| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155,869 |
136,407 |
$9.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,827 |
64,895 |
$3.34M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
92,306 |
31,548 |
$2.26M |
| 99233 |
Prolong inpt eval add15 m |
57,376 |
22,118 |
$2.16M |
| 99223 |
Prolong inpt eval add15 m |
22,600 |
19,177 |
$1.61M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
17,780 |
7,339 |
$1.39M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
21,562 |
18,105 |
$867K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,987 |
3,706 |
$384K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,284 |
6,890 |
$378K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,345 |
5,064 |
$355K |
| 87428 |
|
8,402 |
7,835 |
$297K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
44,096 |
35,523 |
$185K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,043 |
1,906 |
$151K |
| 99215 |
Prolong outpt/office vis |
1,447 |
1,264 |
$117K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,335 |
7,881 |
$105K |
| 99220 |
|
1,596 |
1,288 |
$96K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,974 |
2,767 |
$62K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,382 |
1,220 |
$59K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,106 |
1,960 |
$57K |
| 99222 |
Initial hospital care, per day, moderate complexity |
869 |
794 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
572 |
553 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,150 |
2,836 |
$35K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,170 |
4,535 |
$32K |
| 93000 |
|
4,076 |
3,420 |
$31K |
| 99497 |
|
3,421 |
2,799 |
$30K |
| 92504 |
|
1,758 |
1,305 |
$24K |
| 99217 |
|
826 |
704 |
$23K |
| 76830 |
Ultrasound, transvaginal |
208 |
192 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
692 |
610 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
195 |
181 |
$14K |
| 99225 |
|
557 |
299 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
174 |
171 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
198 |
175 |
$13K |
| 82962 |
|
6,675 |
5,837 |
$12K |
| 81025 |
|
1,830 |
1,677 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
489 |
458 |
$11K |
| 92551 |
|
1,148 |
1,067 |
$10K |
| 99459 |
|
606 |
590 |
$10K |
| 11900 |
|
266 |
245 |
$10K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
109 |
97 |
$10K |
| 90688 |
|
779 |
739 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
122 |
101 |
$8K |
| 95251 |
|
406 |
363 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
277 |
$8K |
| 69210 |
|
387 |
288 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
86 |
$7K |
| 81003 |
|
3,851 |
3,514 |
$7K |
| 99406 |
|
1,466 |
1,268 |
$7K |
| 0002A |
|
208 |
205 |
$6K |
| 81002 |
|
2,271 |
1,933 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,013 |
922 |
$6K |
| 0001A |
|
219 |
209 |
$5K |
| 99072 |
|
4,915 |
4,474 |
$5K |
| 20610 |
|
212 |
132 |
$5K |
| 90756 |
|
245 |
225 |
$5K |
| 99205 |
Prolong outpt/office vis |
26 |
25 |
$4K |
| 73630 |
|
184 |
134 |
$4K |
| 0012A |
|
165 |
145 |
$4K |
| 92557 |
|
147 |
131 |
$3K |
| 99000 |
|
2,835 |
2,625 |
$3K |
| 94010 |
|
209 |
173 |
$3K |
| 0011A |
|
175 |
157 |
$3K |
| 99226 |
|
83 |
51 |
$3K |
| 31231 |
|
20 |
19 |
$3K |
| 36416 |
|
8,688 |
6,675 |
$3K |
| 99173 |
|
1,140 |
1,062 |
$2K |
| 99070 |
|
8,603 |
7,717 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$2K |
| 92567 |
|
207 |
185 |
$2K |
| 81000 |
|
653 |
479 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
192 |
180 |
$2K |
| 96127 |
|
319 |
282 |
$1K |
| 94729 |
|
96 |
85 |
$1K |
| 93018 |
|
169 |
147 |
$1K |
| 93296 |
|
178 |
134 |
$1K |
| 90686 |
|
130 |
117 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
14 |
$1K |
| 99441 |
|
61 |
59 |
$1K |
| 31575 |
|
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
507 |
429 |
$1K |
| 94726 |
|
50 |
47 |
$916.55 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
584 |
509 |
$906.77 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
118 |
107 |
$848.14 |
| 90670 |
|
38 |
36 |
$770.17 |
| 73610 |
|
28 |
25 |
$762.63 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
55 |
29 |
$636.03 |
| 99201 |
|
20 |
19 |
$607.80 |
| 94760 |
|
559 |
514 |
$518.96 |
| 82947 |
|
363 |
300 |
$449.00 |
| 95816 |
|
15 |
12 |
$446.35 |
| 93248 |
|
27 |
26 |
$438.84 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
69 |
39 |
$431.36 |
| 95117 |
|
73 |
25 |
$429.92 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
123 |
87 |
$415.65 |
| 99442 |
|
38 |
17 |
$347.40 |
| 99446 |
|
26 |
25 |
$316.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$303.40 |
| 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 |
36 |
36 |
$275.81 |
| 90661 |
|
20 |
20 |
$218.94 |
| 93295 |
|
14 |
13 |
$209.20 |
| G0008 |
Administration of influenza virus vaccine |
52 |
47 |
$177.50 |
| 90674 |
|
12 |
12 |
$176.99 |
| 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) |
122 |
112 |
$171.44 |
| 90698 |
|
13 |
13 |
$143.00 |
| 90647 |
|
12 |
12 |
$137.85 |
| 92587 |
|
14 |
12 |
$135.50 |
| 90651 |
|
12 |
12 |
$131.24 |
| 81001 |
|
30 |
29 |
$93.24 |
| 96160 |
|
40 |
38 |
$76.28 |
| 85027 |
|
12 |
12 |
$75.40 |
| 94200 |
|
12 |
12 |
$47.96 |
| 94762 |
|
15 |
13 |
$26.99 |
| 99001 |
|
14 |
12 |
$0.00 |