59 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$246.00 |
| 84439 |
|
134 |
85 |
$235.28 |
| 11100 |
|
50 |
43 |
$214.03 |
| 90696 |
|
167 |
149 |
$213.60 |
| 93280 |
|
13 |
13 |
$208.88 |
| 99403 |
|
16 |
16 |
$202.62 |
| 93242 |
|
16 |
16 |
$201.21 |
| 86592 |
|
175 |
115 |
$190.07 |
| 87081 |
|
83 |
64 |
$184.62 |
| 94760 |
|
92 |
59 |
$182.05 |
| 90656 |
|
121 |
116 |
$180.85 |
| 51741 |
|
15 |
14 |
$153.25 |
| 85652 |
|
251 |
147 |
$153.08 |
| D0190 |
|
12 |
12 |
$144.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
18 |
$128.32 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
195 |
78 |
$112.01 |
| 86140 |
|
148 |
95 |
$107.49 |
| J1644 |
Injection, heparin sodium, per 1000 units |
22 |
12 |
$103.59 |
| 0500F |
|
600 |
577 |
$100.54 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
77 |
38 |
$97.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
21 |
14 |
$88.50 |
| 93971 |
|
25 |
17 |
$86.33 |
| 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 |
224 |
122 |
$85.64 |
| 17110 |
|
23 |
12 |
$83.54 |
| 82565 |
|
73 |
43 |
$78.84 |
| 85027 |
|
67 |
41 |
$75.12 |
| 85610 |
|
34 |
24 |
$59.28 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
21 |
13 |
$56.56 |
| 99406 |
|
14 |
12 |
$52.85 |
| 1126F |
|
65 |
52 |
$51.50 |
| 82570 |
|
29 |
15 |
$50.12 |
| 0501F |
|
926 |
899 |
$50.02 |
| 81001 |
|
77 |
44 |
$48.10 |
| 90685 |
|
647 |
569 |
$47.33 |
| 85007 |
|
67 |
41 |
$40.27 |
| 99072 |
|
317 |
290 |
$28.80 |
| G0008 |
Administration of influenza virus vaccine |
283 |
241 |
$22.60 |
| 90700 |
|
263 |
239 |
$11.00 |
| 80076 |
|
23 |
14 |
$5.10 |
| 99024 |
|
480 |
389 |
$0.03 |
| 1101F |
|
119 |
95 |
$0.00 |
| 90381 |
|
21 |
14 |
$0.00 |
| 1034F |
|
69 |
58 |
$0.00 |
| 1036F |
|
74 |
61 |
$0.00 |
| 1123F |
|
24 |
13 |
$0.00 |
| 90694 |
|
13 |
12 |
$0.00 |
| 1111F |
|
66 |
54 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 90662 |
|
28 |
24 |
$0.00 |
| 1039F |
|
14 |
12 |
$0.00 |