| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87,205 |
74,333 |
$2.58M |
| 90834 |
Psychotherapy, 45 minutes with patient |
21,272 |
14,206 |
$1.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150,350 |
129,829 |
$1.70M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,722 |
13,297 |
$1.33M |
| 90832 |
Psychotherapy, 30 minutes with patient |
23,392 |
19,419 |
$1.13M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,918 |
9,776 |
$795K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,840 |
4,674 |
$762K |
| 96127 |
|
12,309 |
12,117 |
$652K |
| 99215 |
Prolong outpt/office vis |
11,446 |
9,965 |
$527K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,686 |
2,770 |
$432K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,034 |
4,434 |
$408K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,186 |
3,158 |
$341K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
366 |
366 |
$328K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,864 |
1,800 |
$310K |
| 90791 |
Psychiatric diagnostic evaluation |
2,281 |
2,184 |
$275K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,669 |
2,512 |
$181K |
| S5170 |
Home delivered meals, including preparation; per meal |
2,883 |
2,751 |
$176K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,047 |
1,940 |
$165K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
875 |
867 |
$154K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,104 |
1,053 |
$144K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,609 |
3,364 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,930 |
11,648 |
$133K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
23,107 |
22,996 |
$121K |
| 76830 |
Ultrasound, transvaginal |
831 |
826 |
$104K |
| 87430 |
|
6,681 |
6,509 |
$98K |
| 90480 |
|
2,501 |
2,493 |
$94K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,845 |
2,806 |
$93K |
| 92015 |
Determination of refractive state |
6,609 |
6,599 |
$88K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
720 |
685 |
$85K |
| V2020 |
Frames, purchases |
1,815 |
1,754 |
$81K |
| 11981 |
|
274 |
274 |
$78K |
| 90688 |
|
7,282 |
7,247 |
$69K |
| 90677 |
|
4,554 |
4,524 |
$68K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,610 |
1,609 |
$67K |
| V5008 |
Hearing screening |
4,225 |
4,218 |
$62K |
| 97802 |
|
667 |
665 |
$62K |
| 91320 |
|
1,679 |
1,663 |
$61K |
| 58300 |
|
250 |
250 |
$57K |
| 99205 |
Prolong outpt/office vis |
347 |
346 |
$57K |
| 20610 |
|
905 |
749 |
$56K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
62 |
62 |
$56K |
| 90750 |
|
1,560 |
1,543 |
$55K |
| 71046 |
Radiologic examination, chest; 2 views |
5,001 |
4,852 |
$53K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,432 |
7,363 |
$51K |
| 90715 |
|
3,183 |
3,163 |
$49K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
188 |
188 |
$41K |
| 87802 |
|
3,699 |
3,638 |
$41K |
| 11982 |
|
156 |
156 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,827 |
9,826 |
$41K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,772 |
6,711 |
$40K |
| 81025 |
|
4,955 |
4,800 |
$38K |
| 57454 |
|
74 |
74 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28,738 |
28,356 |
$35K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
356 |
301 |
$34K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,140 |
547 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,500 |
12,487 |
$30K |
| 99397 |
|
472 |
429 |
$29K |
| 58301 |
|
133 |
133 |
$28K |
| 90662 |
|
1,501 |
1,485 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
509 |
506 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,015 |
7,013 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,142 |
8,883 |
$23K |
| 90839 |
|
232 |
217 |
$22K |
| 90658 |
|
1,091 |
1,088 |
$22K |
| 90651 |
|
2,889 |
2,847 |
$22K |
| 99177 |
|
5,617 |
5,616 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,137 |
1,135 |
$20K |
| 81002 |
|
7,401 |
7,077 |
$20K |
| 0134A |
|
431 |
431 |
$20K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
353 |
337 |
$17K |
| Q3014 |
Telehealth originating site facility fee |
1,105 |
874 |
$16K |
| 91200 |
|
184 |
177 |
$14K |
| 99442 |
|
563 |
521 |
$13K |
| 90716 |
|
1,650 |
1,640 |
$13K |
| 59426 |
|
25 |
25 |
$12K |
| 59430 |
|
109 |
109 |
$12K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
367 |
364 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
94 |
94 |
$11K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
491 |
477 |
$10K |
| 90714 |
|
359 |
357 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
810 |
713 |
$8K |
| T2023 |
Targeted case management; per month |
33 |
32 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
1,575 |
1,534 |
$8K |
| 0154A |
|
167 |
166 |
$8K |
| 0173A |
|
147 |
147 |
$7K |
| 90707 |
|
1,666 |
1,657 |
$6K |
| 73562 |
|
294 |
275 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,924 |
2,833 |
$6K |
| 58100 |
|
12 |
12 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,451 |
2,450 |
$6K |
| 90691 |
|
432 |
429 |
$5K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
53 |
50 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
888 |
740 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
261 |
255 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,569 |
1,567 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
191 |
187 |
$4K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
36 |
36 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,850 |
10,790 |
$4K |
| 99173 |
|
9,568 |
9,568 |
$4K |
| 0002A |
|
89 |
89 |
$4K |
| 82947 |
|
1,347 |
1,233 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,242 |
1,099 |
$4K |
| 93000 |
|
405 |
397 |
$3K |
| 0001A |
|
73 |
73 |
$3K |
| 73630 |
|
220 |
207 |
$3K |
| 99349 |
|
66 |
59 |
$3K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
13 |
13 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
36 |
$3K |
| 0124A |
|
56 |
56 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
199 |
199 |
$3K |
| 76801 |
|
15 |
12 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
53 |
43 |
$2K |
| 73610 |
|
252 |
244 |
$2K |
| 87210 |
|
406 |
396 |
$2K |
| 94010 |
|
48 |
48 |
$2K |
| 73030 |
|
92 |
86 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
119 |
119 |
$2K |
| 99188 |
|
5,744 |
5,744 |
$1K |
| 87220 |
|
357 |
357 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
239 |
228 |
$1K |
| 97803 |
|
34 |
33 |
$1K |
| 73110 |
|
87 |
82 |
$1K |
| 73140 |
|
87 |
86 |
$1K |
| 11720 |
|
128 |
91 |
$878.49 |
| 77080 |
|
37 |
37 |
$768.26 |
| 0031A |
|
13 |
13 |
$738.22 |
| 90686 |
|
3,087 |
3,079 |
$718.48 |
| 74019 |
|
76 |
75 |
$716.41 |
| 0012A |
|
15 |
15 |
$688.15 |
| 0011A |
|
20 |
20 |
$677.73 |
| 90678 |
|
34 |
34 |
$670.55 |
| 0081A |
|
14 |
14 |
$642.32 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
83 |
83 |
$607.48 |
| G0009 |
Administration of pneumococcal vaccine |
122 |
112 |
$601.73 |
| 90732 |
|
14 |
14 |
$596.26 |
| 72082 |
|
25 |
25 |
$593.88 |
| 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) |
18 |
15 |
$498.03 |
| 72100 |
|
43 |
39 |
$367.37 |
| 99417 |
Prolong home eval add 15m |
93 |
91 |
$344.28 |
| 77072 |
|
25 |
25 |
$306.45 |
| 92133 |
|
108 |
108 |
$293.09 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$254.88 |
| 99383 |
|
15 |
15 |
$222.94 |
| 72110 |
|
16 |
15 |
$185.96 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,599 |
1,598 |
$148.97 |
| 90713 |
|
62 |
62 |
$141.15 |
| 85610 |
|
35 |
25 |
$132.30 |
| 99348 |
|
30 |
30 |
$104.14 |
| 90633 |
|
2,887 |
2,875 |
$84.69 |
| 90661 |
|
2,285 |
2,204 |
$56.46 |
| 90619 |
|
2,457 |
2,439 |
$55.35 |
| 90671 |
|
1,113 |
1,111 |
$48.38 |
| 90656 |
|
1,019 |
969 |
$28.23 |
| 94760 |
|
18 |
14 |
$22.78 |
| 90710 |
|
1,305 |
1,296 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 91312 |
|
501 |
496 |
$0.00 |
| 90700 |
|
1,325 |
1,315 |
$0.00 |
| 90648 |
|
1,331 |
1,326 |
$0.00 |
| 91308 |
|
29 |
28 |
$0.00 |
| 90681 |
|
2,166 |
2,134 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
563 |
563 |
$0.00 |
| 90380 |
|
41 |
41 |
$0.00 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
34 |
32 |
$0.00 |
| 90863 |
|
13 |
12 |
$0.00 |
| 91300 |
|
45 |
37 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 91317 |
|
147 |
147 |
$0.00 |
| 90696 |
|
1,272 |
1,264 |
$0.00 |
| 90697 |
|
3,405 |
3,386 |
$0.00 |
| 90743 |
|
226 |
225 |
$0.00 |
| 91318 |
|
356 |
353 |
$0.00 |
| 90381 |
|
270 |
264 |
$0.00 |
| 91319 |
|
373 |
366 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$0.00 |
| 91315 |
|
168 |
166 |
$0.00 |
| 90698 |
|
20 |
20 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 90657 |
|
60 |
47 |
$0.00 |
| 91305 |
|
15 |
15 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 90723 |
|
18 |
18 |
$0.00 |