| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212,882 |
195,229 |
$9.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208,400 |
193,028 |
$6.05M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16,007 |
14,964 |
$850K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,298 |
4,795 |
$831K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24,466 |
22,918 |
$773K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
3,280 |
2,890 |
$652K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,665 |
7,081 |
$525K |
| 20610 |
|
12,017 |
10,039 |
$503K |
| 99000 |
|
115,395 |
103,634 |
$420K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
20,817 |
9,954 |
$418K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52,766 |
48,705 |
$372K |
| 0240U |
|
11,848 |
10,955 |
$370K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,008 |
5,787 |
$348K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,898 |
4,649 |
$290K |
| 80053 |
Comprehensive metabolic panel |
30,688 |
28,700 |
$283K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
989 |
890 |
$272K |
| 99215 |
Prolong outpt/office vis |
4,804 |
4,374 |
$254K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,794 |
3,567 |
$220K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,849 |
6,526 |
$217K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,941 |
2,747 |
$217K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,467 |
3,365 |
$201K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,157 |
2,041 |
$200K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,992 |
1,834 |
$188K |
| 87210 |
|
29,409 |
27,096 |
$155K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,714 |
1,600 |
$148K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,137 |
5,434 |
$148K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
9,567 |
4,417 |
$147K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,094 |
4,636 |
$146K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
181 |
135 |
$134K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,404 |
3,241 |
$131K |
| 81025 |
|
16,220 |
15,083 |
$127K |
| 90686 |
|
14,177 |
13,674 |
$125K |
| 80050 |
General health panel |
2,896 |
2,733 |
$122K |
| 81001 |
|
38,013 |
35,263 |
$112K |
| 43235 |
|
843 |
772 |
$107K |
| 71046 |
Radiologic examination, chest; 2 views |
5,912 |
5,607 |
$106K |
| 99233 |
Prolong inpt eval add15 m |
4,415 |
1,997 |
$99K |
| 99254 |
|
1,520 |
1,416 |
$98K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,164 |
3,893 |
$96K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,635 |
4,292 |
$90K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12,202 |
11,302 |
$86K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14,634 |
11,374 |
$83K |
| 99243 |
|
1,389 |
1,324 |
$80K |
| 91322 |
|
714 |
602 |
$75K |
| 3008F |
|
8,406 |
7,928 |
$75K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,982 |
2,422 |
$74K |
| 99223 |
Prolong inpt eval add15 m |
1,646 |
1,505 |
$70K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,564 |
2,346 |
$69K |
| 11721 |
|
5,586 |
5,335 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,097 |
1,063 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,840 |
3,625 |
$57K |
| 85027 |
|
8,577 |
8,113 |
$50K |
| 92015 |
Determination of refractive state |
8,203 |
6,591 |
$47K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
975 |
932 |
$45K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,829 |
780 |
$44K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,785 |
1,688 |
$43K |
| 98940 |
|
3,517 |
1,880 |
$42K |
| 93000 |
|
3,295 |
3,079 |
$41K |
| 0124A |
|
1,229 |
1,192 |
$41K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
498 |
317 |
$39K |
| 0001A |
|
898 |
884 |
$33K |
| 73562 |
|
1,674 |
1,394 |
$33K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
140 |
130 |
$32K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,116 |
1,001 |
$32K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
741 |
355 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
472 |
389 |
$30K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
7,360 |
6,409 |
$27K |
| 76830 |
Ultrasound, transvaginal |
350 |
330 |
$27K |
| 90480 |
|
801 |
703 |
$24K |
| 64483 |
|
195 |
179 |
$22K |
| 81003 |
|
10,632 |
10,070 |
$22K |
| 0002A |
|
570 |
557 |
$21K |
| 0071A |
|
581 |
549 |
$21K |
| 90677 |
|
371 |
348 |
$21K |
| 83690 |
|
3,177 |
3,024 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
277 |
262 |
$20K |
| 84702 |
|
1,695 |
1,300 |
$20K |
| 83880 |
|
734 |
667 |
$19K |
| 98942 |
|
861 |
385 |
$18K |
| 0054A |
|
515 |
503 |
$17K |
| 0051A |
|
498 |
473 |
$17K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,099 |
1,818 |
$17K |
| 73030 |
|
960 |
860 |
$17K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
771 |
717 |
$16K |
| 99385 |
|
304 |
280 |
$16K |
| 85610 |
|
4,863 |
3,362 |
$16K |
| 85652 |
|
6,644 |
6,239 |
$16K |
| 80076 |
|
2,253 |
2,120 |
$16K |
| 99152 |
|
589 |
529 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
752 |
699 |
$15K |
| 90688 |
|
1,682 |
1,638 |
$15K |
| 0072A |
|
393 |
383 |
$14K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
984 |
941 |
$14K |
| 85379 |
|
1,604 |
1,514 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
164 |
163 |
$14K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
648 |
608 |
$13K |
| 0004A |
|
355 |
338 |
$12K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$12K |
| 91321 |
|
223 |
124 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
223 |
210 |
$12K |
| 64721 |
|
52 |
49 |
$12K |
| 99460 |
|
137 |
129 |
$11K |
| 90656 |
|
656 |
649 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
666 |
643 |
$11K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
539 |
247 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,228 |
1,163 |
$11K |
| 93793 |
|
2,860 |
1,979 |
$11K |
| 11720 |
|
1,529 |
1,460 |
$11K |
| 90670 |
|
2,575 |
2,513 |
$11K |
| 84703 |
|
1,442 |
1,354 |
$11K |
| 84484 |
|
1,061 |
981 |
$11K |
| 82565 |
|
2,470 |
2,354 |
$10K |
| 0052A |
|
293 |
286 |
$10K |
| 93356 |
|
646 |
591 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
23,515 |
20,664 |
$10K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
1,836 |
1,715 |
$10K |
| 31575 |
|
170 |
155 |
$10K |
| 73502 |
|
539 |
499 |
$9K |
| 80061 |
Lipid panel |
1,107 |
1,050 |
$9K |
| 83735 |
|
1,776 |
1,625 |
$9K |
| 94010 |
|
265 |
247 |
$9K |
| 99242 |
|
187 |
176 |
$8K |
| J7325 |
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
48 |
26 |
$8K |
| 99188 |
|
626 |
602 |
$8K |
| 36416 |
|
2,904 |
2,436 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
249 |
235 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
31 |
29 |
$7K |
| 99070 |
|
694 |
633 |
$7K |
| 92557 |
|
301 |
280 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,223 |
1,154 |
$7K |
| 0012A |
|
185 |
181 |
$7K |
| 99205 |
Prolong outpt/office vis |
85 |
78 |
$7K |
| 0011A |
|
205 |
202 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
440 |
309 |
$7K |
| 0064A |
|
195 |
180 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
48 |
40 |
$7K |
| 69210 |
|
767 |
699 |
$6K |
| 99245 |
|
92 |
89 |
$6K |
| 64615 |
|
95 |
94 |
$6K |
| 90647 |
|
855 |
839 |
$6K |
| 0111A |
|
175 |
160 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,179 |
1,080 |
$6K |
| 90723 |
|
853 |
838 |
$6K |
| 96127 |
|
1,510 |
1,420 |
$6K |
| 90732 |
|
74 |
69 |
$6K |
| 82550 |
|
998 |
926 |
$6K |
| 86308 |
|
1,107 |
1,038 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
143 |
139 |
$5K |
| G0127 |
Trimming of dystrophic nails, any number |
716 |
696 |
$5K |
| 74018 |
|
274 |
257 |
$5K |
| 84550 |
|
1,456 |
1,345 |
$5K |
| 82950 |
|
1,040 |
977 |
$5K |
| 73564 |
|
222 |
161 |
$5K |
| 82247 |
|
968 |
600 |
$5K |
| 72100 |
|
191 |
178 |
$5K |
| 99442 |
|
297 |
229 |
$5K |
| 92567 |
|
378 |
364 |
$5K |
| 64493 |
|
52 |
50 |
$5K |
| 85018 |
|
1,920 |
1,808 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
435 |
397 |
$4K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
15 |
15 |
$4K |
| 73630 |
|
184 |
147 |
$4K |
| 99441 |
|
461 |
330 |
$4K |
| 73610 |
|
153 |
146 |
$4K |
| 90673 |
|
76 |
74 |
$4K |
| 99443 |
|
199 |
141 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
52 |
43 |
$4K |
| 97161 |
|
91 |
88 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
126 |
110 |
$4K |
| 20611 |
|
67 |
55 |
$3K |
| 95886 |
|
45 |
40 |
$3K |
| 97162 |
|
80 |
78 |
$3K |
| 62323 |
|
29 |
27 |
$3K |
| 0154A |
|
89 |
85 |
$3K |
| 0134A |
|
89 |
85 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
189 |
168 |
$3K |
| 82150 |
|
450 |
426 |
$3K |
| 90715 |
|
116 |
101 |
$3K |
| 0112A |
|
81 |
75 |
$3K |
| Q0112 |
All potassium hydroxide (koh) preparations |
469 |
452 |
$3K |
| 90680 |
|
572 |
555 |
$3K |
| 90633 |
|
644 |
624 |
$2K |
| 82728 |
|
300 |
292 |
$2K |
| 85014 |
|
1,019 |
948 |
$2K |
| 82248 |
|
476 |
373 |
$2K |
| 90651 |
|
361 |
344 |
$2K |
| 95923 |
|
29 |
25 |
$2K |
| 99201 |
|
80 |
76 |
$2K |
| 90698 |
|
610 |
595 |
$2K |
| 0121A |
|
60 |
53 |
$2K |
| 87563 |
|
87 |
82 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
80 |
73 |
$2K |
| 73110 |
|
70 |
66 |
$2K |
| 84100 |
|
598 |
549 |
$2K |
| 84439 |
|
348 |
334 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
348 |
293 |
$2K |
| 64494 |
|
43 |
38 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
27 |
15 |
$2K |
| 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) |
1,469 |
1,387 |
$2K |
| 99173 |
|
90 |
83 |
$2K |
| 11056 |
|
55 |
51 |
$2K |
| 82947 |
|
369 |
339 |
$1K |
| 90734 |
|
147 |
132 |
$1K |
| 51701 |
|
39 |
38 |
$1K |
| 0003A |
|
31 |
29 |
$1K |
| 82570 |
|
316 |
294 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28 |
26 |
$1K |
| 87081 |
|
241 |
222 |
$1K |
| 0053A |
|
30 |
30 |
$1K |
| 95924 |
|
13 |
12 |
$1K |
| 90744 |
|
287 |
280 |
$1K |
| 90746 |
|
19 |
17 |
$978.58 |
| 73140 |
|
46 |
38 |
$969.08 |
| 99253 |
|
14 |
14 |
$930.16 |
| 0074A |
|
24 |
24 |
$922.31 |
| 77080 |
|
12 |
12 |
$792.23 |
| 92586 |
|
15 |
13 |
$767.04 |
| V5266 |
Battery for use in hearing device |
59 |
56 |
$686.98 |
| 97166 |
|
13 |
12 |
$686.26 |
| 11719 |
|
249 |
241 |
$671.59 |
| 90685 |
|
198 |
192 |
$654.50 |
| 83540 |
|
173 |
172 |
$624.25 |
| 82607 |
|
73 |
72 |
$613.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
183 |
$613.35 |
| 76536 |
|
12 |
12 |
$567.46 |
| 87338 |
|
44 |
44 |
$561.26 |
| 51798 |
|
103 |
93 |
$484.61 |
| 83550 |
|
103 |
102 |
$479.49 |
| 84460 |
|
91 |
79 |
$468.21 |
| 87186 |
|
75 |
73 |
$425.94 |
| 0073A |
|
12 |
12 |
$423.96 |
| 84450 |
|
73 |
65 |
$410.42 |
| 92136 |
|
15 |
12 |
$401.61 |
| 90672 |
|
12 |
12 |
$364.69 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
25 |
13 |
$347.09 |
| 72040 |
|
15 |
14 |
$326.23 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$313.06 |
| 92133 |
|
12 |
12 |
$293.64 |
| 73560 |
|
19 |
16 |
$291.84 |
| 86780 |
|
43 |
40 |
$290.04 |
| 94060 |
|
14 |
13 |
$281.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
269 |
241 |
$222.34 |
| 90620 |
|
12 |
12 |
$207.18 |
| 82043 |
|
53 |
49 |
$199.57 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$188.80 |
| 81002 |
|
72 |
70 |
$187.79 |
| 95251 |
|
15 |
13 |
$166.24 |
| 87077 |
|
36 |
36 |
$159.35 |
| 81015 |
|
43 |
43 |
$151.99 |
| 87070 |
|
21 |
17 |
$149.05 |
| 86762 |
|
14 |
14 |
$147.19 |
| 94729 |
|
16 |
16 |
$135.17 |
| 99406 |
|
110 |
106 |
$132.56 |
| 90696 |
|
39 |
37 |
$123.72 |
| 94726 |
|
14 |
14 |
$101.10 |
| 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 |
16 |
14 |
$79.04 |
| 83615 |
|
14 |
13 |
$66.78 |
| 86850 |
|
14 |
12 |
$54.14 |
| 90710 |
|
15 |
13 |
$46.41 |
| 86140 |
|
13 |
13 |
$43.67 |
| 90687 |
|
13 |
13 |
$43.38 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
40 |
$39.67 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
294 |
272 |
$38.63 |
| 86900 |
|
12 |
12 |
$32.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
38 |
$28.21 |
| 0399T |
|
25 |
25 |
$10.40 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
62 |
62 |
$7.89 |
| 91312 |
|
359 |
353 |
$0.00 |
| 91311 |
|
12 |
12 |
$0.00 |
| 91300 |
|
256 |
244 |
$0.00 |
| 91307 |
|
63 |
59 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$0.00 |
| 91305 |
|
192 |
188 |
$0.00 |
| 91301 |
|
34 |
33 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
16 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
45 |
45 |
$0.00 |