| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,409 |
19,420 |
$574K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,106 |
15,726 |
$568K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,548 |
2,578 |
$514K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,518 |
6,185 |
$402K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,930 |
3,689 |
$358K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
4,208 |
4,007 |
$332K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,880 |
3,601 |
$264K |
| 99233 |
Prolong inpt eval add15 m |
4,662 |
2,690 |
$210K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,991 |
1,916 |
$180K |
| 95886 |
|
1,772 |
1,710 |
$165K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
849 |
834 |
$149K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,660 |
2,472 |
$135K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,703 |
2,602 |
$123K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,698 |
2,592 |
$122K |
| 92567 |
|
5,926 |
5,663 |
$96K |
| 88342 |
|
1,040 |
983 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,232 |
1,080 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,085 |
2,932 |
$78K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,726 |
1,649 |
$77K |
| 92587 |
|
1,703 |
1,612 |
$74K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
662 |
621 |
$68K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,390 |
1,210 |
$66K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,877 |
2,784 |
$64K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,511 |
1,464 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
736 |
689 |
$54K |
| 95909 |
|
384 |
370 |
$38K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
856 |
821 |
$36K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,070 |
4,658 |
$35K |
| 95117 |
|
2,188 |
1,210 |
$33K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,373 |
1,237 |
$29K |
| 93971 |
|
544 |
504 |
$26K |
| 93970 |
|
368 |
342 |
$26K |
| 94010 |
|
1,643 |
1,541 |
$24K |
| 99201 |
|
542 |
515 |
$16K |
| 90461 |
|
1,105 |
1,019 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
886 |
816 |
$15K |
| 51798 |
|
1,603 |
1,435 |
$13K |
| 94729 |
|
518 |
488 |
$12K |
| 76813 |
|
103 |
101 |
$11K |
| 93299 |
|
164 |
153 |
$10K |
| 0001A |
|
214 |
208 |
$8K |
| 95912 |
|
39 |
39 |
$8K |
| 0002A |
|
193 |
191 |
$8K |
| 90686 |
|
1,222 |
1,187 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,839 |
2,514 |
$7K |
| 59025 |
Fetal non-stress test |
242 |
163 |
$7K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
26 |
26 |
$6K |
| 87428 |
|
42 |
42 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
73 |
69 |
$6K |
| 93922 |
|
352 |
300 |
$6K |
| 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 |
115 |
107 |
$5K |
| 11721 |
|
246 |
226 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
315 |
300 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
408 |
391 |
$4K |
| 88112 |
|
121 |
105 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
38 |
38 |
$3K |
| 81003 |
|
1,424 |
1,297 |
$3K |
| 93458 |
|
15 |
13 |
$3K |
| 73630 |
|
128 |
94 |
$2K |
| 93000 |
|
155 |
144 |
$2K |
| 90670 |
|
393 |
362 |
$2K |
| 93296 |
|
200 |
194 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$2K |
| 93297 |
|
164 |
153 |
$2K |
| 93295 |
|
55 |
53 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$2K |
| 69210 |
|
43 |
40 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
75 |
25 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
28 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
54 |
24 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$1K |
| 92557 |
|
30 |
29 |
$998.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$958.47 |
| 99152 |
|
91 |
84 |
$937.95 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
17 |
$884.82 |
| 10040 |
|
15 |
12 |
$815.98 |
| 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) |
84 |
81 |
$719.39 |
| 0071A |
|
16 |
16 |
$654.40 |
| 0072A |
|
16 |
16 |
$653.20 |
| 94727 |
|
41 |
39 |
$605.80 |
| 0004A |
|
14 |
14 |
$567.20 |
| 90723 |
|
192 |
171 |
$536.88 |
| 90680 |
|
172 |
149 |
$502.08 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
12 |
$480.08 |
| 93298 |
|
27 |
24 |
$469.23 |
| 88304 |
|
14 |
14 |
$456.78 |
| 73620 |
|
21 |
13 |
$410.75 |
| 81025 |
|
55 |
53 |
$392.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$387.72 |
| 97535 |
Self-care/home management training, each 15 minutes |
17 |
12 |
$382.77 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
71 |
61 |
$372.97 |
| 86317 |
|
15 |
13 |
$281.38 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14 |
12 |
$269.34 |
| 93227 |
|
14 |
14 |
$266.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
37 |
$265.47 |
| 80061 |
Lipid panel |
12 |
12 |
$232.92 |
| 86780 |
|
14 |
12 |
$222.25 |
| 85027 |
|
27 |
25 |
$200.37 |
| 87340 |
|
14 |
12 |
$167.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
98 |
95 |
$130.94 |
| 85018 |
|
44 |
41 |
$119.59 |
| 90688 |
|
25 |
24 |
$90.00 |
| 81001 |
|
32 |
27 |
$85.03 |
| 90656 |
|
13 |
13 |
$68.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$45.57 |
| 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) |
14 |
14 |
$42.38 |
| 90647 |
|
57 |
52 |
$20.91 |