| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
296,336 |
280,954 |
$10.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213,662 |
204,711 |
$8.88M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34,716 |
16,096 |
$958K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15,254 |
15,128 |
$914K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,002 |
9,966 |
$792K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,466 |
12,520 |
$719K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,280 |
12,276 |
$654K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,069 |
11,066 |
$563K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,500 |
11,476 |
$561K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,191 |
8,979 |
$518K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,618 |
7,588 |
$501K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
8,524 |
8,486 |
$457K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
8,565 |
8,554 |
$419K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,808 |
17,734 |
$416K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,856 |
6,848 |
$371K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
7,341 |
7,251 |
$355K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,874 |
6,836 |
$325K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
66,942 |
59,448 |
$319K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31,131 |
31,091 |
$311K |
| 99215 |
Prolong outpt/office vis |
4,953 |
4,178 |
$262K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,726 |
11,363 |
$253K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13,932 |
7,972 |
$215K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,696 |
3,631 |
$201K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
21,596 |
21,531 |
$191K |
| 58558 |
|
250 |
249 |
$190K |
| 92015 |
Determination of refractive state |
14,421 |
14,387 |
$183K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,227 |
5,162 |
$169K |
| 99223 |
Prolong inpt eval add15 m |
1,948 |
1,905 |
$153K |
| 59025 |
Fetal non-stress test |
3,955 |
2,488 |
$143K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
11,446 |
7,786 |
$136K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,855 |
1,776 |
$128K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
62 |
62 |
$126K |
| 36415 |
Collection of venous blood by venipuncture |
56,175 |
53,181 |
$122K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,191 |
3,199 |
$103K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,332 |
6,240 |
$99K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,316 |
3,306 |
$96K |
| 20611 |
|
1,868 |
1,754 |
$96K |
| 97803 |
|
2,767 |
2,566 |
$92K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,016 |
764 |
$89K |
| 95886 |
|
1,308 |
1,245 |
$82K |
| 99233 |
Prolong inpt eval add15 m |
1,923 |
1,132 |
$74K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,279 |
3,162 |
$74K |
| 20610 |
|
2,328 |
2,188 |
$73K |
| 88141 |
|
3,949 |
3,939 |
$72K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,408 |
1,320 |
$59K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,432 |
1,338 |
$52K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,291 |
3,277 |
$50K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,094 |
2,092 |
$50K |
| 99460 |
|
482 |
481 |
$48K |
| 90686 |
|
4,978 |
4,881 |
$47K |
| 11721 |
|
2,915 |
2,885 |
$46K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,452 |
8,257 |
$45K |
| 76801 |
|
1,164 |
1,142 |
$43K |
| 99462 |
|
1,008 |
858 |
$42K |
| 11102 |
|
722 |
714 |
$41K |
| 76830 |
Ultrasound, transvaginal |
1,657 |
1,655 |
$40K |
| 93971 |
|
779 |
675 |
$39K |
| 88307 |
|
572 |
564 |
$35K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,240 |
657 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
4,923 |
4,890 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
830 |
823 |
$30K |
| 92134 |
|
1,306 |
1,231 |
$30K |
| 96160 |
|
18,395 |
18,184 |
$29K |
| 99442 |
|
1,848 |
1,758 |
$28K |
| 20553 |
|
888 |
871 |
$27K |
| 81003 |
|
13,442 |
10,696 |
$25K |
| 93016 |
|
2,622 |
2,602 |
$25K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,469 |
2,400 |
$24K |
| 17311 |
|
89 |
79 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,165 |
1,010 |
$23K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
939 |
937 |
$23K |
| 93000 |
|
2,885 |
2,843 |
$23K |
| 95909 |
|
321 |
292 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
479 |
473 |
$22K |
| 99221 |
|
542 |
539 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
699 |
688 |
$22K |
| 94060 |
|
2,971 |
2,960 |
$21K |
| 99385 |
|
414 |
414 |
$21K |
| 11100 |
|
338 |
336 |
$20K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
702 |
665 |
$19K |
| 99188 |
|
683 |
683 |
$18K |
| 92250 |
|
655 |
615 |
$18K |
| 76942 |
|
707 |
603 |
$18K |
| 94727 |
|
2,771 |
2,759 |
$18K |
| 93880 |
|
232 |
221 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
441 |
441 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,173 |
693 |
$16K |
| 81025 |
|
2,405 |
2,365 |
$15K |
| 93970 |
|
283 |
253 |
$15K |
| 94729 |
|
2,824 |
2,808 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,183 |
1,175 |
$14K |
| 88142 |
|
755 |
755 |
$14K |
| 97802 |
|
259 |
259 |
$13K |
| 76642 |
|
591 |
588 |
$13K |
| 88342 |
|
540 |
538 |
$12K |
| 99306 |
Prolong nursin fac eval 15m |
352 |
351 |
$12K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
351 |
350 |
$12K |
| 71271 |
|
525 |
515 |
$12K |
| 59426 |
|
14 |
14 |
$11K |
| 99310 |
Prolong nursin fac eval 15m |
428 |
379 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
399 |
371 |
$9K |
| 17110 |
|
144 |
135 |
$9K |
| 93018 |
|
1,273 |
1,258 |
$9K |
| 94617 |
|
533 |
532 |
$8K |
| 69210 |
|
166 |
162 |
$8K |
| 99217 |
|
260 |
258 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
564 |
543 |
$8K |
| 92083 |
|
235 |
223 |
$8K |
| 94760 |
|
7,482 |
7,137 |
$8K |
| 94618 |
|
706 |
702 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
433 |
431 |
$8K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,980 |
1,896 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,469 |
1,438 |
$7K |
| 99441 |
|
1,030 |
944 |
$7K |
| 11056 |
|
224 |
220 |
$7K |
| 99406 |
|
3,773 |
3,656 |
$6K |
| 82947 |
|
2,099 |
1,828 |
$6K |
| 90715 |
|
175 |
174 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
314 |
314 |
$6K |
| 62323 |
|
114 |
114 |
$6K |
| 99443 |
|
244 |
237 |
$5K |
| 73562 |
|
931 |
894 |
$5K |
| 95251 |
|
416 |
413 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
139 |
138 |
$5K |
| 76536 |
|
298 |
297 |
$5K |
| 17000 |
|
203 |
200 |
$5K |
| 99397 |
|
135 |
134 |
$5K |
| 73630 |
|
922 |
880 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
63 |
$5K |
| 73030 |
|
829 |
819 |
$4K |
| 77080 |
|
1,317 |
1,304 |
$4K |
| 88304 |
|
544 |
543 |
$4K |
| 76813 |
|
98 |
98 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,144 |
948 |
$4K |
| 54150 |
|
50 |
50 |
$4K |
| 59430 |
|
19 |
16 |
$4K |
| 99381 |
|
56 |
56 |
$3K |
| 73130 |
|
570 |
546 |
$3K |
| 85018 |
|
1,470 |
1,466 |
$3K |
| 92133 |
|
162 |
157 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
231 |
230 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
67 |
$3K |
| 99051 |
|
168 |
166 |
$3K |
| 72100 |
|
394 |
388 |
$2K |
| 71250 |
|
95 |
95 |
$2K |
| 99219 |
|
36 |
36 |
$2K |
| 90688 |
|
301 |
301 |
$2K |
| 93975 |
|
54 |
53 |
$2K |
| 77066 |
Tomosynthesis, mammo |
70 |
70 |
$2K |
| 90750 |
