| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268,869 |
237,755 |
$16.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257,191 |
227,330 |
$13.35M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37,923 |
34,556 |
$3.29M |
| 99233 |
Prolong inpt eval add15 m |
55,757 |
22,929 |
$1.44M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18,221 |
16,909 |
$1.38M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
65,239 |
25,964 |
$1.36M |
| 99215 |
Prolong outpt/office vis |
24,247 |
20,868 |
$1.30M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
7,159 |
7,111 |
$1.02M |
| 99223 |
Prolong inpt eval add15 m |
15,174 |
12,885 |
$726K |
| 20610 |
|
10,364 |
6,790 |
$504K |
| 31231 |
|
5,670 |
5,082 |
$499K |
| 93000 |
|
30,401 |
27,899 |
$484K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,385 |
2,073 |
$449K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,347 |
1,899 |
$405K |
| 99243 |
|
3,311 |
3,299 |
$368K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,650 |
8,595 |
$358K |
| 64483 |
|
1,658 |
1,464 |
$332K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
23,849 |
12,067 |
$319K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,010 |
7,108 |
$302K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,952 |
5,984 |
$239K |
| 99205 |
Prolong outpt/office vis |
2,367 |
2,092 |
$217K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
528 |
308 |
$200K |
| 31579 |
|
1,419 |
1,243 |
$200K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
31,426 |
26,698 |
$186K |
| 94060 |
|
6,790 |
6,317 |
$184K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,432 |
6,847 |
$177K |
| 20611 |
|
2,660 |
1,963 |
$177K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,731 |
5,496 |
$172K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,004 |
1,882 |
$170K |
| 69210 |
|
6,417 |
5,383 |
$163K |
| 97803 |
|
5,700 |
5,122 |
$157K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,787 |
11,336 |
$150K |
| 95800 |
|
3,494 |
3,337 |
$139K |
| 64484 |
|
1,397 |
1,150 |
$134K |
| 99460 |
|
1,647 |
1,556 |
$132K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,707 |
2,520 |
$131K |
| 95886 |
|
1,116 |
1,021 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,875 |
1,721 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,555 |
1,507 |
$82K |
| 62323 |
|
465 |
403 |
$80K |
| 36415 |
Collection of venous blood by venipuncture |
20,914 |
19,125 |
$71K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
375 |
303 |
$70K |
| 99245 |
|
493 |
483 |
$70K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,719 |
9,734 |
$68K |
| 90682 |
|
1,766 |
1,642 |
$65K |
| 97802 |
|
1,375 |
1,258 |
$63K |
| 73562 |
|
2,957 |
2,621 |
$62K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
933 |
915 |
$62K |
| 43775 |
|
106 |
71 |
$57K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,428 |
1,144 |
$56K |
| 73564 |
|
2,283 |
1,943 |
$52K |
| 75574 |
|
780 |
687 |
$51K |
| 90674 |
|
2,601 |
2,471 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
920 |
884 |
$50K |
| 31575 |
|
544 |
443 |
$48K |
| 93298 |
|
2,745 |
2,357 |
$45K |
| 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) |
8,010 |
6,474 |
$40K |
| 51701 |
|
768 |
702 |
$35K |
| 64615 |
|
393 |
321 |
$33K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
1,629 |
595 |
$33K |
| 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 |
1,805 |
1,418 |
$28K |
| 87428 |
|
678 |
573 |
$28K |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
198 |
76 |
$25K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
91 |
72 |
$24K |
| 99220 |
|
491 |
414 |
$24K |
| 73630 |
|
1,210 |
1,058 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
370 |
344 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,282 |
1,248 |
$19K |
| 90677 |
|
140 |
121 |
$19K |
| 73610 |
|
899 |
763 |
$18K |
| 51798 |
|
1,228 |
1,166 |
$18K |
| 81025 |
|
3,123 |
2,916 |
$17K |
| 20550 |
|
479 |
312 |
$16K |
| 64721 |
|
46 |
40 |
$16K |
| 46600 |
|
363 |
326 |
$16K |
| 20552 |
|
446 |
362 |
$16K |
| 99442 |
|
1,116 |
898 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
292 |
287 |
$15K |
| 99385 |
|
214 |
200 |
$15K |
| 99386 |
|
171 |
170 |
$14K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,440 |
2,836 |
$14K |
| 99497 |
|
394 |
369 |
$14K |
| 90686 |
|
1,565 |
1,492 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,061 |
1,016 |
$12K |
| 45300 |
|
223 |
191 |
$12K |
| 93016 |
|
1,214 |
1,056 |
$11K |
| 99307 |
|
1,684 |
939 |
$11K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,011 |
1,738 |
$11K |
| 73560 |
|
496 |
461 |
$11K |
| 72100 |
|
402 |
367 |
$10K |
| 99242 |
|
97 |
97 |
$10K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
315 |
169 |
$10K |
| 77427 |
|
75 |
38 |
$10K |
| 98929 |
|
263 |
235 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
687 |
299 |
$9K |
| 99221 |
|
309 |
246 |
$9K |
| 72170 |
|
563 |
525 |
$9K |
| 93018 |
|
371 |
338 |
$9K |
| 73030 |
|
455 |
414 |
$8K |
| 95909 |
|
80 |
76 |
$8K |
| 94010 |
|
726 |
643 |
$8K |
| 54161 |
|
59 |
49 |
$8K |
| 25600 |
|
25 |
24 |
$8K |
| 47562 |
|
12 |
12 |
$7K |
| 95251 |
|
466 |
397 |
$7K |
| 90673 |
|
228 |
226 |
$7K |
| 81003 |
|
8,563 |
7,956 |
$7K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
115 |
103 |
$7K |
| 96112 |
|
74 |
65 |
$6K |
| 90670 |
|
465 |
412 |
$6K |
| 62321 |
|
33 |
28 |
$6K |
| 75561 |
|
62 |
51 |
$6K |
| 76942 |
|
141 |
106 |
$6K |
| 81001 |
|
1,996 |
1,973 |
$6K |
| 98928 |
|
175 |
162 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
245 |
244 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
47 |
39 |
$5K |
| 73600 |
|
305 |
265 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
381 |
380 |
$4K |
| 73110 |
|
206 |
165 |
$4K |
| 81002 |
|
3,474 |
3,238 |
$4K |
| 99217 |
|
110 |
108 |
$4K |
| 77014 |
|
63 |
13 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
67 |
51 |
$4K |
| 90461 |
|
186 |
179 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
90 |
81 |
$3K |
| 90651 |
|
12 |
12 |
$3K |
| 99305 |
|
112 |
87 |
$3K |
| 93325 |
|
578 |
512 |
$3K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
378 |
268 |
$3K |
| 54162 |
|
37 |
25 |
$3K |
| 0031A |
|
96 |
96 |
$3K |
| 94729 |
|
176 |
141 |
$3K |
| 91200 |
|
105 |
103 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
40 |
39 |
$3K |
| 99401 |
|
100 |
93 |
$3K |
| 96111 |
|
28 |
28 |
$3K |
| 90697 |
|
35 |
27 |
$3K |
| 99441 |
|
558 |
406 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$2K |
| 99462 |
|
83 |
69 |
$2K |
| 90688 |
|
134 |
134 |
$2K |
| 73502 |
|
127 |
99 |
$2K |
| 90661 |
|
198 |
180 |
$2K |
| 90839 |
|
219 |
109 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
280 |
243 |
$2K |
| 93970 |
|
87 |
81 |
$2K |
| 93320 |
|
135 |
114 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,281 |
913 |
$2K |
| 95911 |
|
15 |
13 |
$2K |
| 93297 |
|
122 |
101 |
$2K |
| 94664 |
|
218 |
161 |
$2K |
| 95910 |
|
14 |
13 |
$2K |
| 77334 |
|
20 |
13 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
156 |
144 |
$2K |
| 90662 |
|
207 |
202 |
$2K |
| 95782 |
|
16 |
15 |
$2K |
| 51702 |
|
31 |
29 |
$2K |
| 36410 |
|
142 |
135 |
$2K |
| 96040 |
|
159 |
133 |
$2K |
| 96127 |
|
316 |
277 |
$2K |
| 99493 |
|
115 |
76 |
$2K |
| 99443 |
|
62 |
55 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
208 |
185 |
$1K |
| 72114 |
|
46 |
43 |
$1K |
| 90671 |
|
17 |
13 |
$1K |
| 77002 |
|
119 |
89 |
$1K |
| 59025 |
Fetal non-stress test |
32 |
27 |
$1K |
| 94726 |
|
85 |
68 |
$1K |
| 58100 |
|
14 |
14 |
$1K |
| 73130 |
|
63 |
56 |
$1K |
| 0071A |
|
29 |
29 |
$1K |
| 94727 |
|
56 |
45 |
$1K |
| 99417 |
Prolong home eval add 15m |
73 |
62 |
$1K |
| 93294 |
|
98 |
79 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
45 |
$1K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
17 |
12 |
$956.21 |
| 73140 |
|
69 |
53 |
$935.29 |
| 93296 |
|
155 |
126 |
$876.46 |
| 93299 |
|
47 |
47 |
$822.61 |
| 98926 |
|
32 |
28 |
$818.21 |
| 0072A |
|
19 |
19 |
$768.14 |
| 87430 |
|
186 |
171 |
$724.56 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
364 |
337 |
$564.67 |
| 72081 |
|
28 |
26 |
$524.00 |
| 99219 |
|
21 |
17 |
$502.07 |
| 90715 |
|
12 |
12 |
$496.92 |
| 77073 |
|
16 |
16 |
$463.35 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
44 |
32 |
$417.61 |
| 90633 |
|
59 |
56 |
$368.33 |
| Q4050 |
Cast supplies, for unlisted types and materials of casts |
92 |
62 |
$336.00 |
| 90658 |
|
30 |
30 |
$320.40 |
| 99406 |
|
38 |
37 |
$312.41 |
| 96161 |
|
116 |
92 |
$294.86 |
| 93971 |
|
17 |
15 |
$294.63 |
| 93295 |
|
12 |
12 |
$292.05 |
| G0008 |
Administration of influenza virus vaccine |
793 |
772 |
$273.60 |
| 73100 |
|
13 |
13 |
$261.02 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$253.91 |
| 90647 |
|
228 |
215 |
$248.62 |
| 36416 |
|
1,963 |
1,328 |
$228.72 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18 |
12 |
$226.57 |
| 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 |
28 |
14 |
$209.86 |
| 90723 |
|
163 |
154 |
$207.94 |
| 95816 |
|
15 |
13 |
$206.21 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
51 |
27 |
$200.39 |
| 90680 |
|
193 |
161 |
$187.38 |
| 82962 |
|
297 |
264 |
$160.16 |
| 3074F |
|
12,556 |
11,848 |
$148.54 |
| 99000 |
|
2,914 |
2,798 |
$135.72 |
| 90694 |
|
13 |
13 |
$134.48 |
| 3078F |
|
10,146 |
9,575 |
$123.85 |
| 90698 |
|
28 |
19 |
$106.18 |
| 84703 |
|
16 |
16 |
$87.41 |
| 94760 |
|
126 |
111 |
$42.30 |
| 3079F |
|
1,451 |
1,393 |
$34.35 |
| 3044F |
|
773 |
728 |
$27.01 |
| 82270 |
|
37 |
24 |
$25.09 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
379 |
323 |
$14.00 |
| 3062F |
|
328 |
302 |
$13.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
23 |
12 |
$10.75 |
| 3075F |
|
167 |
159 |
$6.01 |
| 3077F |
|
83 |
81 |
$2.00 |
| 90656 |
|
103 |
103 |
$0.42 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13,916 |
12,824 |
$0.00 |
| 1036F |
|
3,412 |
3,208 |
$0.00 |
| 3017F |
|
531 |
501 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
67 |
65 |
$0.00 |
| 91303 |
|
17 |
17 |
$0.00 |
| 3061F |
|
26 |
26 |
$0.00 |
| 1101F |
|
25 |
24 |
$0.00 |
| A4590 |
Special casting material (e.g., fiberglass) |
17 |
16 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,071 |
1,989 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13,063 |
12,067 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
59 |
57 |
$0.00 |
| 4004F |
|
69 |
65 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
153 |
135 |
$0.00 |
| 77003 |
|
62 |
61 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
134 |
125 |
$0.00 |
| 4040F |
|
30 |
29 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
12 |
12 |
$0.00 |