| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
58,245 |
53,119 |
$4.04M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
32,583 |
29,257 |
$2.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,964 |
34,923 |
$2.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,452 |
32,112 |
$1.59M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,239 |
11,556 |
$754K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,602 |
5,565 |
$526K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,900 |
3,542 |
$474K |
| 59426 |
|
346 |
346 |
$325K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,597 |
3,571 |
$321K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,873 |
4,832 |
$300K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,549 |
3,532 |
$288K |
| 99215 |
Prolong outpt/office vis |
948 |
923 |
$89K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,788 |
760 |
$69K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13,247 |
11,756 |
$60K |
| 99222 |
Initial hospital care, per day, moderate complexity |
663 |
643 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
467 |
467 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,673 |
1,598 |
$44K |
| 99385 |
|
379 |
378 |
$39K |
| 36415 |
Collection of venous blood by venipuncture |
10,522 |
10,039 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
387 |
387 |
$36K |
| 10061 |
|
295 |
287 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
366 |
362 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
310 |
308 |
$28K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
107 |
39 |
$28K |
| 99205 |
Prolong outpt/office vis |
235 |
234 |
$28K |
| 20610 |
|
907 |
696 |
$25K |
| 59430 |
|
103 |
98 |
$24K |
| 12001 |
|
878 |
873 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,545 |
3,111 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
247 |
231 |
$23K |
| 90686 |
|
1,639 |
1,539 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,163 |
2,109 |
$20K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
197 |
197 |
$19K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
25 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
601 |
592 |
$19K |
| 76830 |
Ultrasound, transvaginal |
534 |
525 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
337 |
112 |
$18K |
| 12002 |
|
455 |
452 |
$16K |
| 31500 |
|
191 |
191 |
$16K |
| 12011 |
|
465 |
458 |
$16K |
| 90715 |
|
523 |
483 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
317 |
310 |
$14K |
| 93000 |
|
1,988 |
1,915 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
220 |
212 |
$13K |
| 59025 |
Fetal non-stress test |
660 |
375 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
319 |
315 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
368 |
358 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
635 |
630 |
$11K |
| 81025 |
|
1,346 |
1,328 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
253 |
250 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
254 |
244 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
294 |
274 |
$8K |
| 81003 |
|
4,992 |
4,804 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
108 |
106 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
777 |
762 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
100 |
95 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
429 |
391 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
420 |
413 |
$5K |
| 73562 |
|
402 |
361 |
$5K |
| 96160 |
|
163 |
160 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
178 |
148 |
$4K |
| 10060 |
|
65 |
64 |
$4K |
| 93970 |
|
132 |
126 |
$3K |
| 29125 |
|
135 |
132 |
$3K |
| 94060 |
|
224 |
203 |
$3K |
| 51798 |
|
502 |
482 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
378 |
377 |
$2K |
| 64400 |
|
75 |
72 |
$2K |
| 90651 |
|
76 |
42 |
$2K |
| 99292 |
|
29 |
26 |
$2K |
| 90656 |
|
86 |
86 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
185 |
130 |
$2K |
| 92557 |
|
73 |
73 |
$2K |
| 99221 |
|
27 |
27 |
$2K |
| 99386 |
|
12 |
12 |
$1K |
| 90688 |
|
93 |
87 |
$1K |
| 69210 |
|
52 |
52 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
171 |
166 |
$1K |
| 90671 |
|
14 |
14 |
$1K |
| 99406 |
|
176 |
157 |
$1K |
| 99442 |
|
93 |
91 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
294 |
188 |
$863.11 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
17 |
16 |
$833.00 |
| 29515 |
|
27 |
27 |
$818.15 |
| 99459 |
|
49 |
49 |
$711.33 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
72 |
70 |
$635.68 |
| 96127 |
|
238 |
232 |
$624.46 |
| 64615 |
|
12 |
12 |
$596.94 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
633 |
560 |
$562.68 |
| 36556 |
|
12 |
12 |
$528.20 |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
41 |
$489.47 |
| 73030 |
|
48 |
42 |
$463.87 |
| 81001 |
|
219 |
211 |
$453.51 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
101 |
89 |
$443.11 |
| 81002 |
|
280 |
252 |
$427.34 |
| 92567 |
|
44 |
44 |
$405.02 |
| 73610 |
|
69 |
62 |
$399.73 |
| 94729 |
|
89 |
85 |
$392.36 |
| 93356 |
|
44 |
43 |
$355.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
291 |
250 |
$353.14 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$272.32 |
| 99441 |
|
46 |
46 |
$266.59 |
| 90662 |
|
29 |
29 |
$215.42 |
| 99443 |
|
14 |
14 |
$197.83 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$191.14 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
39 |
39 |
$178.99 |
| 93971 |
|
14 |
14 |
$176.83 |
| 93016 |
|
13 |
13 |
$146.01 |
| 82962 |
|
95 |
87 |
$103.73 |
| 93018 |
|
13 |
13 |
$95.76 |
| 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) |
228 |
226 |
$84.85 |
| 81000 |
|
34 |
32 |
$82.63 |
| 97802 |
|
15 |
15 |
$30.00 |
| J3490 |
Unclassified drugs |
43 |
37 |
$13.17 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
27 |
$8.65 |
| 3074F |
|
758 |
735 |
$0.00 |
| 90647 |
|
371 |
188 |
$0.00 |
| 3075F |
|
58 |
58 |
$0.00 |
| 3044F |
|
207 |
203 |
$0.00 |
| 90723 |
|
311 |
160 |
$0.00 |
| 3079F |
|
210 |
207 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 99058 |
|
56 |
56 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |
| 99024 |
|
16 |
16 |
$0.00 |
| 3078F |
|
559 |
541 |
$0.00 |
| 99053 |
|
559 |
549 |
$0.00 |
| 90633 |
|
161 |
82 |
$0.00 |
| 90461 |
|
458 |
406 |
$0.00 |
| 0502F |
|
1,172 |
676 |
$0.00 |
| 90681 |
|
69 |
36 |
$0.00 |
| 92504 |
|
13 |
12 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
44 |
44 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
17 |
16 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |