| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,308 |
21,061 |
$868K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,989 |
15,734 |
$840K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,222 |
3,821 |
$356K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,517 |
4,938 |
$327K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,458 |
1,362 |
$198K |
| W0037 |
|
5,473 |
5,473 |
$157K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
599 |
560 |
$144K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,223 |
1,867 |
$115K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,202 |
1,077 |
$113K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
378 |
362 |
$105K |
| 99215 |
Prolong outpt/office vis |
1,424 |
1,310 |
$103K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
139 |
124 |
$87K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
372 |
340 |
$72K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,448 |
876 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,472 |
2,142 |
$57K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
303 |
286 |
$56K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,051 |
996 |
$51K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
413 |
401 |
$50K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
337 |
259 |
$47K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,338 |
1,240 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
996 |
893 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,668 |
5,007 |
$39K |
| 17110 |
|
583 |
525 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
614 |
547 |
$32K |
| 80053 |
Comprehensive metabolic panel |
3,518 |
3,070 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
9,532 |
8,177 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
338 |
326 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
555 |
522 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,585 |
2,385 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,069 |
2,466 |
$25K |
| 95117 |
|
2,061 |
816 |
$23K |
| 11721 |
|
1,610 |
1,344 |
$20K |
| 95115 |
|
2,930 |
1,058 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,286 |
1,152 |
$16K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
12 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
238 |
192 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
210 |
203 |
$13K |
| 92567 |
|
1,074 |
957 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,121 |
1,008 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
142 |
130 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
420 |
263 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
144 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
408 |
380 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
166 |
161 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
584 |
559 |
$10K |
| 43235 |
|
49 |
42 |
$10K |
| 80061 |
Lipid panel |
1,075 |
915 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
468 |
412 |
$9K |
| 11056 |
|
542 |
442 |
$8K |
| 92015 |
Determination of refractive state |
710 |
618 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
170 |
$6K |
| 0240U |
|
47 |
47 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
86 |
81 |
$6K |
| 90715 |
|
260 |
236 |
$6K |
| 81001 |
|
1,844 |
1,619 |
$5K |
| 90686 |
|
687 |
674 |
$5K |
| 92557 |
|
185 |
169 |
$5K |
| 87653 |
|
154 |
145 |
$5K |
| 87631 |
|
31 |
31 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
93 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
86 |
86 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
111 |
80 |
$4K |
| 76981 |
|
44 |
42 |
$4K |
| 11102 |
|
99 |
96 |
$3K |
| 82728 |
|
279 |
258 |
$3K |
| 80050 |
General health panel |
55 |
53 |
$3K |
| 90651 |
|
53 |
46 |
$3K |
| 86140 |
|
534 |
486 |
$2K |
| 83550 |
|
293 |
273 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
40 |
38 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
137 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
73 |
65 |
$2K |
| 69210 |
|
76 |
72 |
$2K |
| 99000 |
|
306 |
269 |
$2K |
| 83540 |
|
297 |
277 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
219 |
201 |
$2K |
| 99254 |
|
14 |
13 |
$1K |
| 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) |
949 |
850 |
$1K |
| 11100 |
|
30 |
28 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
69 |
54 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$1K |
| 92587 |
|
55 |
46 |
$1K |
| 73630 |
|
80 |
51 |
$990.48 |
| 85027 |
|
184 |
168 |
$960.60 |
| 99381 |
|
14 |
12 |
$946.65 |
| 99233 |
Prolong inpt eval add15 m |
41 |
23 |
$886.73 |
| 90746 |
|
13 |
13 |
$844.56 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$816.00 |
| 87081 |
|
136 |
127 |
$708.97 |
| 99221 |
|
14 |
13 |
$671.26 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
18 |
18 |
$590.32 |
| 81025 |
|
88 |
81 |
$576.65 |
| 99051 |
|
59 |
54 |
$546.00 |
| 82607 |
|
41 |
41 |
$539.99 |
| 90656 |
|
50 |
50 |
$509.58 |
| 85610 |
|
182 |
154 |
$467.48 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
12 |
$460.80 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
29 |
27 |
$452.46 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
71 |
67 |
$396.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
48 |
45 |
$372.24 |
| 17000 |
|
29 |
28 |
$366.45 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
41 |
34 |
$320.29 |
| 82950 |
|
69 |
66 |
$308.75 |
| 90834 |
Psychotherapy, 45 minutes with patient |
21 |
20 |
$292.11 |
| 90688 |
|
74 |
70 |
$258.02 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42 |
39 |
$241.85 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$204.67 |
| 93000 |
|
32 |
27 |
$202.65 |
| 90474 |
|
14 |
14 |
$159.18 |
| 83655 |
|
13 |
13 |
$157.43 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$127.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
220 |
205 |
$124.72 |
| 85004 |
|
14 |
14 |
$123.71 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
57 |
54 |
$121.53 |
| 90662 |
|
52 |
51 |
$116.50 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
68 |
60 |
$111.68 |
| 84439 |
|
16 |
13 |
$107.04 |
| 51798 |
|
12 |
12 |
$105.64 |
| 71045 |
Radiologic examination, chest; single view |
42 |
37 |
$88.15 |
| 87210 |
|
14 |
14 |
$71.30 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
309 |
301 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 90680 |
|
28 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
219 |
215 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90670 |
|
64 |
64 |
$0.00 |
| 90648 |
|
76 |
76 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| 90734 |
|
36 |
32 |
$0.00 |
| 90661 |
|
50 |
50 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
12 |
$0.00 |