| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100,472 |
90,008 |
$3.81M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
47,086 |
40,731 |
$3.74M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
45,460 |
40,462 |
$2.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,495 |
65,543 |
$2.40M |
| 99233 |
Prolong inpt eval add15 m |
34,967 |
12,781 |
$1.35M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,799 |
20,299 |
$751K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,269 |
9,996 |
$741K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
30,928 |
21,053 |
$659K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
30,938 |
21,061 |
$658K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13,718 |
12,588 |
$617K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,931 |
7,038 |
$455K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,958 |
6,316 |
$389K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
16,208 |
11,960 |
$368K |
| 99223 |
Prolong inpt eval add15 m |
4,814 |
4,331 |
$364K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,392 |
10,249 |
$322K |
| 81514 |
|
2,726 |
2,092 |
$314K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,051 |
1,675 |
$254K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
58,551 |
49,659 |
$232K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,858 |
4,520 |
$212K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,252 |
4,727 |
$208K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15,007 |
9,669 |
$192K |
| 86803 |
|
16,170 |
10,660 |
$133K |
| 99220 |
|
2,179 |
2,020 |
$125K |
| 86780 |
|
16,140 |
10,663 |
$122K |
| 87510 |
|
11,712 |
7,304 |
$119K |
| 87480 |
|
11,713 |
7,300 |
$119K |
| 99215 |
Prolong outpt/office vis |
2,565 |
2,054 |
$113K |
| 87660 |
|
9,330 |
5,906 |
$106K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,854 |
1,556 |
$104K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
723 |
651 |
$98K |
| 87340 |
|
16,217 |
10,686 |
$97K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,929 |
1,647 |
$87K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
134 |
129 |
$79K |
| 87481 |
|
5,749 |
2,818 |
$76K |
| 87511 |
|
5,717 |
2,814 |
$75K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
917 |
853 |
$75K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
5,504 |
2,706 |
$73K |
| 81025 |
|
17,683 |
11,453 |
$64K |
| 76830 |
Ultrasound, transvaginal |
1,608 |
1,212 |
$63K |
| 95811 |
|
372 |
348 |
$61K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,892 |
1,381 |
$60K |
| 95806 |
|
1,453 |
1,168 |
$59K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,563 |
8,091 |
$57K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,009 |
937 |
$56K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,888 |
3,520 |
$44K |
| 93016 |
|
3,535 |
3,280 |
$39K |
| 93356 |
|
1,871 |
1,778 |
$36K |
| 93880 |
|
1,216 |
1,067 |
$31K |
| 93000 |
|
4,075 |
3,791 |
$30K |
| 94729 |
|
2,844 |
2,636 |
$29K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
319 |
244 |
$28K |
| 99222 |
Initial hospital care, per day, moderate complexity |
687 |
602 |
$27K |
| 94726 |
|
2,602 |
2,454 |
$27K |
| 93018 |
|
3,531 |
3,268 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
371 |
355 |
$25K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,411 |
488 |
$21K |
| 84702 |
|
2,573 |
1,513 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,030 |
1,263 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,319 |
1,098 |
$16K |
| 86762 |
|
1,887 |
1,184 |
$15K |
| 99385 |
|
213 |
198 |
$15K |
| 90674 |
|
537 |
508 |
$14K |
| 84144 |
|
1,232 |
746 |
$14K |
| 93298 |
|
1,459 |
1,283 |
$13K |
| 87653 |
|
585 |
401 |
$12K |
| 94010 |
|
1,608 |
1,531 |
$11K |
| 81003 |
|
11,769 |
8,318 |
$10K |
| 93227 |
|
703 |
680 |
$10K |
| 99226 |
|
385 |
315 |
$9K |
| 59025 |
Fetal non-stress test |
345 |
247 |
$9K |
| 52000 |
|
106 |
92 |
$9K |
| 84146 |
|
654 |
489 |
$8K |
| 83001 |
|
679 |
508 |
$8K |
| 90678 |
|
60 |
29 |
$6K |
| 93015 |
|
141 |
128 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
591 |
449 |
$6K |
| 90715 |
|
176 |
156 |
$5K |
| 0002A |
|
140 |
121 |
$5K |
| 99464 |
|
115 |
