| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269,228 |
207,551 |
$8.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113,194 |
92,109 |
$3.11M |
| 99233 |
Prolong inpt eval add15 m |
44,870 |
16,277 |
$996K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
37,778 |
30,224 |
$972K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15,695 |
12,827 |
$947K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47,897 |
16,541 |
$711K |
| 99223 |
Prolong inpt eval add15 m |
15,292 |
11,656 |
$650K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
679 |
580 |
$380K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
1,231 |
448 |
$354K |
| 59426 |
|
740 |
631 |
$310K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,266 |
2,513 |
$278K |
| 93000 |
|
43,607 |
33,095 |
$273K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,539 |
7,407 |
$251K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,286 |
4,374 |
$225K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,949 |
2,468 |
$216K |
| 99205 |
Prolong outpt/office vis |
1,924 |
1,660 |
$204K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,263 |
2,789 |
$203K |
| 59025 |
Fetal non-stress test |
9,871 |
7,280 |
$190K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,560 |
2,230 |
$189K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
6,921 |
5,616 |
$124K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,655 |
3,773 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,151 |
1,686 |
$110K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,940 |
764 |
$101K |
| 99215 |
Prolong outpt/office vis |
2,486 |
1,870 |
$101K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,914 |
2,244 |
$84K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
8,164 |
5,847 |
$79K |
| 99220 |
|
1,482 |
1,172 |
$77K |
| 90715 |
|
1,624 |
1,371 |
$67K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,609 |
6,020 |
$65K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
2,062 |
1,573 |
$64K |
| 90686 |
|
7,600 |
5,876 |
$61K |
| 93296 |
|
10,815 |
8,499 |
$59K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
48 |
42 |
$59K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,261 |
1,020 |
$58K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,579 |
2,070 |
$56K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,568 |
4,321 |
$56K |
| 97802 |
|
1,133 |
1,014 |
$55K |
| 97803 |
|
2,202 |
1,903 |
$51K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,204 |
2,760 |
$51K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
795 |
636 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,454 |
2,026 |
$42K |
| 76801 |
|
588 |
467 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
575 |
506 |
$40K |
| 99305 |
|
2,495 |
1,983 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,798 |
2,620 |
$39K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,089 |
918 |
$38K |
| 59430 |
|
395 |
350 |
$37K |
| 95951 |
|
236 |
134 |
$37K |
| 0001A |
|
1,118 |
775 |
$36K |
| 93295 |
|
2,379 |
1,872 |
$35K |
| 0002A |
|
991 |
720 |
$35K |
| 95720 |
|
505 |
204 |
$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 |
3,440 |
2,660 |
$32K |
| 0503F |
|
4,440 |
3,105 |
$32K |
| 95819 |
|
1,628 |
1,274 |
$30K |
| 93297 |
|
4,278 |
3,250 |
$24K |
| 62323 |
|
321 |
260 |
$24K |
| 90837 |
Psychotherapy, 53 minutes with patient |
392 |
210 |
$22K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
149 |
113 |
$21K |
| 99217 |
|
945 |
762 |
$21K |
| 81002 |
|
13,579 |
9,189 |
$21K |
| 99385 |
|
257 |
212 |
$20K |
| 95812 |
|
186 |
167 |
$18K |
| 93018 |
|
2,578 |
2,087 |
$17K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,579 |
4,414 |
$17K |
| 51700 |
|
433 |
261 |
$16K |
| 3074F |
|
137,029 |
106,386 |
$16K |
| 90674 |
|
866 |
738 |
$16K |
| 93294 |
|
3,614 |
2,742 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
347 |
275 |
$16K |
| 3078F |
|
119,483 |
91,312 |
$15K |
| 99221 |
|
539 |
443 |
$15K |
| 75574 |
|
337 |
263 |
$14K |
| 96127 |
|
5,268 |
3,707 |
$13K |
| 0011A |
|
369 |
263 |
$13K |
| 59425 |
|
41 |
28 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,237 |
1,102 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,060 |
561 |
$12K |
| 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) |
4,303 |
3,038 |
$12K |
| 0012A |
|
322 |
238 |
$12K |
| 81003 |
|
8,228 |
5,319 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
318 |
236 |
$12K |
| 90656 |
|
987 |
794 |
$11K |
| 81025 |
|
2,296 |
1,811 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
426 |
186 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
254 |
229 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
6,801 |
5,439 |
$10K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
73 |
61 |
$10K |
| 3079F |
|
38,994 |
30,476 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
99 |
$9K |
| 93016 |
|
1,149 |
901 |
$8K |
| 20610 |
|
481 |
281 |
$8K |
| 90661 |
|
355 |
312 |
$8K |
| 99306 |
Prolong nursin fac eval 15m |
337 |
294 |
$8K |
| 64615 |
|
140 |
87 |
$7K |
| 59514 |
|
13 |
12 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
70 |
52 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,424 |
1,817 |
$6K |
| 93458 |
|
69 |
55 |
$6K |
| 93298 |
|
600 |
500 |
$6K |
| 43235 |
|
145 |
104 |
$6K |
| 94726 |
|
389 |
303 |
$5K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
17 |
12 |
$5K |
| 99497 |
|
347 |
262 |
$5K |
| 94729 |
|
409 |
325 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
60 |
50 |
$5K |
| 95811 |
|
45 |
36 |
$4K |
| 99406 |
|
909 |
574 |
$4K |
| 3077F |
|
10,764 |
7,890 |
$4K |
| 51701 |
|
250 |
137 |
$4K |
| 99219 |
|
73 |
60 |
$4K |
| 0031A |
|
153 |
103 |
$3K |
| 82962 |
|
2,901 |
2,155 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
41 |
$3K |
| 3075F |
|
10,329 |
8,098 |
$3K |
| 76830 |
Ultrasound, transvaginal |
44 |
40 |
$3K |
| 99307 |
|
429 |
399 |
$3K |
| 95886 |
|
99 |
41 |
$3K |
| 1160F |
|
199,720 |
151,249 |
$3K |
| 99386 |
|
27 |
24 |
$2K |
| 93015 |
|
153 |
81 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
36 |
29 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
445 |
272 |
$2K |
| 99454 |
|
71 |
62 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,088 |
863 |
$2K |
| 72082 |
|
140 |
113 |
$2K |
| 98967 |
|
69 |
36 |
$2K |
| 54150 |
|
14 |
12 |
$2K |
| 99453 |
|
204 |
181 |
$2K |
| 99442 |
|
184 |
150 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17 |
16 |
$2K |
| 90688 |
|
102 |
93 |
$2K |
| 94010 |
|
160 |
125 |
$2K |
| 1159F |
|
182,942 |
139,041 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
883 |
585 |
$2K |
| 94060 |
|
86 |
69 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
483 |
299 |
$1K |
| 99441 |
|
195 |
166 |
$1K |
| 3080F |
|
2,445 |
1,895 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
16 |
$1K |
| 95813 |
|
13 |
12 |
$996.08 |
| 93356 |
|
71 |
53 |
$953.40 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
219 |
161 |
$950.42 |
| 99606 |
|
20 |
13 |
$898.00 |
| 90658 |
|
76 |
64 |
$893.92 |
| 95251 |
|
49 |
43 |
$840.44 |
| 92551 |
|
93 |
87 |
$827.96 |
| 99605 |
|
16 |
12 |
$825.00 |
| 99218 |
|
13 |
12 |
$794.07 |
| 99243 |
|
12 |
12 |
$793.20 |
| 95718 |
|
26 |
12 |
$785.37 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
24 |
$778.84 |
| 99460 |
|
15 |
13 |
$764.81 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
130 |
88 |
$750.56 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
25 |
13 |
$711.44 |
| 93248 |
|
50 |
45 |
$689.88 |
| 99310 |
Prolong nursin fac eval 15m |
30 |
28 |
$629.32 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
60 |
41 |
$627.21 |
| 69210 |
|
16 |
12 |
$627.01 |
| 90651 |
|
26 |
12 |
$626.52 |
| 90461 |
|
1,810 |
1,532 |
$626.27 |
| 99173 |
|
150 |
122 |
$603.78 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
58 |
54 |
$580.19 |
| 71046 |
Radiologic examination, chest; 2 views |
63 |
54 |
$548.13 |
| 90732 |
|
13 |
12 |
$524.14 |
| 93280 |
|
133 |
95 |
$515.73 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
70 |
69 |
$492.55 |
| 0500F |
|
2,111 |
1,709 |
$452.57 |
| G0008 |
Administration of influenza virus vaccine |
769 |
573 |
$448.27 |
| 73564 |
|
33 |
28 |
$413.74 |
| 90836 |
|
18 |
14 |
$395.51 |
| 85018 |
|
203 |
153 |
$388.01 |
| 93312 |
|
13 |
12 |
$383.97 |
| 99401 |
|
13 |
13 |
$355.80 |
| 93246 |
|
53 |
43 |
$355.60 |
| 82274 |
|
146 |
77 |
$340.60 |
| 1170F |
|
315 |
235 |
$335.19 |
| 99443 |
|
12 |
12 |
$282.38 |
| 99304 |
|
44 |
30 |
$264.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
56 |
39 |
$185.31 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
277 |
178 |
$171.12 |
| 75565 |
|
30 |
25 |
$159.65 |
| 1125F |
|
19,282 |
14,660 |
$140.02 |
| 99493 |
|
31 |
25 |
$137.91 |
| 1126F |
|
49,454 |
38,594 |
$120.09 |
| 3044F |
|
1,477 |
1,323 |
$109.98 |
| 99397 |
|
37 |
29 |
$95.25 |
| 93320 |
|
13 |
12 |
$78.05 |
| 94727 |
|
15 |
14 |
$76.75 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
33 |
29 |
$74.53 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
12 |
$59.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
206 |
150 |
$54.44 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
14 |
12 |
$16.57 |
| 36416 |
|
21 |
14 |
$15.20 |
| 91300 |
|
2,107 |
1,362 |
$4.23 |
| 91301 |
|
698 |
484 |
$1.46 |
| 3008F |
|
265,833 |
204,305 |
$0.49 |
| 1036F |
|
189,741 |
144,066 |
$0.36 |
| 91303 |
|
153 |
103 |
$0.21 |
| 3725F |
|
47,924 |
38,270 |
$0.07 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
19 |
14 |
$0.02 |
| 1034F |
|
17,853 |
12,999 |
$0.01 |
| 1123F |
|
1,171 |
820 |
$0.01 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
6,299 |
5,163 |
$0.00 |
| 0502F |
|
40,416 |
25,214 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13,125 |
10,337 |
$0.00 |
| 3288F |
|
1,212 |
823 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
1,797 |
1,580 |
$0.00 |
| 90648 |
|
296 |
289 |
$0.00 |
| 90670 |
|
387 |
341 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
222 |
162 |
$0.00 |
| 90662 |
|
62 |
39 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
13 |
12 |
$0.00 |
| 1003F |
|
149 |
105 |
$0.00 |
| 3050F |
|
55 |
52 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 1124F |
|
19 |
12 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
9,101 |
7,077 |
$0.00 |
| 1035F |
|
566 |
363 |
$0.00 |
| 90677 |
|
31 |
30 |
$0.00 |
| 3049F |
|
80 |
80 |
$0.00 |
| 90680 |
|
72 |
68 |
$0.00 |
| 90723 |
|
94 |
94 |
$0.00 |
| 0501F |
|
426 |
305 |
$0.00 |
| 3017F |
|
227 |
201 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |
| 3048F |
|
82 |
73 |
$0.00 |
| 99366 |
|
13 |
13 |
$0.00 |
| 99318 |
|
14 |
14 |
$0.00 |
| 1111F |
|
19 |
12 |
$0.00 |