| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85,192 |
79,247 |
$7.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,394 |
91,442 |
$5.74M |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
4,442 |
4,319 |
$952K |
| 99215 |
Prolong outpt/office vis |
7,169 |
6,741 |
$687K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,680 |
9,344 |
$606K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,263 |
6,139 |
$594K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,820 |
6,144 |
$588K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,871 |
5,785 |
$559K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
7,064 |
6,633 |
$524K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,075 |
4,973 |
$520K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,927 |
4,729 |
$511K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,151 |
2,217 |
$450K |
| 90836 |
|
4,202 |
4,034 |
$373K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,525 |
2,043 |
$347K |
| 99205 |
Prolong outpt/office vis |
2,708 |
2,515 |
$308K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
7,496 |
2,900 |
$296K |
| 90686 |
|
15,937 |
15,630 |
$230K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
897 |
853 |
$218K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,002 |
1,964 |
$167K |
| 96130 |
|
1,540 |
1,431 |
$155K |
| 90791 |
Psychiatric diagnostic evaluation |
983 |
923 |
$149K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,212 |
3,834 |
$133K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
642 |
583 |
$133K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,572 |
1,211 |
$126K |
| 96127 |
|
3,086 |
3,026 |
$125K |
| 92567 |
|
10,160 |
9,857 |
$120K |
| 92504 |
|
5,629 |
5,190 |
$98K |
| 96137 |
|
894 |
844 |
$88K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
443 |
436 |
$82K |
| 96131 |
|
950 |
906 |
$76K |
| 96136 |
|
873 |
841 |
$67K |
| 90832 |
Psychotherapy, 30 minutes with patient |
844 |
743 |
$61K |
| 99460 |
|
529 |
506 |
$54K |
| 99417 |
Prolong home eval add 15m |
2,655 |
2,453 |
$50K |
| 90670 |
|
2,850 |
2,789 |
$50K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
689 |
637 |
$50K |
| 92015 |
Determination of refractive state |
5,111 |
4,920 |
$49K |
| 87428 |
|
1,112 |
1,052 |
$46K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,215 |
1,021 |
$43K |
| 90648 |
|
2,287 |
2,235 |
$40K |
| 99305 |
|
443 |
415 |
$40K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
502 |
483 |
$33K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
668 |
332 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,954 |
1,902 |
$32K |
| 95117 |
|
2,105 |
1,147 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,083 |
1,031 |
$31K |
| 90834 |
Psychotherapy, 45 minutes with patient |
280 |
214 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
211 |
193 |
$23K |
| 92551 |
|
1,787 |
1,711 |
$23K |
| 95812 |
|
400 |
380 |
$23K |
| 94060 |
|
317 |
297 |
$22K |
| 99243 |
|
283 |
283 |
$20K |
| V5266 |
Battery for use in hearing device |
1,165 |
1,092 |
$19K |
| 90723 |
|
1,069 |
1,042 |
$19K |
| 92522 |
|
265 |
248 |
$19K |
| 43762 |
|
204 |
195 |
$18K |
| 90651 |
|
1,166 |
1,150 |
$18K |
| 95720 |
|
103 |
97 |
$18K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
155 |
146 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
3,781 |
3,585 |
$15K |
| 94010 |
|
380 |
354 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
380 |
361 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
143 |
140 |
$12K |
| 97162 |
|
186 |
171 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
722 |
360 |
$11K |
| 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) |
1,875 |
1,761 |
$10K |
| 00813 |
|
57 |
57 |
$10K |
| 90656 |
|
1,030 |
1,016 |
$10K |
| 90734 |
|
578 |
569 |
$10K |
| 95012 |
|
920 |
872 |
$9K |
| 99310 |
Prolong nursin fac eval 15m |
81 |
80 |
$9K |
| 90633 |
|
457 |
452 |
$8K |
| 69210 |
|
318 |
295 |
$8K |
| 01922 |
|
27 |
26 |
$8K |
| 90710 |
|
338 |
333 |
$6K |
| 00126 |
|
40 |
39 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
51 |
49 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
73 |
50 |
$5K |
| 95813 |
|
59 |
59 |
$5K |
| 90715 |
|
300 |
296 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
69 |
64 |
$4K |
| 99173 |
|
2,288 |
2,224 |
$4K |
| 90619 |
|
186 |
184 |
$4K |
| 90887 |
|
228 |
208 |
$3K |
| 90620 |
|
272 |
266 |
$3K |
| 92587 |
|
53 |
52 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
153 |
$2K |
| 92579 |
|
74 |
72 |
$2K |
| 90681 |
|
106 |
105 |
$2K |
| 99217 |
|
25 |
25 |
$2K |
| 85018 |
|
712 |
697 |
$2K |
| 99221 |
|
36 |
34 |
$2K |
| 45331 |
|
63 |
63 |
$2K |
| 42830 |
|
14 |
12 |
$2K |
| 54150 |
|
27 |
25 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
42 |
$1K |
| 99384 |
|
13 |
12 |
$1K |
| 90677 |
|
119 |
118 |
$1K |
| 92552 |
|
109 |
107 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
29 |
$1K |
| 92604 |
|
43 |
38 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
79 |
$1K |
| 90696 |
|
53 |
52 |
$912.84 |
| V5020 |
Conformity evaluation |
52 |
36 |
$866.90 |
| V5264 |
Ear mold/insert, not disposable, any type |
12 |
12 |
$782.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
41 |
$731.07 |
| 86580 |
|
169 |
163 |
$673.38 |
| 92626 |
|
13 |
12 |
$637.81 |
| 96160 |
|
739 |
701 |
$544.79 |
| 97164 |
|
13 |
13 |
$515.06 |
| 91322 |
|
16 |
16 |
$503.36 |
| 94664 |
|
14 |
14 |
$417.03 |
| 87400 |
|
37 |
17 |
$371.61 |
| 92557 |
|
13 |
12 |
$323.48 |
| 97750 |
|
17 |
16 |
$308.54 |
| 92555 |
|
31 |
31 |
$305.24 |
| 91321 |
|
15 |
14 |
$278.39 |
| 92553 |
|
14 |
14 |
$264.59 |
| 81003 |
|
116 |
110 |
$256.19 |
| 99174 |
|
1,717 |
1,680 |
$163.50 |
| 90697 |
|
14 |
14 |
$153.43 |
| 90785 |
|
274 |
268 |
$89.19 |
| 36416 |
|
1,272 |
1,066 |
$76.53 |
| 96161 |
|
185 |
178 |
$41.93 |
| 99177 |
|
15 |
15 |
$34.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
63 |
60 |
$0.00 |
| 96167 |
|
12 |
12 |
$0.00 |