| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170,036 |
153,931 |
$7.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101,035 |
91,005 |
$3.06M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,254 |
6,776 |
$520K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,493 |
17,883 |
$449K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
57,934 |
47,350 |
$341K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,923 |
8,848 |
$329K |
| 59410 |
|
436 |
371 |
$306K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,965 |
3,887 |
$206K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,610 |
4,291 |
$200K |
| 95806 |
|
2,093 |
1,991 |
$198K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,157 |
4,531 |
$181K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
582 |
515 |
$149K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,491 |
2,346 |
$135K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,913 |
2,806 |
$112K |
| 97597 |
|
6,807 |
4,024 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,943 |
1,771 |
$102K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,598 |
3,374 |
$100K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,052 |
1,707 |
$99K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
929 |
880 |
$95K |
| 76830 |
Ultrasound, transvaginal |
3,600 |
3,514 |
$94K |
| 95811 |
|
736 |
687 |
$72K |
| 71046 |
Radiologic examination, chest; 2 views |
10,323 |
9,925 |
$70K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,256 |
1,200 |
$67K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,822 |
2,734 |
$65K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,891 |
2,725 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,017 |
994 |
$60K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
608 |
532 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,387 |
1,966 |
$49K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
721 |
657 |
$49K |
| 76801 |
|
1,422 |
1,340 |
$49K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,947 |
2,467 |
$47K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,306 |
1,189 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,366 |
1,257 |
$41K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,933 |
1,884 |
$40K |
| 93018 |
|
3,124 |
2,866 |
$39K |
| 93016 |
|
2,371 |
2,165 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
8,574 |
7,391 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
593 |
585 |
$34K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
449 |
417 |
$33K |
| 59515 |
|
44 |
38 |
$32K |
| 94060 |
|
2,321 |
2,223 |
$32K |
| 90461 |
|
1,742 |
1,323 |
$30K |
| 99307 |
|
5,993 |
5,411 |
$30K |
| 99215 |
Prolong outpt/office vis |
664 |
481 |
$27K |
| 93454 |
|
246 |
208 |
$26K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
949 |
581 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,628 |
4,620 |
$20K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
687 |
608 |
$20K |
| 70544 |
|
773 |
685 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
485 |
418 |
$19K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
349 |
244 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
797 |
309 |
$17K |
| 94726 |
|
2,133 |
2,022 |
$16K |
| 74018 |
|
2,596 |
2,458 |
$15K |
| 00790 |
|
217 |
161 |
$15K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
313 |
295 |
$14K |
| 72100 |
|
1,526 |
1,463 |
$11K |
| 20610 |
|
472 |
382 |
$11K |
| 94729 |
|
2,194 |
2,093 |
$11K |
| 73630 |
|
1,782 |
1,687 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
670 |
636 |
$10K |
| 62323 |
|
140 |
136 |
$10K |
| 74019 |
|
1,389 |
1,239 |
$10K |
| 73610 |
|
1,592 |
1,493 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,562 |
1,497 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
118 |
48 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
182 |
167 |
$9K |
| 76770 |
|
432 |
422 |
$9K |
| 01961 |
|
64 |
54 |
$9K |
| 99441 |
|
461 |
435 |
$8K |
| 00126 |
|
120 |
114 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
260 |
249 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
540 |
254 |
$8K |
| 73030 |
|
1,361 |
1,271 |
$7K |
| 73130 |
|
1,200 |
1,123 |
$7K |
| 71250 |
|
266 |
249 |
$7K |
| 99152 |
|
1,088 |
883 |
$7K |
| 76642 |
|
304 |
290 |
$7K |
| 99406 |
|
1,344 |
1,207 |
$6K |
| 73110 |
|
1,104 |
996 |
$6K |
| 99188 |
|
369 |
365 |
$6K |
| 64488 |
|
141 |
128 |
$6K |
| 00731 |
|
155 |
144 |
$6K |
| 64493 |
|
90 |
77 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
169 |
154 |
$6K |
| 73562 |
|
930 |
875 |
$6K |
| 93458 |
|
47 |
39 |
$5K |
| 00811 |
|
112 |
104 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
188 |
180 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
168 |
164 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
148 |
137 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
156 |
130 |
$4K |
| 71271 |
|
137 |
132 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
127 |
120 |
$4K |
| 70549 |
|
122 |
104 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
72 |
$4K |
| 90715 |
|
227 |
216 |
$4K |
| 93971 |
|
270 |
257 |
$4K |
| 01400 |
|
63 |
56 |
$4K |
| 52000 |
|
81 |
72 |
$3K |
| 64494 |
|
90 |
77 |
$3K |
| 00813 |
|
91 |
87 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
97 |
94 |
$3K |
| 99381 |
|
57 |
53 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
96 |
91 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
16 |
13 |
$3K |
| 73560 |
|
533 |
476 |
$3K |
| 98929 |
|
62 |
38 |
$3K |
| 72141 |
|
56 |
50 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
153 |
144 |
$2K |
| 74022 |
|
234 |
222 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
16 |
16 |
$2K |
| G0454 |
Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist |
2,219 |
2,084 |
$2K |
| 01630 |
|
16 |
15 |
$2K |
| 99221 |
|
149 |
122 |
$2K |
| 76818 |
|
74 |
41 |
$2K |
| 76536 |
|
93 |
91 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
77 |
74 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
385 |
362 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
35 |
34 |
$1K |
| 99174 |
|
69 |
66 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
67 |
59 |
$1K |
| 99318 |
|
85 |
83 |
$1K |
| 73502 |
|
254 |
237 |
$1K |
| 99217 |
|
47 |
41 |
$1K |
| 90686 |
|
248 |
228 |
$1K |
| 99304 |
|
174 |
156 |
$1K |
| 90961 |
|
36 |
28 |
$1K |
| 00840 |
|
13 |
12 |
$1K |
| 95816 |
|
49 |
37 |
$1K |
| 00851 |
|
23 |
14 |
$975.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
59 |
58 |
$925.53 |
| 99177 |
|
257 |
251 |
$888.42 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
74 |
72 |
$848.28 |
| 72040 |
|
122 |
119 |
$838.62 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
49 |
24 |
$821.35 |
| 99442 |
|
34 |
33 |
$759.91 |
| 99201 |
|
48 |
43 |
$751.90 |
| 72072 |
|
103 |
96 |
$734.89 |
| 87428 |
|
23 |
23 |
$657.72 |
| 72110 |
|
58 |
58 |
$639.06 |
| 00952 |
|
13 |
13 |
$634.25 |
| 93000 |
|
256 |
230 |
$597.88 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
15 |
14 |
$583.12 |
| 73221 |
|
13 |
12 |
$580.80 |
| 99173 |
|
58 |
57 |
$520.00 |
| 92504 |
|
67 |
63 |
$517.81 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
24 |
$480.03 |
| 94618 |
|
41 |
39 |
$443.88 |
| 99443 |
|
14 |
14 |
$411.43 |
| 76942 |
|
18 |
17 |
$397.29 |
| 64495 |
|
14 |
13 |
$394.31 |
| 93228 |
|
28 |
25 |
$340.47 |
| 99305 |
|
32 |
30 |
$236.77 |
| 73090 |
|
44 |
36 |
$233.95 |
| 77065 |
Tomosynthesis, mammo |
15 |
13 |
$229.19 |
| 17110 |
|
18 |
16 |
$208.39 |
| 90734 |
|
34 |
32 |
$172.81 |
| 73080 |
|
29 |
28 |
$168.59 |
| 90633 |
|
109 |
101 |
$165.61 |
| 73590 |
|
31 |
29 |
$132.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$106.79 |
| 77002 |
|
12 |
12 |
$82.72 |
| 99499 |
|
32 |
26 |
$67.66 |
| 96127 |
|
41 |
41 |
$42.46 |
| 90685 |
|
60 |
55 |
$36.80 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$34.65 |
| 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) |
251 |
233 |
$33.56 |
| 97810 |
|
24 |
12 |
$29.50 |
| 97811 |
|
24 |
12 |
$24.93 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
42 |
41 |
$16.38 |
| 99024 |
|
4,807 |
3,870 |
$0.35 |
| 90670 |
|
12 |
12 |
$0.00 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
20 |
20 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
16 |
13 |
$0.00 |
| 90647 |
|
13 |
12 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |