| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100,639 |
86,324 |
$6.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105,821 |
89,538 |
$5.43M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
66,839 |
26,282 |
$2.13M |
| 99233 |
Prolong inpt eval add15 m |
20,515 |
9,975 |
$1.02M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,452 |
9,249 |
$984K |
| 99215 |
Prolong outpt/office vis |
10,057 |
7,891 |
$924K |
| 99223 |
Prolong inpt eval add15 m |
6,692 |
5,854 |
$619K |
| 59425 |
|
7,320 |
5,764 |
$563K |
| 59426 |
|
6,292 |
4,281 |
$515K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
8,879 |
4,430 |
$496K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
87,509 |
70,928 |
$476K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,757 |
4,045 |
$461K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
11,363 |
10,551 |
$452K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,371 |
3,049 |
$376K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,602 |
6,080 |
$351K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
561 |
385 |
$325K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,996 |
3,540 |
$267K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,610 |
552 |
$262K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,141 |
3,792 |
$258K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,552 |
4,450 |
$249K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,930 |
2,573 |
$236K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,170 |
1,962 |
$212K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,512 |
2,345 |
$162K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,859 |
2,559 |
$143K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
1,275 |
367 |
$121K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,921 |
3,342 |
$119K |
| 90791 |
Psychiatric diagnostic evaluation |
1,212 |
1,006 |
$117K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,919 |
1,735 |
$116K |
| 59430 |
|
754 |
608 |
$113K |
| 90961 |
|
2,653 |
2,426 |
$111K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,361 |
3,101 |
$109K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,734 |
1,595 |
$107K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,019 |
725 |
$95K |
| 99460 |
|
1,025 |
939 |
$85K |
| 93000 |
|
10,012 |
8,725 |
$83K |
| 99205 |
Prolong outpt/office vis |
688 |
586 |
$76K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
481 |
390 |
$75K |
| 95886 |
|
1,271 |
1,204 |
$71K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,733 |
1,491 |
$69K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
371 |
309 |
$68K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
362 |
307 |
$67K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,509 |
1,404 |
$65K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
661 |
615 |
$63K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,320 |
616 |
$61K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,934 |
1,286 |
$56K |
| 95251 |
|
2,231 |
1,828 |
$56K |
| 00731 |
|
989 |
757 |
$47K |
| 00142 |
|
1,112 |
827 |
$46K |
| 76801 |
|
695 |
620 |
$42K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
508 |
89 |
$40K |
| 94729 |
|
1,379 |
1,230 |
$32K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
337 |
292 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
362 |
293 |
$27K |
| 93016 |
|
2,155 |
2,000 |
$26K |
| 94727 |
|
1,374 |
1,228 |
$24K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
92 |
89 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
537 |
457 |
$23K |
| 45390 |
|
137 |
137 |
$23K |
| 76818 |
|
440 |
196 |
$22K |
| 93018 |
|
2,711 |
2,513 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
613 |
448 |
$22K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,444 |
2,608 |
$21K |
| 76820 |
|
641 |
354 |
$20K |
| 76942 |
|
912 |
786 |
$20K |
| 31575 |
|
258 |
238 |
$20K |
| 94010 |
|
1,280 |
1,182 |
$17K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
282 |
253 |
$17K |
| 99462 |
|
456 |
347 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,437 |
1,252 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
174 |
$15K |
| 93298 |
|
1,361 |
1,267 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,722 |
2,279 |
$14K |
| 62370 |
|
473 |
404 |
$12K |
| 95811 |
|
133 |
126 |
$12K |
| 93272 |
|
476 |
448 |
$11K |
| 20553 |
|
369 |
323 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
