| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,542 |
84,158 |
$3.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,718 |
47,595 |
$1.70M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,749 |
7,875 |
$679K |
| 99233 |
Prolong inpt eval add15 m |
5,927 |
2,389 |
$339K |
| 80050 |
General health panel |
8,201 |
7,631 |
$266K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,608 |
2,382 |
$266K |
| 80053 |
Comprehensive metabolic panel |
29,253 |
27,623 |
$265K |
| 80061 |
Lipid panel |
23,292 |
22,226 |
$258K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,103 |
1,941 |
$254K |
| 99223 |
Prolong inpt eval add15 m |
2,564 |
2,174 |
$252K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
11,641 |
10,989 |
$245K |
| 31231 |
|
1,455 |
1,297 |
$221K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,341 |
2,166 |
$221K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,350 |
6,399 |
$213K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13,668 |
13,065 |
$208K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,140 |
1,893 |
$206K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30,132 |
28,119 |
$198K |
| 95886 |
|
1,163 |
1,019 |
$164K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,834 |
4,489 |
$151K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,828 |
4,484 |
$150K |
| 36415 |
Collection of venous blood by venipuncture |
59,115 |
52,477 |
$140K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,337 |
1,924 |
$140K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17,169 |
16,434 |
$133K |
| 90686 |
|
6,428 |
6,027 |
$115K |
| 99442 |
|
2,246 |
1,899 |
$95K |
| 99460 |
|
1,225 |
1,003 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,802 |
5,554 |
$89K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,440 |
1,187 |
$88K |
| 84439 |
|
8,680 |
8,216 |
$67K |
| 87806 |
|
3,019 |
2,832 |
$61K |
| 99215 |
Prolong outpt/office vis |
2,081 |
1,713 |
$60K |
| 31575 |
|
701 |
603 |
$58K |
| 87660 |
|
3,445 |
3,195 |
$53K |
| 87480 |
|
3,447 |
3,196 |
$52K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,359 |
1,009 |
$51K |
| 99443 |
|
603 |
501 |
$49K |
| 87088 |
|
5,103 |
4,816 |
$42K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
747 |
651 |
$41K |
| 96127 |
|
4,910 |
4,567 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,725 |
2,310 |
$39K |
| 97810 |
|
1,428 |
691 |
$38K |
| 81001 |
|
14,334 |
13,257 |
$36K |
| 87800 |
|
712 |
679 |
$36K |
| 87510 |
|
2,719 |
2,490 |
$35K |
| 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) |
2,970 |
2,702 |
$35K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,096 |
1,013 |
$34K |
| 87077 |
|
5,149 |
4,029 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,438 |
2,363 |
$32K |
| 84153 |
|
1,682 |
1,613 |
$30K |
| 97802 |
|
1,333 |
1,260 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,295 |
2,226 |
$29K |
| 87186 |
|
4,135 |
3,422 |
$28K |
| 86803 |
|
2,568 |
2,393 |
$28K |
| 99205 |
Prolong outpt/office vis |
160 |
153 |
$26K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,004 |
3,749 |
$26K |
| 97811 |
|
1,217 |
566 |
$26K |
| 73630 |
|
1,228 |
812 |
$25K |
| V5266 |
Battery for use in hearing device |
792 |
557 |
$23K |
| 87511 |
|
726 |
704 |
$23K |
| 99441 |
|
668 |
565 |
$20K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
652 |
384 |
$20K |
| 90670 |
|
907 |
866 |
$19K |
| 98926 |
|
607 |
307 |
$18K |
| 99462 |
|
480 |
318 |
$17K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
627 |
320 |
$17K |
| 92557 |
|
986 |
830 |
$17K |
| 85027 |
|
3,052 |
2,862 |
$17K |
| 87070 |
|
2,001 |
1,857 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,429 |
1,367 |
$16K |
| 82746 |
|
1,412 |
1,340 |
$16K |
| 92567 |
|
1,762 |
1,544 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
688 |
651 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,755 |
2,468 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
605 |
565 |
$15K |
| 84466 |
|
1,923 |
1,753 |
$15K |
| 0011A |
|
670 |
582 |
$15K |
| 87340 |
|
1,834 |
1,716 |
$15K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
131 |
92 |
$15K |
| 99173 |
|
5,945 |
5,672 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
950 |
915 |
$15K |
| 0012A |
|
604 |
527 |
$14K |
| 82274 |
|
864 |
848 |
$14K |
| 83735 |
|
2,021 |
1,841 |
$10K |
| 95911 |
|
41 |
41 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,357 |
2,193 |
$9K |
| 0064A |
|
473 |
401 |
$9K |
| 86592 |
|
2,452 |
2,263 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,871 |
3,249 |
$9K |
| 85610 |
|
2,962 |
1,938 |
$9K |
| 86704 |
|
984 |
900 |
$9K |
| 82043 |
|
2,131 |
2,052 |
$9K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
730 |
698 |
$9K |
| 90723 |
|
444 |
426 |
$8K |
| 91322 |
|
154 |
125 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
399 |
359 |
$8K |
| 76830 |
Ultrasound, transvaginal |
91 |
70 |
$8K |
| 86140 |
|
1,892 |
1,798 |
$8K |
| 82570 |
|
2,093 |
2,015 |
$8K |
| 87147 |
|
1,665 |
1,474 |
$8K |
| 83540 |
|
1,094 |
1,005 |
$7K |
| 83550 |
|
2,342 |
2,150 |
$7K |
| 83690 |
|
1,265 |
1,199 |
$7K |
| 83655 |
|
481 |
467 |
$7K |
| 82728 |
|
846 |
821 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
512 |
271 |
$7K |
| 98927 |
|
199 |
122 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
637 |
536 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
108 |
88 |
$6K |
| 87653 |
|
266 |
254 |
$6K |
| 99220 |
|
59 |
51 |
$6K |
| 90647 |
|
308 |
297 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
144 |
112 |
$6K |
| 99497 |
|
208 |
160 |
$6K |
| 90750 |
|
72 |
56 |
$6K |
| 90677 |
|
286 |
269 |
$6K |
| 00812 |
|
54 |
52 |
$5K |
| 83880 |
|
176 |
168 |
$5K |
| 96160 |
|
2,377 |
2,235 |
$5K |
| 86709 |
|
457 |
430 |
$5K |
| 84481 |
|
415 |
395 |
$4K |
| 0031A |
|
158 |
139 |
$4K |
| 86706 |
|
586 |
527 |
$4K |
| 81514 |
|
24 |
24 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
167 |
166 |
$4K |
| 84550 |
|
1,268 |
1,202 |
$4K |
| 11104 |
|
62 |
53 |
$4K |
| 99219 |
|
52 |
43 |
$4K |
| 86850 |
|
624 |
569 |
$4K |
| 0013A |
|
258 |
209 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
57 |
53 |
$4K |
| 00731 |
|
28 |
27 |
$4K |
| 90656 |
|
204 |
196 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16 |
15 |
$4K |
| 85652 |
|
1,753 |
1,675 |
$4K |
| 90661 |
|
173 |
173 |
$4K |
| 90480 |
|
213 |
179 |
$3K |
| V5011 |
Fitting/orientation/checking of hearing aid |
55 |
39 |
$3K |
| 97161 |
|
36 |
35 |
$3K |
| 87081 |
|
502 |
478 |
$3K |
| 90633 |
|
148 |
145 |
$3K |
| 82044 |
|
638 |
628 |
$3K |
| 11102 |
|
46 |
39 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
479 |
429 |
$3K |
| 77080 |
|
201 |
187 |
$3K |
| 82607 |
|
300 |
292 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
28 |
25 |
$3K |
| 86708 |
|
226 |
221 |
$3K |
| 73130 |
|
153 |
110 |
$3K |
| 95251 |
|
97 |
92 |
$3K |
| 99406 |
|
265 |
232 |
$3K |
| 86705 |
|
305 |
286 |
$3K |
| 86317 |
|
154 |
150 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$3K |
| 00813 |
|
15 |
15 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
131 |
106 |
$2K |
| 52000 |
|
60 |
51 |
$2K |
| 90710 |
|
105 |
105 |
$2K |
| 11721 |
|
199 |
149 |
$2K |
| 85651 |
|
558 |
532 |
$2K |
| 0134A |
|
64 |
62 |
$2K |
| 82950 |
|
487 |
457 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
406 |
355 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
182 |
164 |
$2K |
| 72100 |
|
77 |
64 |
$2K |
| 81002 |
|
676 |
646 |
$2K |
| 84100 |
|
532 |
479 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 0002A |
|
48 |
46 |
$2K |
| 81025 |
|
223 |
216 |
$2K |
| 80069 |
|
344 |
319 |
$2K |
| 99174 |
|
708 |
696 |
$1K |
| 59025 |
Fetal non-stress test |
42 |
29 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
12 |
$1K |
| 90734 |
|
66 |
65 |
$1K |
| 92593 |
|
30 |
26 |
$1K |
| 90681 |
|
67 |
66 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
72 |
53 |
$1K |
| 83970 |
|
64 |
62 |
$1K |
| 70486 |
|
14 |
14 |
$1K |
| 0001A |
|
42 |
40 |
$1K |
| 69210 |
|
191 |
150 |
$1K |
| 90651 |
|
64 |
63 |
$1K |
| 82150 |
|
193 |
183 |
$1K |
| 0072A |
|
35 |
34 |
$1K |
| 91320 |
|
22 |
17 |
$1K |
| 86900 |
|
430 |
406 |
$1K |
| 80305 |
|
293 |
262 |
$1K |
| 86901 |
|
429 |
405 |
$1K |
| 86328 |
|
30 |
30 |
$1K |
| 51798 |
|
210 |
176 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$1K |
| 87185 |
|
447 |
401 |
$1K |
| 92552 |
|
67 |
62 |
$1K |
| 0071A |
|
29 |
28 |
$1K |
| 99080 |
|
32 |
32 |
$1K |
| 20610 |
|
25 |
24 |
$962.28 |
| 80076 |
|
220 |
212 |
$915.35 |
| 86430 |
|
146 |
142 |
$905.74 |
| 90672 |
|
41 |
23 |
$856.44 |
| 90662 |
|
174 |
139 |
$835.99 |
| 84703 |
|
115 |
107 |
$781.32 |
| 81003 |
|
610 |
559 |
$735.23 |
| 92582 |
|
14 |
14 |
$714.13 |
| 94664 |
|
52 |
46 |
$709.20 |
| 87046 |
|
36 |
36 |
$689.66 |
| 94760 |
|
5,475 |
4,860 |
$687.90 |
| 87106 |
|
107 |
102 |
$681.26 |
| 90685 |
|
30 |
30 |
$658.80 |
| 87075 |
|
72 |
68 |
$645.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
194 |
154 |
$620.63 |
| 87899 |
|
47 |
26 |
$608.40 |
| 95819 |
|
17 |
12 |
$601.20 |
| 92556 |
|
30 |
25 |
$592.57 |
| 83615 |
|
104 |
93 |
$587.32 |
| 99451 |
|
29 |
25 |
$566.27 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$564.41 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
32 |
12 |
$542.90 |
| 99217 |
|
17 |
12 |
$531.02 |
| 97165 |
|
12 |
12 |
$506.79 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
13 |
13 |
$500.00 |
| 0124A |
|
13 |
13 |
$440.00 |
| 80074 |
|
15 |
14 |
$433.42 |
| 87045 |
|
48 |
48 |
$431.27 |
| 73030 |
|
17 |
15 |
$430.09 |
| 90732 |
|
15 |
13 |
$425.61 |
| 99408 |
|
13 |
13 |
$408.02 |
| 72040 |
|
17 |
15 |
$407.82 |
| 90837 |
Psychotherapy, 53 minutes with patient |
247 |
197 |
$397.10 |
| 74018 |
|
18 |
18 |
$394.24 |
| 99401 |
|
97 |
90 |
$374.17 |
| 92587 |
|
23 |
13 |
$356.42 |
| 20600 |
|
14 |
12 |
$350.72 |
| 72072 |
|
15 |
15 |
$318.89 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
54 |
41 |
$295.86 |
| 92595 |
|
15 |
12 |
$284.50 |
| 87427 |
|
23 |
12 |
$269.98 |
| 51705 |
|
16 |
12 |
$269.82 |
| 82040 |
|
72 |
69 |
$260.99 |
| 90674 |
|
12 |
12 |
$247.06 |
| 84460 |
|
40 |
38 |
$245.52 |
| 84450 |
|
38 |
37 |
$240.24 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
32 |
22 |
$180.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
23 |
21 |
$174.25 |
| 93880 |
|
13 |
12 |
$173.32 |
| 84155 |
|
83 |
78 |
$170.08 |
| 84156 |
|
89 |
83 |
$161.91 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
60 |
43 |
$153.20 |
| 96161 |
|
47 |
40 |
$142.44 |
| 99459 |
|
68 |
62 |
$140.69 |
| 87015 |
|
24 |
24 |
$126.68 |
| G0008 |
Administration of influenza virus vaccine |
671 |
528 |
$54.78 |
| 82550 |
|
13 |
12 |
$45.86 |
| 99001 |
|
13,075 |
11,762 |
$44.38 |
| 86308 |
|
12 |
12 |
$43.56 |
| 36416 |
|
2,507 |
1,830 |
$42.00 |
| 82248 |
|
15 |
12 |
$35.10 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
133 |
122 |
$16.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
47 |
46 |
$8.14 |
| 99024 |
|
829 |
515 |
$0.01 |
| 0502F |
|
2,130 |
1,467 |
$0.00 |
| 1124F |
|
143 |
123 |
$0.00 |
| 99383 |
|
16 |
16 |
$0.00 |
| 99493 |
|
55 |
54 |
$0.00 |
| 1123F |
|
422 |
350 |
$0.00 |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
39 |
37 |
$0.00 |