| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,778 |
12,598 |
$580K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,152 |
4,000 |
$422K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,481 |
5,144 |
$383K |
| 99233 |
Prolong inpt eval add15 m |
4,618 |
2,161 |
$292K |
| 99223 |
Prolong inpt eval add15 m |
2,874 |
2,454 |
$268K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,873 |
2,476 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203,539 |
167,924 |
$135K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,023 |
9,348 |
$32K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,940 |
3,089 |
$31K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,065 |
3,417 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,469 |
1,188 |
$27K |
| 80061 |
Lipid panel |
8,580 |
7,635 |
$24K |
| 80053 |
Comprehensive metabolic panel |
4,573 |
3,883 |
$19K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
721 |
548 |
$19K |
| 99070 |
|
1,776 |
1,530 |
$17K |
| 58558 |
|
257 |
220 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62,142 |
52,004 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,726 |
4,795 |
$17K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,822 |
1,670 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
871 |
647 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,136 |
23,624 |
$16K |
| 99215 |
Prolong outpt/office vis |
14,632 |
12,627 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,033 |
962 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,199 |
470 |
$12K |
| 92015 |
Determination of refractive state |
4,045 |
3,883 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,514 |
2,077 |
$10K |
| 82274 |
|
1,090 |
831 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,228 |
1,055 |
$10K |
| 99441 |
|
26,953 |
22,360 |
$10K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
397 |
396 |
$9K |
| 76641 |
|
6,049 |
3,045 |
$9K |
| 81000 |
|
5,533 |
4,773 |
$7K |
| 93000 |
|
5,521 |
5,290 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
265 |
184 |
$5K |
| 82043 |
|
1,393 |
1,060 |
$5K |
| 92002 |
|
1,972 |
1,935 |
$5K |
| 86738 |
|
434 |
295 |
$4K |
| 92201 |
|
980 |
462 |
$4K |
| 84439 |
|
563 |
418 |
$4K |
| 97803 |
|
2,392 |
2,355 |
$4K |
| 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 |
7,616 |
5,776 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,805 |
1,735 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27,249 |
22,504 |
$3K |
| 82607 |
|
248 |
158 |
$3K |
| 84153 |
|
262 |
184 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,503 |
3,313 |
$3K |
| 82570 |
|
1,055 |
846 |
$3K |
| 92588 |
|
833 |
819 |
$3K |
| 99243 |
|
1,706 |
1,670 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
109 |
82 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
109 |
82 |
$2K |
| 99442 |
|
3,119 |
2,873 |
$2K |
| 43235 |
|
27 |
27 |
$2K |
| 76830 |
Ultrasound, transvaginal |
370 |
353 |
$2K |
| 97802 |
|
1,044 |
1,032 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,914 |
1,881 |
$2K |
| 92557 |
|
574 |
563 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,821 |
1,704 |
$1K |
| 92550 |
|
637 |
627 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
346 |
332 |
$1K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
46 |
45 |
$1K |
| 86592 |
|
422 |
335 |
$1K |
| 99252 |
|
205 |
181 |
$990.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,013 |
6,051 |
$939.66 |
| 84156 |
|
705 |
599 |
$858.16 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,727 |
7,443 |
$822.26 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
494 |
448 |
$782.00 |
| 96152 |
|
771 |
511 |
$715.83 |
| 99254 |
|
552 |
422 |
$670.00 |
| 92100 |
|
950 |
492 |
$665.94 |
| 77080 |
|
862 |
861 |
$601.16 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
61 |
52 |
$564.63 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
66 |
66 |
$465.83 |
| A6197 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
1,675 |
253 |
$396.94 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
565 |
542 |
$394.11 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
44 |
39 |
$389.72 |
| 93307 |
|
12 |
12 |
$382.50 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
96 |
84 |
$377.00 |
| 20610 |
|
242 |
202 |
$336.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,971 |
4,273 |
$303.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
177 |
167 |
$295.10 |
| 99344 |
|
28 |
27 |
$288.25 |
| 99241 |
|
15 |
14 |
$275.00 |
| 99255 |
|
266 |
256 |
$270.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
48 |
48 |
$265.20 |
| 92587 |
|
829 |
792 |
$240.00 |
| 99251 |
|
85 |
84 |
$205.90 |
| 96160 |
|
13,976 |
12,700 |
$203.50 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
12 |
$174.25 |
| 94760 |
|
676 |
595 |
$168.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
235 |
198 |
$161.98 |
| 92552 |
|
813 |
776 |
$154.10 |
| 99401 |
|
12,406 |
9,829 |
$143.99 |
| 99348 |
|
223 |
197 |
$133.16 |
| 90832 |
Psychotherapy, 30 minutes with patient |
32 |
20 |
$120.00 |
| 94375 |
|
65 |
64 |
$119.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
389 |
360 |
$108.40 |
| 92567 |
|
937 |
894 |
$107.72 |
| 94010 |
|
91 |
76 |
$101.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
178 |
117 |
$92.00 |
| 99205 |
Prolong outpt/office vis |
1,671 |
1,577 |
$89.00 |
| A6213 |
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
598 |
114 |
$88.00 |
| 92060 |
|
248 |
246 |
$88.00 |
| 94770 |
|
62 |
62 |
$87.00 |
| 99253 |
|
31 |
31 |
$80.00 |
| 96150 |
|
1,918 |
1,854 |
$74.96 |
| 94727 |
|
77 |
73 |
$65.00 |
| 86701 |
|
74 |
74 |
$64.34 |
| 85027 |
|
1,016 |
939 |
$61.20 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
14 |
12 |
$60.00 |
| 64640 |
|
144 |
128 |
$58.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,655 |
2,446 |
$57.02 |
| 94060 |
|
45 |
32 |
$37.25 |
| 99383 |
|
487 |
479 |
$33.62 |
| 99381 |
|
130 |
121 |
$33.62 |
| 94200 |
|
64 |
64 |
$33.00 |
| 99384 |
|
147 |
143 |
$30.00 |
| 92202 |
|
39 |
12 |
$30.00 |
| A6223 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing |
487 |
115 |
$26.87 |
| A6248 |
Hydrogel dressing, wound filler, gel, per fluid ounce |
305 |
85 |
$20.73 |
| 80050 |
General health panel |
641 |
639 |
$20.14 |
| A6253 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
356 |
79 |
$16.26 |
| 96127 |
|
4,957 |
4,636 |
$14.79 |
| 92551 |
|
1,960 |
1,936 |
$12.01 |
| A6254 |
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
406 |
101 |
$9.42 |
| A6207 |
Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
79 |
17 |
$9.38 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,399 |
1,147 |
$7.01 |
| 94150 |
|
62 |
62 |
$7.00 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
93 |
24 |
$3.66 |
| 85018 |
|
1,043 |
1,033 |
$2.27 |
| 85014 |
|
449 |
446 |
$2.27 |
| 99173 |
|
2,725 |
2,585 |
$1.60 |
| A6260 |
Wound cleansers, any type, any size |
496 |
118 |
$0.53 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
87 |
63 |
$0.48 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
562 |
165 |
$0.36 |
| 99368 |
|
926 |
910 |
$0.03 |
| 99177 |
|
95 |
95 |
$0.03 |
| 3008F |
|
40,738 |
36,330 |
$0.02 |
| 98960 |
|
1,881 |
1,474 |
$0.02 |
| 1159F |
|
26,098 |
23,742 |
$0.02 |
| 1160F |
|
29,273 |
26,226 |
$0.02 |
| 99406 |
|
261 |
251 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,523 |
1,463 |
$0.01 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
46 |
$0.01 |
| 2001F |
|
11,803 |
9,959 |
$0.00 |
| 2010F |
|
11,560 |
9,724 |
$0.00 |
| 3074F |
|
56,238 |
49,674 |
$0.00 |
| 1036F |
|
2,740 |
2,497 |
$0.00 |
| 3079F |
|
9,633 |
8,703 |
$0.00 |
| 1170F |
|
8,511 |
7,727 |
$0.00 |
| 3061F |
|
3,447 |
3,260 |
$0.00 |
| 3011F |
|
2,139 |
1,886 |
$0.00 |
| 2000F |
|
3,919 |
3,495 |
$0.00 |
| 3044F |
|
4,149 |
3,834 |
$0.00 |
| 1126F |
|
19,661 |
17,672 |
$0.00 |
| 3048F |
|
4,868 |
4,500 |
$0.00 |
| 1157F |
|
7,328 |
6,553 |
$0.00 |
| 3352F |
|
62 |
62 |
$0.00 |
| 3049F |
|
1,135 |
1,086 |
$0.00 |
| 3075F |
|
4,670 |
4,216 |
$0.00 |
| 1125F |
|
14,362 |
12,799 |
$0.00 |
| 3080F |
|
2,861 |
2,603 |
$0.00 |
| 3014F |
|
1,228 |
1,055 |
$0.00 |
| 3017F |
|
3,033 |
2,838 |
$0.00 |
| 1101F |
|
107 |
106 |
$0.00 |
| 99050 |
|
2,189 |
2,073 |
$0.00 |
| 3279F |
|
2,350 |
2,154 |
$0.00 |
| 1111F |
|
1,506 |
1,285 |
$0.00 |
| 3351F |
|
30 |
30 |
$0.00 |
| 1031F |
|
1,441 |
1,340 |
$0.00 |
| 3060F |
|
96 |
85 |
$0.00 |
| 92285 |
|
222 |
222 |
$0.00 |
| 99443 |
|
921 |
794 |
$0.00 |
| 0513F |
|
453 |
422 |
$0.00 |
| 1123F |
|
83 |
69 |
$0.00 |
| 99174 |
|
514 |
507 |
$0.00 |
| 92250 |
|
172 |
172 |
$0.00 |
| 83986 |
|
300 |
282 |
$0.00 |
| 3066F |
|
20 |
14 |
$0.00 |
| 87088 |
|
85 |
85 |
$0.00 |
| 81001 |
|
493 |
484 |
$0.00 |
| 96112 |
|
128 |
113 |
$0.00 |
| 2023F |
|
19 |
19 |
$0.00 |
| 96161 |
|
556 |
522 |
$0.00 |
| 4010F |
|
814 |
742 |
$0.00 |
| S9097 |
Home visit for wound care |
2,812 |
398 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
100 |
86 |
$0.00 |
| 99429 |
|
142 |
141 |
$0.00 |
| 3072F |
|
24 |
24 |
$0.00 |
| 3037F |
|
14 |
14 |
$0.00 |
| 1035F |
|
94 |
69 |
$0.00 |
| 1000F |
|
42 |
40 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$0.00 |
| 99349 |
|
41 |
41 |
$0.00 |
| 83861 |
|
44 |
30 |
$0.00 |
| 1034F |
|
74 |
62 |
$0.00 |
| 87625 |
|
12 |
12 |
$0.00 |
| A6261 |
Wound filler, gel/paste, per fluid ounce, not otherwise specified |
77 |
29 |
$0.00 |
| 96156 |
|
46 |
46 |
$0.00 |
| 0509F |
|
44 |
43 |
$0.00 |
| 57410 |
|
14 |
13 |
$0.00 |
| 99402 |
|
21 |
18 |
$0.00 |
| 82270 |
|
29 |
29 |
$0.00 |
| 84479 |
|
13 |
13 |
$0.00 |
| 97804 |
|
88 |
82 |
$0.00 |
| 92136 |
|
12 |
12 |
$0.00 |
| 99341 |
|
13 |
13 |
$0.00 |
| 84436 |
|
14 |
14 |
$0.00 |
| 4305F |
|
20 |
15 |
$0.00 |
| 99343 |
|
16 |
16 |
$0.00 |
| 99345 |
Prolong home eval add 15m |
16 |
16 |
$0.00 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
57 |
13 |
$0.00 |
| 1158F |
|
14,454 |
12,541 |
$0.00 |
| 92020 |
|
26 |
26 |
$0.00 |
| 3078F |
|
55,093 |
48,612 |
$0.00 |
| 99408 |
|
2,516 |
2,442 |
$0.00 |
| 3050F |
|
488 |
474 |
$0.00 |
| 99411 |
|
5,422 |
4,993 |
$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 |
15 |
15 |
$0.00 |
| 0521F |
|
10,268 |
9,141 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
584 |
567 |
$0.00 |
| 3077F |
|
7,621 |
6,790 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
526 |
471 |
$0.00 |
| 1090F |
|
1,227 |
1,131 |
$0.00 |
| 99245 |
|
1,340 |
1,271 |
$0.00 |
| 3725F |
|
2,163 |
2,071 |
$0.00 |
| 3280F |
|
638 |
607 |
$0.00 |
| 1033F |
|
1,986 |
1,869 |
$0.00 |
| 99382 |
|
100 |
95 |
$0.00 |
| 1032F |
|
29 |
28 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
401 |
359 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,128 |
916 |
$0.00 |
| 99347 |
|
491 |
488 |
$0.00 |
| 0518F |
|
125 |
112 |
$0.00 |
| 2028F |
|
89 |
70 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
69 |
68 |
$0.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
61 |
37 |
$0.00 |
| 2022F |
|
151 |
84 |
$0.00 |
| 11000 |
|
48 |
39 |
$0.00 |
| 92083 |
|
148 |
148 |
$0.00 |
| 3028F |
|
73 |
72 |
$0.00 |
| 3096F |
|
37 |
37 |
$0.00 |
| 3051F |
|
209 |
196 |
$0.00 |
| 76514 |
|
26 |
26 |
$0.00 |
| 00840 |
|
13 |
13 |
$0.00 |
| 83655 |
|
312 |
301 |
$0.00 |
| 82465 |
|
204 |
204 |
$0.00 |
| 99367 |
|
234 |
232 |
$0.00 |
| 4035F |
|
97 |
91 |
$0.00 |
| A4452 |
Tape, waterproof, per 18 square inches |
283 |
98 |
$0.00 |
| 96367 |
|
71 |
36 |
$0.00 |
| 3046F |
|
139 |
137 |
$0.00 |
| 99201 |
|
63 |
60 |
$0.00 |
| 85610 |
|
12 |
12 |
$0.00 |
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
76 |
38 |
$0.00 |
| 87177 |
|
12 |
12 |
$0.00 |
| 96159 |
|
16 |
13 |
$0.00 |
| 3045F |
|
33 |
25 |
$0.00 |
| 4004F |
|
60 |
49 |
$0.00 |
| 86631 |
|
13 |
13 |
$0.00 |
| 99497 |
|
32 |
32 |
$0.00 |
| 96402 |
|
76 |
38 |
$0.00 |
| 92568 |
|
12 |
12 |
$0.00 |
| 99334 |
|
16 |
16 |
$0.00 |
| 99242 |
|
13 |
13 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |
| 0555F |
|
13 |
12 |
$0.00 |