| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113,259 |
98,514 |
$7.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,480 |
81,926 |
$5.20M |
| 59425 |
|
11,110 |
8,865 |
$745K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,933 |
5,672 |
$559K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19,932 |
8,298 |
$519K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,499 |
4,954 |
$476K |
| 59426 |
|
5,844 |
4,005 |
$445K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
4,879 |
701 |
$436K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,507 |
4,000 |
$401K |
| 99223 |
Prolong inpt eval add15 m |
4,967 |
4,218 |
$400K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,425 |
4,948 |
$339K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25,348 |
21,325 |
$307K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,825 |
2,156 |
$302K |
| 99215 |
Prolong outpt/office vis |
3,695 |
2,916 |
$276K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,208 |
10,392 |
$261K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,527 |
3,195 |
$248K |
| 90791 |
Psychiatric diagnostic evaluation |
1,911 |
1,680 |
$245K |
| 99233 |
Prolong inpt eval add15 m |
6,448 |
3,137 |
$243K |
| 80305 |
|
20,734 |
10,779 |
$215K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
9,960 |
2,941 |
$207K |
| H0038 |
Self-help/peer services, per 15 minutes |
11,893 |
7,309 |
$204K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,252 |
4,835 |
$193K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,908 |
4,516 |
$193K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,832 |
2,062 |
$180K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,467 |
1,983 |
$180K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,081 |
3,612 |
$180K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,522 |
2,177 |
$169K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,936 |
1,799 |
$166K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,544 |
2,159 |
$150K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,641 |
5,119 |
$146K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
4,198 |
3,545 |
$144K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,982 |
3,276 |
$139K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,620 |
1,343 |
$119K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,097 |
957 |
$116K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,758 |
7,905 |
$114K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,428 |
3,389 |
$102K |
| 95886 |
|
929 |
856 |
$83K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,790 |
1,893 |
$77K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
862 |
761 |
$72K |
| 99460 |
|
1,206 |
1,066 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,625 |
2,245 |
$69K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
596 |
265 |
$63K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,099 |
989 |
$63K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
408 |
362 |
$61K |
| 87428 |
|
2,260 |
2,067 |
$59K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
885 |
769 |
$52K |
| 59430 |
|
451 |
383 |
$52K |
| 99205 |
Prolong outpt/office vis |
446 |
405 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
552 |
504 |
$48K |
| 36415 |
Collection of venous blood by venipuncture |
11,772 |
10,297 |
$48K |
| 76801 |
|
450 |
386 |
$32K |
| 90474 |
|
2,345 |
2,010 |
$32K |
| 99408 |
|
2,098 |
1,655 |
$31K |
| 76830 |
Ultrasound, transvaginal |
343 |
315 |
$30K |
| 81002 |
|
11,726 |
8,971 |
$29K |
| 90686 |
|
10,555 |
8,942 |
$27K |
| 87634 |
|
540 |
500 |
$27K |
| 95251 |
|
1,391 |
1,267 |
$24K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
309 |
287 |
$24K |
| 99220 |
|
446 |
389 |
$22K |
| 82075 |
|
1,048 |
763 |
$22K |
| 99221 |
|
430 |
385 |
$20K |
| 54150 |
|
228 |
211 |
$19K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,987 |
3,989 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,934 |
1,589 |
$18K |
| 95811 |
|
286 |
255 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
335 |
297 |
$12K |
| 81025 |
|
1,787 |
1,387 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,443 |
1,340 |
$12K |
| 80306 |
|
1,111 |
465 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
883 |
427 |
$11K |
| 99462 |
|
406 |
321 |
$10K |
| 96127 |
|
3,177 |
2,775 |
$10K |
| 93295 |
|
469 |
450 |
$10K |
| 99383 |
|
109 |
97 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,840 |
1,683 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
134 |
122 |
$8K |
| 99382 |
|
89 |
76 |
$7K |
| 83655 |
|
666 |
618 |
$7K |
| 77014 |
|
409 |
68 |
$6K |
| 36416 |
|
2,518 |
2,276 |
$6K |
| 93000 |
|
1,090 |
934 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
215 |
171 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
65 |
$6K |
| 59025 |
Fetal non-stress test |
261 |
205 |
$6K |
| 93294 |
|
782 |
729 |
$5K |
| 99219 |
|
110 |
96 |
$5K |
| 90961 |
|
171 |
159 |
$5K |
| 11045 |
|
195 |
81 |
$5K |
| 94726 |
|
627 |
567 |
$5K |
| 51798 |
|
1,098 |
1,010 |
$5K |
| 99381 |
|
73 |
54 |
$4K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
330 |
134 |
$4K |
| 95819 |
|
127 |
120 |
$4K |
| 90656 |
|
780 |
705 |
$4K |
| 94729 |
|
653 |
593 |
$4K |
| 95800 |
|
133 |
118 |
$3K |
| 81003 |
|
2,893 |
2,504 |
$3K |
| 0071A |
|
91 |
90 |
$3K |
| 99490 |
Ccm add 20min |
1,873 |
1,705 |
$3K |
| 99217 |
|
353 |
306 |
$3K |
| 0072A |
|
80 |
80 |
$3K |
| 93298 |
|
195 |
180 |
$3K |
| 93018 |
|
324 |
292 |
$3K |
| 77427 |
|
49 |
24 |
$3K |
| 93272 |
|
220 |
168 |
$2K |
| 99406 |
|
409 |
330 |
$2K |
| 90473 |
|
158 |
154 |
$2K |
| 96161 |
|
1,018 |
716 |
$2K |
| 99385 |
|
44 |
40 |
$2K |
| 99152 |
|
198 |
167 |
$2K |
| 95806 |
|
54 |
54 |
$2K |
| 93248 |
|
128 |
117 |
$2K |
| 87807 |
|
191 |
176 |
$2K |
| 99417 |
Prolong home eval add 15m |
144 |
62 |
$2K |
| 0124A |
|
85 |
66 |
$2K |
| 91322 |
|
25 |
22 |
$2K |
| 90670 |
|
4,059 |
3,383 |
$2K |
| 95910 |
|
16 |
15 |
$2K |
| 93227 |
|
114 |
106 |
$2K |
| T1016 |
Case management, each 15 minutes |
1,857 |
1,159 |
$1K |
| 99442 |
|
102 |
58 |
$1K |
| 99463 |
|
18 |
12 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$1K |
| 99188 |
|
148 |
112 |
$1K |
| 93458 |
|
12 |
12 |
$1K |
| 90480 |
|
83 |
68 |
$1K |
| T1017 |
Targeted case management, each 15 minutes |
136 |
83 |
$1K |
| 90715 |
|
38 |
37 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
29 |
27 |
$1K |
| 99354 |
|
21 |
19 |
$1K |
| 93016 |
|
100 |
98 |
$1K |
| 99441 |
|
89 |
74 |
$943.03 |
| 96380 |
|
63 |
60 |
$915.00 |
| 90677 |
|
1,451 |
1,289 |
$872.70 |
| 0081A |
|
28 |
21 |
$774.90 |
| 94060 |
|
113 |
102 |
$756.97 |
| 86803 |
|
96 |
66 |
$738.63 |
| 20611 |
|
14 |
13 |
$651.97 |
| 85018 |
|
280 |
272 |
$605.68 |
| 72100 |
|
25 |
25 |
$600.63 |
| 93356 |
|
46 |
40 |
$512.13 |
| 99443 |
|
32 |
15 |
$487.60 |
| 0082A |
|
14 |
13 |
$479.70 |
| 20610 |
|
18 |
13 |
$452.13 |
| 99401 |
|
276 |
222 |
$442.68 |
| 90698 |
|
2,224 |
1,671 |
$411.03 |
| 88720 |
|
148 |
74 |
$384.01 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
29 |
$375.04 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
34 |
28 |
$369.78 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
153 |
133 |
$349.95 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$340.76 |
| 81001 |
|
225 |
171 |
$222.29 |
| 82962 |
|
179 |
155 |
$199.37 |
| 93244 |
|
12 |
12 |
$197.04 |
| 90680 |
|
2,895 |
2,460 |
$187.97 |
| 92551 |
|
34 |
25 |
$134.67 |
| 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) |
718 |
590 |
$70.57 |
| 86703 |
|
18 |
12 |
$68.55 |
| 94760 |
|
115 |
96 |
$64.91 |
| 86308 |
|
13 |
12 |
$62.83 |
| 90662 |
|
17 |
13 |
$60.00 |
| 90744 |
|
335 |
231 |
$58.26 |
| 80061 |
Lipid panel |
14 |
12 |
$52.21 |
| 94010 |
|
15 |
14 |
$47.52 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
35 |
29 |
$7.69 |
| 90633 |
|
1,035 |
950 |
$0.00 |
| 91300 |
|
77 |
71 |
$0.00 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
431 |
389 |
$0.00 |
| 90707 |
|
98 |
96 |
$0.00 |
| 90710 |
|
18 |
13 |
$0.00 |
| 91312 |
|
50 |
42 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90697 |
|
2,047 |
1,838 |
$0.00 |
| 90696 |
|
17 |
13 |
$0.00 |
| 90619 |
|
28 |
26 |
$0.00 |
| 90651 |
|
274 |
245 |
$0.00 |
| 90716 |
|
68 |
62 |
$0.00 |
| 91307 |
|
336 |
282 |
$0.00 |
| 99402 |
|
45 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
89 |
79 |
$0.00 |