| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
214,658 |
158,102 |
$8.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136,523 |
102,835 |
$4.49M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,769 |
9,232 |
$827K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13,040 |
10,099 |
$462K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,480 |
3,943 |
$397K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,158 |
2,456 |
$305K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,945 |
3,894 |
$249K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,695 |
6,364 |
$233K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,183 |
4,071 |
$210K |
| 95886 |
|
2,707 |
1,845 |
$200K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,621 |
1,464 |
$151K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
956 |
733 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,694 |
1,487 |
$140K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,725 |
4,294 |
$125K |
| 36415 |
Collection of venous blood by venipuncture |
78,726 |
62,094 |
$112K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,484 |
2,590 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,231 |
1,058 |
$104K |
| 99215 |
Prolong outpt/office vis |
1,787 |
1,281 |
$96K |
| 80061 |
Lipid panel |
14,951 |
11,585 |
$93K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
118 |
66 |
$92K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,293 |
840 |
$69K |
| 80050 |
General health panel |
2,688 |
2,153 |
$55K |
| 99490 |
Ccm add 20min |
3,376 |
2,805 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
642 |
510 |
$50K |
| 96160 |
|
4,563 |
3,932 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,064 |
9,599 |
$44K |
| 51798 |
|
6,179 |
4,655 |
$41K |
| 93000 |
|
5,398 |
4,019 |
$39K |
| 80053 |
Comprehensive metabolic panel |
11,498 |
9,165 |
$39K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
866 |
649 |
$36K |
| 95911 |
|
302 |
234 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,706 |
1,416 |
$35K |
| 99223 |
Prolong inpt eval add15 m |
503 |
409 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,099 |
2,052 |
$31K |
| 99442 |
|
1,885 |
1,464 |
$31K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
98 |
79 |
$30K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,671 |
6,461 |
$29K |
| 99233 |
Prolong inpt eval add15 m |
751 |
259 |
$28K |
| 99205 |
Prolong outpt/office vis |
328 |
235 |
$27K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,150 |
495 |
$26K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,926 |
1,465 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,674 |
5,953 |
$22K |
| 81001 |
|
13,207 |
9,962 |
$20K |
| 99401 |
|
743 |
495 |
$19K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
153 |
110 |
$17K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
266 |
62 |
$15K |
| 95720 |
|
200 |
66 |
$15K |
| 96127 |
|
3,008 |
2,628 |
$15K |
| 95816 |
|
655 |
527 |
$15K |
| 52000 |
|
222 |
179 |
$15K |
| 90686 |
|
2,067 |
1,745 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
351 |
306 |
$14K |
| 99441 |
|
759 |
648 |
$14K |
| 99406 |
|
2,790 |
1,626 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,179 |
930 |
$11K |
| G0427 |
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth |
171 |
117 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
257 |
176 |
$10K |
| 20610 |
|
410 |
309 |
$9K |
| 84439 |
|
2,744 |
2,014 |
$9K |
| 43248 |
|
94 |
73 |
$9K |
| 94010 |
|
721 |
603 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,012 |
1,515 |
$8K |
| 97803 |
|
234 |
207 |
$8K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
182 |
147 |
$8K |
| 81003 |
|
8,511 |
5,903 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
698 |
324 |
$8K |
| 43235 |
|
92 |
66 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
181 |
152 |
$7K |
| 90674 |
|
563 |
430 |
$6K |
| 81025 |
|
1,075 |
737 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
83 |
$6K |
| 90715 |
|
204 |
156 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
39 |
38 |
$6K |
| 97597 |
|
515 |
224 |
$6K |
| 92551 |
|
581 |
489 |
$5K |
| 90756 |
|
394 |
326 |
$5K |
| 0001A |
|
146 |
115 |
$4K |
| 99402 |
|
84 |
70 |
$4K |
| 76770 |
|
82 |
62 |
$4K |
| 99443 |
|
211 |
137 |
$4K |
| 99407 |
|
417 |
277 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
505 |
389 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
440 |
358 |
$3K |
| 74018 |
|
211 |
168 |
$3K |
| 83525 |
|
317 |
292 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
417 |
268 |
$3K |
| 82728 |
|
496 |
399 |
$3K |
| 0002A |
|
91 |
88 |
$3K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
103 |
78 |
$3K |
| 93295 |
|
169 |
136 |
$3K |
| 83540 |
|
725 |
573 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
598 |
369 |
$2K |
| 99173 |
|
443 |
369 |
$2K |
| 83550 |
|
424 |
334 |
$2K |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
52 |
45 |
$2K |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
75 |
56 |
$2K |
| 85027 |
|
512 |
357 |
$2K |
| 82607 |
|
320 |
243 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
620 |
465 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
140 |
99 |
$2K |
| 93793 |
|
511 |
274 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
875 |
697 |
$2K |
| 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) |
695 |
440 |
$1K |
| 76857 |
|
68 |
52 |
$1K |
| 81002 |
|
676 |
421 |
$1K |
| 93016 |
|
125 |
107 |
$1K |
| 95819 |
|
46 |
39 |
$1K |
| 0012A |
|
58 |
41 |
$1K |
| 93018 |
|
125 |
107 |
$1K |
| 95909 |
|
15 |
13 |
$1K |
| 93227 |
|
66 |
53 |
$1K |
| 87807 |
|
97 |
77 |
$1K |
| 64615 |
|
16 |
12 |
$1K |
| 0011A |
|
81 |
59 |
$1K |
| 92552 |
|
53 |
38 |
$960.66 |
| 90656 |
|
111 |
88 |
$897.04 |
| 95813 |
|
12 |
12 |
$856.25 |
| 93294 |
|
160 |
133 |
$851.81 |
| 95251 |
|
80 |
60 |
$816.61 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
455 |
304 |
$800.32 |
| 76882 |
|
14 |
13 |
$750.08 |
| 90651 |
|
514 |
463 |
$744.86 |
| 93307 |
|
68 |
58 |
$664.78 |
| 93296 |
|
96 |
85 |
$659.63 |
| 95910 |
|
14 |
12 |
$654.98 |
| 20611 |
|
16 |
12 |
$620.68 |
| 80076 |
|
369 |
292 |
$614.41 |
| 99221 |
|
30 |
25 |
$613.68 |
| G0008 |
Administration of influenza virus vaccine |
789 |
671 |
$554.35 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
159 |
101 |
$549.32 |
| 82950 |
|
90 |
54 |
$501.66 |
| 99497 |
|
18 |
15 |
$456.70 |
| 93971 |
|
45 |
38 |
$448.21 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
48 |
38 |
$434.80 |
| 94726 |
|
73 |
63 |
$431.62 |
| 85610 |
|
288 |
169 |
$341.84 |
| 84436 |
|
156 |
122 |
$327.15 |
| 80305 |
|
65 |
50 |
$325.37 |
| 90461 |
|
669 |
291 |
$321.85 |
| 94729 |
|
73 |
63 |
$294.75 |
| 82746 |
|
65 |
57 |
$291.45 |
| 84466 |
|
114 |
81 |
$286.13 |
| 0064A |
|
12 |
12 |
$280.00 |
| 90620 |
|
46 |
43 |
$236.88 |
| 90688 |
|
2,509 |
2,218 |
$227.09 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
30 |
27 |
$198.68 |
| 84479 |
|
90 |
69 |
$186.03 |
| 99439 |
|
13 |
13 |
$184.68 |
| 93308 |
|
14 |
12 |
$170.13 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
522 |
381 |
$154.30 |
| 99307 |
|
36 |
28 |
$149.15 |
| 93970 |
|
16 |
12 |
$129.44 |
| 99188 |
|
33 |
30 |
$107.44 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
12 |
$96.36 |
| 94618 |
|
13 |
12 |
$91.96 |
| 83735 |
|
17 |
13 |
$70.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
47 |
37 |
$62.81 |
| 86140 |
|
57 |
31 |
$55.81 |
| 90662 |
|
47 |
37 |
$55.02 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
25 |
16 |
$46.98 |
| 85652 |
|
59 |
30 |
$43.60 |
| 82570 |
|
39 |
26 |
$38.34 |
| 90633 |
|
31 |
28 |
$37.88 |
| 82043 |
|
39 |
26 |
$29.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
88 |
79 |
$25.76 |
| 83519 |
|
21 |
14 |
$8.28 |
| 90671 |
|
275 |
220 |
$0.84 |
| 90697 |
|
190 |
144 |
$0.33 |
| 90734 |
|
286 |
249 |
$0.30 |
| 90670 |
|
522 |
404 |
$0.22 |
| 90658 |
|
267 |
211 |
$0.10 |
| 90698 |
|
61 |
55 |
$0.04 |
| 90681 |
|
137 |
111 |
$0.01 |
| 99000 |
|
1,006 |
826 |
$0.00 |
| 1123F |
|
268 |
204 |
$0.00 |
| 99429 |
|
33 |
30 |
$0.00 |
| 90694 |
|
31 |
28 |
$0.00 |
| 90657 |
|
21 |
20 |
$0.00 |
| 99499 |
|
28 |
26 |
$0.00 |
| 1124F |
|
15 |
12 |
$0.00 |
| 0502F |
|
1,265 |
790 |
$0.00 |
| 90687 |
|
15 |
14 |
$0.00 |
| 90653 |
|
13 |
13 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
12 |
$0.00 |
| 99397 |
|
43 |
27 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90661 |
|
15 |
14 |
$0.00 |