| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69,683 |
64,641 |
$4.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,584 |
66,343 |
$3.39M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,182 |
1,175 |
$894K |
| 59426 |
|
1,230 |
1,178 |
$829K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,128 |
9,087 |
$691K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,229 |
7,110 |
$617K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,741 |
7,661 |
$566K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,184 |
4,997 |
$564K |
| 99223 |
Prolong inpt eval add15 m |
5,396 |
4,535 |
$553K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,090 |
6,023 |
$506K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,366 |
6,340 |
$482K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,495 |
8,384 |
$482K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,649 |
6,576 |
$367K |
| 99215 |
Prolong outpt/office vis |
3,993 |
3,839 |
$359K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,125 |
4,106 |
$316K |
| 99205 |
Prolong outpt/office vis |
2,841 |
2,768 |
$306K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,958 |
5,891 |
$251K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,232 |
2,964 |
$238K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
48,390 |
38,206 |
$226K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,655 |
720 |
$201K |
| 99385 |
|
2,206 |
2,191 |
$191K |
| 99233 |
Prolong inpt eval add15 m |
3,159 |
1,410 |
$182K |
| 59430 |
|
1,056 |
1,034 |
$169K |
| 99460 |
|
2,580 |
2,554 |
$140K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,198 |
3,158 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,406 |
5,119 |
$126K |
| 59025 |
Fetal non-stress test |
4,824 |
2,808 |
$89K |
| 99381 |
|
1,372 |
1,367 |
$87K |
| 59514 |
|
91 |
90 |
$78K |
| 20610 |
|
2,118 |
1,698 |
$62K |
| 99464 |
|
1,444 |
1,431 |
$60K |
| 99386 |
|
571 |
569 |
$59K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,518 |
1,294 |
$53K |
| 64483 |
|
689 |
618 |
$52K |
| 99383 |
|
633 |
630 |
$52K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,683 |
1,671 |
$50K |
| 90791 |
Psychiatric diagnostic evaluation |
563 |
533 |
$49K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,412 |
1,402 |
$49K |
| 76830 |
Ultrasound, transvaginal |
1,394 |
1,381 |
$46K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,219 |
1,151 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,751 |
4,693 |
$38K |
| 54150 |
|
636 |
627 |
$36K |
| 93970 |
|
1,181 |
1,092 |
$35K |
| 69210 |
|
1,441 |
1,387 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,408 |
1,386 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
758 |
753 |
$30K |
| 99221 |
|
575 |
525 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
10,757 |
10,096 |
$28K |
| 95886 |
|
731 |
579 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,961 |
1,939 |
$27K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
390 |
381 |
$26K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
731 |
710 |
$24K |
| 90686 |
|
2,799 |
2,789 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
866 |
849 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,218 |
1,885 |
$22K |
| 99382 |
|
250 |
249 |
$21K |
| 99462 |
|
879 |
733 |
$20K |
| 99219 |
|
287 |
281 |
$20K |
| 93000 |
|
2,337 |
2,277 |
$19K |
| 90715 |
|
1,089 |
1,081 |
$19K |
| 99384 |
|
206 |
205 |
$19K |
| 20553 |
|
744 |
590 |
$19K |
| 98928 |
|
505 |
413 |
$18K |
| 99220 |
|
169 |
166 |
$16K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
204 |
200 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
295 |
279 |
$16K |
| 93971 |
|
638 |
596 |
$13K |
| 98927 |
|
425 |
381 |
$13K |
| 99152 |
|
1,810 |
1,715 |
$12K |
| 59425 |
|
26 |
25 |
$11K |
| 93018 |
|
1,380 |
1,351 |
$11K |
| 58300 |
|
293 |
289 |
$11K |
| 81025 |
|
1,526 |
1,495 |
$10K |
| 93351 |
