| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204,008 |
183,377 |
$9.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
174,964 |
143,339 |
$6.48M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24,931 |
23,079 |
$1.99M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21,439 |
19,242 |
$1.30M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12,271 |
11,672 |
$1.19M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,813 |
14,059 |
$995K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
7,412 |
6,611 |
$828K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14,937 |
13,649 |
$743K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17,891 |
11,036 |
$680K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16,356 |
14,607 |
$572K |
| 99215 |
Prolong outpt/office vis |
11,210 |
9,444 |
$568K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
854 |
794 |
$445K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,412 |
6,872 |
$402K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,222 |
6,869 |
$344K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,630 |
2,178 |
$313K |
| 93000 |
|
20,831 |
19,534 |
$308K |
| 93320 |
|
7,399 |
6,604 |
$297K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,269 |
4,029 |
$284K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,900 |
9,487 |
$278K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
60,317 |
52,878 |
$276K |
| 93325 |
|
9,407 |
8,227 |
$250K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,866 |
4,638 |
$249K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
8,693 |
8,366 |
$236K |
| 76801 |
|
4,852 |
4,477 |
$215K |
| 99460 |
|
4,915 |
4,620 |
$214K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,893 |
18,572 |
$188K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
6,535 |
6,153 |
$179K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,046 |
682 |
$174K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,406 |
5,465 |
$152K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,161 |
1,753 |
$134K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,017 |
2,812 |
$132K |
| 59514 |
|
408 |
373 |
$117K |
| 76820 |
|
2,683 |
1,368 |
$112K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,931 |
2,214 |
$112K |
| 99233 |
Prolong inpt eval add15 m |
2,252 |
1,017 |
$111K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
656 |
610 |
$109K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
4,568 |
2,501 |
$107K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,210 |
4,596 |
$95K |
| 59430 |
|
1,011 |
986 |
$89K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,616 |
1,261 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,117 |
1,091 |
$84K |
| 99205 |
Prolong outpt/office vis |
982 |
912 |
$80K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,717 |
6,450 |
$80K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,329 |
1,243 |
$78K |
| 71046 |
Radiologic examination, chest; 2 views |
11,382 |
10,869 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,306 |
1,968 |
$70K |
| 99385 |
|
1,301 |
1,038 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,750 |
1,424 |
$64K |
| 71045 |
Radiologic examination, chest; single view |
13,054 |
11,668 |
$59K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,483 |
1,383 |
$52K |
| 20610 |
|
1,237 |
1,013 |
$49K |
| 99223 |
Prolong inpt eval add15 m |
608 |
497 |
$46K |
| 54150 |
|
313 |
299 |
$40K |
| 76830 |
Ultrasound, transvaginal |
1,149 |
1,094 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
909 |
813 |
$36K |
| 95819 |
|
597 |
566 |
$35K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
913 |
872 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,429 |
1,342 |
$34K |
| 52000 |
|
338 |
322 |
$31K |
| 95800 |
|
155 |
148 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,996 |
2,688 |
$27K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
634 |
535 |
$27K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,092 |
943 |
$24K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
688 |
598 |
$24K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
99 |
97 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
256 |
230 |
$22K |
| 59025 |
Fetal non-stress test |
2,303 |
2,040 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
365 |
346 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,307 |
1,212 |
$17K |
| 93304 |
|
370 |
298 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
309 |
215 |
$15K |
| 11721 |
|
1,503 |
1,415 |
$13K |
| 93244 |
|
700 |
674 |
$13K |
| 95251 |
|
649 |
524 |
$10K |
| 90715 |
|
330 |
315 |
$10K |
| 74018 |
|
1,315 |
1,206 |
$9K |
| 90686 |
|
566 |
535 |
$9K |
| 73630 |
|
1,185 |
1,129 |
$8K |
| 64721 |
|
45 |
39 |
$8K |
| 99462 |
|
317 |
283 |
$7K |
| 00731 |
|
186 |
168 |
$7K |
| 96113 |
|
45 |
37 |
$7K |
| 99051 |
|
913 |
756 |
$7K |
| 93242 |
|
675 |
649 |
$7K |
| 93321 |
|
486 |
399 |
$7K |
| 73562 |
|
897 |
840 |
$6K |
| 76821 |
|
119 |
68 |
$6K |
| 99386 |
|
87 |
81 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
36 |
36 |
$6K |
| 95816 |
|
93 |
91 |
$5K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
146 |
131 |
$5K |
| 51798 |
|
891 |
657 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
248 |
135 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
25 |
25 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
37 |
37 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
85 |
76 |
$5K |
| 00840 |
|
67 |
51 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
29 |
26 |
$4K |
| 99173 |
|
2,599 |
2,128 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
248 |
225 |
$4K |
| 64483 |
|
34 |
24 |
$4K |
| 20611 |
|
100 |
88 |
$4K |
| 99201 |
|
168 |
162 |
$4K |
| 88307 |
|
71 |
71 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
14 |
$4K |
| 82962 |
|
1,803 |
1,352 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
36 |
36 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
215 |
183 |
$3K |
| 00811 |
|
107 |
93 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
70 |
69 |
$3K |
| 73564 |
|
399 |
357 |
$3K |
| 96112 |
|
45 |
37 |
$3K |
| 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) |
2,466 |
2,154 |
$3K |
| 99417 |
Prolong home eval add 15m |
90 |
77 |
$3K |
| 99404 |
|
67 |
57 |
$3K |
| 99490 |
Ccm add 20min |
771 |
765 |
$3K |
| 92134 |
|
883 |
767 |
$3K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
45 |
42 |
$3K |
| 73030 |
|
417 |
386 |
$3K |
| 73130 |
|
359 |
336 |
$3K |
| 99381 |
|
37 |
36 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
62 |
54 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
64 |
36 |
$2K |
| 72100 |
|
307 |
300 |
$2K |
| 81025 |
|
547 |
397 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
95 |
80 |
$2K |
| 00126 |
|
59 |
50 |
$2K |
| 74019 |
|
222 |
211 |
$2K |
| 81003 |
|
1,537 |
1,352 |
$2K |
| 62323 |
|
12 |
12 |
$2K |
| 76642 |
|
71 |
63 |
$2K |
| 31575 |
|
32 |
29 |
$1K |
| 93227 |
|
74 |
68 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
16 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$1K |
| 95806 |
|
24 |
24 |
$1K |
| 73610 |
|
176 |
163 |
$1K |
| 77080 |
|
107 |
103 |
$1K |
| 73560 |
|
183 |
163 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
66 |
36 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
787 |
732 |
$1K |
| 0064A |
|
82 |
53 |
$1K |
| 27096 |
|
13 |
13 |
$1K |
| 00813 |
|
32 |
25 |
$1K |
| 93295 |
|
39 |
38 |
$1K |
| 92551 |
|
150 |
146 |
$1K |
| 93016 |
|
128 |
125 |
$1K |
| 99383 |
|
12 |
12 |
$994.52 |
| 90656 |
|
54 |
51 |
$978.00 |
| 01810 |
|
46 |
29 |
$933.45 |
| 84165 |
|
407 |
386 |
$908.14 |
| 3044F |
|
13,800 |
12,094 |
$890.00 |
| 90682 |
|
14 |
14 |
$861.65 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15 |
12 |
$821.30 |
| 0004A |
|
40 |
23 |
$817.38 |
| 73110 |
|
92 |
86 |
$781.65 |
| 99350 |
Prolong home eval add 15m |
16 |
16 |
$767.32 |
| 94060 |
|
69 |
61 |
$729.52 |
| 93018 |
|
128 |
125 |
$715.27 |
| 99451 |
|
48 |
46 |
$654.45 |
| 99349 |
|
16 |
14 |
$640.02 |
| 0011A |
|
104 |
66 |
$622.81 |
| 0002A |
|
48 |
33 |
$616.81 |
| 94729 |
|
41 |
37 |
$615.99 |
| 90836 |
|
13 |
13 |
$590.54 |
| 71250 |
|
15 |
14 |
$578.38 |
| 69210 |
|
26 |
24 |
$561.96 |
| 0001A |
|
57 |
46 |
$509.83 |
| 94010 |
|
95 |
84 |
$507.23 |
| 92015 |
Determination of refractive state |
4,563 |
3,736 |
$482.18 |
| 90961 |
|
41 |
39 |
$474.44 |
| 99497 |
|
67 |
40 |
$474.37 |
| 93971 |
|
13 |
12 |
$473.64 |
| 94618 |
|
74 |
63 |
$458.60 |
| 94726 |
|
29 |
25 |
$404.34 |
| 93970 |
|
12 |
12 |
$404.13 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
14 |
$397.45 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
12 |
$365.25 |
| 97760 |
|
18 |
17 |
$340.34 |
| 77065 |
Tomosynthesis, mammo |
14 |
13 |
$329.64 |
| 86334 |
|
90 |
84 |
$328.60 |
| 99442 |
|
24 |
19 |
$324.97 |
| 72040 |
|
44 |
39 |
$323.96 |
| 81001 |
|
184 |
152 |
$249.36 |
| 76770 |
|
13 |
12 |
$209.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
358 |
337 |
$202.42 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
17 |
13 |
$185.76 |
| 99459 |
|
25 |
14 |
$181.28 |
| 97803 |
|
12 |
12 |
$169.74 |
| 72110 |
|
13 |
12 |
$149.84 |
| 73502 |
|
14 |
14 |
$139.52 |
| 92587 |
|
14 |
12 |
$129.61 |
| 99406 |
|
20 |
13 |
$101.54 |
| 91200 |
|
13 |
13 |
$96.84 |
| 99422 |
|
31 |
29 |
$90.64 |
| 99441 |
|
18 |
14 |
$83.44 |
| J3490 |
Unclassified drugs |
32 |
25 |
$82.50 |
| 99152 |
|
151 |
123 |
$70.04 |
| 96161 |
|
27 |
27 |
$58.21 |
| 90785 |
|
38 |
15 |
$50.96 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
39 |
25 |
$40.50 |
| 81000 |
|
26 |
24 |
$38.26 |
| 1159F |
|
256,785 |
222,374 |
$19.12 |
| 85060 |
|
15 |
15 |
$14.01 |
| 1160F |
|
171,109 |
148,776 |
$10.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,280 |
1,069 |
$9.18 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
16 |
13 |
$1.81 |
| 3079F |
|
23,290 |
20,919 |
$0.37 |
| 96127 |
|
24 |
18 |
$0.30 |
| 3078F |
|
48,786 |
42,742 |
$0.27 |
| 3074F |
|
64,162 |
55,939 |
$0.01 |
| 3008F |
|
113,210 |
97,859 |
$0.00 |
| 3075F |
|
8,968 |
8,136 |
$0.00 |
| 4010F |
|
11,350 |
9,792 |
$0.00 |
| 3080F |
|
2,210 |
1,953 |
$0.00 |
| 3066F |
|
1,470 |
1,260 |
$0.00 |
| 3061F |
|
399 |
351 |
$0.00 |
| 91301 |
|
59 |
59 |
$0.00 |
| 1111F |
|
45 |
36 |
$0.00 |
| 2023F |
|
62 |
52 |
$0.00 |
| 0012A |
|
30 |
18 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3072F |
|
31 |
26 |
$0.00 |
| 3077F |
|
3,486 |
3,160 |
$0.00 |
| 91300 |
|
132 |
126 |
$0.00 |
| 0298T |
|
16 |
16 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |