| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,345 |
41,002 |
$1.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,939 |
71,539 |
$1.33M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12,632 |
12,197 |
$989K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,208 |
14,615 |
$691K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,843 |
10,509 |
$655K |
| 0002A |
|
8,305 |
8,281 |
$286K |
| 0001A |
|
8,643 |
8,596 |
$278K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
37,567 |
33,564 |
$201K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,749 |
3,636 |
$190K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,182 |
2,092 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,868 |
4,498 |
$179K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
4,252 |
3,912 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,533 |
4,425 |
$107K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,199 |
3,122 |
$102K |
| 71045 |
Radiologic examination, chest; single view |
21,134 |
16,515 |
$97K |
| 99233 |
Prolong inpt eval add15 m |
1,587 |
546 |
$78K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,455 |
2,369 |
$73K |
| 0071A |
|
2,042 |
2,032 |
$72K |
| 0072A |
|
1,919 |
1,919 |
$67K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,474 |
2,382 |
$56K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
710 |
688 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
610 |
592 |
$51K |
| 90836 |
|
919 |
862 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,811 |
1,716 |
$43K |
| 71046 |
Radiologic examination, chest; 2 views |
6,847 |
6,667 |
$39K |
| 0004A |
|
1,215 |
1,208 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
715 |
694 |
$36K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
254 |
143 |
$30K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
694 |
646 |
$28K |
| 92015 |
Determination of refractive state |
2,627 |
2,460 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,769 |
2,570 |
$25K |
| 0054A |
|
743 |
729 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,785 |
1,773 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
335 |
325 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
803 |
764 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,307 |
1,124 |
$17K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,163 |
1,151 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
179 |
154 |
$16K |
| 0064A |
|
521 |
513 |
$15K |
| 99441 |
|
1,348 |
1,248 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
144 |
140 |
$14K |
| 90838 |
|
173 |
166 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
222 |
211 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,370 |
1,361 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
641 |
520 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
186 |
179 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
123 |
117 |
$12K |
| 0031A |
|
329 |
325 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
580 |
475 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
233 |
224 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
114 |
101 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
226 |
200 |
$9K |
| 99215 |
Prolong outpt/office vis |
124 |
120 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
812 |
801 |
$8K |
| 0011A |
|
245 |
244 |
$8K |
| 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) |
1,822 |
1,677 |
$7K |
| 0012A |
|
214 |
212 |
$7K |
| 99242 |
|
200 |
197 |
$7K |
| 99442 |
|
314 |
286 |
$6K |
| 0003A |
|
215 |
214 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
136 |
126 |
$5K |
| 0052A |
|
137 |
137 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
669 |
640 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
199 |
194 |
$4K |
| 76882 |
|
238 |
206 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
67 |
67 |
$4K |
| 0081A |
|
107 |
107 |
$4K |
| 69210 |
|
257 |
194 |
$4K |
| 0051A |
|
94 |
94 |
$3K |
| 99201 |
|
194 |
188 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
636 |
632 |
$3K |
| 99243 |
|
69 |
67 |
$3K |
| 0082A |
|
82 |
82 |
$3K |
| 92134 |
|
306 |
290 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
54 |
54 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
67 |
62 |
$2K |
| 73221 |
|
53 |
51 |
$2K |
| 99443 |
|
45 |
43 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
538 |
529 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
68 |
24 |
$2K |
| 90686 |
|
204 |
200 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
56 |
53 |
$1K |
| 99292 |
|
29 |
26 |
$1K |
| 0083A |
|
43 |
43 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
58 |
51 |
$1K |
| 0013A |
|
37 |
37 |
$777.71 |
| 99306 |
Prolong nursin fac eval 15m |
26 |
26 |
$753.60 |
| 0074A |
|
23 |
23 |
$649.80 |
| 31231 |
|
13 |
13 |
$605.92 |
| 73630 |
|
85 |
69 |
$516.44 |
| 0034A |
|
14 |
14 |
$506.69 |
| 0124A |
|
13 |
13 |
$498.30 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
92 |
89 |
$497.16 |
| 99383 |
|
12 |
12 |
$462.92 |
| 0154A |
|
12 |
12 |
$415.87 |
| 17110 |
|
36 |
36 |
$338.38 |
| 98925 |
|
37 |
26 |
$266.30 |
| 73030 |
|
30 |
24 |
$261.54 |
| 81003 |
|
191 |
171 |
$218.39 |
| 73564 |
|
31 |
24 |
$208.98 |
| 99421 |
|
39 |
37 |
$194.89 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
40 |
40 |
$175.70 |
| 74018 |
|
27 |
24 |
$155.72 |
| 74022 |
|
15 |
13 |
$147.14 |
| 92557 |
|
13 |
12 |
$100.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$70.72 |
| 77080 |
|
25 |
25 |
$63.16 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
79 |
73 |
$62.45 |
| 0173A |
|
13 |
13 |
$43.32 |
| 81002 |
|
38 |
28 |
$3.54 |