|
192 |
188 |
$10K |
| 90651 |
|
833 |
831 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
995 |
984 |
$8K |
| 93298 |
|
428 |
427 |
$7K |
| 94060 |
|
401 |
389 |
$7K |
| 99496 |
|
58 |
57 |
$7K |
| 95816 |
|
212 |
197 |
$6K |
| 93880 |
|
208 |
205 |
$6K |
| 81003 |
|
3,282 |
3,199 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
158 |
153 |
$5K |
| 99217 |
|
113 |
109 |
$4K |
| 90670 |
|
2,801 |
2,784 |
$4K |
| 95951 |
|
31 |
12 |
$4K |
| 58301 |
|
76 |
76 |
$3K |
| 93458 |
|
26 |
26 |
$3K |
| 95819 |
|
113 |
105 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
356 |
353 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
198 |
194 |
$3K |
| 90671 |
|
16 |
16 |
$3K |
| 99459 |
|
325 |
318 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
192 |
189 |
$2K |
| 62321 |
|
28 |
26 |
$2K |
| 90632 |
|
32 |
32 |
$2K |
| 99463 |
|
27 |
27 |
$2K |
| 99442 |
|
127 |
122 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 64484 |
|
48 |
47 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
104 |
103 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
29 |
29 |
$1K |
| 99406 |
|
181 |
168 |
$1K |
| 72110 |
|
95 |
95 |
$1K |
| 73610 |
|
124 |
117 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
89 |
$1K |
| 72100 |
|
91 |
87 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$1K |
| 93016 |
|
97 |
95 |
$1K |
| 57454 |
|
12 |
12 |
$1K |
| 90620 |
|
259 |
259 |
$1K |
| 98926 |
|
46 |
40 |
$1K |
| 96160 |
|
25 |
25 |
$903.96 |
| 77003 |
|
459 |
431 |
$865.48 |
| 71046 |
Radiologic examination, chest; 2 views |
101 |
95 |
$831.43 |
| 93356 |
|
116 |
116 |
$817.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
122 |
120 |
$797.60 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$709.28 |
| 73030 |
|
59 |
53 |
$636.22 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
108 |
92 |
$617.78 |
| 99441 |
|
85 |
83 |
$556.53 |
| 93923 |
|
27 |
26 |
$513.35 |
| 81002 |
|
242 |
236 |
$483.95 |
| 95908 |
|
12 |
12 |
$431.01 |
| 99401 |
|
25 |
25 |
$389.41 |
| 90716 |
|
530 |
528 |
$360.62 |
| 73562 |
|
31 |
30 |
$336.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
171 |
147 |
$328.59 |
| 94010 |
|
29 |
29 |
$275.11 |
| 90734 |
|
656 |
653 |
$257.70 |
| 98925 |
|
16 |
15 |
$244.49 |
| 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) |
452 |
450 |
$221.94 |
| 99201 |
|
13 |
13 |
$221.62 |
| 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 |
27 |
27 |
$193.86 |
| 73564 |
|
20 |
13 |
$191.85 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$181.30 |
| 99225 |
|
19 |
15 |
$157.01 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
18 |
18 |
$154.44 |
| 90707 |
|
719 |
717 |
$154.30 |
| 90688 |
|
289 |
289 |
$142.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
383 |
236 |
$136.28 |
| 90474 |
|
46 |
46 |
$135.00 |
| 73110 |
|
15 |
14 |
$104.08 |
| 73502 |
|
12 |
12 |
$101.94 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
42 |
38 |
$75.42 |
| 73130 |
|
13 |
12 |
$74.05 |
| 76000 |
|
13 |
12 |
$70.64 |
| 93325 |
|
14 |
12 |
$25.40 |
| 96127 |
|
13 |
13 |
$22.86 |
| 82962 |
|
205 |
174 |
$8.06 |
| 3051F |
|
60 |
59 |
$0.05 |
| 3008F |
|
1,611 |
1,555 |
$0.00 |
| 90647 |
|
2,479 |
2,468 |
$0.00 |
| 3079F |
|
325 |
320 |
$0.00 |
| 90723 |
|
2,634 |
2,623 |
$0.00 |
| 90696 |
|
465 |
464 |
$0.00 |
| 3075F |
|
64 |
63 |
$0.00 |
| 3044F |
|
1,483 |
1,442 |
$0.00 |
| 3074F |
|
927 |
901 |
$0.00 |
| 0500F |
|
94 |
77 |
$0.00 |
| 0503F |
|
12 |
12 |
$0.00 |
| 1125F |
|
17 |
17 |
$0.00 |
| 4000F |
|
13 |
13 |
$0.00 |
| 0502F |
|
4,018 |
2,017 |
$0.00 |
| 90633 |
|
1,435 |
1,432 |
$0.00 |
| 90700 |
|
485 |
480 |
$0.00 |
| 90681 |
|
1,094 |
1,090 |
$0.00 |
| 90461 |
|
794 |
679 |
$0.00 |
| 3078F |
|
727 |
711 |
$0.00 |
| 90710 |
|
400 |
400 |
$0.00 |
| 3015F |
|
40 |
39 |
$0.00 |
| 3077F |
|
18 |
17 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |