| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,052 |
22,390 |
$1.18M |
| 99199 |
Unlisted special service, procedure or report |
184,247 |
110,661 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,707 |
19,165 |
$959K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,524 |
3,814 |
$763K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,310 |
1,145 |
$368K |
| 95811 |
|
986 |
824 |
$222K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,367 |
1,196 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
878 |
741 |
$81K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,228 |
950 |
$80K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,931 |
3,788 |
$79K |
| 94729 |
|
4,951 |
4,179 |
$52K |
| 88342 |
|
1,518 |
1,209 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
470 |
373 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,694 |
1,121 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,400 |
1,094 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
860 |
646 |
$31K |
| 94618 |
|
2,894 |
2,391 |
$30K |
| 94375 |
|
2,998 |
2,465 |
$29K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
178 |
145 |
$25K |
| 94726 |
|
2,065 |
1,744 |
$25K |
| 99215 |
Prolong outpt/office vis |
591 |
494 |
$24K |
| 87428 |
|
355 |
336 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
176 |
$18K |
| 95806 |
|
119 |
110 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,946 |
3,438 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,623 |
1,339 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
844 |
738 |
$11K |
| 94060 |
|
574 |
526 |
$11K |
| 71250 |
|
176 |
155 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
75 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
88 |
77 |
$10K |
| 86003 |
|
55 |
46 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
117 |
100 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
237 |
133 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,121 |
961 |
$7K |
| 93880 |
|
134 |
129 |
$7K |
| 95827 |
|
54 |
51 |
$7K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
51 |
50 |
$7K |
| 94010 |
|
793 |
699 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
95 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
51 |
41 |
$6K |
| 80053 |
Comprehensive metabolic panel |
727 |
640 |
$6K |
| 88312 |
|
249 |
190 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
663 |
574 |
$5K |
| 99443 |
|
140 |
95 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
324 |
289 |
$5K |
| 99442 |
|
172 |
108 |
$5K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
73 |
62 |
$5K |
| 99441 |
|
161 |
113 |
$3K |
| 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) |
1,356 |
1,182 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
179 |
119 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
58 |
$2K |
| 80061 |
Lipid panel |
194 |
175 |
$2K |
| 88313 |
|
247 |
200 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
43 |
38 |
$2K |
| 94762 |
|
195 |
152 |
$2K |
| 85027 |
|
263 |
228 |
$2K |
| 93017 |
|
144 |
102 |
$2K |
| 95819 |
|
15 |
12 |
$2K |
| 90686 |
|
1,125 |
846 |
$2K |
| 84481 |
|
87 |
83 |
$2K |
| 84439 |
|
179 |
159 |
$2K |
| 86140 |
|
286 |
244 |
$1K |
| 82785 |
|
93 |
73 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
132 |
116 |
$1K |
| 93296 |
|
104 |
86 |
$1K |
| 85651 |
|
304 |
266 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
139 |
118 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
33 |
31 |
$990.57 |
| 90661 |
|
116 |
99 |
$979.50 |
| J2785 |
Injection, regadenoson, 0.1 mg |
27 |
24 |
$950.91 |
| 96127 |
|
294 |
237 |
$793.71 |
| 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 |
34 |
26 |
$715.00 |
| 99490 |
Ccm add 20min |
27 |
24 |
$648.92 |
| 93000 |
|
59 |
47 |
$571.54 |
| 82607 |
|
34 |
31 |
$553.48 |
| 86431 |
|
91 |
74 |
$520.48 |
| 82784 |
|
45 |
42 |
$468.42 |
| D0145 |
Oral evaluation for a patient under three years of age |
16 |
13 |
$456.12 |
| 43450 |
|
21 |
12 |
$447.74 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
49 |
38 |
$391.32 |
| 82728 |
|
27 |
25 |
$363.26 |
| 92551 |
|
226 |
162 |
$337.32 |
| 36415 |
Collection of venous blood by venipuncture |
163 |
158 |
$303.55 |
| 84436 |
|
52 |
44 |
$293.39 |
| 87807 |
|
22 |
16 |
$279.57 |
| 80076 |
|
47 |
39 |
$272.94 |
| 90474 |
|
13 |
13 |
$265.85 |
| 87077 |
|
29 |
26 |
$260.01 |
| 90674 |
|
179 |
154 |
$241.84 |
| 92552 |
|
21 |
14 |
$239.99 |
| 99173 |
|
1,327 |
1,008 |
$223.73 |
| D1206 |
Topical application of fluoride varnish |
17 |
14 |
$218.14 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
58 |
53 |
$171.98 |
| 96161 |
|
43 |
37 |
$138.38 |
| 83550 |
|
13 |
12 |
$120.69 |
| 83540 |
|
13 |
12 |
$89.46 |
| 99406 |
|
16 |
12 |
$75.90 |
| 81003 |
|
16 |
14 |
$36.10 |
| 99177 |
|
29 |
25 |
$15.66 |
| 1159F |
|
32 |
27 |
$0.01 |
| 99000 |
|
51 |
39 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 3008F |
|
15 |
12 |
$0.00 |
| 90670 |
|
142 |
122 |
$0.00 |
| 90685 |
|
33 |
28 |
$0.00 |