385 |
325 |
$11K |
| 99221 |
|
199 |
176 |
$11K |
| 93296 |
|
1,342 |
1,239 |
$10K |
| 76813 |
|
211 |
190 |
$10K |
| 93971 |
|
771 |
721 |
$10K |
| 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 |
302 |
270 |
$9K |
| 95909 |
|
163 |
151 |
$9K |
| 90686 |
|
1,028 |
917 |
$8K |
| 90962 |
|
217 |
204 |
$8K |
| 93295 |
|
364 |
329 |
$8K |
| 54160 |
|
31 |
26 |
$8K |
| 91200 |
|
352 |
317 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,226 |
999 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
192 |
176 |
$7K |
| 90677 |
|
54 |
49 |
$7K |
| 64615 |
|
78 |
54 |
$6K |
| 99406 |
|
706 |
569 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,306 |
1,121 |
$5K |
| 99219 |
|
213 |
193 |
$5K |
| 62323 |
|
78 |
70 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,075 |
1,700 |
$5K |
| 95806 |
|
85 |
82 |
$4K |
| 93299 |
|
42 |
40 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
236 |
219 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
168 |
55 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
38 |
$3K |
| 94060 |
|
190 |
171 |
$3K |
| 95912 |
|
27 |
24 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
235 |
163 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
35 |
29 |
$3K |
| 76825 |
|
26 |
24 |
$3K |
| 11045 |
|
117 |
54 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
145 |
$2K |
| 99218 |
|
47 |
40 |
$2K |
| 99217 |
|
81 |
79 |
$2K |
| 20610 |
|
114 |
99 |
$2K |
| 99220 |
|
115 |
103 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99442 |
|
202 |
160 |
$2K |
| 90715 |
|
103 |
82 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
74 |
73 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
567 |
425 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
50 |
46 |
$2K |
| 93458 |
|
41 |
41 |
$2K |
| 73564 |
|
74 |
68 |
$2K |
| 85610 |
|
729 |
511 |
$2K |
| 99225 |
|
59 |
43 |
$2K |
| 76536 |
|
17 |
15 |
$1K |
| 93880 |
|
87 |
78 |
$1K |
| 99417 |
Prolong home eval add 15m |
44 |
37 |
$1K |
| 90656 |
|
123 |
112 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
28 |
$823.40 |
| 59025 |
Fetal non-stress test |
223 |
103 |
$759.22 |
| 92511 |
|
13 |
12 |
$738.43 |
| 64405 |
|
14 |
12 |
$707.20 |
| 93970 |
|
28 |
24 |
$627.17 |
| 00811 |
|
38 |
30 |
$624.90 |
| 73030 |
|
46 |
36 |
$538.74 |
| 11721 |
|
60 |
46 |
$519.87 |
| 93923 |
|
62 |
58 |
$511.65 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
29 |
$461.58 |
| 99305 |
|
17 |
15 |
$439.96 |
| 99443 |
|
41 |
34 |
$388.80 |
| 93244 |
|
14 |
14 |
$356.29 |
| 69210 |
|
14 |
13 |
$348.09 |
| 87428 |
|
14 |
12 |
$342.51 |
| 99441 |
|
78 |
68 |
$341.20 |
| 51701 |
|
23 |
14 |
$328.78 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
14 |
$316.23 |
| 20552 |
|
14 |
12 |
$302.58 |
| 93228 |
|
21 |
18 |
$286.77 |
| 99401 |
|
31 |
13 |
$284.46 |
| 73502 |
|
15 |
12 |
$266.86 |
| 93227 |
|
13 |
13 |
$264.43 |
| 96158 |
|
16 |
15 |
$262.61 |
| 81025 |
|
209 |
184 |
$227.32 |
| 00790 |
|
27 |
25 |
$211.38 |
| 36416 |
|
58 |
40 |
$191.92 |
| 93308 |
|
13 |
12 |
$187.35 |
| 96150 |
|
16 |
14 |
$185.66 |
| 83037 |
|
29 |
28 |
$156.69 |
| 93294 |
|
12 |
12 |
$149.58 |
| 94726 |
|
14 |
12 |
$113.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
402 |
330 |
$97.82 |
| 51798 |
|
16 |
14 |
$84.65 |
| 99152 |
|
12 |
12 |
$83.99 |
| 81003 |
|
37 |
27 |
$72.46 |
| 94761 |
|
48 |
40 |
$40.70 |
| 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) |
230 |
203 |
$3.12 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
68 |
53 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
169 |
162 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
265 |
239 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
25 |
21 |
$0.00 |
| 00840 |
|
51 |
43 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
109 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
43 |
35 |
$0.00 |
| 00851 |
|
18 |
12 |
$0.00 |
| 81002 |
|
15 |
14 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 76000 |
|
40 |
28 |
$0.00 |
| 76937 |
|
20 |
12 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
121 |
117 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
387 |
334 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
242 |
231 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
431 |
387 |
$0.00 |
| 64488 |
|
31 |
30 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
21 |
12 |
$0.00 |
| 99140 |
|
17 |
14 |
$0.00 |