| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109,089 |
90,584 |
$2.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,891 |
45,380 |
$2.42M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,184 |
15,065 |
$890K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,345 |
8,263 |
$472K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
21,525 |
17,704 |
$167K |
| 90838 |
|
1,084 |
991 |
$132K |
| 90686 |
|
9,679 |
8,703 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,146 |
1,863 |
$108K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,271 |
8,848 |
$106K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,158 |
2,038 |
$103K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,180 |
4,273 |
$98K |
| 90670 |
|
8,202 |
7,772 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,297 |
1,940 |
$52K |
| 0001A |
|
1,799 |
1,742 |
$44K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,049 |
1,559 |
$41K |
| 90680 |
|
3,424 |
3,322 |
$41K |
| 90723 |
|
3,392 |
3,295 |
$40K |
| 87428 |
|
1,354 |
634 |
$40K |
| 90647 |
|
2,947 |
2,838 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
861 |
744 |
$38K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
380 |
285 |
$32K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,643 |
1,466 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
398 |
305 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
730 |
484 |
$20K |
| 90677 |
|
1,538 |
1,519 |
$20K |
| 69210 |
|
583 |
446 |
$16K |
| 0071A |
|
162 |
161 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
342 |
318 |
$15K |
| 90698 |
|
1,246 |
1,128 |
$13K |
| 90688 |
|
1,441 |
1,320 |
$13K |
| 0002A |
|
661 |
647 |
$13K |
| 90656 |
|
717 |
715 |
$11K |
| 90633 |
|
877 |
844 |
$10K |
| 99310 |
Prolong nursin fac eval 15m |
326 |
242 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
154 |
$9K |
| 90697 |
|
565 |
556 |
$8K |
| 90836 |
|
120 |
105 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
167 |
155 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
290 |
98 |
$7K |
| 87430 |
|
881 |
646 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
291 |
255 |
$7K |
| 73110 |
|
414 |
207 |
$6K |
| 99460 |
|
101 |
64 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,104 |
817 |
$5K |
| 20610 |
|
133 |
115 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
51 |
42 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
894 |
668 |
$5K |
| 59025 |
Fetal non-stress test |
115 |
90 |
$4K |
| 99215 |
Prolong outpt/office vis |
38 |
38 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
85 |
49 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,186 |
3,489 |
$3K |
| 93000 |
|
248 |
230 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
359 |
218 |
$2K |
| 0072A |
|
22 |
22 |
$2K |
| 80053 |
Comprehensive metabolic panel |
578 |
395 |
$2K |
| 20611 |
|
26 |
25 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
64 |
41 |
$2K |
| 99152 |
|
134 |
114 |
$2K |
| 73140 |
|
134 |
66 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
12 |
$2K |
| 87400 |
|
175 |
130 |
$2K |
| 90744 |
|
151 |
137 |
$2K |
| 87807 |
|
124 |
112 |
$1K |
| 64615 |
|
13 |
12 |
$1K |
| 90734 |
|
106 |
95 |
$1K |
| 0081A |
|
12 |
12 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
27 |
$1K |
| 93296 |
|
76 |
71 |
$1K |
| 90685 |
|
133 |
116 |
$1K |
| 85027 |
|
122 |
116 |
$927.97 |
| 99383 |
|
16 |
15 |
$915.15 |
| 99318 |
|
44 |
43 |
$838.39 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$831.89 |
| 73562 |
|
58 |
36 |
$756.35 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$739.20 |
| 73630 |
|
33 |
24 |
$691.64 |
| 72100 |
|
43 |
36 |
$673.32 |
| 86140 |
|
395 |
249 |
$648.82 |
| 90707 |
|
50 |
48 |
$643.86 |
| 90681 |
|
51 |
51 |
$610.46 |
| 73130 |
|
29 |
24 |
$592.30 |
| 71045 |
Radiologic examination, chest; single view |
76 |
65 |
$567.98 |
| 73610 |
|
18 |
12 |
$557.24 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
19 |
13 |
$541.84 |
| 87420 |
|
70 |
41 |
$501.93 |
| 90716 |
|
39 |
38 |
$499.32 |
| 90682 |
|
16 |
15 |
$483.50 |
| 81003 |
|
1,155 |
1,018 |
$453.19 |
| 80061 |
Lipid panel |
65 |
48 |
$450.20 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
25 |
$442.77 |
| 94060 |
|
12 |
12 |
$374.28 |
| 90651 |
|
32 |
29 |
$354.78 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
513 |
470 |
$348.55 |
| 81025 |
|
59 |
51 |
$343.32 |
| 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) |
854 |
798 |
$317.13 |
| 90619 |
|
13 |
12 |
$305.63 |
| 73620 |
|
13 |
12 |
$289.00 |
| 85652 |
|
325 |
211 |
$284.48 |
| 80076 |
|
119 |
67 |
$268.41 |
| 90715 |
|
15 |
14 |
$238.50 |
| 84439 |
|
33 |
26 |
$213.29 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
12 |
$148.44 |
| 90380 |
|
12 |
12 |
$144.54 |
| 82565 |
|
102 |
56 |
$124.27 |
| 95251 |
|
70 |
66 |
$108.83 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
64 |
59 |
$96.72 |
| 93294 |
|
12 |
12 |
$90.85 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
48 |
42 |
$75.20 |
| 96127 |
|
14 |
14 |
$61.76 |
| 93016 |
|
14 |
12 |
$38.98 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
26 |
24 |
$10.15 |
| 87210 |
|
12 |
12 |
$0.00 |
| 99174 |
|
515 |
499 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |