| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112,732 |
99,450 |
$3.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70,106 |
62,556 |
$2.60M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,520 |
6,615 |
$302K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,269 |
5,961 |
$282K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,404 |
4,117 |
$166K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,162 |
4,794 |
$156K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,700 |
4,364 |
$140K |
| 36475 |
|
112 |
54 |
$123K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,387 |
2,121 |
$122K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,065 |
1,909 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,428 |
4,040 |
$89K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
16,082 |
13,294 |
$74K |
| 93000 |
|
8,098 |
7,406 |
$74K |
| 76830 |
Ultrasound, transvaginal |
1,382 |
1,274 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,399 |
4,928 |
$57K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,109 |
959 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,081 |
1,046 |
$41K |
| 90670 |
|
2,432 |
2,321 |
$40K |
| 76818 |
|
744 |
411 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,706 |
3,343 |
$38K |
| 93016 |
|
2,602 |
2,370 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
495 |
459 |
$35K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,086 |
1,025 |
$34K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,002 |
914 |
$32K |
| 99215 |
Prolong outpt/office vis |
1,073 |
829 |
$32K |
| 87428 |
|
1,413 |
1,248 |
$31K |
| 93298 |
|
1,667 |
1,586 |
$29K |
| 99460 |
|
344 |
331 |
$26K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,797 |
863 |
$25K |
| 93018 |
|
2,634 |
2,399 |
$21K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,839 |
1,623 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
488 |
197 |
$13K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
414 |
165 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,608 |
800 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
254 |
228 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
211 |
199 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
373 |
354 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
749 |
719 |
$11K |
| 95816 |
|
594 |
556 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
379 |
349 |
$11K |
| 00731 |
|
199 |
171 |
$11K |
| 59025 |
Fetal non-stress test |
414 |
306 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
310 |
304 |
$9K |
| 73630 |
|
815 |
677 |
$8K |
| 95886 |
|
261 |
233 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
201 |
185 |
$8K |
| 99337 |
|
123 |
112 |
$8K |
| 93970 |
|
88 |
84 |
$8K |
| 93458 |
|
89 |
86 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,444 |
1,280 |
$7K |
| 90686 |
|
1,572 |
1,502 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
254 |
226 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
922 |
888 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,109 |
884 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
70 |
66 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
118 |
112 |
$6K |
| 99307 |
|
924 |
842 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
118 |
113 |
$6K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
431 |
409 |
$6K |
| 90648 |
|
2,366 |
2,255 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
103 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
328 |
312 |
$4K |
| 90723 |
|
1,478 |
1,418 |
$4K |
| 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) |
264 |
208 |
$4K |
| 99349 |
|
80 |
67 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
202 |
115 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
25 |
24 |
$3K |
| 99441 |
|
305 |
291 |
$3K |
| 51798 |
|
375 |
357 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
623 |
559 |
$3K |
| 64488 |
|
61 |
52 |
$3K |
| 87807 |
|
238 |
226 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
74 |
64 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
293 |
275 |
$2K |
| 96161 |
|
926 |
838 |
$2K |
| 99350 |
Prolong home eval add 15m |
30 |
29 |
$2K |
| 99442 |
|
97 |
90 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
92 |
87 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
905 |
798 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
157 |
155 |
$2K |
| 95811 |
|
27 |
27 |
$2K |
| 31575 |
|
52 |
52 |
$2K |
| 99417 |
Prolong home eval add 15m |
43 |
34 |
$2K |
| 92567 |
|
153 |
149 |
$2K |
| 99381 |
|
26 |
25 |
$1K |
| 90633 |
|
293 |
271 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
13 |
$1K |
| 93272 |
|
62 |
60 |
$1K |
| 99462 |
|
33 |
24 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
66 |
$984.28 |
| 64615 |
|
12 |
12 |
$982.33 |
| 94060 |
|
109 |
103 |
$918.09 |
| 71250 |
|
50 |
47 |
$890.11 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
75 |
70 |
$852.04 |
| 74018 |
|
134 |
111 |
$806.44 |
| 99443 |
|
32 |
25 |
$804.95 |
| 72100 |
|
92 |
92 |
$779.89 |
| 99336 |
|
16 |
13 |
$757.57 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$738.10 |
| 93228 |
|
58 |
57 |
$728.41 |
| 73610 |
|
62 |
53 |
$714.31 |
| 71271 |
|
14 |
14 |
$682.42 |
| 99221 |
|
42 |
41 |
$607.12 |
| 93294 |
|
43 |
37 |
$470.63 |
| 70486 |
|
17 |
15 |
$460.05 |
| 97597 |
|
19 |
12 |
$374.96 |
| 36620 |
|
14 |
12 |
$314.74 |
| 99348 |
|
13 |
13 |
$308.37 |
| 81003 |
|
227 |
203 |
$306.64 |
| 94726 |
|
70 |
66 |
$305.54 |
| 93971 |
|
31 |
26 |
$302.33 |
| 76937 |
|
30 |
27 |
$272.21 |
| 94729 |
|
68 |
65 |
$263.65 |
| 93227 |
|
18 |
18 |
$224.96 |
| 11721 |
|
27 |
25 |
$202.54 |
| 3074F |
|
1,771 |
1,498 |
$185.01 |
| 81025 |
|
28 |
26 |
$180.50 |
| 31231 |
|
12 |
12 |
$178.06 |
| 90681 |
|
250 |
240 |
$170.24 |
| 90961 |
|
27 |
26 |
$160.44 |
| 72170 |
|
28 |
25 |
$154.07 |
| 94618 |
|
12 |
12 |
$140.60 |
| 3079F |
|
689 |
582 |
$130.01 |
| 99140 |
|
14 |
12 |
$101.20 |
| 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 |
19 |
19 |
$96.76 |
| 3078F |
|
1,130 |
1,005 |
$95.00 |
| 90647 |
|
19 |
19 |
$70.00 |
| 99152 |
|
14 |
14 |
$63.61 |
| 3075F |
|
122 |
105 |
$40.00 |
| 96127 |
|
14 |
13 |
$28.40 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
14 |
$27.15 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
13 |
$24.78 |
| 90710 |
|
12 |
12 |
$10.03 |
| 90651 |
|
14 |
13 |
$10.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
31 |
29 |
$3.44 |
| 1036F |
|
27,254 |
23,654 |
$0.00 |
| 3044F |
|
45 |
43 |
$0.00 |
| 87430 |
|
636 |
504 |
$0.00 |
| 1126F |
|
879 |
762 |
$0.00 |
| 1125F |
|
481 |
441 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
91 |
85 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
47 |
43 |
$0.00 |
| 1111F |
|
45 |
44 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 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) |
479 |
407 |
$0.00 |
| 4004F |
|
260 |
237 |
$0.00 |
| 87420 |
|
30 |
30 |
$0.00 |
| 1159F |
|
185 |
142 |
$0.00 |
| 87400 |
|
70 |
65 |
$0.00 |
| 1160F |
|
185 |
142 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
28 |
26 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
44 |
42 |
$0.00 |