| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,287 |
58,146 |
$3.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,364 |
32,082 |
$2.46M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,076 |
5,936 |
$429K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
4,069 |
3,508 |
$228K |
| 99215 |
Prolong outpt/office vis |
1,119 |
1,084 |
$116K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
976 |
957 |
$106K |
| 71046 |
Radiologic examination, chest; 2 views |
2,635 |
2,562 |
$41K |
| 95251 |
|
1,725 |
1,640 |
$34K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
249 |
237 |
$23K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
616 |
578 |
$20K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
440 |
397 |
$19K |
| 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 |
196 |
191 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,499 |
1,321 |
$16K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
143 |
129 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
333 |
317 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
387 |
373 |
$10K |
| 99205 |
Prolong outpt/office vis |
59 |
58 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
37 |
36 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
161 |
150 |
$6K |
| 73610 |
|
235 |
225 |
$5K |
| 74019 |
|
235 |
231 |
$4K |
| 17110 |
|
66 |
62 |
$4K |
| 99243 |
|
40 |
40 |
$4K |
| 73630 |
|
160 |
154 |
$3K |
| 97803 |
|
41 |
41 |
$3K |
| 99607 |
|
98 |
70 |
$2K |
| 98968 |
|
97 |
51 |
$2K |
| 97802 |
|
25 |
25 |
$2K |
| 73562 |
|
76 |
70 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
994 |
932 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
240 |
237 |
$1K |
| 99606 |
|
51 |
46 |
$1K |
| 74018 |
|
67 |
66 |
$1K |
| 43235 |
|
12 |
12 |
$958.34 |
| 99417 |
Prolong home eval add 15m |
14 |
14 |
$921.50 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$813.75 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
540 |
493 |
$772.93 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$725.29 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
85 |
79 |
$646.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$641.65 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
63 |
58 |
$619.53 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
87 |
86 |
$616.29 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
663 |
637 |
$579.70 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$564.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$490.20 |
| 90686 |
|
32 |
32 |
$361.22 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$355.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$277.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
75 |
72 |
$262.15 |
| 73140 |
|
12 |
12 |
$258.94 |
| 87660 |
|
13 |
12 |
$257.40 |
| 87480 |
|
13 |
12 |
$257.40 |
| 87510 |
|
13 |
12 |
$257.40 |
| 72100 |
|
12 |
12 |
$244.64 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
26 |
$232.03 |
| 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) |
72 |
72 |
$203.95 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
157 |
151 |
$196.20 |
| 81001 |
|
59 |
54 |
$178.79 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$115.08 |
| 81025 |
|
13 |
13 |
$110.50 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
34 |
32 |
$72.48 |
| 81003 |
|
24 |
24 |
$51.06 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
13 |
$42.18 |
| 99443 |
|
16 |
12 |
$37.50 |
| 11100 |
|
55 |
52 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
401 |
385 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
66 |
63 |
$0.00 |