| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
265,020 |
224,863 |
$10.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196,315 |
172,616 |
$10.80M |
| 99199 |
Unlisted special service, procedure or report |
1,512,906 |
1,101,155 |
$7.33M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42,633 |
36,794 |
$1.81M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19,273 |
16,858 |
$1.14M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
9,490 |
8,689 |
$1.12M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32,889 |
11,198 |
$1.12M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,886 |
10,584 |
$1.11M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,547 |
10,281 |
$1.08M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,332 |
9,015 |
$941K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,026 |
5,359 |
$545K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
6,318 |
4,706 |
$516K |
| 87428 |
|
8,045 |
7,326 |
$427K |
| 99243 |
|
5,022 |
4,220 |
$421K |
| 99233 |
Prolong inpt eval add15 m |
7,573 |
2,776 |
$366K |
| 99215 |
Prolong outpt/office vis |
5,007 |
4,470 |
$333K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26,349 |
22,836 |
$315K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,578 |
2,131 |
$299K |
| 20610 |
|
14,264 |
11,099 |
$294K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19,646 |
9,934 |
$285K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20,894 |
17,951 |
$270K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
188 |
164 |
$270K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,617 |
2,289 |
$253K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,954 |
3,564 |
$253K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,007 |
6,252 |
$248K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26,169 |
22,642 |
$224K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,701 |
1,938 |
$167K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
673 |
612 |
$155K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,344 |
9,611 |
$147K |
| 76830 |
Ultrasound, transvaginal |
1,846 |
1,587 |
$144K |
| 92567 |
|
12,275 |
10,780 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,202 |
5,447 |
$135K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,508 |
2,175 |
$131K |
| 81025 |
|
20,300 |
15,855 |
$122K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,735 |
2,416 |
$122K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,878 |
3,288 |
$118K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,292 |
206 |
$113K |
| 99223 |
Prolong inpt eval add15 m |
1,111 |
943 |
$104K |
| 76801 |
|
1,447 |
971 |
$90K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,333 |
3,106 |
$87K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,342 |
1,128 |
$82K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
753 |
262 |
$81K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,036 |
850 |
$80K |
| 96127 |
|
17,469 |
15,655 |
$68K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
753 |
617 |
$68K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,263 |
1,150 |
$62K |
| 93000 |
|
8,075 |
7,374 |
$61K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
974 |
576 |
$58K |
| 99460 |
|
919 |
909 |
$56K |
| 90686 |
|
20,498 |
17,902 |
$51K |
| 92587 |
|
2,104 |
1,868 |
$50K |
| 95250 |
|
1,030 |
937 |
$48K |
| 93926 |
|
969 |
757 |
$47K |
| 90837 |
Psychotherapy, 53 minutes with patient |
736 |
462 |
$44K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14,135 |
11,375 |
$43K |
| 81003 |
|
19,891 |
15,253 |
$42K |
| 90791 |
Psychiatric diagnostic evaluation |
432 |
368 |
$41K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
338 |
235 |
$41K |
| 92557 |
|
1,899 |
1,715 |
$40K |
| 76770 |
|
1,200 |
1,088 |
$39K |
| 99205 |
Prolong outpt/office vis |
288 |
269 |
$38K |
| 90674 |
|
6,131 |
5,239 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,388 |
6,697 |
$36K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,063 |
910 |
$33K |
| 97597 |
|
3,086 |
1,928 |
$33K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
234 |
196 |
$31K |
| 59025 |
Fetal non-stress test |
1,399 |
1,023 |
$31K |
| 99383 |
|
263 |
221 |
$30K |
| 95115 |
|
5,272 |
1,761 |
$27K |
| 99493 |
|
207 |
191 |
$26K |
| 73560 |
|
2,718 |
2,332 |
$26K |
| 81002 |
|
16,453 |
13,167 |
$25K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,042 |
755 |
$25K |
| 99292 |
|
190 |
86 |
$23K |
| 90651 |
|
942 |
785 |
$22K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
107 |
99 |
$20K |
| 90656 |
|
3,894 |
3,757 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
605 |
455 |
$19K |
| 51798 |
|
3,173 |
2,691 |
$19K |
| 92552 |
|
2,410 |
2,117 |
$18K |
| 90715 |
|
572 |
495 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
9,683 |
8,730 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
645 |
620 |
$16K |
| 99051 |
|
1,580 |
1,504 |
$15K |
| D1206 |
Topical application of fluoride varnish |
1,085 |
924 |
$15K |
| 69210 |
|
713 |
594 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
225 |
171 |
$14K |
| 99242 |
|
224 |
222 |
$13K |
| 95811 |
|
172 |
165 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
280 |
275 |
$12K |
| 99441 |
|
497 |
444 |
$12K |
| 90480 |
|
309 |
288 |
$12K |
| 99307 |
|
776 |
720 |
$12K |
| 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) |
5,337 |
4,850 |
$11K |
| 99406 |
|
2,202 |
1,844 |
$11K |
| 95251 |
|
916 |
889 |
$11K |
| 99442 |
|
283 |
265 |
$11K |
| 92551 |
|
4,867 |
4,238 |
$11K |
| 96161 |
|
3,252 |
2,601 |
$11K |
| 81015 |
|
7,771 |
6,548 |
$10K |
| 99173 |
|
11,559 |
9,955 |
$10K |
| 81001 |
|
7,141 |
6,056 |
$10K |
| 99384 |
|
88 |
65 |
$10K |
| 92553 |
|
727 |
633 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$10K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
106 |
77 |
$10K |
| 54150 |
|
52 |
52 |
$10K |
| 93922 |
|
281 |
237 |
$9K |
| 72100 |
|
550 |
488 |
$9K |
| 73562 |
|
597 |
512 |
$9K |
| 99245 |
|
75 |
68 |
$9K |
| 95117 |
|
1,224 |
483 |
$9K |
| 85018 |
|
4,445 |
3,524 |
$9K |
| 99443 |
|
259 |
222 |
$9K |
| 92582 |
|
407 |
339 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
774 |
691 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
692 |
613 |
$8K |
| 82962 |
|
6,032 |
5,455 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
201 |
78 |
$8K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
96 |
88 |
$7K |
| 90677 |
|
889 |
886 |
$7K |
| 0001A |
|
141 |
134 |
$7K |
| 52000 |
|
92 |
88 |
$7K |
| 0012A |
|
118 |
114 |
$6K |
| 93880 |
|
91 |
81 |
$6K |
| 0002A |
|
122 |
109 |
$6K |
| 73564 |
|
278 |
258 |
$6K |
| 0011A |
|
150 |
139 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
64 |
51 |
$6K |
| 99221 |
|
126 |
119 |
$6K |
| 95806 |
|
117 |
105 |
$6K |
| 73030 |
|
445 |
379 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
205 |
78 |
$5K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
136 |
113 |
$5K |
| 99421 |
|
204 |
183 |
$5K |
| 90734 |
|
356 |
295 |
$5K |
| 99381 |
|
53 |
42 |
$5K |
| 92579 |
|
223 |
172 |
$5K |
| 99497 |
|
711 |
651 |
$5K |
| 99459 |
|
443 |
417 |
$5K |
| 31575 |
|
146 |
125 |
$5K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
53 |
12 |
$5K |
| 99254 |
|
55 |
52 |
$5K |
| 94060 |
|
550 |
504 |
$4K |
| 73630 |
|
312 |
268 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
45 |
$4K |
| 99464 |
|
68 |
67 |
$4K |
| 99382 |
|
34 |
24 |
$4K |
| 76813 |
|
107 |
43 |
$4K |
| 99462 |
|
118 |
108 |
$3K |
| 72110 |
|
150 |
115 |
$3K |
| 73610 |
|
230 |
177 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
880 |
645 |
$3K |
| 99334 |
|
146 |
140 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
701 |
603 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
36 |
27 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
39 |
29 |
$3K |
| 90670 |
|
7,656 |
6,392 |
$3K |
| 92555 |
|
221 |
206 |
$3K |
| 90474 |
|
117 |
115 |
$2K |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
108 |
85 |
$2K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
28 |
24 |
$2K |
| 73100 |
|
140 |
87 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,797 |
1,564 |
$2K |
| 0072A |
|
41 |
30 |
$2K |
| 91321 |
|
85 |
80 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
739 |
626 |
$2K |
| 91320 |
|
65 |
58 |
$2K |
| 0071A |
|
54 |
31 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
148 |
97 |
$2K |
| 76376 |
|
118 |
93 |
$2K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
541 |
495 |
$2K |
| 73130 |
|
106 |
77 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
44 |
39 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
182 |
155 |
$1K |
| 94729 |
|
425 |
405 |
$1K |
| 99407 |
|
187 |
170 |
$1K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,504 |
2,172 |
$1K |
| 99385 |
|
17 |
16 |
$1K |
| 94727 |
|
344 |
333 |
$1K |
| 43235 |
|
16 |
15 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
152 |
141 |
$1K |
| 76820 |
|
44 |
12 |
$1K |
| 90633 |
|
2,545 |
2,248 |
$1K |
| 87807 |
|
77 |
75 |
$1K |
| 17250 |
|
73 |
50 |
$939.64 |
| 87210 |
|
285 |
227 |
$939.51 |
| 93015 |
|
33 |
25 |
$920.49 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
400 |
344 |
$911.37 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
53 |
$835.84 |
| 99306 |
Prolong nursin fac eval 15m |
18 |
17 |
$807.47 |
| 99220 |
|
13 |
13 |
$712.61 |
| 93248 |
|
57 |
51 |
$691.27 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$667.03 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
24 |
$581.77 |
| 73110 |
|
31 |
12 |
$568.92 |
| J2785 |
Injection, regadenoson, 0.1 mg |
14 |
12 |
$523.97 |
| 92250 |
|
72 |
65 |
$498.10 |
| 95816 |
|
13 |
12 |
$464.54 |
| 93356 |
|
171 |
143 |
$414.81 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$381.61 |
| 90723 |
|
4,159 |
3,454 |
$355.31 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
25 |
20 |
$353.82 |
| 94618 |
|
33 |
33 |
$339.99 |
| 20611 |
|
15 |
13 |
$328.82 |
| 81007 |
|
371 |
332 |
$326.51 |
| A4580 |
Cast supplies (e.g., plaster) |
91 |
67 |
$293.70 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
153 |
134 |
$258.38 |
| 95819 |
|
12 |
12 |
$212.00 |
| 74018 |
|
18 |
12 |
$204.96 |
| 51702 |
|
12 |
12 |
$195.31 |
| 90680 |
|
3,578 |
2,970 |
$193.19 |
| 87081 |
|
27 |
27 |
$191.97 |
| 93246 |
|
27 |
25 |
$182.90 |
| 82570 |
|
42 |
36 |
$170.62 |
| 72170 |
|
13 |
12 |
$160.24 |
| 94010 |
|
48 |
41 |
$144.03 |
| 94375 |
|
14 |
12 |
$142.40 |
| 90647 |
|
4,172 |
3,543 |
$142.00 |
| 91322 |
|
20 |
15 |
$133.39 |
| 3077F |
|
873 |
818 |
$128.86 |
| 94726 |
|
15 |
12 |
$126.02 |
| 92550 |
|
16 |
13 |
$103.64 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
33 |
33 |
$102.57 |
| 82044 |
|
41 |
36 |
$93.64 |
| 90662 |
|
180 |
176 |
$74.79 |
| 99152 |
|
16 |
14 |
$70.67 |
| 0124A |
|
16 |
14 |
$65.00 |
| 99177 |
|
174 |
135 |
$60.86 |
| 93018 |
|
13 |
12 |
$31.64 |
| 0298T |
|
12 |
12 |
$30.05 |
| 81000 |
|
18 |
17 |
$27.37 |
| 90672 |
|
15 |
15 |
$23.64 |
| 94760 |
|
409 |
386 |
$16.68 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
177 |
161 |
$14.50 |
| 0296T |
|
14 |
14 |
$14.28 |
| 82948 |
|
33 |
32 |
$3.91 |
| 36416 |
|
204 |
191 |
$2.49 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
13 |
$1.44 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
15 |
14 |
$0.04 |
| 3075F |
|
371 |
357 |
$0.00 |
| 3074F |
|
3,480 |
3,322 |
$0.00 |
| 3044F |
|
472 |
409 |
$0.00 |
| 90694 |
|
242 |
215 |
$0.00 |
| 3079F |
|
922 |
886 |
$0.00 |
| 0500F |
|
33 |
32 |
$0.00 |
| 90698 |
|
789 |
663 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
303 |
299 |
$0.00 |
| 92558 |
|
418 |
369 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
40 |
36 |
$0.00 |
| 91301 |
|
303 |
272 |
$0.00 |
| 0503F |
|
206 |
174 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
495 |
458 |
$0.00 |
| 3080F |
|
42 |
38 |
$0.00 |
| 90716 |
|
107 |
92 |
$0.00 |
| 90744 |
|
83 |
65 |
$0.00 |
| 3052F |
|
14 |
13 |
$0.00 |
| 90688 |
|
22 |
16 |
$0.00 |
| 3078F |
|
4,587 |
4,374 |
$0.00 |
| 90685 |
|
365 |
322 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 91300 |
|
419 |
377 |
$0.00 |
| 90710 |
|
63 |
52 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 90707 |
|
110 |
94 |
$0.00 |
| 3051F |
|
14 |
13 |
$0.00 |
| 3046F |
|
42 |
39 |
$0.00 |
| 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 |
17 |
17 |
$0.00 |