| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132,342 |
108,725 |
$4.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,849 |
41,548 |
$1.60M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,500 |
9,079 |
$800K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,909 |
7,207 |
$719K |
| H1000 |
Prenatal care, at-risk assessment |
13,042 |
10,208 |
$483K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
369 |
187 |
$378K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13,841 |
11,008 |
$360K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,936 |
16,935 |
$328K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,348 |
3,728 |
$303K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,222 |
1,781 |
$71K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,952 |
910 |
$70K |
| 99215 |
Prolong outpt/office vis |
1,073 |
887 |
$67K |
| 99205 |
Prolong outpt/office vis |
516 |
454 |
$46K |
| 90837 |
Psychotherapy, 53 minutes with patient |
881 |
548 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
541 |
503 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
884 |
781 |
$42K |
| 76830 |
Ultrasound, transvaginal |
635 |
596 |
$41K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
489 |
374 |
$37K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,413 |
768 |
$35K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
478 |
379 |
$30K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
463 |
406 |
$27K |
| 76801 |
|
319 |
289 |
$22K |
| 93297 |
|
4,231 |
3,148 |
$19K |
| 59410 |
|
25 |
25 |
$19K |
| 93296 |
|
4,683 |
3,688 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,377 |
4,013 |
$17K |
| 95816 |
|
943 |
702 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
390 |
286 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
157 |
144 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
246 |
212 |
$12K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
22 |
13 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
226 |
204 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,209 |
2,330 |
$10K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
4,303 |
3,105 |
$10K |
| 99307 |
|
1,303 |
1,049 |
$9K |
| 99221 |
|
177 |
144 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
84 |
78 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
437 |
173 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
175 |
120 |
$8K |
| 92587 |
|
980 |
878 |
$7K |
| 93295 |
|
529 |
434 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
253 |
199 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
101 |
93 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
104 |
79 |
$6K |
| 93000 |
|
1,443 |
1,161 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
378 |
320 |
$5K |
| 93294 |
|
1,018 |
788 |
$5K |
| 99381 |
|
95 |
77 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
39 |
$4K |
| 0001A |
|
181 |
159 |
$4K |
| 0002A |
|
166 |
147 |
$4K |
| 80305 |
|
955 |
815 |
$4K |
| 59430 |
|
121 |
98 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
55 |
$3K |
| 1036F |
|
112,027 |
79,185 |
$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) |
1,070 |
840 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
88 |
76 |
$3K |
| 99384 |
|
13 |
13 |
$2K |
| 90461 |
|
530 |
489 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,135 |
895 |
$2K |
| 99383 |
|
30 |
25 |
$2K |
| 99443 |
|
78 |
60 |
$2K |
| 0012A |
|
205 |
184 |
$2K |
| 99442 |
|
349 |
202 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
364 |
254 |
$2K |
| 94060 |
|
115 |
88 |
$2K |
| 95811 |
|
31 |
24 |
$2K |
| 1159F |
|
89,099 |
68,257 |
$2K |
| 93298 |
|
198 |
139 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
173 |
$1K |
| 81025 |
|
754 |
627 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
35 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
201 |
72 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,649 |
1,374 |
$1K |
| 90686 |
|
1,349 |
1,245 |
$1K |
| 92557 |
|
74 |
63 |
$1K |
| 93458 |
|
16 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
148 |
137 |
$1K |
| 99188 |
|
184 |
158 |
$992.59 |
| 83655 |
|
394 |
342 |
$909.50 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$900.43 |
| 54150 |
|
31 |
14 |
$866.63 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22 |
21 |
$744.82 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$696.30 |
| 93016 |
|
219 |
173 |
$690.45 |
| 0011A |
|
202 |
174 |
$644.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
99 |
$644.14 |
| 76536 |
|
15 |
13 |
$635.22 |
| 99335 |
|
88 |
63 |
$611.09 |
| 1126F |
|
29,091 |
22,771 |
$529.94 |
| 82962 |
|
954 |
761 |
$528.71 |
| 99336 |
|
34 |
25 |
$514.56 |
| 92550 |
|
88 |
75 |
$424.72 |
| 97803 |
|
14 |
12 |
$422.80 |
| 91065 |
|
12 |
12 |
$412.87 |
| 92552 |
|
35 |
28 |
$384.33 |
| 90674 |
|
67 |
49 |
$370.25 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
448 |
341 |
$337.57 |
| 90670 |
|
3,398 |
2,880 |
$315.46 |
| 11730 |
|
21 |
13 |
$304.86 |
| 3074F |
|
73,483 |
60,187 |
$300.00 |
| 97802 |
|
20 |
15 |
$289.44 |
| 85018 |
|
649 |
593 |
$275.49 |
| 1160F |
|
96,832 |
74,579 |
$274.96 |
| 64615 |
|
17 |
14 |
$272.76 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
16 |
$269.92 |
| 94729 |
|
93 |
74 |
$266.62 |
| 94726 |
|
65 |
49 |
$261.77 |
| 90715 |
|
15 |
15 |
$251.45 |
| 20610 |
|
17 |
12 |
$236.01 |
| 96127 |
|
524 |
394 |
$227.76 |
| 93018 |
|
191 |
150 |
$215.87 |
| 3079F |
|
10,614 |
7,846 |
$200.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
56 |
24 |
$199.08 |
| 81003 |
|
397 |
273 |
$186.17 |
| 1125F |
|
8,446 |
6,547 |
$185.78 |
| 87428 |
|
16 |
12 |
$177.18 |
| 3078F |
|
63,816 |
47,908 |
$175.00 |
| 99173 |
|
1,724 |
1,284 |
$105.28 |
| 91301 |
|
70 |
66 |
$102.11 |
| 90698 |
|
55 |
53 |
$96.02 |
| 80053 |
Comprehensive metabolic panel |
52 |
38 |
$92.96 |
| 99406 |
|
16 |
13 |
$90.72 |
| 62369 |
|
105 |
49 |
$74.44 |
| 90647 |
|
584 |
515 |
$74.25 |
| 51798 |
|
52 |
37 |
$69.72 |
| 99337 |
|
19 |
16 |
$60.12 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
20 |
13 |
$47.89 |
| 96160 |
|
240 |
191 |
$41.39 |
| 3075F |
|
1,836 |
1,497 |
$25.00 |
| 99441 |
|
94 |
48 |
$9.05 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
40 |
28 |
$1.88 |
| 95251 |
|
376 |
290 |
$0.00 |
| 3725F |
|
15,357 |
10,996 |
$0.00 |
| 90648 |
|
751 |
628 |
$0.00 |
| 3077F |
|
1,359 |
985 |
$0.00 |
| 3288F |
|
720 |
576 |
$0.00 |
| 99177 |
|
596 |
345 |
$0.00 |
| 90662 |
|
47 |
37 |
$0.00 |
| 1158F |
|
309 |
237 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
66 |
$0.00 |
| 1494F |
|
29 |
25 |
$0.00 |
| 99497 |
|
34 |
25 |
$0.00 |
| 90633 |
|
176 |
163 |
$0.00 |
| 91300 |
|
180 |
139 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| 90710 |
|
20 |
13 |
$0.00 |
| 3008F |
|
129,840 |
94,451 |
$0.00 |
| 3044F |
|
1,447 |
1,183 |
$0.00 |
| 90680 |
|
1,151 |
989 |
$0.00 |
| 90723 |
|
625 |
528 |
$0.00 |
| 1101F |
|
279 |
190 |
$0.00 |
| 3061F |
|
425 |
337 |
$0.00 |
| 1170F |
|
1,132 |
866 |
$0.00 |
| 3080F |
|
111 |
88 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
139 |
115 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$0.00 |
| 90677 |
|
153 |
133 |
$0.00 |
| 1157F |
|
16 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
62 |
25 |
$0.00 |
| 1111F |
|
50 |
41 |
$0.00 |
| 99000 |
|
16 |
12 |
$0.00 |