| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,140 |
54,343 |
$6.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,429 |
39,616 |
$3.14M |
| S9083 |
Global fee urgent care centers |
8,019 |
7,890 |
$1.18M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,710 |
2,332 |
$446K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,554 |
2,522 |
$401K |
| 99223 |
Prolong inpt eval add15 m |
1,936 |
1,653 |
$330K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,477 |
3,200 |
$324K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,266 |
5,657 |
$287K |
| 99233 |
Prolong inpt eval add15 m |
2,597 |
968 |
$275K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
5,972 |
3,262 |
$249K |
| 99215 |
Prolong outpt/office vis |
1,245 |
1,206 |
$212K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,892 |
1,798 |
$200K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,030 |
2,833 |
$171K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,871 |
1,855 |
$167K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,875 |
3,606 |
$140K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,042 |
976 |
$138K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,141 |
1,133 |
$134K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,496 |
1,494 |
$116K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
966 |
960 |
$115K |
| 99222 |
Initial hospital care, per day, moderate complexity |
895 |
787 |
$110K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,160 |
1,160 |
$91K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
154 |
78 |
$87K |
| 99460 |
|
923 |
918 |
$87K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,181 |
789 |
$82K |
| 95816 |
|
469 |
459 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,014 |
4,977 |
$57K |
| 64400 |
|
332 |
169 |
$46K |
| 99205 |
Prolong outpt/office vis |
189 |
186 |
$41K |
| 76830 |
Ultrasound, transvaginal |
364 |
364 |
$37K |
| 88307 |
|
505 |
440 |
$37K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
409 |
400 |
$31K |
| 99462 |
|
496 |
410 |
$21K |
| 99442 |
|
315 |
281 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
8,673 |
8,155 |
$18K |
| 76801 |
|
357 |
353 |
$15K |
| 99385 |
|
106 |
106 |
$14K |
| 90686 |
|
938 |
836 |
$13K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
54 |
42 |
$12K |
| 64405 |
|
178 |
158 |
$11K |
| 64615 |
|
65 |
65 |
$10K |
| 64450 |
|
178 |
157 |
$10K |
| 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) |
681 |
657 |
$10K |
| 59025 |
Fetal non-stress test |
193 |
111 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,107 |
930 |
$9K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
68 |
24 |
$9K |
| 88304 |
|
788 |
749 |
$8K |
| 20553 |
|
249 |
211 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
66 |
66 |
$8K |
| 97802 |
|
215 |
214 |
$7K |
| 76813 |
|
139 |
139 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
90 |
84 |
$7K |
| 97803 |
|
456 |
451 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
348 |
340 |
$6K |
| 20610 |
|
208 |
121 |
$5K |
| 99201 |
|
111 |
111 |
$5K |
| 99443 |
|
38 |
37 |
$4K |
| 77427 |
|
23 |
13 |
$4K |
| 99217 |
|
51 |
49 |
$4K |
| 90715 |
|
79 |
79 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
114 |
114 |
$3K |
| 99464 |
|
39 |
38 |
$3K |
| 81025 |
|
501 |
463 |
$3K |
| 99220 |
|
17 |
16 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$2K |
| 99386 |
|
14 |
13 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
14 |
$2K |
| 88342 |
|
67 |
52 |
$2K |
| 76641 |
|
14 |
14 |
$2K |
| 93000 |
|
148 |
144 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
141 |
140 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
130 |
124 |
$2K |
| 95886 |
|
12 |
12 |
$2K |
| 99219 |
|
12 |
12 |
$2K |
| 94726 |
|
141 |
141 |
$1K |
| 94060 |
|
140 |
140 |
$1K |
| 90656 |
|
67 |
67 |
$1K |
| 99221 |
|
12 |
12 |
$1K |
| 11721 |
|
37 |
37 |
$1K |
| 94729 |
|
126 |
126 |
$972.55 |
| 81002 |
|
992 |
745 |
$627.88 |
| 93923 |
|
14 |
12 |
$527.71 |
| 95806 |
|
13 |
13 |
$428.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
53 |
$411.81 |
| 73630 |
|
16 |
12 |
$391.03 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
75 |
64 |
$322.27 |
| 85018 |
|
164 |
163 |
$311.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$185.10 |
| 99441 |
|
123 |
52 |
$164.43 |
| 51798 |
|
14 |
12 |
$108.04 |
| 96160 |
|
14 |
14 |
$22.58 |
| 99173 |
|
12 |
12 |
$0.00 |