| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,049 |
51,114 |
$2.44M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,488 |
23,802 |
$1.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,496 |
32,817 |
$1.35M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,848 |
8,444 |
$658K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,121 |
4,992 |
$176K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,657 |
2,640 |
$161K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,533 |
1,522 |
$133K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,320 |
2,667 |
$130K |
| 99215 |
Prolong outpt/office vis |
1,889 |
1,818 |
$101K |
| 76830 |
Ultrasound, transvaginal |
1,893 |
1,209 |
$94K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,879 |
2,025 |
$92K |
| 99233 |
Prolong inpt eval add15 m |
2,658 |
1,372 |
$90K |
| 99223 |
Prolong inpt eval add15 m |
1,303 |
1,253 |
$89K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,828 |
1,172 |
$79K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,230 |
2,220 |
$58K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13,975 |
11,750 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
429 |
428 |
$34K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
854 |
822 |
$34K |
| 0002A |
|
982 |
981 |
$33K |
| 0001A |
|
1,003 |
1,002 |
$32K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,216 |
2,206 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,412 |
1,385 |
$29K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
281 |
162 |
$28K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
206 |
203 |
$28K |
| 20610 |
|
1,093 |
970 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,294 |
2,254 |
$23K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
961 |
937 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
436 |
219 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
601 |
571 |
$21K |
| 87428 |
|
341 |
330 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,211 |
1,194 |
$19K |
| 99205 |
Prolong outpt/office vis |
190 |
186 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
251 |
180 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
332 |
332 |
$17K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
211 |
206 |
$16K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
262 |
228 |
$14K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
156 |
137 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
309 |
302 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
144 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
208 |
200 |
$11K |
| 93015 |
|
341 |
334 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
2,072 |
1,992 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,467 |
2,270 |
$10K |
| 90686 |
|
1,385 |
1,367 |
$10K |
| 95251 |
|
696 |
676 |
$9K |
| 92558 |
|
732 |
722 |
$9K |
| H2015 |
Comprehensive community support services, per 15 minutes |
76 |
69 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
156 |
106 |
$8K |
| 92587 |
|
909 |
457 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,144 |
1,121 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
108 |
62 |
$7K |
| 93000 |
|
1,016 |
958 |
$7K |
| 27096 |
|
81 |
80 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
494 |
472 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
214 |
209 |
$6K |
| 90682 |
|
171 |
170 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
165 |
161 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,327 |
1,311 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
243 |
239 |
$6K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
22 |
22 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
987 |
972 |
$5K |
| 78451 |
|
46 |
26 |
$5K |
| 90461 |
|
263 |
262 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
108 |
53 |
$5K |
| 99443 |
|
444 |
394 |
$4K |
| 97803 |
|
106 |
99 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
64 |
64 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
209 |
205 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
202 |
199 |
$3K |
| A0425 |
Ground mileage, per statute mile |
120 |
115 |
$2K |
| 99177 |
|
1,261 |
1,254 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
37 |
37 |
$2K |
| 99462 |
|
34 |
29 |
$1K |
| 0004A |
|
69 |
69 |
$1K |
| 94060 |
|
245 |
241 |
$1K |
| 98926 |
|
76 |
57 |
$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) |
530 |
514 |
$1K |
| 76801 |
|
27 |
12 |
$1K |
| 90480 |
|
29 |
29 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
28 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99460 |
|
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 0054A |
|
26 |
26 |
$970.16 |
| 0064A |
|
32 |
32 |
$963.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
126 |
$895.97 |
| 76642 |
|
40 |
40 |
$893.10 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
37 |
37 |
$875.73 |
| 99220 |
|
16 |
16 |
$872.41 |
| 94729 |
|
234 |
232 |
$867.47 |
| 74183 |
|
29 |
28 |
$864.09 |
| 99358 |
Prolong nursin fac eval 15m |
89 |
88 |
$846.59 |
| 93296 |
|
65 |
64 |
$735.08 |
| 76536 |
|
41 |
39 |
$705.26 |
| 0071A |
|
15 |
15 |
$688.05 |
| 93226 |
|
38 |
38 |
$616.03 |
| 99442 |
|
162 |
144 |
$603.91 |
| 93227 |
|
50 |
50 |
$552.89 |
| 71250 |
|
14 |
14 |
$539.94 |
| 73564 |
|
69 |
55 |
$518.25 |
| 0031A |
|
50 |
50 |
$511.02 |
| 90688 |
|
52 |
52 |
$474.48 |
| 94726 |
|
75 |
74 |
$410.34 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$403.50 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
13 |
$381.16 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$270.60 |
| 99173 |
|
28 |
28 |
$172.51 |
| 93971 |
|
18 |
17 |
$147.22 |
| 20552 |
|
12 |
12 |
$131.55 |
| G0008 |
Administration of influenza virus vaccine |
195 |
195 |
$123.85 |
| 99152 |
|
37 |
37 |
$80.91 |
| 73610 |
|
12 |
12 |
$71.79 |
| 77080 |
|
37 |
37 |
$61.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
522 |
514 |
$47.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
38 |
$40.09 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$39.62 |
| 99000 |
|
64 |
64 |
$26.00 |
| 99406 |
|
12 |
12 |
$15.09 |
| 91307 |
|
15 |
15 |
$0.00 |
| 91306 |
|
32 |
32 |
$0.00 |
| 36416 |
|
48 |
48 |
$0.00 |
| 91305 |
|
21 |
21 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 91300 |
|
1,371 |
1,200 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
13 |
$0.00 |
| 90670 |
|
31 |
31 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |