| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
211,018 |
177,671 |
$6.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109,439 |
96,860 |
$4.65M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,352 |
12,347 |
$958K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
6,669 |
1,629 |
$795K |
| 87428 |
|
15,775 |
15,312 |
$745K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,433 |
9,267 |
$727K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
4,322 |
1,230 |
$486K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,229 |
5,178 |
$425K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,361 |
5,218 |
$377K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
655 |
644 |
$364K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,591 |
6,441 |
$343K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,833 |
3,459 |
$336K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,743 |
2,615 |
$304K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,071 |
3,041 |
$265K |
| 99460 |
|
3,716 |
3,660 |
$260K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,349 |
2,848 |
$249K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,415 |
3,269 |
$248K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,626 |
2,521 |
$245K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,536 |
2,994 |
$225K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17,612 |
17,006 |
$212K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32,362 |
13,521 |
$188K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,833 |
1,656 |
$177K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,133 |
1,881 |
$160K |
| 99245 |
|
1,094 |
1,073 |
$160K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,397 |
2,777 |
$154K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,053 |
934 |
$119K |
| 59514 |
|
225 |
212 |
$112K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,675 |
780 |
$109K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,822 |
2,665 |
$106K |
| 99223 |
Prolong inpt eval add15 m |
1,024 |
953 |
$98K |
| 76801 |
|
1,531 |
1,270 |
$98K |
| 99233 |
Prolong inpt eval add15 m |
3,003 |
1,297 |
$96K |
| 99215 |
Prolong outpt/office vis |
1,475 |
1,213 |
$95K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,179 |
16,448 |
$86K |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,884 |
3,854 |
$75K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
219 |
52 |
$74K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,507 |
1,478 |
$72K |
| 81003 |
|
46,824 |
30,400 |
$69K |
| 59430 |
|
730 |
680 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,827 |
2,553 |
$58K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,102 |
1,054 |
$54K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,154 |
1,090 |
$49K |
| 99243 |
|
690 |
654 |
$49K |
| 90461 |
|
19,375 |
5,546 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,154 |
4,540 |
$42K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,360 |
5,186 |
$40K |
| 95816 |
|
882 |
858 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,040 |
1,746 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
659 |
570 |
$35K |
| 99462 |
|
1,007 |
910 |
$31K |
| 76825 |
|
156 |
137 |
$29K |
| 97803 |
|
747 |
717 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
1,312 |
1,286 |
$23K |
| 54150 |
|
295 |
289 |
$21K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
753 |
631 |
$20K |
| 76820 |
|
618 |
384 |
$20K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
117 |
115 |
$19K |
| 99381 |
|
248 |
245 |
$19K |
| 97802 |
|
438 |
428 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
574 |
500 |
$17K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
67 |
67 |
$15K |
| 95251 |
|
883 |
802 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
162 |
148 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
572 |
494 |
$10K |
| 99220 |
|
91 |
91 |
$9K |
| 90686 |
|
4,804 |
4,712 |
$8K |
| 99478 |
|
52 |
12 |
$8K |
| 99292 |
|
382 |
145 |
$7K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
219 |
186 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
851 |
812 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
220 |
211 |
$7K |
| 95720 |
|
49 |
24 |
$7K |
| 76827 |
|
117 |
103 |
$6K |
| 81025 |
|
1,133 |
1,112 |
$6K |
| 11721 |
|
365 |
353 |
$6K |
| 99383 |
|
68 |
68 |
$6K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
140 |
137 |
$6K |
| 99221 |
|
87 |
87 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
66 |
51 |
$5K |
| 90836 |
|
88 |
81 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
185 |
159 |
$5K |
| 77014 |
|
338 |
26 |
$5K |
| 99477 |
|
12 |
12 |
$4K |
| 99242 |
|
61 |
61 |
$4K |
| 00731 |
|
45 |