|
15 |
15 |
$2K |
| 93458 |
|
13 |
12 |
$2K |
| 97804 |
|
81 |
53 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
45 |
41 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
40 |
26 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
890 |
844 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
49 |
49 |
$2K |
| 82962 |
|
1,617 |
1,561 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
44 |
44 |
$2K |
| 93923 |
|
38 |
37 |
$2K |
| 73610 |
|
313 |
310 |
$2K |
| 81002 |
|
701 |
551 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
250 |
246 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
41 |
41 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
31 |
31 |
$2K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
155 |
150 |
$2K |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
123 |
121 |
$1K |
| 90732 |
|
43 |
43 |
$1K |
| 90734 |
|
318 |
314 |
$1K |
| 11104 |
|
29 |
29 |
$1K |
| 73564 |
|
205 |
203 |
$1K |
| 90620 |
|
202 |
200 |
$1K |
| 72110 |
|
198 |
197 |
$1K |
| 76770 |
|
54 |
54 |
$1K |
| 90473 |
|
72 |
72 |
$1K |
| 87428 |
|
44 |
42 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,184 |
1,163 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
40 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
61 |
61 |
$1K |
| 73502 |
|
181 |
179 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
80 |
$1K |
| 64483 |
|
14 |
14 |
$984.28 |
| 92235 |
|
12 |
12 |
$976.81 |
| 99305 |
|
40 |
40 |
$976.08 |
| 90662 |
|
49 |
48 |
$943.12 |
| 93922 |
|
28 |
27 |
$928.08 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
12 |
12 |
$924.37 |
| 99000 |
|
1,032 |
955 |
$846.50 |
| 73110 |
|
155 |
147 |
$838.49 |
| 93248 |
|
55 |
55 |
$755.32 |
| 90461 |
|
35 |
35 |
$732.50 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$710.97 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
43 |
39 |
$692.14 |
| 77065 |
Tomosynthesis, mammo |
26 |
26 |
$641.79 |
| 20606 |
|
17 |
16 |
$622.43 |
| 11900 |
|
13 |
13 |
$486.31 |
| 72050 |
|
59 |
57 |
$483.34 |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$469.99 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$466.23 |
| 88313 |
|
83 |
82 |
$458.45 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$443.34 |
| 85060 |
|
33 |
32 |
$422.31 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
16 |
$412.06 |
| 92551 |
|
37 |
37 |
$347.64 |
| 20550 |
|
23 |
17 |
$346.54 |
| 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 |
75 |
75 |
$346.39 |
| 74018 |
|
62 |
60 |
$328.55 |
| 92552 |
|
12 |
12 |
$305.14 |
| 99173 |
|
25 |
25 |
$276.72 |
| 88312 |
|
12 |
12 |
$272.66 |
| 76882 |
|
12 |
12 |
$226.09 |
| 88311 |
|
37 |
37 |
$223.96 |
| 88300 |
|
67 |
67 |
$222.94 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$221.81 |
| 92020 |
|
14 |
14 |
$217.95 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
48 |
45 |
$209.07 |
| 98966 |
|
17 |
17 |
$183.09 |
| 99050 |
|
14 |
14 |
$181.60 |
| 73080 |
|
29 |
28 |
$159.51 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$157.96 |
| 82270 |
|
55 |
54 |
$150.48 |
| 90653 |
|
39 |
39 |
$149.50 |
| 73140 |
|
26 |
25 |
$111.38 |
| 0001A |
|
13 |
13 |
$101.64 |
| 99152 |
|
15 |
15 |
$25.77 |
| 90677 |
|
874 |
874 |
$0.04 |
| 90651 |
|
294 |
294 |
$0.02 |
| 90697 |
|
455 |
455 |
$0.01 |
| 90619 |
|
30 |
30 |
$0.00 |
| 90656 |
|
692 |
688 |
$0.00 |
| 90696 |
|
27 |
26 |
$0.00 |
| 90716 |
|
66 |
66 |
$0.00 |
| 90633 |
|
516 |
515 |
$0.00 |
| 90681 |
|
109 |
109 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90710 |
|
56 |
55 |
$0.00 |
| 90672 |
|
58 |
58 |
$0.00 |
| 90707 |
|
51 |
51 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
27 |
27 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |