| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,243 |
47,393 |
$3.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,907 |
34,098 |
$1.91M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32,076 |
11,090 |
$1.24M |
| 99233 |
Prolong inpt eval add15 m |
12,237 |
4,193 |
$746K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
20,045 |
6,658 |
$514K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
22,274 |
7,832 |
$488K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,556 |
5,325 |
$382K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,017 |
2,801 |
$370K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
10,985 |
3,989 |
$363K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,747 |
4,630 |
$362K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,268 |
3,130 |
$325K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,168 |
3,970 |
$306K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
15,657 |
5,201 |
$263K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,119 |
4,500 |
$208K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,000 |
2,706 |
$185K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,261 |
2,016 |
$144K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,499 |
3,119 |
$136K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,763 |
1,670 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,528 |
1,484 |
$114K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
11,337 |
4,078 |
$113K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,613 |
2,262 |
$107K |
| 90677 |
|
972 |
907 |
$99K |
| 99223 |
Prolong inpt eval add15 m |
826 |
762 |
$89K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,805 |
1,632 |
$84K |
| 90670 |
|
2,730 |
2,408 |
$74K |
| 20610 |
|
1,649 |
1,513 |
$67K |
| 99215 |
Prolong outpt/office vis |
887 |
773 |
$67K |
| 97162 |
|
939 |
926 |
$65K |
| 99221 |
|
1,248 |
1,148 |
$63K |
| 97161 |
|
772 |
755 |
$54K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
503 |
277 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
568 |
556 |
$46K |
| 90723 |
|
2,212 |
1,906 |
$41K |
| 72110 |
|
1,187 |
1,140 |
$41K |
| 99460 |
|
662 |
546 |
$37K |
| 73630 |
|
1,478 |
1,177 |
$37K |
| 76830 |
Ultrasound, transvaginal |
326 |
313 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
958 |
840 |
$28K |
| 62323 |
|
149 |
146 |
$26K |
| 73110 |
|
871 |
675 |
$24K |
| 73562 |
|
944 |
688 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
267 |
260 |
$24K |
| 76818 |
|
511 |
276 |
$22K |
| 90686 |
|
1,774 |
1,738 |
$22K |
| 73030 |
|
851 |
715 |
$19K |
| 90648 |
|
1,914 |
1,651 |
$17K |
| 97014 |
|
2,589 |
1,017 |
$17K |
| 27096 |
|
109 |
103 |
$16K |
| 95886 |
|
176 |
168 |
$16K |
| 73130 |
|
609 |
446 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
349 |
333 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
120 |
120 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,039 |
985 |
$13K |
| 73610 |
|
448 |
383 |
$12K |
| 96367 |
|
381 |
180 |
$12K |
| 97016 |
|
1,419 |
489 |
$11K |
| 90633 |
|
673 |
654 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
747 |
534 |
$10K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,854 |
1,527 |
$10K |
| 97535 |
Self-care/home management training, each 15 minutes |
528 |
501 |
$9K |
| 90647 |
|
709 |
655 |
$9K |
| 90681 |
|
547 |
443 |
$9K |
| 76820 |
|
428 |
237 |
$9K |
| 90680 |
|
473 |
433 |
$8K |
| 90651 |
|
160 |
159 |
$8K |
| 90688 |
|
634 |
604 |
$7K |
| 73564 |
|
241 |
173 |
$7K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
79 |
76 |
$7K |
| 90698 |
|
421 |
350 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
779 |
740 |
$6K |
| 90734 |
|
246 |
242 |
$6K |
| 90687 |
|
581 |
490 |
$6K |
| 90649 |
|
70 |
69 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
117 |
51 |
$5K |
| 72050 |
|
123 |
119 |
$5K |
| 72100 |
|
174 |
168 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,036 |
759 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
65 |
$5K |
| 95816 |
|
144 |
137 |
$5K |
| 95800 |
|
79 |
68 |
$5K |
| 90656 |
|
296 |
292 |
$4K |
| 73140 |
|
158 |
129 |
$4K |
| 90710 |
|
87 |
86 |
$4K |
| 90716 |
|
55 |
55 |
$4K |
| 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) |
492 |
453 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
99 |
97 |
$3K |
| 64493 |
|
17 |
13 |
$3K |
| 90707 |
|
67 |
67 |
$3K |
| 0011A |
|
81 |
74 |
$3K |
| 97164 |
|
74 |
68 |
$3K |
| 0012A |
|
63 |
62 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
183 |
125 |
$2K |
| 98967 |
|
135 |
116 |
$2K |
| 99442 |
|
63 |
57 |
$2K |
| 76813 |
|
44 |
41 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
292 |
187 |
$2K |
| 99462 |
|
87 |
64 |
$2K |
| 59025 |
Fetal non-stress test |
82 |
66 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
36 |
26 |
$2K |
| 90685 |
|
157 |
138 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
56 |
53 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,475 |
1,943 |
$2K |
| 90696 |
|
87 |
86 |
$2K |
| 99381 |
|
29 |
25 |
$1K |
| 96127 |
|
305 |
295 |
$1K |
| 97165 |
|
12 |
12 |
$1K |
| 97035 |
|
81 |
24 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
30 |
12 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
124 |
89 |
$952.38 |
| 90715 |
|
68 |
68 |
$935.72 |
| 95251 |
|
52 |
49 |
$893.44 |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$877.10 |
| 99218 |
|
14 |
14 |
$873.83 |
| 81002 |
|
318 |
271 |
$814.39 |
| 99441 |
|
44 |
36 |
$725.59 |
| 90620 |
|
12 |
12 |
$700.99 |
| 95811 |
|
12 |
12 |
$658.67 |
| 99443 |
|
13 |
12 |
$627.54 |
| 90700 |
|
38 |
38 |
$565.32 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
12 |
$550.14 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
23 |
12 |
$534.97 |
| 87807 |
|
40 |
38 |
$494.06 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$426.13 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$412.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
61 |
$303.38 |
| 99173 |
|
124 |
114 |
$273.25 |
| 73080 |
|
16 |
13 |
$261.89 |
| 90744 |
|
12 |
12 |
$215.99 |
| 95819 |
|
24 |
17 |
$215.61 |
| J3490 |
Unclassified drugs |
262 |
118 |
$190.87 |
| 81003 |
|
85 |
81 |
$175.61 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
45 |
29 |
$15.68 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
81 |
65 |
$14.07 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
17 |
13 |
$0.12 |
| 1123F |
|
16 |
12 |
$0.00 |