| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,613 |
59,323 |
$2.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,523 |
60,248 |
$2.18M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,345 |
6,530 |
$188K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,909 |
5,670 |
$176K |
| 99233 |
Prolong inpt eval add15 m |
5,514 |
2,689 |
$121K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,805 |
1,740 |
$102K |
| 99223 |
Prolong inpt eval add15 m |
2,283 |
2,182 |
$102K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,190 |
3,952 |
$100K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,414 |
2,942 |
$79K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14,700 |
12,100 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,740 |
2,611 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,810 |
5,381 |
$63K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,405 |
1,267 |
$52K |
| 99215 |
Prolong outpt/office vis |
880 |
827 |
$50K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
472 |
445 |
$48K |
| 99220 |
|
1,059 |
1,005 |
$44K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
842 |
418 |
$31K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
446 |
432 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
533 |
340 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
603 |
578 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,952 |
1,378 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,476 |
800 |
$21K |
| 59430 |
|
231 |
218 |
$21K |
| 99243 |
|
348 |
345 |
$18K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
280 |
262 |
$17K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,362 |
911 |
$16K |
| 93000 |
|
1,500 |
1,447 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
567 |
537 |
$14K |
| 20610 |
|
414 |
305 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
227 |
215 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
4,322 |
3,859 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
187 |
178 |
$11K |
| 99205 |
Prolong outpt/office vis |
139 |
130 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
732 |
685 |
$11K |
| 99406 |
|
2,184 |
2,009 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
117 |
110 |
$10K |
| 94060 |
|
977 |
941 |
$10K |
| 99152 |
|
1,673 |
1,582 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
136 |
133 |
$8K |
| 95886 |
|
295 |
181 |
$8K |
| 90746 |
|
147 |
143 |
$7K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
123 |
116 |
$7K |
| 81025 |
|
1,146 |
1,069 |
$7K |
| 81003 |
|
4,739 |
3,746 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
472 |
212 |
$6K |
| 59025 |
Fetal non-stress test |
200 |
92 |
$6K |
| 99254 |
|
113 |
99 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
83 |
78 |
$5K |
| 90632 |
|
96 |
93 |
$4K |
| 90688 |
|
395 |
378 |
$4K |
| 99442 |
|
262 |
258 |
$4K |
| 76801 |
|
50 |
48 |
$3K |
| 91200 |
|
255 |
247 |
$3K |
| 81002 |
|
1,434 |
1,254 |
$3K |
| 90686 |
|
194 |
166 |
$3K |
| 93016 |
|
245 |
234 |
$3K |
| 77427 |
|
56 |
24 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
54 |
53 |
$3K |
| 90839 |
|
35 |
34 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$2K |
| 99443 |
|
112 |
104 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
514 |
452 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
24 |
$2K |
| 99417 |
Prolong home eval add 15m |
91 |
69 |
$2K |
| 94729 |
|
697 |
671 |
$2K |
| 99217 |
|
115 |
107 |
$2K |
| 99221 |
|
74 |
65 |
$2K |
| 43235 |
|
18 |
18 |
$2K |
| 93971 |
|
159 |
142 |
$2K |
| 90715 |
|
60 |
56 |
$2K |
| 95811 |
|
28 |
28 |
$2K |
| 93018 |
|
198 |
191 |
$2K |
| 51798 |
|
225 |
208 |
$2K |
| 99460 |
|
27 |
27 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
46 |
43 |
$1K |
| 99219 |
|
47 |
45 |
$1K |
| 94618 |
|
108 |
104 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
30 |
24 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
81 |
$1K |
| 93458 |
|
14 |
14 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
33 |
30 |
$1K |
| 20611 |
|
28 |
24 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
53 |
$993.29 |
| 64615 |
|
13 |
13 |
$953.42 |
| 94726 |
|
324 |
310 |
$950.90 |
| 99385 |
|
12 |
12 |
$928.32 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$910.61 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
13 |
$886.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$780.91 |
| 93298 |
|
43 |
39 |
$777.77 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$634.79 |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
15 |
14 |
$574.44 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
122 |
107 |
$511.38 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
23 |
13 |
$418.43 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$408.80 |
| 81000 |
|
159 |
151 |
$400.35 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
12 |
$395.58 |
| 31645 |
|
13 |
12 |
$388.80 |
| 99252 |
|
13 |
13 |
$386.25 |
| 93970 |
|
12 |
12 |
$269.67 |
| 95806 |
|
46 |
45 |
$268.59 |
| 74420 |
|
15 |
12 |
$260.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
26 |
$206.45 |
| 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) |
397 |
372 |
$168.61 |
| 96127 |
|
43 |
42 |
$165.83 |
| 93244 |
|
12 |
12 |
$149.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$133.38 |
| 95012 |
|
15 |
14 |
$129.81 |
| 90656 |
|
12 |
12 |
$117.31 |
| 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 |
12 |
12 |
$108.22 |
| 99497 |
|
110 |
86 |
$104.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$59.68 |
| 82044 |
|
16 |
14 |
$53.25 |
| 96160 |
|
28 |
27 |
$51.26 |
| 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) |
419 |
376 |
$32.92 |
| 80305 |
|
15 |
13 |
$28.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
42 |
42 |
$9.84 |
| 3288F |
|
57,292 |
51,152 |
$3.46 |
| 1159F |
|
71,869 |
63,309 |
$0.00 |
| 3077F |
|
2,814 |
2,473 |
$0.00 |
| 3078F |
|
29,642 |
25,915 |
$0.00 |
| 4013F |
|
270 |
217 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
82 |
75 |
$0.00 |
| 1160F |
|
1,447 |
1,173 |
$0.00 |
| 90461 |
|
51 |
38 |
$0.00 |
| 3079F |
|
9,491 |
8,566 |
$0.00 |
| 3074F |
|
22,574 |
19,726 |
$0.00 |
| 3044F |
|
3,000 |
2,419 |
$0.00 |
| 3080F |
|
707 |
620 |
$0.00 |
| 3075F |
|
2,269 |
2,011 |
$0.00 |
| 99024 |
|
1,338 |
905 |
$0.00 |
| 1111F |
|
263 |
210 |
$0.00 |