| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67,703 |
59,694 |
$4.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,964 |
32,500 |
$2.04M |
| 99233 |
Prolong inpt eval add15 m |
29,297 |
8,661 |
$871K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
7,830 |
2,313 |
$486K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,275 |
5,527 |
$386K |
| 99215 |
Prolong outpt/office vis |
7,672 |
7,077 |
$359K |
| 1123F |
|
19,693 |
8,071 |
$329K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,039 |
2,842 |
$324K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,913 |
2,745 |
$312K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
8,068 |
7,393 |
$270K |
| 99223 |
Prolong inpt eval add15 m |
6,231 |
5,332 |
$246K |
| 99220 |
|
3,075 |
2,893 |
$226K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,111 |
1,932 |
$206K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,689 |
1,536 |
$195K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,007 |
3,543 |
$181K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,733 |
2,498 |
$169K |
| 90686 |
|
6,977 |
6,113 |
$148K |
| 1124F |
|
6,030 |
3,396 |
$147K |
| 99292 |
|
2,404 |
936 |
$122K |
| 99496 |
|
1,423 |
1,348 |
$109K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,368 |
2,233 |
$95K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
21,771 |
16,063 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,607 |
1,550 |
$89K |
| 99495 |
|
726 |
708 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,433 |
1,348 |
$63K |
| 93000 |
|
5,950 |
5,649 |
$59K |
| 99219 |
|
707 |
681 |
$57K |
| 36415 |
Collection of venous blood by venipuncture |
3,739 |
3,636 |
$53K |
| 90670 |
|
1,682 |
1,609 |
$49K |
| 92551 |
|
4,408 |
4,090 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,056 |
920 |
$40K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,022 |
4,927 |
$37K |
| 99217 |
|
1,212 |
1,148 |
$36K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,603 |
1,488 |
$36K |
| 82962 |
|
3,882 |
3,348 |
$36K |
| G0008 |
Administration of influenza virus vaccine |
3,640 |
3,594 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
330 |
291 |
$34K |
| 90682 |
|
1,220 |
1,214 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,877 |
2,124 |
$25K |
| 90688 |
|
1,933 |
1,752 |
$23K |
| 96127 |
|
2,862 |
2,488 |
$20K |
| 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) |
834 |
786 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,172 |
1,025 |
$19K |
| 81003 |
|
3,468 |
2,937 |
$17K |
| 90732 |
|
269 |
261 |
$15K |
| 0002A |
|
434 |
420 |
$15K |
| 99226 |
|
480 |
353 |
$14K |
| 90680 |
|
648 |
593 |
$14K |
| 90723 |
|
612 |
592 |
$14K |
| 99442 |
|
578 |
558 |
$13K |
| 99443 |
|
433 |
413 |
$13K |
| 99497 |
|
734 |
620 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
719 |
591 |
$13K |
| 99205 |
Prolong outpt/office vis |
143 |
133 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,045 |
785 |
$12K |
| 90651 |
|
504 |
478 |
$12K |
| 90656 |
|
527 |
491 |
$11K |
| 0001A |
|
449 |
426 |
$11K |
| 90647 |
|
505 |
486 |
$11K |
| D1206 |
Topical application of fluoride varnish |
451 |
444 |
$11K |
| 99173 |
|
3,867 |
3,618 |
$10K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
25 |
25 |
$9K |
| 90633 |
|
375 |
358 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
152 |
136 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
162 |
155 |
$8K |
| 90480 |
|
549 |
505 |
$8K |
| 81025 |
|
1,172 |
984 |
$8K |
| G0009 |
Administration of pneumococcal vaccine |
970 |
953 |
$7K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
5,833 |
5,741 |
$7K |
| 93296 |
|
526 |
481 |
$6K |
| 3008F |
|
251 |
231 |
$6K |
| 90697 |
|
349 |
305 |
$6K |
| 0011A |
|
176 |
166 |
$6K |
| 0012A |
|
171 |
166 |
$6K |
| 0134A |
|
202 |
199 |
$4K |
| 93015 |
|
90 |
85 |
$4K |
| 99385 |
|
31 |
28 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
366 |
182 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
504 |
268 |
$4K |
| 90677 |
|
450 |
424 |
$3K |
| 99459 |
|
168 |
159 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
454 |
410 |
$3K |
| 90648 |
|
114 |
113 |
$3K |
| 99255 |
|
14 |
13 |
$3K |
| 87210 |
|
615 |
470 |
$2K |
| 90734 |
|
104 |
100 |
$2K |
| 90620 |
|
59 |
58 |
$2K |
| 99225 |
|
34 |
24 |
$2K |
| 1159F |
|
332 |
307 |
$2K |
| 90662 |
|
860 |
842 |
$2K |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
45 |
13 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
22,951 |
10,481 |
$1K |
| 0031A |
|
40 |
38 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
113 |
82 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
37 |
$1K |
| 90661 |
|
187 |
172 |
$841.68 |
| 99441 |
|
60 |
59 |
$797.87 |
| 98942 |
|
178 |
87 |
$780.23 |
| 91320 |
|
293 |
281 |
$731.99 |
| 90715 |
|
26 |
25 |
$673.44 |
| 93280 |
|
16 |
15 |
$662.81 |
| 20610 |
|
13 |
12 |
$662.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
66 |
$531.00 |
| H1000 |
Prenatal care, at-risk assessment |
13 |
13 |
$520.00 |
| 59025 |
Fetal non-stress test |
16 |
15 |
$487.24 |
| 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 |
66 |
66 |
$408.05 |
| 99350 |
Prolong home eval add 15m |
29 |
26 |
$396.79 |
| 11721 |
|
690 |
654 |
$395.76 |
| 85610 |
|
489 |
329 |
$362.87 |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
24 |
$355.89 |
| 90710 |
|
24 |
14 |
$349.20 |
| 0503F |
|
14 |
14 |
$325.00 |
| 90619 |
|
13 |
13 |
$302.64 |
| 90696 |
|
21 |
12 |
$302.64 |
| 90716 |
|
13 |
13 |
$302.64 |
| 90707 |
|
13 |
13 |
$302.64 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
2,634 |
1,400 |
$302.12 |
| 95819 |
|
16 |
12 |
$300.21 |
| 90700 |
|
12 |
12 |
$279.36 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
45 |
40 |
$264.41 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
736 |
721 |
$174.10 |
| 92558 |
|
830 |
796 |
$136.34 |
| 99221 |
|
12 |
12 |
$121.38 |
| 93297 |
|
56 |
54 |
$85.50 |
| 0072A |
|
64 |
62 |
$80.00 |
| 0071A |
|
73 |
72 |
$80.00 |
| 96161 |
|
13 |
13 |
$36.01 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
38 |
36 |
$20.40 |
| 3044F |
|
292 |
292 |
$14.94 |
| 3074F |
|
5,003 |
4,192 |
$0.00 |
| 3079F |
|
793 |
712 |
$0.00 |
| 93294 |
|
255 |
241 |
$0.00 |
| 11730 |
|
13 |
13 |
$0.00 |
| 3078F |
|
2,701 |
2,252 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
24 |
24 |
$0.00 |
| 11057 |
|
525 |
489 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |