| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219,350 |
200,727 |
$7.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113,752 |
106,922 |
$5.14M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
30,394 |
29,282 |
$1.54M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87,635 |
32,787 |
$1.29M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
40,835 |
39,424 |
$1.24M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,969 |
14,712 |
$927K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,658 |
14,313 |
$800K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23,555 |
22,069 |
$418K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,855 |
6,493 |
$389K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,250 |
3,612 |
$341K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,572 |
6,218 |
$307K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37,095 |
32,187 |
$305K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,791 |
4,585 |
$304K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16,296 |
7,636 |
$288K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,889 |
2,709 |
$195K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
11,008 |
10,573 |
$185K |
| 90670 |
|
10,662 |
9,784 |
$173K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,361 |
2,212 |
$151K |
| 20610 |
|
2,945 |
2,443 |
$116K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,469 |
3,279 |
$115K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,955 |
6,298 |
$107K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,583 |
16,320 |
$106K |
| 90686 |
|
15,262 |
14,501 |
$92K |
| 27096 |
|
1,357 |
1,253 |
$88K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,393 |
1,321 |
$85K |
| 87428 |
|
1,386 |
1,262 |
$72K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,531 |
2,315 |
$71K |
| 99460 |
|
1,013 |
915 |
$67K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,598 |
3,926 |
$57K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,071 |
579 |
$56K |
| 62323 |
|
1,315 |
1,174 |
$56K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,186 |
2,040 |
$56K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
607 |
548 |
$50K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
75 |
52 |
$48K |
| 90677 |
|
1,210 |
1,081 |
$46K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,095 |
3,036 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
895 |
832 |
$43K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
511 |
498 |
$41K |
| 92551 |
|
7,392 |
6,939 |
$40K |
| 36415 |
Collection of venous blood by venipuncture |
16,806 |
15,658 |
$39K |
| 99222 |
Initial hospital care, per day, moderate complexity |
853 |
823 |
$38K |
| 99215 |
Prolong outpt/office vis |
626 |
528 |
$37K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,055 |
1,012 |
$37K |
| 96127 |
|
8,613 |
6,816 |
$36K |
| 99442 |
|
1,888 |
1,804 |
$35K |
| 0001A |
|
1,053 |
876 |
$34K |
| 36416 |
|
10,328 |
9,537 |
$28K |
| 0002A |
|
874 |
736 |
$26K |
| 90698 |
|
5,649 |
5,416 |
$26K |
| 93971 |
|
1,761 |
1,639 |
$25K |
| 99220 |
|
517 |
498 |
$23K |
| 90651 |
|
925 |
858 |
$22K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
3,278 |
2,926 |
$22K |
| 85018 |
|
10,353 |
9,541 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
919 |
857 |
$20K |
| 77002 |
|
1,195 |
1,016 |
$19K |
| 90633 |
|
4,174 |
3,915 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,547 |
1,503 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
272 |
248 |
$18K |
| 11100 |
|
427 |
401 |
$17K |
| 64493 |
|
524 |
477 |
$16K |
| 20552 |
|
2,069 |
1,787 |
$16K |
| 81003 |
|
7,734 |
7,214 |
$15K |
| 90739 |
|
103 |
91 |
$15K |
| 17000 |
|
500 |
438 |
$13K |
| 64494 |
|
635 |
474 |
$12K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
435 |
427 |
$12K |
| 17110 |
|
194 |
169 |
$11K |
| 11102 |
|
306 |
283 |
$11K |
| H1000 |
Prenatal care, at-risk assessment |
563 |
529 |
$10K |
| 94060 |
|
733 |
698 |
$10K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
310 |
300 |
$10K |
| 99462 |
|
285 |
252 |
$9K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
236 |
222 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
251 |
113 |
$9K |
| 0003A |
|
116 |
115 |
$9K |
| 93016 |
|
600 |
567 |
$9K |
| 64635 |
|
128 |
117 |
$8K |
| 90734 |
|
789 |
770 |
$8K |
| 93970 |
|
413 |
392 |
$8K |
| 0071A |
|
76 |
74 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
270 |
268 |
$7K |
| 0124A |
|
123 |
118 |
$7K |
| 90619 |
|
179 |
138 |
$7K |
| 95251 |
|
344 |
331 |
$7K |
| 99406 |
|
900 |
839 |
$7K |
| 93000 |
|
632 |
578 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
37 |
36 |
$6K |
| 54150 |
|
121 |
102 |
$6K |
| 0072A |
|
60 |
59 |
$6K |
| 95886 |
|
219 |
140 |
$6K |
| 96161 |
|
2,015 |
1,703 |
$6K |
| 81025 |
|
888 |
794 |
$5K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
14 |
12 |
$5K |
| 95117 |
|
673 |
292 |
$5K |
| 73564 |
|
243 |
215 |
$5K |
| 93018 |
|
600 |
567 |
$5K |
| 90746 |
|
72 |
67 |
$5K |
| 99243 |
|
81 |
81 |
$4K |
| 80305 |
|
528 |
499 |
$4K |
| 64615 |
|
50 |
49 |
$4K |
| 90656 |
|
683 |
667 |
$4K |
| 90716 |
|
200 |
185 |
$4K |
| 90715 |
|
393 |
364 |
$4K |
| 99173 |
|
1,717 |
1,617 |
$4K |
| 90710 |
|
300 |
273 |
$4K |
| 51798 |
|
404 |
369 |
$3K |
| 90680 |
|
4,850 |
4,445 |
$3K |
| 59025 |
Fetal non-stress test |
103 |
65 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
13 |
$3K |
| 64490 |
|
84 |
79 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
52 |
52 |
$3K |
| 64636 |
|
160 |
103 |
$3K |
| 99242 |
|
66 |
65 |
$3K |
| 11301 |
|
50 |
49 |
$3K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
326 |
315 |
$2K |
| 82962 |
|
1,544 |
1,421 |
$2K |
| 99441 |
|
249 |
245 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
188 |
151 |
$2K |
| 20553 |
|
204 |
173 |
$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 |
351 |
307 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
40 |
40 |
$2K |
| 99217 |
|
88 |
87 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
375 |
357 |
$2K |
| 95811 |
|
29 |
29 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
100 |
40 |
$2K |
| 90672 |
|
917 |
845 |
$2K |
| 90707 |
|
153 |
151 |
$2K |
| 90732 |
|
12 |
12 |
$2K |
| 00731 |
|
28 |
26 |
$2K |
| 99443 |
|
68 |
63 |
$2K |
| 90723 |
|
216 |
207 |
$1K |
| 94726 |
|
456 |
433 |
$1K |
| 64491 |
|
82 |
67 |
$1K |
| 11101 |
|
63 |
59 |
$1K |
| 94729 |
|
454 |
436 |
$1K |
| 0054A |
|
14 |
14 |
$1K |
| 95910 |
|
15 |
15 |
$1K |
| 99407 |
|
74 |
70 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
70 |
56 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
370 |
265 |
$1K |
| 64495 |
|
41 |
27 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$1K |
| 0053A |
|
14 |
13 |
$930.00 |
| 90744 |
|
2,489 |
2,403 |
$920.50 |
| 73110 |
|
45 |
39 |
$872.72 |
| 95816 |
|
38 |
38 |
$848.71 |
| 99385 |
|
12 |
12 |
$759.62 |
| 90696 |
|
184 |
157 |
$744.00 |
| 95885 |
|
25 |
15 |
$731.16 |
| 90700 |
|
888 |
873 |
$570.00 |
| 0031A |
|
16 |
16 |
$548.82 |
| 90620 |
|
17 |
12 |
$539.28 |
| 99459 |
|
31 |
26 |
$494.00 |
| 73030 |
|
27 |
24 |
$439.82 |
| 0012A |
|
15 |
15 |
$434.88 |
| 87807 |
|
44 |
43 |
$418.76 |
| 99201 |
|
14 |
13 |
$355.04 |
| 0011A |
|
21 |
21 |
$308.13 |
| 17003 |
|
16 |
14 |
$293.95 |
| 90697 |
|
1,538 |
1,165 |
$278.84 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
18 |
15 |
$251.50 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
81 |
77 |
$244.42 |
| 96380 |
|
12 |
12 |
$175.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$171.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
118 |
98 |
$155.33 |
| 95012 |
|
13 |
13 |
$147.21 |
| 3044F |
|
80 |
79 |
$120.00 |
| 90713 |
|
46 |
46 |
$80.00 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
16 |
14 |
$51.49 |
| 90681 |
|
127 |
110 |
$30.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
12 |
$14.72 |
| G0008 |
Administration of influenza virus vaccine |
134 |
129 |
$12.74 |
| 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) |
841 |
813 |
$6.36 |
| 3074F |
|
139 |
138 |
$5.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$1.69 |
| 91300 |
|
2,081 |
1,504 |
$1.52 |
| 91307 |
|
170 |
166 |
$0.99 |
| 91312 |
|
110 |
105 |
$0.30 |
| 91305 |
|
62 |
59 |
$0.17 |
| 91301 |
|
36 |
36 |
$0.02 |
| 0503F |
|
40 |
40 |
$0.00 |
| 90660 |
|
95 |
95 |
$0.00 |
| 91303 |
|
16 |
16 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 90648 |
|
426 |
411 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
56 |
53 |
$0.00 |
| 90461 |
|
105 |
82 |
$0.00 |
| 90685 |
|
791 |
778 |
$0.00 |
| 3078F |
|
97 |
96 |
$0.00 |