| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,553 |
34,645 |
$2.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,772 |
44,616 |
$2.35M |
| 99215 |
Prolong outpt/office vis |
14,853 |
7,838 |
$1.06M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,056 |
3,855 |
$212K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,017 |
2,699 |
$212K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,052 |
2,891 |
$181K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,804 |
3,560 |
$181K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
924 |
862 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,540 |
1,517 |
$89K |
| 36415 |
Collection of venous blood by venipuncture |
12,319 |
10,847 |
$87K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,871 |
2,741 |
$65K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,886 |
1,790 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,014 |
9,653 |
$53K |
| 96132 |
|
50 |
46 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
774 |
764 |
$38K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,004 |
950 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,402 |
1,307 |
$36K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
440 |
419 |
$35K |
| 90837 |
Psychotherapy, 53 minutes with patient |
933 |
513 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
782 |
746 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
347 |
319 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,348 |
4,152 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
587 |
489 |
$29K |
| 99222 |
Initial hospital care, per day, moderate complexity |
344 |
320 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
512 |
508 |
$26K |
| 80050 |
General health panel |
2,157 |
2,052 |
$26K |
| 99205 |
Prolong outpt/office vis |
380 |
372 |
$23K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,979 |
3,779 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
342 |
284 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
176 |
169 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
351 |
345 |
$19K |
| 96138 |
|
82 |
68 |
$19K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,746 |
1,634 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,275 |
797 |
$17K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
82 |
78 |
$17K |
| 99460 |
|
239 |
237 |
$16K |
| 80053 |
Comprehensive metabolic panel |
3,422 |
3,195 |
$16K |
| 84439 |
|
2,544 |
2,395 |
$15K |
| 84481 |
|
1,791 |
1,689 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
337 |
133 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
675 |
621 |
$14K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
200 |
195 |
$14K |
| 87088 |
|
2,198 |
2,034 |
$13K |
| 99051 |
|
3,634 |
3,384 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,590 |
1,511 |
$12K |
| 80061 |
Lipid panel |
2,457 |
2,342 |
$12K |
| 17110 |
|
221 |
213 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
220 |
194 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,279 |
3,078 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
676 |
622 |
$10K |
| 87634 |
|
194 |
186 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,586 |
1,893 |
$9K |
| 82607 |
|
1,368 |
1,292 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
337 |
322 |
$8K |
| 87510 |
|
655 |
601 |
$8K |
| 90474 |
|
754 |
746 |
$8K |
| 80305 |
|
2,892 |
2,485 |
$7K |
| 99221 |
|
135 |
112 |
$7K |
| 92002 |
|
134 |
117 |
$7K |
| 81003 |
|
1,308 |
1,189 |
$7K |
| 83550 |
|
1,076 |
1,033 |
$7K |
| 87480 |
|
660 |
605 |
$6K |
| 81025 |
|
551 |
505 |
$6K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
659 |
608 |
$6K |
| 73630 |
|
523 |
387 |
$6K |
| 84403 |
|
442 |
418 |
$6K |
| 90677 |
|
848 |
847 |
$5K |
| 20610 |
|
199 |
158 |
$5K |
| 31231 |
|
40 |
40 |
$5K |
| 3078F |
|
17,351 |
15,098 |
$5K |
| 76830 |
Ultrasound, transvaginal |
342 |
213 |
$5K |
| 82728 |
|
746 |
717 |
$4K |
| 99495 |
|
79 |
77 |
$4K |
| 83540 |
|
1,073 |
1,030 |
$4K |
| 90688 |
|
1,627 |
1,586 |
$4K |
| 95115 |
|
762 |
291 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
33 |
30 |
$4K |
| 36416 |
|
1,341 |
1,210 |
$4K |
| 91320 |
|
90 |
88 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
176 |
171 |
$3K |
| 90715 |
|
419 |
411 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
115 |
38 |
$3K |
| 90651 |
|
162 |
160 |
$3K |
| 99385 |
|
70 |
66 |
$3K |
| 84270 |
|
441 |
418 |
$3K |
| 86140 |
|
813 |
778 |
$3K |
| 94010 |
|
301 |
237 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
20 |
15 |
$2K |
| 92557 |
|
93 |
90 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
12 |
$2K |
| 99335 |
|
267 |
174 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
262 |
250 |
$2K |
| 81002 |
|
587 |
558 |
$2K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
398 |
351 |
$2K |
| 87186 |
|
415 |
389 |
$2K |
| 92567 |
|
188 |
183 |
$2K |
| 87077 |
|
408 |
385 |
$2K |
| 87660 |
|
287 |
271 |
$2K |
| 81001 |
|
868 |
827 |
$2K |
| 96127 |
|
1,168 |
1,089 |
$1K |
| 83986 |
|
39 |
25 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
892 |
857 |
$1K |
| 99305 |
|
58 |
40 |
$1K |
| 73610 |
|
104 |
94 |
$1K |
| 85652 |
|
765 |
734 |
$1K |
| 90473 |
|
136 |
134 |
$1K |
| 84153 |
|
133 |
126 |
$1K |
| 83001 |
|
158 |
153 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$1K |
| 99459 |
|
221 |
198 |
$1K |
| 84146 |
|
120 |
116 |
$1K |
| 3079F |
|
10,760 |
9,355 |
$1K |
| 86003 |
|
33 |
26 |
$1K |
| 90658 |
|
207 |
207 |
$977.21 |
| 82681 |
|
104 |
103 |
$966.40 |
| 82746 |
|
145 |
138 |
$961.50 |
| 83721 |
|
375 |
363 |
$907.24 |
| 73564 |
|
70 |
55 |
$832.23 |
| 11102 |
|
14 |
14 |
$781.48 |
| 88342 |
|
39 |
37 |
$777.44 |
| 73030 |
|
76 |
64 |
$769.34 |
| 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) |
1,377 |
1,296 |
$734.25 |
| 69210 |
|
54 |
52 |
$731.09 |
| 94375 |
|
58 |
52 |
$715.30 |
| 90480 |
|
84 |
84 |
$699.11 |
| 84144 |
|
58 |
54 |
$684.12 |
| 83002 |
|
88 |
86 |
$662.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
324 |
310 |
$657.54 |
| 90673 |
|
32 |
32 |
$630.35 |
| 87428 |
|
20 |
17 |
$566.72 |
| 76536 |
|
15 |
14 |
$546.02 |
| 90619 |
|
180 |
178 |
$539.09 |
| 82043 |
|
306 |
300 |
$485.85 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
132 |
129 |
$452.32 |
| 85018 |
|
260 |
257 |
$433.09 |
| 73130 |
|
57 |
38 |
$431.69 |
| 20550 |
|
14 |
12 |
$420.53 |
| 82570 |
|
378 |
366 |
$390.07 |
| 87807 |
|
12 |
12 |
$362.20 |
| 90680 |
|
848 |
842 |
$309.14 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
656 |
490 |
$293.37 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
26 |
$283.87 |
| 90710 |
|
250 |
248 |
$270.15 |
| 90686 |
|
218 |
214 |
$252.42 |
| 86258 |
|
29 |
29 |
$237.45 |
| 86364 |
|
28 |
28 |
$226.95 |
| 87150 |
|
14 |
13 |
$220.10 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
97 |
52 |
$201.04 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
66 |
54 |
$200.23 |
| 3074F |
|
27,392 |
23,448 |
$189.02 |
| 83735 |
|
72 |
70 |
$187.55 |
| 82785 |
|
24 |
24 |
$184.15 |
| 90716 |
|
40 |
40 |
$178.02 |
| 73110 |
|
15 |
12 |
$177.00 |
| 92551 |
|
62 |
61 |
$174.57 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
38 |
38 |
$167.11 |
| 3080F |
|
2,666 |
2,412 |
$159.71 |
| 93000 |
|
66 |
63 |
$151.94 |
| 83655 |
|
13 |
13 |
$149.34 |
| 99457 |
|
93 |
89 |
$136.82 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
317 |
261 |
$128.28 |
| 94762 |
|
12 |
12 |
$107.87 |
| 90698 |
|
330 |
322 |
$103.65 |
| 72100 |
|
12 |
12 |
$101.02 |
| 96381 |
|
27 |
26 |
$99.10 |
| 86200 |
|
19 |
18 |
$98.47 |
| 90697 |
|
875 |
869 |
$96.01 |
| 90707 |
|
28 |
28 |
$91.54 |
| 86141 |
|
90 |
88 |
$85.77 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
79 |
75 |
$85.50 |
| 95012 |
|
26 |
24 |
$84.40 |
| 99454 |
|
40 |
39 |
$82.15 |
| 86431 |
|
18 |
17 |
$78.47 |
| 90633 |
|
588 |
583 |
$76.87 |
| 83690 |
|
29 |
29 |
$72.42 |
| 90672 |
|
100 |
97 |
$71.19 |
| 90744 |
|
41 |
38 |
$62.16 |
| 87081 |
|
28 |
27 |
$58.25 |
| 86225 |
|
12 |
12 |
$56.22 |
| 99177 |
|
756 |
747 |
$55.65 |
| 90687 |
|
26 |
26 |
$41.45 |
| 96133 |
|
49 |
44 |
$30.00 |
| 90660 |
|
41 |
41 |
$29.15 |
| 82247 |
|
13 |
12 |
$23.91 |
| 99050 |
|
116 |
101 |
$22.44 |
| 82044 |
|
62 |
59 |
$20.97 |
| 96161 |
|
17 |
15 |
$20.06 |
| G0008 |
Administration of influenza virus vaccine |
31 |
30 |
$17.55 |
| 87220 |
|
24 |
12 |
$14.76 |
| 84703 |
|
16 |
13 |
$13.22 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
30 |
29 |
$8.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
58 |
52 |
$6.44 |
| 90656 |
|
52 |
52 |
$0.18 |
| 90670 |
|
633 |
618 |
$0.01 |
| 90696 |
|
84 |
83 |
$0.01 |
| 3077F |
|
3,327 |
2,929 |
$0.00 |
| 3051F |
|
28 |
28 |
$0.00 |
| 3046F |
|
40 |
40 |
$0.00 |
| 87210 |
|
23 |
12 |
$0.00 |
| 88312 |
|
14 |
12 |
$0.00 |
| 90682 |
|
16 |
14 |
$0.00 |
| 3044F |
|
1,706 |
1,675 |
$0.00 |
| 3075F |
|
4,575 |
4,099 |
$0.00 |
| 96139 |
|
81 |
68 |
$0.00 |