| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,947 |
50,202 |
$4.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,452 |
37,985 |
$2.72M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
29,200 |
28,836 |
$2.68M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
39,987 |
39,400 |
$2.19M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12,617 |
12,522 |
$1.37M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,915 |
5,580 |
$510K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,587 |
3,550 |
$436K |
| 99233 |
Prolong inpt eval add15 m |
6,488 |
2,679 |
$429K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,690 |
9,238 |
$383K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,546 |
3,545 |
$325K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,882 |
2,663 |
$276K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,737 |
6,716 |
$245K |
| 99223 |
Prolong inpt eval add15 m |
3,263 |
3,218 |
$232K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,430 |
12,358 |
$222K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,112 |
5,054 |
$174K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
964 |
964 |
$88K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,404 |
3,577 |
$84K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
634 |
432 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,222 |
4,083 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,081 |
1,992 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,565 |
1,515 |
$56K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,374 |
9,511 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
458 |
458 |
$40K |
| 92567 |
|
3,008 |
2,957 |
$39K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
418 |
414 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
5,274 |
5,129 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
403 |
399 |
$25K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
253 |
253 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
237 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,488 |
2,480 |
$22K |
| 92557 |
|
795 |
778 |
$22K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
415 |
385 |
$21K |
| 99215 |
Prolong outpt/office vis |
207 |
192 |
$21K |
| 95811 |
|
192 |
191 |
$20K |
| 99381 |
|
190 |
190 |
$18K |
| 99220 |
|
271 |
262 |
$18K |
| 92579 |
|
407 |
402 |
$16K |
| 90473 |
|
810 |
809 |
$15K |
| 31231 |
|
102 |
102 |
$15K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
97 |
96 |
$12K |
| 99460 |
|
136 |
136 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
101 |
98 |
$11K |
| 31575 |
|
116 |
114 |
$11K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
471 |
470 |
$10K |
| 92587 |
|
513 |
504 |
$10K |
| 44361 |
|
168 |
166 |
$10K |
| 90686 |
|
2,918 |
2,915 |
$8K |
| 43248 |
|
106 |
103 |
$8K |
| 93298 |
|
472 |
470 |
$8K |
| 20553 |
|
209 |
167 |
$8K |
| 94729 |
|
374 |
360 |
$7K |
| 90661 |
|
335 |
335 |
$7K |
| 92504 |
|
290 |
286 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
337 |
289 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
131 |
131 |
$6K |
| 87807 |
|
529 |
499 |
$6K |
| 90674 |
|
554 |
554 |
$6K |
| 93000 |
|
586 |
564 |
$5K |
| 94726 |
|
244 |
240 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
54 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
25 |
25 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
53 |
53 |
$4K |
| 93970 |
|
152 |
136 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
151 |
118 |
$3K |
| 99292 |
|
34 |
12 |
$3K |
| 95251 |
|
117 |
115 |
$3K |
| 94060 |
|
184 |
167 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
102 |
91 |
$3K |
| 96161 |
|
593 |
531 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$3K |
| 0002A |
|
66 |
66 |
$3K |
| 0001A |
|
62 |
62 |
$2K |
| 93296 |
|
254 |
217 |
$2K |
| 90677 |
|
812 |
811 |
$2K |
| 99217 |
|
39 |
39 |
$2K |
| 92552 |
|
107 |
103 |
$2K |
| 92555 |
|
106 |
101 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
60 |
37 |
$2K |
| 93018 |
|
187 |
184 |
$2K |
| 94010 |
|
110 |
106 |
$1K |
| 99349 |
|
28 |
28 |
$1K |
| 93971 |
|
67 |
67 |
$1K |
| 95117 |
|
162 |
91 |
$1K |
| 90474 |
|
59 |
59 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
31 |
29 |
$997.57 |
| 99441 |
|
29 |
26 |
$985.47 |
| 93289 |
|
25 |
24 |
$929.68 |
| 54150 |
|
12 |
12 |
$883.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
99 |
99 |
$812.80 |
| 81025 |
|
113 |
113 |
$776.79 |
| 99152 |
|
117 |
106 |
$748.82 |
| 93295 |
|
39 |
39 |
$659.23 |
| 0064A |
|
16 |
16 |
$640.00 |
| 95012 |
|
46 |
43 |
$519.08 |
| 99462 |
|
12 |
12 |
$478.80 |
| 81002 |
|
164 |
119 |
$469.04 |
| 90715 |
|
12 |
12 |
$407.56 |
| 93227 |
|
30 |
29 |
$362.48 |
| 95115 |
|
51 |
25 |
$289.78 |
| 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) |
162 |
152 |
$281.75 |
| 90651 |
|
60 |
60 |
$239.00 |
| 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) |
183 |
155 |
$189.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$182.40 |
| 96127 |
|
52 |
51 |
$167.70 |
| 99442 |
|
16 |
15 |
$152.30 |
| 93925 |
|
14 |
14 |
$132.61 |
| 90656 |
|
72 |
63 |
$93.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
40 |
$43.27 |
| 96160 |
|
883 |
883 |
$33.90 |
| 90660 |
|
13 |
13 |
$27.03 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
14 |
14 |
$11.22 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
27 |
27 |
$6.02 |
| 90633 |
|
855 |
855 |
$0.04 |
| 90670 |
|
2,495 |
2,490 |
$0.01 |
| 90680 |
|
1,054 |
1,051 |
$0.01 |
| 90672 |
|
84 |
84 |
$0.00 |
| 90700 |
|
75 |
75 |
$0.00 |
| 91300 |
|
161 |
145 |
$0.00 |
| 90734 |
|
62 |
62 |
$0.00 |
| 90648 |
|
62 |
62 |
$0.00 |
| 90710 |
|
109 |
109 |
$0.00 |
| 90707 |
|
81 |
81 |
$0.00 |
| 90671 |
|
37 |
37 |
$0.00 |
| 90647 |
|
1,882 |
1,880 |
$0.00 |
| 90716 |
|
87 |
87 |
$0.00 |
| 90723 |
|
2,016 |
2,014 |
$0.00 |
| 91306 |
|
16 |
16 |
$0.00 |
| 90696 |
|
21 |
21 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |