| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,930 |
36,372 |
$1.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,315 |
32,859 |
$1.05M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,412 |
3,043 |
$258K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,796 |
2,467 |
$229K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,886 |
2,198 |
$199K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,997 |
2,505 |
$195K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,328 |
1,124 |
$177K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,267 |
1,947 |
$125K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
16,463 |
13,062 |
$105K |
| 99223 |
Prolong inpt eval add15 m |
1,090 |
926 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,285 |
1,214 |
$77K |
| 90791 |
Psychiatric diagnostic evaluation |
901 |
722 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,355 |
1,226 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,373 |
2,167 |
$56K |
| 96130 |
|
788 |
627 |
$46K |
| 59410 |
|
64 |
53 |
$46K |
| 43248 |
|
456 |
357 |
$46K |
| 20610 |
|
1,454 |
1,285 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,498 |
2,003 |
$42K |
| 90461 |
|
1,671 |
1,566 |
$40K |
| 93000 |
|
2,608 |
2,290 |
$34K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
329 |
301 |
$34K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
519 |
495 |
$30K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
838 |
506 |
$28K |
| 95251 |
|
2,064 |
1,909 |
$26K |
| 92557 |
|
1,159 |
979 |
$26K |
| 73630 |
|
2,235 |
1,718 |
$25K |
| 99215 |
Prolong outpt/office vis |
402 |
360 |
$24K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,115 |
551 |
$23K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
434 |
373 |
$23K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
615 |
282 |
$22K |
| 92567 |
|
1,954 |
1,659 |
$20K |
| 93922 |
|
1,039 |
888 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
462 |
417 |
$19K |
| 93880 |
|
226 |
186 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
451 |
394 |
$17K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
136 |
119 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
332 |
320 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
330 |
152 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
230 |
226 |
$13K |
| 95800 |
|
246 |
233 |
$11K |
| 93793 |
|
1,969 |
1,310 |
$10K |
| 11721 |
|
1,036 |
899 |
$10K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,921 |
1,741 |
$10K |
| 76830 |
Ultrasound, transvaginal |
259 |
248 |
$9K |
| 59025 |
Fetal non-stress test |
336 |
276 |
$8K |
| 92579 |
|
463 |
391 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
384 |
168 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
462 |
453 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
525 |
413 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
371 |
322 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
200 |
179 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
77 |
69 |
$6K |
| 93970 |
|
66 |
63 |
$6K |
| 90686 |
|
1,036 |
827 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
151 |
130 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
45 |
39 |
$6K |
| 94729 |
|
198 |
185 |
$5K |
| 85610 |
|
1,801 |
1,253 |
$4K |
| 31575 |
|
104 |
95 |
$4K |
| 76642 |
|
114 |
108 |
$4K |
| 95806 |
|
29 |
28 |
$3K |
| 94727 |
|
159 |
150 |
$3K |
| 11750 |
|
47 |
32 |
$3K |
| 77066 |
Tomosynthesis, mammo |
41 |
39 |
$3K |
| 99442 |
|
54 |
45 |
$2K |
| 94060 |
|
106 |
94 |
$2K |
| 93458 |
|
15 |
14 |
$2K |
| 87807 |
|
205 |
190 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
171 |
159 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
204 |
186 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
39 |
$2K |
| 90677 |
|
15 |
13 |
$2K |
| 93975 |
|
12 |
12 |
$2K |
| 73560 |
|
117 |
107 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
163 |
138 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 99443 |
|
17 |
14 |
$1K |
| 93228 |
|
76 |
71 |
$1K |
| 73610 |
|
113 |
94 |
$1K |
| 99381 |
|
14 |
13 |
$1K |
| 90670 |
|
1,009 |
951 |
$947.26 |
| 93296 |
|
78 |
77 |
$941.64 |
| 77065 |
Tomosynthesis, mammo |
16 |
14 |
$793.19 |
| 77080 |
|
20 |
14 |
$745.25 |
| 73565 |
|
84 |
80 |
$719.00 |
| 99221 |
|
47 |
41 |
$683.92 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
29 |
$681.63 |
| 99406 |
|
103 |
98 |
$547.46 |
| 69210 |
|
44 |
29 |
$434.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
47 |
45 |
$326.25 |
| 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) |
387 |
377 |
$251.47 |
| 90680 |
|
624 |
584 |
$225.60 |
| 90723 |
|
753 |
709 |
$212.16 |
| 93990 |
|
12 |
12 |
$155.31 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$152.27 |
| 90647 |
|
716 |
677 |
$91.08 |
| 90633 |
|
345 |
339 |
$81.26 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$50.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$14.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
32 |
$12.80 |
| 3008F |
|
1,024 |
987 |
$0.00 |
| 1123F |
|
516 |
461 |
$0.00 |
| 1126F |
|
139 |
130 |
$0.00 |
| 1111F |
|
48 |
44 |
$0.00 |
| 3044F |
|
112 |
107 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
48 |
47 |
$0.00 |
| 59514 |
|
13 |
12 |
$0.00 |
| 3074F |
|
39 |
39 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 90716 |
|
17 |
17 |
$0.00 |
| 1125F |
|
44 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
15 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
12 |
12 |
$0.00 |
| 1160F |
|
880 |
849 |
$0.00 |
| 1159F |
|
895 |
861 |
$0.00 |
| 3078F |
|
65 |
64 |
$0.00 |
| 3051F |
|
41 |
40 |
$0.00 |
| 2014F |
|
25 |
25 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |