| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146,157 |
139,503 |
$12.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
160,337 |
152,345 |
$10.20M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
45,028 |
44,380 |
$5.61M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
50,106 |
49,599 |
$4.97M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,320 |
17,034 |
$1.50M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,430 |
22,244 |
$1.29M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,177 |
12,172 |
$1.13M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,411 |
22,331 |
$1.03M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
405 |
405 |
$728K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18,004 |
7,646 |
$718K |
| 87428 |
|
22,262 |
21,873 |
$712K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,971 |
7,969 |
$685K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,149 |
5,146 |
$577K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,668 |
3,668 |
$338K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,492 |
7,129 |
$314K |
| 87430 |
|
21,059 |
20,676 |
$308K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,857 |
1,626 |
$264K |
| 99223 |
Prolong inpt eval add15 m |
2,309 |
2,288 |
$245K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,627 |
3,574 |
$231K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,133 |
7,996 |
$227K |
| 99233 |
Prolong inpt eval add15 m |
3,150 |
1,545 |
$173K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,840 |
11,653 |
$167K |
| 99215 |
Prolong outpt/office vis |
1,462 |
1,405 |
$131K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,212 |
1,211 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,756 |
5,737 |
$98K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,292 |
1,279 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
893 |
891 |
$86K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,079 |
1,064 |
$84K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,160 |
1,152 |
$75K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,627 |
1,626 |
$75K |
| 99460 |
|
745 |
743 |
$67K |
| 20610 |
|
1,453 |
1,391 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,195 |
1,184 |
$51K |
| 36415 |
Collection of venous blood by venipuncture |
14,529 |
13,589 |
$48K |
| 87420 |
|
3,636 |
3,558 |
$45K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
694 |
694 |
$41K |
| 76830 |
Ultrasound, transvaginal |
601 |
597 |
$39K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
88 |
50 |
$36K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,002 |
1,514 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,937 |
1,885 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
818 |
815 |
$26K |
| 54150 |
|
264 |
263 |
$24K |
| 95886 |
|
244 |
229 |
$23K |
| 62323 |
|
290 |
287 |
$22K |
| 90686 |
|
3,838 |
3,837 |
$20K |
| 0001A |
|
500 |
498 |
$20K |
| 99205 |
Prolong outpt/office vis |
138 |
138 |
$20K |
| 87400 |
|
786 |
784 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
183 |
183 |
$19K |
| 92567 |
|
1,408 |
1,404 |
$18K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
232 |
231 |
$17K |
| 72100 |
|
602 |
594 |
$17K |
| 72110 |
|
430 |
430 |
$16K |
| 77427 |
|
107 |
53 |
$12K |
| 73562 |
|
374 |
363 |
$12K |
| 81003 |
|
5,818 |
5,226 |
$12K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
526 |
264 |
$11K |
| 64493 |
|
117 |
111 |
$11K |
| 59410 |
|
13 |
13 |
$10K |
| 90715 |
|
363 |
361 |
$10K |
| 87807 |
|
816 |
797 |
$10K |
| 92557 |
|
319 |
318 |
$9K |
| 62321 |
|
98 |
98 |
$8K |
| 77014 |
|
234 |
50 |
$7K |
| 73110 |
|
257 |
222 |
$7K |
| 81025 |
|
917 |
916 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
339 |
182 |
$7K |
| 64615 |
|
86 |
86 |
$6K |
| 92579 |
|
150 |
148 |
$6K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
24 |
24 |
$6K |
| 64494 |
|
102 |
96 |
$5K |
| 76801 |
|
54 |
54 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
878 |
823 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
438 |
391 |
$5K |
| 64505 |
|
41 |
25 |
$5K |
| 99152 |
|
506 |
500 |
$5K |
| 93000 |
|
558 |
553 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
216 |
216 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
30 |
30 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
598 |
578 |
$4K |
| 90474 |
|
220 |
220 |
$4K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
621 |
620 |
$4K |
| 97597 |
|
104 |
51 |
$4K |
| 0002A |
|
88 |
88 |
$4K |
| 99318 |
|
60 |
60 |
$3K |
| 99292 |
|
36 |
36 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
26 |
26 |
$3K |
| 99441 |
|
107 |
105 |
$3K |
| 73030 |
|
159 |
154 |
$3K |
| 95913 |
|
15 |
15 |
$3K |
| 99406 |
|
240 |
240 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
359 |
359 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
333 |
332 |
$3K |
| J0588 |
Injection, incobotulinumtoxin a, 1 unit |
14 |
12 |
$3K |
| 90677 |
|
1,019 |
1,019 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
70 |
67 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
51 |
50 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$2K |
| 73130 |
|
59 |
50 |
$2K |
| 81002 |
|
528 |
384 |
$1K |
| 90670 |
|
4,578 |
4,577 |
$1K |
| 51798 |
|
254 |
250 |
$1K |
| 90732 |
|
14 |
14 |
$1K |
| 73140 |
|
59 |
51 |
$1K |
| 90656 |
|
467 |
467 |
$1K |
| 99307 |
|
128 |
126 |
$1K |
| 64483 |
|
14 |
14 |
$1K |
| 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) |
588 |
559 |
$1K |
| 95811 |
|
12 |
12 |
$1K |
| 73564 |
|
58 |
58 |
$1K |
| 92504 |
|
43 |
41 |
$953.78 |
| 73630 |
|
45 |
44 |
$880.24 |
| 99462 |
|
23 |
15 |
$846.17 |
| 72170 |
|
31 |
31 |
$702.80 |
| 51701 |
|
27 |
26 |
$663.70 |
| 83655 |
|
54 |
54 |
$619.45 |
| 71046 |
Radiologic examination, chest; 2 views |
41 |
41 |
$603.56 |
| 72050 |
|
13 |
13 |
$603.11 |
| 73502 |
|
39 |
39 |
$600.35 |
| 90688 |
|
72 |
72 |
$599.03 |
| 99442 |
|
49 |
48 |
$587.48 |
| 64616 |
|
15 |
15 |
$534.66 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
149 |
149 |
$517.12 |
| 92556 |
|
15 |
15 |
$502.39 |
| 95251 |
|
24 |
24 |
$492.33 |
| 99443 |
|
15 |
15 |
$476.28 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
51 |
51 |
$474.78 |
| 95800 |
|
12 |
12 |
$437.04 |
| 92552 |
|
14 |
14 |
$395.22 |
| 95806 |
|
12 |
12 |
$346.24 |
| 93016 |
|
29 |
29 |
$314.87 |
| 93880 |
|
12 |
12 |
$310.84 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
36 |
36 |
$308.13 |
| 90651 |
|
87 |
87 |
$268.52 |
| 85027 |
|
37 |
37 |
$212.50 |
| 85018 |
|
80 |
80 |
$183.38 |
| 90619 |
|
71 |
71 |
$155.66 |
| 93018 |
|
16 |
16 |
$127.90 |
| 93971 |
|
12 |
12 |
$123.12 |
| 96127 |
|
28 |
28 |
$122.92 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
13 |
$101.61 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
13 |
$85.80 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
13 |
13 |
$63.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$8.04 |
| 96160 |
|
207 |
206 |
$2.84 |
| 90633 |
|
1,629 |
1,629 |
$0.08 |
| 90698 |
|
1,894 |
1,894 |
$0.03 |
| 90744 |
|
1,129 |
1,129 |
$0.02 |
| 90707 |
|
460 |
460 |
$0.01 |
| 90716 |
|
441 |
441 |
$0.01 |
| 90648 |
|
1,048 |
1,048 |
$0.00 |
| 90710 |
|
324 |
324 |
$0.00 |
| 90671 |
|
557 |
557 |
$0.00 |
| 90700 |
|
312 |
312 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
28 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90672 |
|
19 |
19 |
$0.00 |
| 90697 |
|
1,246 |
1,245 |
$0.00 |
| 90680 |
|
3,592 |
3,591 |
$0.00 |
| 90723 |
|
434 |
434 |
$0.00 |
| 90696 |
|
95 |
95 |
$0.00 |