| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,550 |
86,958 |
$2.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,247 |
56,756 |
$2.25M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,909 |
6,481 |
$267K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,015 |
4,374 |
$210K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,919 |
1,809 |
$194K |
| 20610 |
|
10,295 |
7,692 |
$188K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,623 |
3,432 |
$177K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,074 |
6,259 |
$133K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
10,917 |
7,292 |
$126K |
| 99233 |
Prolong inpt eval add15 m |
3,385 |
1,032 |
$78K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,145 |
2,014 |
$63K |
| 00731 |
|
1,187 |
1,129 |
$56K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
435 |
376 |
$51K |
| 95911 |
|
847 |
816 |
$48K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,680 |
1,573 |
$47K |
| 95886 |
|
1,686 |
1,394 |
$38K |
| 64483 |
|
909 |
835 |
$35K |
| 99223 |
Prolong inpt eval add15 m |
808 |
735 |
$34K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
431 |
413 |
$26K |
| 99222 |
Initial hospital care, per day, moderate complexity |
636 |
579 |
$22K |
| 62323 |
|
405 |
378 |
$22K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,897 |
4,396 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
852 |
820 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
798 |
711 |
$16K |
| 95811 |
|
229 |
213 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,213 |
753 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
376 |
364 |
$13K |
| 81001 |
|
6,917 |
6,333 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
296 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
525 |
162 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,018 |
170 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
334 |
324 |
$11K |
| 93000 |
|
1,221 |
1,124 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
978 |
869 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
239 |
234 |
$8K |
| 99306 |
Prolong nursin fac eval 15m |
218 |
209 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
132 |
127 |
$7K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
44 |
41 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
466 |
440 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
599 |
433 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,063 |
2,825 |
$6K |
| 92557 |
|
244 |
231 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
591 |
554 |
$5K |
| 00840 |
|
56 |
54 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
225 |
199 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
110 |
99 |
$4K |
| 99305 |
|
218 |
177 |
$3K |
| 90688 |
|
223 |
216 |
$3K |
| 20553 |
|
189 |
169 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
735 |
682 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
312 |
215 |
$3K |
| 81003 |
|
1,683 |
1,603 |
$2K |
| 90686 |
|
162 |
157 |
$2K |
| 64484 |
|
85 |
76 |
$2K |
| 99245 |
|
27 |
27 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
192 |
178 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$2K |
| 99243 |
|
51 |
47 |
$2K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$2K |
| 82962 |
|
1,273 |
1,117 |
$2K |
| 43450 |
|
85 |
75 |
$2K |
| 92567 |
|
195 |
178 |
$1K |
| 99441 |
|
170 |
149 |
$1K |
| 99442 |
|
84 |
80 |
$1K |
| 62321 |
|
13 |
12 |
$1K |
| 64635 |
|
25 |
24 |
$1K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
30 |
14 |
$1K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
14 |
12 |
$1K |
| 90674 |
|
48 |
37 |
$1K |
| 82274 |
|
78 |
74 |
$890.64 |
| 99384 |
|
13 |
12 |
$884.16 |
| 51798 |
|
105 |
93 |
$826.76 |
| 90694 |
|
80 |
76 |
$815.59 |
| 73562 |
|
152 |
138 |
$801.74 |
| 99304 |
|
49 |
46 |
$783.06 |
| 99254 |
|
13 |
13 |
$777.01 |
| 73564 |
|
101 |
96 |
$735.25 |
| 64636 |
|
34 |
24 |
$547.65 |
| 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) |
1,194 |
1,110 |
$522.41 |
| 99219 |
|
19 |
14 |
$513.27 |
| 99307 |
|
69 |
67 |
$500.68 |
| 93293 |
|
30 |
26 |
$499.54 |
| 96415 |
|
14 |
12 |
$448.97 |
| 73565 |
|
106 |
96 |
$432.02 |
| 20526 |
|
15 |
15 |
$423.62 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
50 |
25 |
$385.43 |
| 31575 |
|
14 |
12 |
$365.06 |
| 97803 |
|
13 |
13 |
$353.32 |
| 99315 |
|
12 |
12 |
$330.96 |
| 20550 |
|
20 |
17 |
$284.51 |
| 90661 |
|
12 |
12 |
$212.02 |
| G0008 |
Administration of influenza virus vaccine |
77 |
71 |
$205.29 |
| 99318 |
|
12 |
12 |
$166.55 |
| 98926 |
|
14 |
12 |
$163.05 |
| 94010 |
|
27 |
26 |
$162.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
28 |
$103.90 |
| 73560 |
|
14 |
14 |
$82.54 |
| 72170 |
|
14 |
14 |
$72.31 |
| 82272 |
|
18 |
17 |
$51.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
27 |
$12.80 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,722 |
1,541 |
$0.00 |
| 1159F |
|
58,940 |
51,851 |
$0.00 |
| 1160F |
|
68,052 |
60,004 |
$0.00 |
| 3078F |
|
36,331 |
32,687 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
873 |
804 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,267 |
6,464 |
$0.00 |
| 3077F |
|
11,321 |
10,145 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,197 |
1,065 |
$0.00 |
| 90461 |
|
98 |
94 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
714 |
636 |
$0.00 |
| 4040F |
|
60 |
55 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
30 |
28 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
196 |
174 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 1124F |
|
26 |
24 |
$0.00 |
| 90734 |
|
65 |
64 |
$0.00 |
| 4004F |
|
27 |
25 |
$0.00 |
| 1158F |
|
14 |
13 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
24 |
21 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
15 |
13 |
$0.00 |
| 90670 |
|
16 |
16 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 3008F |
|
51,614 |
45,366 |
$0.00 |
| 1126F |
|
49,126 |
44,149 |
$0.00 |
| 3080F |
|
4,621 |
4,206 |
$0.00 |
| 3079F |
|
21,409 |
19,671 |
$0.00 |
| 3074F |
|
37,979 |
34,352 |
$0.00 |
| 1125F |
|
23,652 |
21,281 |
$0.00 |
| 3075F |
|
10,282 |
9,411 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
1,096 |
1,017 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
702 |
623 |
$0.00 |
| 1157F |
|
224 |
179 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
152 |
130 |
$0.00 |
| 1170F |
|
1,481 |
1,353 |
$0.00 |
| 1036F |
|
98 |
87 |
$0.00 |
| G8867 |
Pneumococcal vaccine not administered or previously received, reason not given |
910 |
806 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
862 |
763 |
$0.00 |
| 3044F |
|
267 |
245 |
$0.00 |
| 3017F |
|
39 |
37 |
$0.00 |
| 1111F |
|
419 |
381 |
$0.00 |
| 4010F |
|
13 |
13 |
$0.00 |
| 3066F |
|
28 |
28 |
$0.00 |
| 2023F |
|
33 |
26 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |