| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69,645 |
52,941 |
$3.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,439 |
43,147 |
$2.41M |
| 99215 |
Prolong outpt/office vis |
4,173 |
3,205 |
$263K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,106 |
2,382 |
$258K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,306 |
2,429 |
$253K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,933 |
9,346 |
$207K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,009 |
4,583 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,372 |
972 |
$110K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,655 |
1,544 |
$103K |
| 99199 |
Unlisted special service, procedure or report |
28,579 |
28,573 |
$98K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,141 |
1,824 |
$90K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,269 |
1,169 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
776 |
644 |
$70K |
| 99460 |
|
854 |
793 |
$67K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,154 |
849 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
967 |
715 |
$50K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,834 |
796 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
511 |
355 |
$46K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,510 |
4,248 |
$45K |
| 87428 |
|
724 |
494 |
$41K |
| 80053 |
Comprehensive metabolic panel |
4,381 |
3,353 |
$37K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
310 |
248 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,163 |
3,159 |
$34K |
| 36415 |
Collection of venous blood by venipuncture |
25,092 |
19,951 |
$31K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,003 |
762 |
$30K |
| 80061 |
Lipid panel |
2,275 |
1,848 |
$27K |
| 93000 |
|
3,047 |
2,591 |
$25K |
| J0129 |
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
226 |
97 |
$23K |
| 95117 |
|
3,490 |
1,582 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,263 |
1,839 |
$19K |
| 86140 |
|
3,247 |
2,497 |
$17K |
| 99051 |
|
803 |
633 |
$17K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
864 |
693 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,734 |
995 |
$15K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,081 |
563 |
$15K |
| 99243 |
|
168 |
152 |
$14K |
| 93295 |
|
644 |
543 |
$13K |
| 99205 |
Prolong outpt/office vis |
115 |
104 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
948 |
404 |
$12K |
| 93297 |
|
1,943 |
1,577 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,036 |
740 |
$11K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
859 |
612 |
$11K |
| 90686 |
|
6,535 |
4,434 |
$11K |
| 81001 |
|
2,988 |
2,483 |
$10K |
| 92567 |
|
987 |
783 |
$10K |
| 93298 |
|
962 |
757 |
$9K |
| 85652 |
|
3,152 |
2,478 |
$9K |
| 80050 |
General health panel |
984 |
773 |
$8K |
| 92551 |
|
5,150 |
3,768 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
566 |
184 |
$6K |
| 71250 |
|
104 |
85 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
399 |
211 |
$5K |
| J3262 |
Injection, tocilizumab, 1 mg |
264 |
104 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
160 |
101 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
51 |
47 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
15 |
12 |
$5K |
| 84439 |
|
652 |
456 |
$5K |
| 90474 |
|
328 |
280 |
$4K |
| 93294 |
|
449 |
391 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
316 |
264 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
188 |
$4K |
| 69210 |
|
203 |
171 |
$4K |
| 0002A |
|
108 |
74 |
$4K |
| 94726 |
|
337 |
256 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
52 |
25 |
$4K |
| 94729 |
|
355 |
270 |
$4K |
| 0071A |
|
88 |
56 |
$4K |
| 0001A |
|
105 |
73 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
59 |
51 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
183 |
67 |
$3K |
| 99173 |
|
5,372 |
3,796 |
$3K |
| 97597 |
|
330 |
243 |
$3K |
| 94010 |
|
263 |
189 |
$3K |
| 82607 |
|
216 |
161 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
101 |
98 |
$3K |
| 93296 |
|
310 |
270 |
$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) |
1,253 |
1,096 |
$3K |
| 87276 |
|
272 |
181 |
$2K |
| 87275 |
|
272 |
181 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
317 |
265 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
49 |
24 |
$2K |
| 95910 |
|
31 |
25 |
$2K |
| 0072A |
|
37 |
31 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
15 |
12 |
$2K |
| 99462 |
|
52 |
39 |
$2K |
| 96127 |
|
443 |
325 |
$2K |
| 84479 |
|
291 |
249 |
$2K |
| 99385 |
|
25 |
19 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
30 |
$1K |
| 84436 |
|
293 |
251 |
$1K |
| 90651 |
|
111 |
66 |
$1K |
| 99407 |
|
95 |
78 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
42 |
$1K |
| 84550 |
|
286 |
174 |
$1K |
| 93299 |
|
147 |
119 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
83 |
64 |
$1K |
| 96367 |
|
92 |
40 |
$1K |
| 94618 |
|
89 |
62 |
$1K |
| 94060 |
|
65 |
60 |
$934.42 |
| 99406 |
|
130 |
109 |
$924.08 |
| 83721 |
|
91 |
85 |
$818.29 |
| 82043 |
|
124 |
104 |
$691.56 |
| 90734 |
|
95 |
63 |
$650.22 |
| J7050 |
Infusion, normal saline solution, 250 cc |
3,331 |
1,966 |
$636.99 |
| 97016 |
|
128 |
36 |
$599.33 |
| 82570 |
|
111 |
92 |
$554.99 |
| 11721 |
|
46 |
27 |
$541.03 |
| 82962 |
|
234 |
179 |
$523.21 |
| D1206 |
Topical application of fluoride varnish |
83 |
64 |
$456.49 |
| 88304 |
|
60 |
51 |
$445.82 |
| 82728 |
|
33 |
29 |
$393.22 |
| 72202 |
|
30 |
25 |
$354.10 |
| 83540 |
|
78 |
54 |
$325.56 |
| 83550 |
|
64 |
42 |
$312.15 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
12 |
$291.56 |
| 73130 |
|
38 |
15 |
$266.16 |
| 0124A |
|
22 |
19 |
$263.09 |
| 83735 |
|
72 |
28 |
$251.52 |
| 94760 |
|
812 |
700 |
$244.29 |
| 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 |
110 |
84 |
$229.03 |
| 73630 |
|
29 |
12 |
$204.25 |
| 87400 |
|
18 |
15 |
$155.43 |
| 11720 |
|
136 |
108 |
$130.11 |
| 81025 |
|
19 |
12 |
$124.88 |
| 90715 |
|
20 |
13 |
$120.33 |
| 82948 |
|
57 |
27 |
$105.71 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
38 |
24 |
$87.12 |
| 99177 |
|
586 |
558 |
$65.25 |
| 51798 |
|
15 |
12 |
$36.88 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
229 |
138 |
$32.98 |
| 90656 |
|
283 |
278 |
$21.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
45 |
12 |
$10.88 |
| G0008 |
Administration of influenza virus vaccine |
395 |
364 |
$8.70 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
31 |
28 |
$5.27 |
| 3078F |
|
7,966 |
6,888 |
$0.00 |
| 3077F |
|
775 |
670 |
$0.00 |
| 90670 |
|
1,461 |
1,147 |
$0.00 |
| 90633 |
|
82 |
65 |
$0.00 |
| 91300 |
|
62 |
42 |
$0.00 |
| 90662 |
|
42 |
40 |
$0.00 |
| 90681 |
|
28 |
24 |
$0.00 |
| 90685 |
|
46 |
38 |
$0.00 |
| 3075F |
|
863 |
766 |
$0.00 |
| 3074F |
|
7,721 |
6,669 |
$0.00 |
| 3079F |
|
1,738 |
1,532 |
$0.00 |
| 90698 |
|
1,700 |
1,352 |
$0.00 |
| 90680 |
|
410 |
348 |
$0.00 |
| 3080F |
|
236 |
198 |
$0.00 |
| 92587 |
|
22 |
20 |
$0.00 |
| 90688 |
|
43 |
40 |
$0.00 |
| 90677 |
|
224 |
215 |
$0.00 |
| 90744 |
|
140 |
116 |
$0.00 |
| 3044F |
|
89 |
82 |
$0.00 |