| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66,782 |
60,544 |
$4.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,244 |
61,034 |
$3.25M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32,586 |
10,433 |
$1.35M |
| 90837 |
Psychotherapy, 53 minutes with patient |
13,520 |
6,861 |
$1.04M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,288 |
9,176 |
$853K |
| 99215 |
Prolong outpt/office vis |
8,753 |
8,118 |
$782K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,849 |
11,726 |
$718K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,798 |
1,818 |
$710K |
| 99223 |
Prolong inpt eval add15 m |
5,968 |
5,509 |
$640K |
| 99233 |
Prolong inpt eval add15 m |
9,806 |
4,597 |
$574K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,957 |
6,366 |
$521K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
10,338 |
9,860 |
$439K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,698 |
5,492 |
$347K |
| 99205 |
Prolong outpt/office vis |
3,000 |
2,907 |
$333K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,573 |
10,558 |
$306K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,186 |
3,171 |
$297K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,706 |
2,697 |
$227K |
| 99220 |
|
1,975 |
1,912 |
$193K |
| 99219 |
|
2,351 |
2,296 |
$171K |
| 99460 |
|
3,118 |
3,098 |
$168K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,800 |
1,794 |
$166K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,862 |
3,850 |
$156K |
| 99254 |
|
1,659 |
1,503 |
$143K |
| 99217 |
|
3,705 |
3,563 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,707 |
1,705 |
$127K |
| 90791 |
Psychiatric diagnostic evaluation |
1,253 |
1,248 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,682 |
1,677 |
$124K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,083 |
2,631 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,706 |
1,603 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,371 |
1,368 |
$112K |
| 20610 |
|
2,716 |
2,529 |
$88K |
| 47562 |
|
242 |
232 |
$85K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,221 |
1,211 |
$83K |
| 99462 |
|
3,380 |
2,521 |
$80K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
633 |
627 |
$78K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,006 |
1,351 |
$70K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
97 |
95 |
$69K |
| 99243 |
|
998 |
984 |
$66K |
| 54150 |
|
1,049 |
1,042 |
$59K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
626 |
621 |
$58K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
934 |
900 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,485 |
5,445 |
$56K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
293 |
293 |
$49K |
| 31575 |
|
730 |
727 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,736 |
2,731 |
$46K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
880 |
741 |
$46K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,025 |
7,341 |
$42K |
| 17110 |
|
519 |
493 |
$32K |
| 92557 |
|
1,534 |
1,516 |
$32K |
| 95886 |
|
505 |
458 |
$32K |
| 99221 |
|
606 |
593 |
$31K |
| 97597 |
|
1,501 |
995 |
$31K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
459 |
452 |
$29K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,988 |
3,980 |
$27K |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
527 |
517 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,968 |
1,942 |
$25K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
158 |
158 |
$24K |
| 92567 |
|
2,782 |
2,737 |
$24K |
| 95251 |
|
1,151 |
1,146 |
$22K |
| 59430 |
|
95 |
94 |
$22K |
| 31231 |
|
190 |
189 |
$20K |
| 99310 |
Prolong nursin fac eval 15m |
277 |
262 |
$20K |
| G0008 |
Administration of influenza virus vaccine |
2,536 |
2,527 |
$19K |
| 90686 |
|
1,681 |
1,679 |
$19K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
669 |
664 |
$18K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,689 |
3,227 |
$18K |
| 99225 |
|
1,178 |
620 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
5,468 |
5,218 |
$17K |
| 15275 |
|
312 |
130 |
$17K |
| 77427 |
|
160 |
74 |
$17K |
| 81003 |
|
9,158 |
8,129 |
$15K |
| 69210 |
|
587 |
569 |
$15K |
| 90651 |
|
507 |
506 |
$14K |
| 90678 |
|
44 |
44 |
$14K |
| 51798 |
|
2,208 |
2,155 |
$14K |
| 90688 |
|
1,610 |
1,603 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
230 |
163 |
$13K |
| 52000 |
|
111 |
111 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
166 |
166 |
$12K |
| 88307 |
|
181 |
179 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,478 |
1,375 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
164 |
164 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
281 |
277 |
$11K |
| 99406 |
|
1,270 |
1,245 |
$10K |
| 90715 |
|
494 |
492 |
$9K |
| 59425 |
|
18 |
18 |
$9K |
| 99218 |
|
168 |
166 |
$9K |
| 90670 |
|
925 |
917 |
$9K |
| 90734 |
|
405 |
404 |
$8K |
| 95811 |
|
115 |
113 |
$8K |
| 94060 |
|
1,150 |
1,147 |
$8K |
| 81025 |
|
1,217 |
1,197 |
$8K |
| 99443 |
|
266 |
258 |
$7K |
| 94726 |
|
1,020 |
1,017 |
$7K |
| 93042 |
|
1,883 |
1,115 |
$7K |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
359 |
176 |
$7K |
| 92579 |
|
244 |
244 |
$6K |
| 11102 |
|
116 |
115 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
169 |
160 |
$6K |
| 99255 |
|
57 |
55 |
$6K |
| 94729 |
|
1,073 |
1,070 |
$6K |
| 82962 |
|
2,539 |
2,517 |
$6K |
| 80053 |
Comprehensive metabolic panel |
772 |
756 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
426 |
419 |
$6K |
| 73110 |
|
277 |
253 |
$6K |
| 99442 |
|
285 |
279 |
$5K |
| 30520 |
|
12 |
12 |
$5K |
| G0009 |
Administration of pneumococcal vaccine |
685 |
676 |
$5K |
| 99242 |
|
95 |
92 |
$4K |
| 59025 |
Fetal non-stress test |
172 |
104 |
$4K |
| 80061 |
Lipid panel |
489 |
487 |
$4K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
330 |
39 |
$4K |
| 80305 |
|
416 |
366 |
$4K |
| 90656 |
|
301 |
301 |
$4K |
| 99496 |
|
26 |
26 |
$4K |
| 30140 |
|
40 |
40 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
662 |
651 |
$4K |
| 95911 |
|
28 |
28 |
$4K |
| 90671 |
|
241 |
241 |
$3K |
| 99253 |
|
55 |
54 |
$3K |
| 77014 |
|
111 |
12 |
$3K |
| 88342 |
|
111 |
105 |
$3K |
| 92587 |
|
258 |
256 |
$3K |
| 99235 |
|
35 |
34 |
$3K |
| 88304 |
|
275 |
265 |
$3K |
| 95806 |
|
111 |
111 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
253 |
252 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
26 |
25 |
$3K |
| 11100 |
|
43 |
43 |
$2K |
| 73610 |
|
135 |
129 |
$2K |
| 81002 |
|
1,064 |
1,020 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
66 |
66 |
$2K |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
65 |
43 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
186 |
145 |
$2K |
| V5266 |
Battery for use in hearing device |
57 |
57 |
$2K |
| 52332 |
|
28 |
27 |
$2K |
| 43235 |
|
27 |
27 |
$2K |
| 99495 |
|
13 |
13 |
$2K |
| 99292 |
|
15 |
12 |
$1K |
| 99318 |
|
25 |
25 |
$1K |
| 95910 |
|
13 |
13 |
$1K |
| 88341 |
|
25 |
24 |
$1K |
| 90674 |
|
61 |
61 |
$1K |
| 29580 |
|
71 |
41 |
$1K |
| G0180 |
Physician or allowed practitioner 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 |
225 |
224 |
$1K |
| 77263 |
|
13 |
12 |
$1K |
| 88112 |
|
54 |
48 |
$1K |
| 96127 |
|
323 |
297 |
$1K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
14 |
14 |
$1K |
| V5264 |
Ear mold/insert, not disposable, any type |
17 |
14 |
$1K |
| 17000 |
|
29 |
27 |
$930.21 |
| 90474 |
|
206 |
203 |
$901.71 |
| 88141 |
|
47 |
47 |
$859.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
31 |
$817.16 |
| 73562 |
|
44 |
40 |
$813.01 |
| 90707 |
|
199 |
198 |
$759.93 |
| 81001 |
|
325 |
314 |
$747.53 |
| 42830 |
|
12 |
12 |
$728.53 |
| 92552 |
|
40 |
40 |
$714.15 |
| 99459 |
|
122 |
120 |
$696.50 |
| 99441 |
|
87 |
87 |
$680.59 |
| 73564 |
|
34 |
28 |
$665.75 |
| 74420 |
|
53 |
42 |
$570.70 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
42 |
42 |
$515.05 |
| 51701 |
|
19 |
15 |
$482.67 |
| 90480 |
|
17 |
17 |
$463.86 |
| 95819 |
|
12 |
12 |
$393.59 |
| 73630 |
|
24 |
24 |
$389.53 |
| 90694 |
|
53 |
53 |
$375.33 |
| 95885 |
|
13 |
12 |
$366.50 |
| 87210 |
|
87 |
86 |
$362.91 |
| 90620 |
|
41 |
40 |
$349.80 |
| 20605 |
|
13 |
12 |
$345.02 |
| 88300 |
|
68 |
66 |
$331.07 |
| 94010 |
|
26 |
26 |
$323.62 |
| 84481 |
|
25 |
25 |
$308.66 |
| 95816 |
|
13 |
13 |
$295.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
187 |
181 |
$294.14 |
| 76000 |
|
12 |
12 |
$293.92 |
| 73030 |
|
15 |
14 |
$251.79 |
| 84439 |
|
41 |
41 |
$216.63 |
| V5267 |
Hearing aid or assistive listening device/supplies/accessories, not otherwise specified |
12 |
12 |
$208.17 |
| 93000 |
|
26 |
26 |
$194.39 |
| G0317 |
Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) |
13 |
13 |
$176.65 |
| 95012 |
|
16 |
15 |
$170.70 |
| 11055 |
|
15 |
13 |
$159.02 |
| 90716 |
|
167 |
166 |
$115.82 |
| 99224 |
|
21 |
12 |
$113.88 |
| 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) |
303 |
279 |
$63.31 |
| 76937 |
|
13 |
12 |
$61.46 |
| 94664 |
|
28 |
28 |
$36.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$11.57 |
| 3051F |
|
140 |
140 |
$0.00 |
| 90633 |
|
269 |
268 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,691 |
1,670 |
$0.00 |
| 1124F |
|
1,498 |
1,346 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 90687 |
|
82 |
81 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 90647 |
|
385 |
384 |
$0.00 |
| 90723 |
|
478 |
475 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,729 |
2,706 |
$0.00 |
| 90680 |
|
337 |
333 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
69 |
69 |
$0.00 |
| 99024 |
|
1,210 |
869 |
$0.00 |
| 3044F |
|
568 |
566 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
110 |
110 |
$0.00 |
| 1123F |
|
55 |
48 |
$0.00 |
| 3048F |
|
14 |
14 |
$0.00 |
| 36416 |
|
270 |
260 |
$0.00 |
| 3052F |
|
12 |
12 |
$0.00 |