| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
87,488 |
17,422 |
$3.31M |
| 99233 |
Prolong inpt eval add15 m |
31,012 |
10,364 |
$1.71M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
11,091 |
3,293 |
$1.68M |
| 99223 |
Prolong inpt eval add15 m |
15,049 |
13,059 |
$1.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,130 |
27,185 |
$1.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,379 |
20,485 |
$1.14M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16,299 |
14,599 |
$994K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
935 |
481 |
$648K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,675 |
7,292 |
$507K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,740 |
5,739 |
$504K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,049 |
303 |
$369K |
| 99215 |
Prolong outpt/office vis |
5,474 |
4,803 |
$364K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,391 |
3,979 |
$349K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
12,697 |
3,598 |
$326K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,903 |
5,449 |
$282K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,617 |
4,194 |
$271K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
2,063 |
231 |
$256K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
2,160 |
2,015 |
$243K |
| 95813 |
|
1,360 |
910 |
$213K |
| 99220 |
|
2,339 |
2,155 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,894 |
2,541 |
$182K |
| W0037 |
|
8,882 |
8,882 |
$142K |
| 99205 |
Prolong outpt/office vis |
1,438 |
1,227 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,592 |
1,568 |
$105K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
285 |
44 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,945 |
3,606 |
$101K |
| 99254 |
|
621 |
547 |
$97K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,821 |
1,461 |
$95K |
| 99221 |
|
1,999 |
1,760 |
$92K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,017 |
607 |
$90K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
407 |
385 |
$68K |
| 93308 |
|
2,303 |
2,033 |
$68K |
| 95811 |
|
413 |
382 |
$68K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13,411 |
9,990 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
876 |
871 |
$61K |
| 99217 |
|
1,757 |
1,639 |
$59K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,877 |
2,837 |
$54K |
| 95812 |
|
568 |
432 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,946 |
4,831 |
$52K |
| 99225 |
|
1,863 |
1,006 |
$50K |
| 99460 |
|
533 |
514 |
$48K |
| 99468 |
|
69 |
53 |
$46K |
| 36415 |
Collection of venous blood by venipuncture |
6,751 |
5,742 |
$33K |
| 99292 |
|
282 |
199 |
$32K |
| 93325 |
|
2,446 |
2,142 |
$31K |
| 99152 |
|
1,524 |
1,298 |
$30K |
| 93000 |
|
1,861 |
1,655 |
$29K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,186 |
980 |
$28K |
| 54150 |
|
185 |
172 |
$26K |
| 64642 |
|
323 |
297 |
$26K |
| 98968 |
|
679 |
622 |
$24K |
| 93321 |
|
2,468 |
2,164 |
$24K |
| 43244 |
|
84 |
70 |
$23K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
171 |
168 |
$22K |
| 99219 |
|
309 |
296 |
$20K |
| 80053 |
Comprehensive metabolic panel |
1,728 |
1,615 |
$18K |
| 64643 |
|
282 |
259 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
172 |
164 |
$16K |
| 93016 |
|
1,460 |
1,385 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
774 |
594 |
$15K |
| 73630 |
|
951 |
724 |
$15K |
| 20610 |
|
337 |
306 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,645 |
1,517 |
$13K |
| 93018 |
|
1,707 |
1,643 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
166 |
160 |
$12K |
| 98967 |
|
485 |
442 |
$12K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
27 |
25 |
$9K |
| 99443 |