107 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
685 |
514 |
$5K |
| 97803 |
|
315 |
259 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
128 |
118 |
$4K |
| 99225 |
|
219 |
182 |
$4K |
| 82950 |
|
1,355 |
949 |
$4K |
| 99236 |
Prolong inpt eval add15 m |
103 |
89 |
$4K |
| 97802 |
|
250 |
211 |
$4K |
| 94060 |
|
370 |
348 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
449 |
300 |
$3K |
| 95251 |
|
255 |
236 |
$3K |
| 0001A |
|
79 |
77 |
$3K |
| 93224 |
|
47 |
46 |
$3K |
| 43259 |
|
40 |
36 |
$3K |
| 81002 |
|
5,227 |
2,693 |
$2K |
| 87081 |
|
582 |
400 |
$2K |
| 76641 |
|
30 |
28 |
$2K |
| 51798 |
|
481 |
439 |
$2K |
| 90661 |
|
166 |
94 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
36 |
26 |
$2K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
32 |
30 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
43 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
13 |
13 |
$2K |
| 94727 |
|
147 |
86 |
$1K |
| 93793 |
|
287 |
145 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 99205 |
Prolong outpt/office vis |
15 |
13 |
$977.52 |
| 99234 |
|
18 |
13 |
$809.04 |
| 99442 |
|
70 |
68 |
$737.00 |
| 99219 |
|
12 |
12 |
$722.00 |
| 99459 |
|
48 |
48 |
$662.40 |
| 99221 |
|
18 |
12 |
$626.88 |
| 90682 |
|
21 |
18 |
$504.09 |
| 99235 |
|
17 |
16 |
$491.58 |
| 99441 |
|
39 |
37 |
$392.37 |
| 99307 |
|
64 |
50 |
$328.68 |
| 93308 |
|
16 |
14 |
$304.35 |
| 82270 |
|
115 |
93 |
$258.40 |
| 81001 |
|
384 |
309 |
$225.58 |
| 93244 |
|
13 |
12 |
$155.17 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
80 |
$150.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$127.88 |
| 94618 |
|
33 |
31 |
$118.32 |
| 99358 |
Prolong nursin fac eval 15m |
23 |
12 |
$113.80 |
| 93299 |
|
13 |
12 |
$68.80 |
| 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) |
1,259 |
1,171 |
$37.21 |
| 3044F |
|
11,821 |
10,089 |
$30.00 |
| 3351F |
|
15,113 |
13,673 |
$24.83 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
420 |
331 |
$18.55 |
| 3008F |
|
101,612 |
88,544 |
$15.45 |
| 1036F |
|
54,908 |
48,189 |
$8.43 |
| 1159F |
|
108,376 |
93,205 |
$4.62 |
| 3075F |
|
17,042 |
15,166 |
$3.98 |
| 1158F |
|
35,922 |
31,494 |
$3.24 |
| 1101F |
|
57,272 |
50,573 |
$1.67 |
| 1160F |
|
105,320 |
90,340 |
$0.89 |
| 3074F |
|
71,603 |
59,983 |
$0.31 |
| 3078F |
|
67,170 |
56,603 |
$0.27 |
| 2000F |
|
54,948 |
48,455 |
$0.21 |
| 3079F |
|
32,870 |
28,887 |
$0.09 |
| 3080F |
|
4,634 |
4,130 |
$0.03 |
| 3077F |
|
10,780 |
9,494 |
$0.03 |
| 99499 |
|
18 |
12 |
$0.01 |
| 1125F |
|
33,337 |
28,559 |
$0.00 |
| 1170F |
|
80,685 |
70,824 |
$0.00 |
| 1220F |
|
53,664 |
47,227 |
$0.00 |
| 1034F |
|
4,767 |
4,223 |
$0.00 |
| 1126F |
|
67,060 |
58,569 |
$0.00 |
| 4010F |
|
17,593 |
15,569 |
$0.00 |
| 3048F |
|
5,147 |
4,596 |
$0.00 |
| 1031F |
|
20,813 |
16,366 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
69 |
66 |
$0.00 |
| 4037F |
|
455 |
430 |
$0.00 |
| 4000F |
|
3,217 |
2,622 |
$0.00 |
| 3061F |
|
450 |
393 |
$0.00 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
680 |
538 |
$0.00 |
| 0399T |
|
193 |
184 |
$0.00 |
| 1111F |
|
2,848 |
2,637 |
$0.00 |
| 3014F |
|
52 |
43 |
$0.00 |
| 3352F |
|
160 |
144 |
$0.00 |
| 3066F |
|
1,987 |
1,838 |
$0.00 |
| 3049F |
|
738 |
650 |
$0.00 |
| 1035F |
|
251 |
240 |
$0.00 |
| 3017F |
|
149 |
139 |
$0.00 |
| 4450F |
|
26 |
25 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
12 |
$0.00 |
| 99000 |
|
15 |
13 |
$0.00 |
| 1123F |
|
16 |
14 |
$0.00 |
| 2001F |
|
22 |
19 |
$0.00 |
| 99450 |
|
24 |
19 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
16 |
14 |
$0.00 |
| 1033F |
|
30,773 |
25,084 |
$0.00 |
| 4004F |
|
14,283 |
12,829 |
$0.00 |
| 3288F |
|
15,566 |
13,935 |
$0.00 |
| 1090F |
|
2,419 |
2,255 |
$0.00 |
| 1032F |
|
2,224 |
1,938 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
977 |
887 |
$0.00 |
| 3062F |
|
69 |
59 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
325 |
290 |
$0.00 |
| 3050F |
|
353 |
311 |
$0.00 |
| 1026F |
|
83 |
74 |
$0.00 |
| 91300 |
|
218 |
205 |
$0.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 |
82 |
78 |
$0.00 |
| 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 |
70 |
41 |
$0.00 |
| 3046F |
|
44 |
36 |
$0.00 |