| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149,572 |
143,614 |
$5.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85,454 |
81,301 |
$2.66M |
| 99215 |
Prolong outpt/office vis |
13,899 |
13,058 |
$598K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,616 |
2,221 |
$360K |
| 98929 |
|
9,790 |
7,360 |
$326K |
| 64405 |
|
12,199 |
10,513 |
$317K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,337 |
3,221 |
$262K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,922 |
5,865 |
$258K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,541 |
9,509 |
$240K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
62,122 |
54,558 |
$234K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,514 |
2,488 |
$171K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,918 |
1,913 |
$142K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
8,272 |
6,188 |
$138K |
| 64450 |
|
6,341 |
5,319 |
$131K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,946 |
1,945 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,026 |
2,025 |
$121K |
| 20552 |
|
10,944 |
8,320 |
$113K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,214 |
2,210 |
$104K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,192 |
3,267 |
$85K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,778 |
5,790 |
$84K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,814 |
1,636 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,019 |
1,019 |
$68K |
| 99223 |
Prolong inpt eval add15 m |
834 |
824 |
$65K |
| 99408 |
|
3,122 |
2,287 |
$53K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,073 |
1,053 |
$52K |
| 62323 |
|
1,366 |
1,346 |
$52K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
916 |
911 |
$51K |
| 99233 |
Prolong inpt eval add15 m |
1,398 |
867 |
$51K |
| 20553 |
|
4,448 |
3,985 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,855 |
3,834 |
$47K |
| 98928 |
|
1,679 |
1,373 |
$43K |
| 95886 |
|
1,139 |
1,137 |
$41K |
| 64493 |
|
1,069 |
1,053 |
$40K |
| 92557 |
|
1,306 |
1,303 |
$39K |
| 64483 |
|
746 |
734 |
$35K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,827 |
3,817 |
$34K |
| 92567 |
|
2,341 |
2,329 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,626 |
1,596 |
$27K |
| 96127 |
|
3,044 |
2,875 |
$26K |
| 64494 |
|
1,070 |
1,035 |
$24K |
| 93298 |
|
2,737 |
2,729 |
$22K |
| 20610 |
|
1,361 |
1,251 |
$22K |
| 27096 |
|
552 |
543 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,938 |
1,930 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
228 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
270 |
270 |
$16K |
| 99406 |
|
3,031 |
2,968 |
$14K |
| 64615 |
|
254 |
254 |
$13K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
102 |
102 |
$12K |
| 64495 |
|
580 |
576 |
$12K |
| 59025 |
Fetal non-stress test |
402 |
320 |
$12K |
| 99205 |
Prolong outpt/office vis |
159 |
159 |
$12K |
| 99152 |
|
2,479 |
2,402 |
$10K |
| 93016 |
|
1,239 |
1,231 |
$10K |
| 95816 |
|
379 |
367 |
$10K |
| 98927 |
|
419 |
321 |
$9K |
| 99221 |
|
230 |
223 |
$9K |
| 99497 |
|
234 |
233 |
$8K |
| 95911 |
|
108 |
108 |
$8K |
| 99442 |
|
1,068 |
998 |
$8K |
| 93018 |
|
1,150 |
1,147 |
$7K |
| 90961 |
|
197 |
195 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
92 |
$6K |
| 95910 |
|
111 |
111 |
$6K |
| 69210 |
|
516 |
506 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
399 |
258 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
90 |
$6K |
| 94060 |
|
1,167 |
1,161 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
431 |
166 |
$6K |
| 64484 |
|
251 |
234 |
$6K |
| 99443 |
|
756 |
716 |
$6K |
| 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) |
1,948 |
1,897 |
$5K |
| 93295 |
|
356 |
356 |
$5K |
| 93294 |
|
863 |
863 |
$5K |
| 92551 |
|
527 |
523 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
148 |
140 |
$5K |
| 11721 |
|
649 |
648 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
392 |
390 |
$4K |
| 90461 |
|
559 |
310 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
395 |
391 |
$4K |
| 64635 |
|
37 |
37 |
$4K |
| 97597 |
|
357 |
215 |
$3K |
| 99441 |
|
607 |
577 |
$3K |
| 64490 |
|
49 |
48 |
$3K |
| 94729 |
|
888 |
880 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
332 |
308 |
$3K |
| 99173 |
|
123 |
123 |
$3K |
| 76801 |
|
70 |
67 |
$3K |
| 93880 |
|
204 |
204 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
92 |
92 |
$2K |
| 93272 |
|
142 |
142 |
$2K |
| 94726 |
|
533 |
525 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
60 |
59 |
$2K |
| 11720 |
|
464 |
464 |
$2K |
| 11056 |
|
237 |
237 |
$2K |
| 95908 |
|
57 |
57 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
38 |
38 |
$2K |
| 95885 |
|
187 |
186 |
$2K |
| 95806 |
|
39 |
39 |
$2K |
| 93923 |
|
245 |
244 |
$2K |
| 93793 |
|
1,193 |
479 |
$2K |
| 96160 |
|
1,515 |
1,510 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
46 |
$1K |
| 99407 |
|
66 |
64 |
$1K |
| 64491 |
|
37 |
36 |
$1K |
| 99188 |
|
43 |
43 |
$1K |
| 90674 |
|
128 |
128 |
$1K |
| 92555 |
|
94 |
94 |
$1K |
| 95251 |
|
103 |
101 |
$1K |
| 92552 |
|
69 |
69 |
$1K |
| 62321 |
|
25 |
25 |
$1K |
| 64492 |
|
25 |
24 |
$955.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
83 |
66 |
$916.48 |
| 76775 |
|
66 |
64 |
$833.15 |
| 99177 |
|
77 |
77 |
$733.68 |
| 17110 |
|
18 |
17 |
$727.84 |
| 93971 |
|
41 |
41 |
$722.47 |
| 93297 |
|
99 |
99 |
$690.24 |
| 11719 |
|
688 |
688 |
$625.88 |
| 43235 |
|
14 |
13 |
$613.39 |
| G0008 |
Administration of influenza virus vaccine |
239 |
239 |
$605.44 |
| 11102 |
|
28 |
28 |
$577.13 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
86 |
74 |
$573.78 |
| 11055 |
|
90 |
90 |
$532.34 |
| 85018 |
|
184 |
184 |
$403.03 |
| 64636 |
|
14 |
13 |
$344.23 |
| 99490 |
Ccm add 20min |
165 |
165 |
$315.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$291.78 |
| 81002 |
|
1,670 |
1,628 |
$266.59 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
24 |
12 |
$257.06 |
| 93280 |
|
41 |
41 |
$235.20 |
| 91200 |
|
12 |
12 |
$232.63 |
| 93000 |
|
14 |
14 |
$179.50 |
| 90756 |
|
16 |
16 |
$158.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$93.02 |
| 81025 |
|
12 |
12 |
$77.92 |
| 76857 |
|
12 |
12 |
$77.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
89 |
87 |
$56.86 |
| 99307 |
|
62 |
55 |
$29.48 |
| 96161 |
|
12 |
12 |
$24.15 |
| 81000 |
|
205 |
202 |
$9.81 |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
167 |
110 |
$0.02 |
| 95874 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90686 |
|
500 |
500 |
$0.00 |
| 95012 |
|
40 |
40 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 90688 |
|
57 |
57 |
$0.00 |
| 51798 |
|
106 |
105 |
$0.00 |