| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
105,795 |
104,002 |
$7.50M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
143,620 |
140,970 |
$6.17M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
48,279 |
47,361 |
$4.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,137 |
43,847 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,992 |
35,371 |
$1.28M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24,884 |
10,314 |
$687K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,542 |
5,495 |
$410K |
| 59025 |
Fetal non-stress test |
13,720 |
12,267 |
$365K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,898 |
4,805 |
$260K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,205 |
1,676 |
$252K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
486 |
469 |
$228K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,607 |
7,473 |
$200K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
54,812 |
51,672 |
$167K |
| 99223 |
Prolong inpt eval add15 m |
1,932 |
1,911 |
$146K |
| 99215 |
Prolong outpt/office vis |
3,113 |
2,703 |
$138K |
| 99460 |
|
1,521 |
1,503 |
$136K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,295 |
2,244 |
$133K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,884 |
2,819 |
$128K |
| 99233 |
Prolong inpt eval add15 m |
3,221 |
1,547 |
$126K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,889 |
1,863 |
$106K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,286 |
1,261 |
$86K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,834 |
5,706 |
$64K |
| 95811 |
|
658 |
638 |
$40K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
859 |
829 |
$40K |
| 95912 |
|
441 |
421 |
$35K |
| 95886 |
|
1,051 |
959 |
$24K |
| 99220 |
|
206 |
203 |
$17K |
| 96152 |
|
537 |
387 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,193 |
320 |
$15K |
| 96158 |
|
588 |
449 |
$14K |
| 96040 |
|
318 |
312 |
$14K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
74 |
74 |
$14K |
| 99254 |
|
138 |
134 |
$13K |
| 94060 |
|
1,189 |
1,172 |
$11K |
| 94729 |
|
1,225 |
1,207 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
663 |
623 |
$11K |
| 93971 |
|
1,054 |
1,031 |
$10K |
| 94726 |
|
1,113 |
1,098 |
$10K |
| 0002A |
|
287 |
287 |
$10K |
| 95910 |
|
156 |
144 |
$9K |
| 0012A |
|
189 |
189 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
300 |
287 |
$8K |
| 0001A |
|
362 |
358 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
110 |
105 |
$7K |
| 64483 |
|
141 |
138 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
81 |
62 |
$6K |
| 95911 |
|
85 |
81 |
$6K |
| 31575 |
|
174 |
169 |
$5K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
31 |
31 |
$5K |
| 0011A |
|
257 |
257 |
$5K |
| 92552 |
|
252 |
249 |
$5K |
| 47562 |
|
12 |
12 |
$5K |
| 92567 |
|
649 |
641 |
$4K |
| 93016 |
|
498 |
487 |
$4K |
| 99152 |
|
896 |
873 |
$4K |
| 92555 |
|
248 |
247 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
379 |
374 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 99462 |
|
78 |
69 |
$3K |
| 96159 |
|
304 |
229 |
$3K |
| 93018 |
|
499 |
488 |
$3K |
| 62323 |
|
101 |
100 |
$3K |
| 92557 |
|
192 |
189 |
$3K |
| 99219 |
|
43 |
43 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
138 |
134 |
$2K |
| 90686 |
|
181 |
174 |
$2K |
| 95251 |
|
168 |
160 |
$2K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$2K |
| 96150 |
|
54 |
54 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
97 |
76 |
$2K |
| 93970 |
|
116 |
112 |
$2K |
| 96127 |
|
349 |
326 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
72 |
72 |
$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) |
823 |
783 |
$1K |
| 93294 |
|
224 |
222 |
$1K |
| 93298 |
|
84 |
84 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99252 |
|
22 |
22 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
62 |
62 |
$995.11 |
| 99350 |
Prolong home eval add 15m |
14 |
13 |
$915.70 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$894.21 |
| 96156 |
|
26 |
26 |
$874.69 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$773.98 |
| 94010 |
|
132 |
131 |
$767.80 |
| 99442 |
|
39 |
37 |
$656.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$627.45 |
| 43235 |
|
14 |
13 |
$555.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
14 |
$431.20 |
| 99217 |
|
12 |
12 |
$422.97 |
| 93227 |
|
40 |
39 |
$397.01 |
| 20550 |
|
15 |
14 |
$374.47 |
| 92556 |
|
15 |
14 |
$360.70 |
| 99225 |
|
28 |
14 |
$286.41 |
| 92553 |
|
13 |
13 |
$254.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
30 |
$244.70 |
| 97597 |
|
17 |
12 |
$234.97 |
| 76937 |
|
65 |
62 |
$229.01 |
| 93000 |
|
32 |
31 |
$228.00 |
| 99441 |
|
32 |
31 |
$195.76 |
| 93295 |
|
15 |
15 |
$186.04 |
| 93978 |
|
12 |
12 |
$154.36 |
| 95012 |
|
13 |
13 |
$103.52 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
12 |
$102.82 |
| 99140 |
|
46 |
43 |
$81.60 |
| 92504 |
|
12 |
12 |
$73.49 |
| 95874 |
|
14 |
13 |
$63.46 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
48 |
34 |
$41.30 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
14 |
14 |
$26.90 |
| 99406 |
|
196 |
193 |
$13.95 |
| 99459 |
|
157 |
152 |
$12.40 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,838 |
2,816 |
$0.00 |
| 1159F |
|
65 |
58 |
$0.00 |
| 99072 |
|
49 |
44 |
$0.00 |
| 1160F |
|
16 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
25 |
25 |
$0.00 |