| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
292,807 |
275,121 |
$13.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150,295 |
139,491 |
$9.45M |
| 99233 |
Prolong inpt eval add15 m |
55,899 |
20,934 |
$2.61M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,096 |
16,870 |
$1.47M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
21,717 |
20,702 |
$1.41M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34,145 |
13,770 |
$988K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
67,203 |
56,828 |
$892K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,937 |
9,029 |
$847K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
17,493 |
16,660 |
$816K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,241 |
8,602 |
$780K |
| 99223 |
Prolong inpt eval add15 m |
7,011 |
6,505 |
$560K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,726 |
5,656 |
$531K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,660 |
8,363 |
$509K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,364 |
7,165 |
$503K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
1,117 |
578 |
$428K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,256 |
3,245 |
$420K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,324 |
2,233 |
$389K |
| 90686 |
|
26,820 |
26,320 |
$388K |
| 36415 |
Collection of venous blood by venipuncture |
106,524 |
99,122 |
$379K |
| 99215 |
Prolong outpt/office vis |
4,493 |
4,033 |
$346K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,307 |
3,195 |
$345K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,443 |
3,393 |
$321K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,937 |
3,746 |
$311K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,980 |
2,932 |
$295K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,387 |
1,272 |
$275K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,343 |
14,804 |
$225K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,548 |
5,978 |
$217K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,786 |
2,652 |
$215K |
| 76820 |
|
2,694 |
1,365 |
$178K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,469 |
1,395 |
$174K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,411 |
5,487 |
$166K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,505 |
9,126 |
$128K |
| 20553 |
|
2,985 |
2,640 |
$125K |
| 88307 |
|
1,350 |
1,303 |
$104K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,428 |
1,060 |
$101K |
| 90961 |
|
2,640 |
2,530 |
$99K |
| 99460 |
|
976 |
944 |
$96K |
| 90670 |
|
4,955 |
4,896 |
$90K |
| 76801 |
|
840 |
778 |
$87K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,015 |
1,943 |
$84K |
| 20610 |
|
2,673 |
2,449 |
$81K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,087 |
1,053 |
$72K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,106 |
1,049 |
$69K |
| 90648 |
|
4,166 |
4,115 |
$69K |
| 97802 |
|
1,037 |
1,015 |
$67K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,707 |
1,634 |
$67K |
| 76830 |
Ultrasound, transvaginal |
901 |
851 |
$63K |
| 95811 |
|
446 |
435 |
$61K |
| 64615 |
|
833 |
575 |
$61K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
875 |
488 |
$61K |
| 90723 |
|
3,038 |
2,995 |
$52K |
| 90680 |
|
2,707 |
2,672 |
$47K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,986 |
1,053 |
$46K |
| 73630 |
|
1,879 |
1,474 |
$42K |
| 95806 |
|
446 |
432 |
$40K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
272 |
270 |
$40K |
| 88342 |
|
1,064 |
966 |
$40K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
174 |
171 |
$36K |
| 90677 |
|
729 |
718 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,157 |
4,931 |
$33K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
670 |
662 |
$31K |
| 90633 |
|
1,796 |
1,770 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
300 |
290 |
$29K |
| 93970 |
|
914 |
813 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
877 |
817 |
$28K |
| 93296 |
|
1,904 |
1,791 |
$25K |
| 99205 |
Prolong outpt/office vis |
242 |
230 |
$25K |
| 90651 |
|
1,254 |
1,233 |
$24K |
| 20552 |
|
1,498 |
1,440 |
$24K |
| 94060 |
|
855 |
827 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
297 |
243 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
184 |
178 |
$20K |
| 97803 |
|
464 |
450 |
$20K |
| 90715 |
|
780 |
770 |
$20K |
| 90656 |
|
1,383 |
1,361 |
$18K |
| 31231 |
|
325 |
315 |
$17K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,425 |
1,277 |
$17K |
| 54150 |
|
287 |
279 |
$17K |
| 73610 |
|
658 |
590 |
$15K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,786 |
2,631 |
$15K |
| 59025 |
Fetal non-stress test |
227 |
145 |
$14K |
| 93000 |
|
583 |
547 |
$13K |
| 90716 |
|
533 |
530 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,122 |
1,034 |
$13K |
| 93971 |
|
770 |
712 |
$12K |
| 73564 |
|
491 |
333 |
$12K |
| 76825 |
|
81 |
78 |
$12K |
| 95819 |
|
652 |
628 |
$11K |
| 92557 |
|
318 |
302 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
459 |
433 |
$11K |
| 84165 |
|
1,520 |
1,479 |
$11K |
| 81025 |
|
1,584 |
1,389 |
$11K |
| 93925 |
|
410 |
385 |
$11K |
| 99221 |
|
243 |
228 |
$11K |
| 99226 |
|
299 |
164 |
$11K |
| 91320 |
|
156 |
147 |
$10K |
| 81003 |
|
5,527 |
5,201 |
$10K |
| 85060 |
|
650 |
595 |
$9K |
| 88341 |
|
204 |
186 |
$9K |
| 90734 |
|
490 |
484 |
$9K |
| 0001A |
|
253 |
249 |
$8K |
| 88304 |
|
806 |
783 |
$8K |
| 0004A |
|
270 |
266 |
$8K |
| 88112 |
|
194 |
182 |
$8K |
| 0071A |
|
221 |
219 |
$8K |
| 0054A |
|
254 |
253 |
$8K |
| 94726 |
|
657 |
633 |
$8K |
| 94729 |
|
565 |
548 |
$7K |
| 0072A |
|
183 |
182 |
$7K |
| 99443 |
|
309 |
242 |
$6K |
| 73502 |
|
209 |
189 |
$6K |
| 0124A |
|
197 |
193 |
$6K |
| 92567 |
|
642 |
622 |
$6K |
| 93295 |
|
253 |
199 |
$6K |
| 0002A |
|
175 |
172 |
$6K |
| J3490 |
Unclassified drugs |
82 |
77 |
$6K |
| 85018 |
|
2,508 |
2,456 |
$6K |
| 80305 |
|
688 |
621 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
190 |
183 |
$6K |
| 96127 |
|
237 |
230 |
$5K |
| 99220 |
|
76 |
74 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
80 |
78 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
268 |
244 |
$5K |
| 87807 |
|
403 |
391 |
$5K |
| 90707 |
|
243 |
242 |
$5K |
| 95816 |
|
284 |
271 |
$5K |
| 87428 |
|
101 |
99 |
$5K |
| 76818 |
|
53 |
46 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
12 |
$4K |
| 90620 |
|
177 |
172 |
$4K |
| 86334 |
|
248 |
241 |
$4K |
| 90662 |
|
93 |
92 |
$4K |
| 90700 |
|
172 |
172 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$3K |
| 73030 |
|
147 |
117 |
$3K |
| 99462 |
|
63 |
58 |
$3K |
| 17110 |
|
82 |
79 |
$3K |
| 73130 |
|
115 |
100 |
$3K |
| 90710 |
|
155 |
151 |
$3K |
| 90480 |
|
104 |
96 |
$2K |
| 0052A |
|
68 |
68 |
$2K |
| 95886 |
|
85 |
80 |
$2K |
| 99384 |
|
17 |
17 |
$2K |
| 90713 |
|
110 |
109 |
$2K |
| 99442 |
|
121 |
112 |
$2K |
| 0081A |
|
56 |
56 |
$2K |
| 90685 |
|
213 |
210 |
$2K |
| 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) |
520 |
487 |
$2K |
| 46600 |
|
51 |
49 |
$2K |
| 90744 |
|
97 |
95 |
$2K |
| 00104 |
|
50 |
42 |
$2K |
| 90714 |
|
80 |
77 |
$2K |
| 90696 |
|
110 |
106 |
$2K |
| 99383 |
|
15 |
15 |
$2K |
| 93325 |
|
27 |
25 |
$2K |
| 99217 |
|
65 |
64 |
$2K |
| 93294 |
|
144 |
139 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
68 |
66 |
$2K |
| 88173 |
|
12 |
12 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
131 |
122 |
$2K |
| 0051A |
|
42 |
42 |
$2K |
| 99307 |
|
66 |
63 |
$1K |
| 90746 |
|
25 |
22 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
120 |
119 |
$1K |
| 99235 |
|
12 |
12 |
$1K |
| 76882 |
|
57 |
56 |
$1K |
| 95717 |
|
16 |
14 |
$1K |
| 0012A |
|
46 |
45 |
$1K |
| 91318 |
|
62 |
62 |
$1K |
| 76827 |
|
14 |
13 |
$1K |
| 90698 |
|
95 |
94 |
$1K |
| 90962 |
|
15 |
14 |
$955.82 |
| 73110 |
|
42 |
40 |
$954.54 |
| 0011A |
|
32 |
30 |
$942.24 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
46 |
35 |
$922.60 |
| 95251 |
|
39 |
38 |
$889.21 |
| 86335 |
|
32 |
32 |
$657.48 |
| 0082A |
|
17 |
17 |
$619.94 |
| 87210 |
|
123 |
114 |
$606.03 |
| 51798 |
|
86 |
82 |
$583.63 |
| 74018 |
|
27 |
25 |
$556.20 |
| 0074A |
|
13 |
13 |
$463.57 |
| 86803 |
|
34 |
30 |
$397.52 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
29 |
26 |
$366.26 |
| 93922 |
|
29 |
26 |
$365.45 |
| 99441 |
|
39 |
35 |
$357.44 |
| 84166 |
|
28 |
26 |
$346.95 |
| 73562 |
|
15 |
12 |
$346.02 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
57 |
57 |
$292.90 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
28 |
25 |
$280.69 |
| 94618 |
|
13 |
13 |
$209.08 |
| 95885 |
|
13 |
13 |
$157.03 |
| 93793 |
|
77 |
76 |
$156.15 |
| 90381 |
|
12 |
12 |
$131.04 |
| 51705 |
|
25 |
24 |
$93.68 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
12 |
$74.78 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
15 |
13 |
$64.56 |
| 82044 |
|
12 |
12 |
$61.64 |
| 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 |
12 |
12 |
$60.35 |
| 82570 |
|
12 |
12 |
$58.82 |
| 99152 |
|
12 |
12 |
$57.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
40 |
29 |
$46.07 |
| 81002 |
|
12 |
12 |
$39.82 |
| 85610 |
|
13 |
12 |
$38.65 |
| 91307 |
|
442 |
411 |
$0.24 |
| 91301 |
|
126 |
118 |
$0.00 |
| 91305 |
|
405 |
393 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
122 |
116 |
$0.00 |
| 99000 |
|
19 |
18 |
$0.00 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
14 |
12 |
$0.00 |
| 91300 |
|
1,114 |
1,048 |
$0.00 |