| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,003 |
32,441 |
$1.44M |
| 99233 |
Prolong inpt eval add15 m |
32,953 |
11,505 |
$1.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,949 |
22,807 |
$1.09M |
| H1000 |
Prenatal care, at-risk assessment |
21,141 |
15,045 |
$1.03M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
38,622 |
13,097 |
$960K |
| 99223 |
Prolong inpt eval add15 m |
7,638 |
6,305 |
$623K |
| 99220 |
|
7,407 |
6,346 |
$613K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
8,537 |
3,638 |
$610K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,478 |
5,250 |
$523K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,757 |
5,443 |
$490K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,685 |
9,595 |
$357K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,672 |
3,623 |
$326K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
5,071 |
3,750 |
$303K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,186 |
4,227 |
$267K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,887 |
3,639 |
$205K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,386 |
4,697 |
$199K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,888 |
3,199 |
$187K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,740 |
5,016 |
$148K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,254 |
1,173 |
$135K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,087 |
1,911 |
$134K |
| 99254 |
|
990 |
875 |
$85K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,548 |
1,351 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
675 |
650 |
$62K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,217 |
1,548 |
$56K |
| 90461 |
|
3,961 |
3,288 |
$53K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,806 |
1,555 |
$52K |
| 99215 |
Prolong outpt/office vis |
749 |
612 |
$47K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13,604 |
10,689 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,288 |
1,085 |
$44K |
| 99242 |
|
910 |
869 |
$38K |
| 59410 |
|
37 |
29 |
$35K |
| 76818 |
|
522 |
330 |
$34K |
| 80053 |
Comprehensive metabolic panel |
4,197 |
2,933 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,010 |
1,836 |
$26K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
390 |
368 |
$26K |
| 99243 |
|
516 |
478 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,196 |
3,106 |
$21K |
| 99253 |
|
426 |
355 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
464 |
432 |
$20K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
222 |
200 |
$19K |
| 99205 |
Prolong outpt/office vis |
162 |
141 |
$17K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
50 |
41 |
$15K |
| 59515 |
|
12 |
12 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,333 |
2,053 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,110 |
4,345 |
$14K |
| 81003 |
|
12,330 |
8,096 |
$13K |
| 99245 |
|
126 |
117 |
$13K |
| 0012A |
|
1,002 |
835 |
$12K |
| 99255 |
|
98 |
81 |
$12K |
| 0002A |
|
412 |
319 |
$11K |
| 99307 |
|
4,083 |
2,476 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,397 |
1,270 |
$10K |
| 0011A |
|
968 |
823 |
$10K |
| 99219 |
|
139 |
126 |
$10K |
| 96161 |
|
892 |
847 |
$9K |
| 0001A |
|
356 |
286 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,046 |
953 |
$8K |
| 90670 |
|
3,056 |
2,892 |
$8K |
| 3078F |
|
40,477 |
31,698 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
78 |
$7K |
| 90648 |
|
3,386 |
3,223 |
$7K |
| 90686 |
|
1,894 |
1,756 |
$7K |
| 59025 |
Fetal non-stress test |
172 |
109 |
$6K |
| 2001F |
|
78,290 |
61,825 |
$6K |
| 81025 |
|
1,568 |
1,453 |
$6K |
| 3074F |
|
37,527 |
30,364 |
$6K |
| 76801 |
|
84 |
83 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
71 |
39 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
281 |
134 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
93 |
85 |
$4K |
| 90723 |
|
1,955 |
1,881 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
94 |
83 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
798 |
197 |
$4K |
| 99252 |
|
83 |
82 |
$4K |
| 95819 |
|
147 |
130 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
112 |
97 |
$4K |
| 99217 |
|
120 |
106 |
$3K |
| 92557 |
|
149 |
139 |
$3K |
| 99221 |
|
132 |
104 |
$3K |
| 92567 |
|
657 |
599 |
$3K |
| 87807 |
|
450 |
424 |
$3K |
| 20610 |
|
72 |
64 |
$3K |
| 92579 |
|
69 |
53 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
116 |
80 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
71 |
70 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
159 |
130 |
$2K |
| 82962 |
|
770 |
716 |
$2K |
| 73562 |
|
122 |
95 |
$2K |
| 85652 |
|
877 |
796 |
$2K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$2K |
| 0072A |
|
39 |
36 |
$1K |
| 90633 |
|
427 |
401 |
$1K |
| 92587 |
|
123 |
121 |
$1K |
| 99226 |
|
20 |
12 |
$1K |
| 82728 |
|
75 |
69 |
$1K |
| 83655 |
|
251 |
246 |
$1K |
| 93000 |
|
324 |
295 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
24 |
$982.21 |
| 99188 |
|
86 |
80 |
$977.98 |
| 85018 |
|
425 |
413 |
$956.42 |
| 36416 |
|
109 |
99 |
$738.63 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
14 |
$737.50 |
| 99381 |
|
21 |
12 |
$675.24 |
| 96127 |
|
91 |
80 |
$630.38 |
| 3075F |
|
2,523 |
2,173 |
$571.59 |
| 90681 |
|
453 |
428 |
$535.50 |
| 99407 |
|
386 |
349 |
$516.65 |
| 0071A |
|
13 |
12 |
$487.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
95 |
$481.39 |
| 73130 |
|
54 |
43 |
$475.75 |
| 59430 |
|
13 |
12 |
$451.21 |
| 36415 |
Collection of venous blood by venipuncture |
770 |
642 |
$448.26 |
| 90474 |
|
107 |
105 |
$408.00 |
| 90651 |
|
13 |
12 |
$402.39 |
| 83615 |
|
329 |
269 |
$379.10 |
| 95816 |
|
15 |
12 |
$371.57 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
24 |
16 |
$358.46 |
| 99406 |
|
75 |
53 |
$357.86 |
| 17110 |
|
13 |
12 |
$341.48 |
| 73110 |
|
39 |
24 |
$338.09 |
| 51798 |
|
118 |
107 |
$335.55 |
| 90710 |
|
201 |
195 |
$282.17 |
| 84466 |
|
54 |
51 |
$253.48 |
| 90656 |
|
50 |
50 |
$250.00 |
| 11102 |
|
17 |
16 |
$246.93 |
| 99356 |
|
20 |
15 |
$245.22 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
80 |
75 |
$244.56 |
| 73630 |
|
42 |
26 |
$238.12 |
| 3079F |
|
2,546 |
1,643 |
$235.21 |
| 90696 |
|
13 |
13 |
$220.91 |
| 99173 |
|
236 |
216 |
$213.61 |
| 95251 |
|
64 |
55 |
$135.64 |
| 99401 |
|
68 |
55 |
$100.27 |
| 1159F |
|
51,530 |
43,976 |
$91.75 |
| 83540 |
|
75 |
70 |
$79.02 |
| 73564 |
|
13 |
12 |
$71.68 |
| 83735 |
|
58 |
41 |
$65.65 |
| 99000 |
|
158 |
146 |
$51.35 |
| 85027 |
|
37 |
28 |
$21.38 |
| 2000F |
|
63,403 |
49,289 |
$0.00 |
| 1220F |
|
5,727 |
4,704 |
$0.00 |
| 91301 |
|
103 |
69 |
$0.00 |
| 90677 |
|
451 |
433 |
$0.00 |
| 1126F |
|
1,517 |
1,371 |
$0.00 |
| 99024 |
|
431 |
314 |
$0.00 |
| 1125F |
|
390 |
349 |
$0.00 |
| 1170F |
|
1,836 |
1,516 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
44 |
34 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 1160F |
|
51,737 |
44,140 |
$0.00 |
| 3288F |
|
1,842 |
1,517 |
$0.00 |
| 3077F |
|
434 |
373 |
$0.00 |
| 1158F |
|
173 |
165 |
$0.00 |
| 3210F |
|
1,230 |
982 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 90707 |
|
46 |
42 |
$0.00 |
| 91300 |
|
118 |
85 |
$0.00 |
| 1090F |
|
39 |
26 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 96381 |
|
25 |
14 |
$0.00 |