|
387 |
371 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
242 |
209 |
$9K |
| 99477 |
|
33 |
29 |
$9K |
| 99253 |
|
72 |
68 |
$9K |
| 99442 |
|
499 |
487 |
$9K |
| 99418 |
Prolong nursin fac eval 15m |
134 |
111 |
$8K |
| 93295 |
|
306 |
298 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
143 |
138 |
$7K |
| 99252 |
|
76 |
73 |
$7K |
| 73610 |
|
417 |
353 |
$7K |
| 99188 |
|
237 |
234 |
$7K |
| 73110 |
|
357 |
268 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
358 |
353 |
$6K |
| 81001 |
|
1,834 |
1,653 |
$6K |
| 0071A |
|
157 |
155 |
$6K |
| 81025 |
|
801 |
740 |
$6K |
| 0072A |
|
159 |
158 |
$6K |
| 93015 |
|
78 |
72 |
$6K |
| 99462 |
|
137 |
112 |
$6K |
| 0001A |
|
153 |
147 |
$6K |
| 31500 |
|
54 |
37 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
307 |
167 |
$5K |
| 90686 |
|
1,367 |
1,340 |
$5K |
| 0002A |
|
135 |
134 |
$5K |
| 93294 |
|
489 |
481 |
$5K |
| 95886 |
|
64 |
58 |
$5K |
| 90677 |
|
153 |
153 |
$5K |
| 64615 |
|
57 |
51 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
414 |
381 |
$4K |
| 93298 |
|
261 |
251 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
412 |
400 |
$4K |
| 85027 |
|
562 |
532 |
$4K |
| 62323 |
|
29 |
27 |
$4K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
46 |
43 |
$3K |
| 99226 |
|
69 |
58 |
$3K |
| 90651 |
|
357 |
354 |
$3K |
| 93922 |
|
146 |
129 |
$3K |
| 36556 |
|
19 |
15 |
$3K |
| 90715 |
|
305 |
302 |
$3K |
| 64483 |
|
14 |
13 |
$3K |
| 91322 |
|
38 |
38 |
$3K |
| 0004A |
|
102 |
100 |
$3K |
| 62321 |
|
13 |
13 |
$3K |
| 99307 |
|
225 |
193 |
$3K |
| 94729 |
|
142 |
133 |
$2K |
| 27096 |
|
14 |
13 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
218 |
197 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
209 |
188 |
$2K |
| 90670 |
|
981 |
977 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
13 |
$1K |
| 94060 |
|
80 |
72 |
$1K |
| 99243 |
|
13 |
12 |
$1K |
| 73030 |
|
55 |
46 |
$1K |
| 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) |
376 |
318 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
26 |
24 |
$1K |
| 90656 |
|
138 |
137 |
$982.35 |
| 73130 |
|
50 |
37 |
$972.26 |
| 15275 |
|
27 |
12 |
$937.09 |
| 90480 |
|
48 |
48 |
$901.11 |
| 98966 |
|
71 |
68 |
$898.47 |
| 93227 |
|
59 |
51 |
$875.73 |
| J3490 |
Unclassified drugs |
14 |
12 |
$842.48 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24 |
24 |
$842.16 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
12 |
$747.82 |
| 20611 |
|
13 |
13 |
$708.21 |
| 93925 |
|
12 |
12 |
$583.20 |
| 11721 |
|
48 |
39 |
$562.43 |
| 94726 |
|
31 |
28 |
$511.42 |
| 76942 |
|
16 |
13 |
$496.17 |
| 94010 |
|
71 |
69 |
$478.19 |
| 20553 |
|
12 |
12 |
$469.86 |
| 72110 |
|
17 |
12 |
$418.20 |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
24 |
$412.97 |
| 99441 |
|
66 |
61 |
$368.57 |
| 72100 |
|
15 |
13 |
$329.68 |
| 93280 |
|
24 |
24 |
$311.46 |
| 73560 |
|
18 |
13 |
$301.93 |
| 90734 |
|
215 |
212 |
$262.21 |
| 95874 |
|
16 |
12 |
$243.92 |
| 11056 |
|
48 |
27 |
$212.51 |
| 73562 |
|
17 |
15 |
$198.37 |
| 87210 |
|
31 |
25 |
$162.96 |
| 36416 |
|
104 |
91 |
$123.82 |
| 64644 |
|
16 |
13 |
$108.07 |
| 85018 |
|
43 |
40 |
$92.43 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
137 |
136 |
$0.00 |
| 90633 |
|
261 |
259 |
$0.00 |
| 91300 |
|
399 |
360 |
$0.00 |
| 90671 |
|
40 |
39 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| 90648 |
|
188 |
187 |
$0.00 |
| 90710 |
|
29 |
29 |
$0.00 |
| 90680 |
|
391 |
390 |
$0.00 |
| 90647 |
|
507 |
507 |
$0.00 |
| 90698 |
|
27 |
27 |
$0.00 |
| 90723 |
|
526 |
522 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90650 |
|
15 |
15 |
$0.00 |
| 91307 |
|
331 |
306 |
$0.00 |