37 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,164 |
981 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
560 |
544 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
57 |
52 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
116 |
93 |
$4K |
| 87210 |
|
800 |
756 |
$4K |
| 77301 |
|
21 |
13 |
$3K |
| 87420 |
|
303 |
296 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
317 |
310 |
$3K |
| 90732 |
|
32 |
27 |
$3K |
| 99382 |
|
39 |
39 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
97 |
94 |
$3K |
| 76830 |
Ultrasound, transvaginal |
28 |
26 |
$3K |
| 95117 |
|
308 |
113 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
56 |
26 |
$3K |
| 87807 |
|
256 |
245 |
$3K |
| 20610 |
|
77 |
70 |
$2K |
| 77427 |
|
92 |
27 |
$2K |
| 93458 |
|
14 |
12 |
$2K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
12 |
12 |
$2K |
| 0001A |
|
58 |
56 |
$2K |
| 90715 |
|
376 |
364 |
$2K |
| 00126 |
|
29 |
29 |
$2K |
| 92250 |
|
262 |
256 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
27 |
12 |
$2K |
| 0002A |
|
37 |
37 |
$1K |
| 99254 |
|
12 |
12 |
$1K |
| 99205 |
Prolong outpt/office vis |
17 |
12 |
$1K |
| 54160 |
|
14 |
14 |
$1K |
| 99219 |
|
14 |
14 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
18 |
16 |
$1K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
18 |
16 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
77 |
71 |
$1K |
| 99152 |
|
134 |
113 |
$1K |
| 80053 |
Comprehensive metabolic panel |
799 |
623 |
$934.75 |
| 92567 |
|
87 |
87 |
$885.15 |
| 99384 |
|
12 |
12 |
$882.44 |
| 77338 |
|
27 |
15 |
$854.79 |
| 80061 |
Lipid panel |
517 |
416 |
$841.45 |
| 99310 |
Prolong nursin fac eval 15m |
31 |
28 |
$825.09 |
| 29075 |
|
12 |
12 |
$745.00 |
| 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) |
6,185 |
5,364 |
$739.64 |
| 96040 |
|
143 |
133 |
$644.37 |
| 59025 |
Fetal non-stress test |
48 |
28 |
$585.43 |
| 73610 |
|
51 |
48 |
$537.05 |
| 0124A |
|
15 |
15 |
$530.00 |
| 77334 |
|
16 |
13 |
$523.00 |
| 93000 |
|
76 |
67 |
$499.46 |
| 74018 |
|
47 |
46 |
$469.33 |
| 99406 |
|
42 |
38 |
$423.56 |
| 94729 |
|
17 |
12 |
$399.05 |
| 99307 |
|
16 |
16 |
$395.91 |
| 77300 |
|
24 |
17 |
$390.59 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
46 |
25 |
$382.00 |
| 84703 |
|
60 |
56 |
$328.29 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
18 |
15 |
$325.00 |
| 87400 |
|
25 |
25 |
$273.01 |
| 92551 |
|
138 |
138 |
$257.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
19 |
$211.68 |
| 90670 |
|
2,701 |
2,584 |
$202.21 |
| 92134 |
|
31 |
30 |
$193.96 |
| 92557 |
|
12 |
12 |
$193.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
16 |
$180.21 |
| 90734 |
|
513 |
499 |
$175.60 |
| 36415 |
Collection of venous blood by venipuncture |
1,435 |
1,159 |
$150.03 |
| 73130 |
|
23 |
23 |
$148.22 |
| 84443 |
Thyroid stimulating hormone (TSH) |
46 |
36 |
$138.77 |
| 82728 |
|
145 |
113 |
$136.59 |
| 73110 |
|
22 |
21 |
$123.53 |
| 73630 |
|
19 |
19 |
$123.40 |
| 3044F |
|
26 |
25 |
$100.00 |
| 87220 |
|
29 |
29 |
$98.75 |
| 99358 |
Prolong nursin fac eval 15m |
45 |
45 |
$98.17 |
| 90651 |
|
354 |
352 |
$86.89 |
| 96160 |
|
58 |
57 |
$78.86 |
| 86803 |
|
16 |
14 |
$71.94 |
| 86780 |
|
38 |
31 |
$65.82 |
| 86762 |
|
14 |
12 |
$57.91 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$46.50 |
| 86703 |
|
15 |
13 |
$42.51 |
| 87340 |
|
14 |
12 |
$41.75 |
| 86850 |
|
27 |
23 |
$36.77 |
| 84439 |
|
14 |
12 |
$27.30 |
| 83516 |
|
13 |
13 |
$19.38 |
| 86900 |
|
15 |
13 |
$15.02 |
| 82962 |
|
1,269 |
1,199 |
$7.22 |
| 90785 |
|
346 |
337 |
$0.66 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
21 |
12 |
$0.45 |
| 3074F |
|
3,336 |
3,074 |
$0.25 |
| 3078F |
|
3,048 |
2,827 |
$0.20 |
| 3077F |
|
154 |
139 |
$0.12 |
| 3079F |
|
134 |
120 |
$0.05 |
| 3075F |
|
49 |
46 |
$0.05 |
| 3080F |
|
54 |
50 |
$0.03 |
| 90680 |
|
1,430 |
1,394 |
$0.00 |
| 90698 |
|
249 |
229 |
$0.00 |
| 90696 |
|
195 |
194 |
$0.00 |
| 90647 |
|
1,131 |
1,115 |
$0.00 |
| 90723 |
|
1,280 |
1,263 |
$0.00 |
| A4590 |
Special casting material (e.g., fiberglass) |
317 |
277 |
$0.00 |
| 96127 |
|
87 |
81 |
$0.00 |
| 90716 |
|
179 |
178 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 99174 |
|
30 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
31 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
13 |
$0.00 |
| 99177 |
|
128 |
116 |
$0.00 |
| 90700 |
|
244 |
244 |
$0.00 |
| 90633 |
|
613 |
604 |
$0.00 |
| 90648 |
|
126 |
119 |
$0.00 |
| 90710 |
|
313 |
307 |
$0.00 |
| 90707 |
|
155 |
155 |
$0.00 |
| 99173 |
|
120 |
111 |
$0.00 |
| 90662 |
|
25 |
24 |
$0.00 |
| 5010F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |
| 91312 |
|
15 |
15 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |