| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,525 |
31,000 |
$2.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,122 |
23,222 |
$1.66M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,652 |
1,805 |
$288K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,464 |
3,073 |
$258K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,339 |
1,526 |
$155K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
232 |
198 |
$150K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,330 |
999 |
$144K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,311 |
2,883 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,639 |
2,284 |
$133K |
| 99223 |
Prolong inpt eval add15 m |
1,428 |
1,015 |
$133K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,504 |
1,248 |
$115K |
| 99215 |
Prolong outpt/office vis |
1,355 |
1,074 |
$113K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,608 |
1,460 |
$110K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,467 |
1,309 |
$109K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,038 |
1,149 |
$105K |
| 99233 |
Prolong inpt eval add15 m |
1,785 |
632 |
$101K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,357 |
1,140 |
$76K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,372 |
1,172 |
$64K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,463 |
1,245 |
$62K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,690 |
1,453 |
$58K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
475 |
167 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,875 |
1,672 |
$52K |
| 59430 |
|
229 |
204 |
$49K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,942 |
1,049 |
$46K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,085 |
7,178 |
$45K |
| 76830 |
Ultrasound, transvaginal |
874 |
788 |
$40K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
406 |
326 |
$40K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
678 |
622 |
$32K |
| 99205 |
Prolong outpt/office vis |
297 |
251 |
$30K |
| 58571 |
|
88 |
38 |
$23K |
| 76801 |
|
542 |
502 |
$21K |
| 99385 |
|
305 |
279 |
$21K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
349 |
305 |
$19K |
| 93458 |
|
125 |
106 |
$19K |
| 93000 |
|
2,244 |
2,001 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,595 |
2,286 |
$17K |
| 59025 |
Fetal non-stress test |
931 |
556 |
$17K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
373 |
286 |
$15K |
| 90715 |
|
1,183 |
645 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
727 |
433 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,198 |
1,301 |
$12K |
| 99217 |
|
383 |
327 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
869 |
742 |
$10K |
| 99220 |
|
156 |
126 |
$10K |
| 90686 |
|
1,076 |
776 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
536 |
374 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
108 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
218 |
155 |
$7K |
| 81025 |
|
1,170 |
924 |
$7K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
71 |
67 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
200 |
188 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
227 |
202 |
$6K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
169 |
141 |
$6K |
| 99221 |
|
116 |
87 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
84 |
75 |
$4K |
| 99225 |
|
147 |
87 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
44 |
38 |
$4K |
| 94060 |
|
544 |
436 |
$4K |
| 58662 |
|
24 |
12 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
92 |
85 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
50 |
$4K |
| 99219 |
|
78 |
62 |
$3K |
| 80053 |
Comprehensive metabolic panel |
103 |
88 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
39 |
$3K |
| 93016 |
|
218 |
204 |
$3K |
| 85027 |
|
82 |
70 |
$3K |
| 94726 |
|
227 |
190 |
$3K |
| 80305 |
|
280 |
247 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
38 |
31 |
$3K |
| 93880 |
|
52 |
51 |
$2K |
| 80061 |
Lipid panel |
70 |
59 |
$2K |
| 99406 |
|
399 |
303 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
58 |
49 |
$2K |
| 81003 |
|
4,329 |
3,259 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
27 |
$2K |
| 99152 |
|
185 |
156 |
$2K |
| 93018 |
|
219 |
204 |
$2K |
| 99442 |
|
238 |
130 |
$2K |
| 94729 |
|
148 |
125 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
26 |
$2K |
| 90656 |
|
187 |
125 |
$2K |
| 90651 |
|
18 |
14 |
$1K |
| 99386 |
|
17 |
14 |
$1K |
| 0002A |
|
64 |
48 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
27 |
12 |
$1K |
| 93295 |
|
69 |
64 |
$1K |
| 93296 |
|
616 |
565 |
$988.73 |
| 54150 |
|
12 |
12 |
$731.42 |
| 93294 |
|
237 |
220 |
$629.31 |
| 93971 |
|
25 |
24 |
$628.16 |
| 90677 |
|
47 |
27 |
$577.40 |
| 1111F |
|
3,593 |
2,296 |
$556.95 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$556.92 |
| 3725F |
|
1,656 |
1,420 |
$553.39 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
39 |
36 |
$539.28 |
| 1036F |
|
18 |
18 |
$532.80 |
| 93288 |
|
14 |
12 |
$476.73 |
| 99490 |
Ccm add 20min |
106 |
90 |
$453.82 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
12 |
$431.54 |
| 99443 |
|
120 |
65 |
$413.59 |
| 87807 |
|
30 |
27 |
$287.22 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
12 |
$282.80 |
| 90670 |
|
28 |
18 |
$241.38 |
| 88312 |
|
14 |
14 |
$235.88 |
| 93272 |
|
13 |
12 |
$206.76 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
16 |
$205.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
12 |
$179.80 |
| 0124A |
|
12 |
12 |
$160.00 |
| 99441 |
|
35 |
34 |
$142.77 |
| 4010F |
|
3,713 |
2,846 |
$123.64 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
37 |
14 |
$116.92 |
| 1101F |
|
8,030 |
6,786 |
$109.26 |
| 1100F |
|
350 |
294 |
$84.66 |
| 3023F |
|
13 |
13 |
$75.99 |
| 93923 |
|
19 |
15 |
$56.13 |
| 96127 |
|
23 |
14 |
$44.25 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
13 |
$43.23 |
| 88300 |
|
12 |
12 |
$29.30 |
| 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) |
18 |
12 |
$11.31 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
67 |
26 |
$5.18 |
| 3008F |
|
8,551 |
7,187 |
$0.14 |
| 1160F |
|
24,946 |
18,900 |
$0.08 |
| 3079F |
|
4,699 |
3,817 |
$0.00 |
| 3080F |
|
1,519 |
1,201 |
$0.00 |
| 3074F |
|
8,652 |
7,109 |
$0.00 |
| 1125F |
|
1,660 |
1,320 |
$0.00 |
| 3075F |
|
2,421 |
2,011 |
$0.00 |
| 3351F |
|
11,955 |
8,565 |
$0.00 |
| 3352F |
|
1,833 |
1,441 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
20 |
19 |
$0.00 |
| 3044F |
|
207 |
168 |
$0.00 |
| 3353F |
|
136 |
117 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| 90680 |
|
21 |
13 |
$0.00 |
| 1170F |
|
17 |
12 |
$0.00 |
| 3354F |
|
12 |
12 |
$0.00 |
| 3077F |
|
2,515 |
2,001 |
$0.00 |
| 3078F |
|
7,330 |
6,044 |
$0.00 |
| 1159F |
|
6,107 |
4,745 |
$0.00 |
| 90461 |
|
25 |
13 |
$0.00 |
| 90734 |
|
17 |
13 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
25 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
29 |
$0.00 |