| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,723 |
52,665 |
$1.51M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,506 |
17,830 |
$821K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,479 |
45,650 |
$767K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,004 |
8,567 |
$554K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,831 |
7,097 |
$286K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,900 |
4,803 |
$96K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,767 |
1,343 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,094 |
2,028 |
$72K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,768 |
613 |
$72K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,373 |
1,326 |
$56K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,841 |
1,787 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,701 |
2,608 |
$46K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
71 |
62 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,877 |
4,320 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
676 |
652 |
$34K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,003 |
1,965 |
$32K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,484 |
1,378 |
$31K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
597 |
537 |
$30K |
| 93000 |
|
2,990 |
2,762 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
4,166 |
4,004 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,107 |
2,922 |
$24K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,673 |
5,225 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
421 |
406 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
4,734 |
4,109 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,149 |
1,135 |
$17K |
| 99215 |
Prolong outpt/office vis |
329 |
282 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
661 |
522 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,416 |
2,339 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
186 |
182 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
107 |
103 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
141 |
130 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
110 |
106 |
$9K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
56 |
54 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
685 |
668 |
$7K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
494 |
488 |
$7K |
| 99243 |
|
169 |
168 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
60 |
54 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
144 |
137 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
167 |
166 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
421 |
395 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
207 |
66 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
405 |
400 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
839 |
793 |
$4K |
| 81025 |
|
935 |
902 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,313 |
1,297 |
$4K |
| 73630 |
|
533 |
487 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
40 |
38 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
77 |
39 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
66 |
58 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
59 |
59 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$3K |
| 87428 |
|
233 |
228 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
162 |
160 |
$3K |
| 73130 |
|
527 |
465 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
53 |
$2K |
| 81002 |
|
1,454 |
1,388 |
$2K |
| 73110 |
|
345 |
313 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
261 |
218 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
502 |
480 |
$2K |
| 73610 |
|
272 |
254 |
$2K |
| 76830 |
Ultrasound, transvaginal |
88 |
87 |
$1K |
| 90686 |
|
285 |
282 |
$1K |
| 99242 |
|
27 |
25 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$1K |
| 73562 |
|
119 |
111 |
$946.20 |
| 99442 |
|
29 |
28 |
$931.17 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
28 |
25 |
$904.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
264 |
226 |
$871.90 |
| 73030 |
|
134 |
121 |
$792.64 |
| 00142 |
|
12 |
12 |
$658.64 |
| 99441 |
|
67 |
64 |
$621.58 |
| 99460 |
|
12 |
12 |
$602.81 |
| 99221 |
|
16 |
12 |
$595.55 |
| 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) |
86 |
80 |
$587.13 |
| 20610 |
|
13 |
12 |
$499.54 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$483.14 |
| 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 |
105 |
98 |
$445.65 |
| 97597 |
|
22 |
12 |
$425.72 |
| 87807 |
|
140 |
137 |
$423.33 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$380.93 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
821 |
759 |
$376.22 |
| 99225 |
|
17 |
12 |
$358.75 |
| 99310 |
Prolong nursin fac eval 15m |
13 |
12 |
$334.05 |
| 93308 |
|
13 |
13 |
$332.81 |
| 73564 |
|
43 |
36 |
$318.41 |
| 93298 |
|
25 |
24 |
$273.10 |
| 99384 |
|
38 |
38 |
$248.23 |
| 76801 |
|
13 |
12 |
$203.94 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$178.50 |
| 73080 |
|
38 |
37 |
$148.95 |
| 99497 |
|
13 |
12 |
$127.73 |
| 85610 |
|
50 |
36 |
$95.92 |
| 93325 |
|
14 |
13 |
$86.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$79.44 |
| 72100 |
|
12 |
12 |
$76.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
57 |
45 |
$71.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
29 |
$65.48 |
| 73140 |
|
31 |
24 |
$40.14 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$39.96 |
| 80305 |
|
12 |
12 |
$14.81 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
13 |
$0.30 |
| 99383 |
|
18 |
18 |
$0.00 |