| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71,556 |
66,205 |
$4.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,790 |
45,489 |
$2.54M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,683 |
7,961 |
$796K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,220 |
5,889 |
$270K |
| 99233 |
Prolong inpt eval add15 m |
7,514 |
3,796 |
$215K |
| 99215 |
Prolong outpt/office vis |
2,686 |
2,505 |
$207K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,734 |
1,671 |
$193K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,857 |
1,807 |
$166K |
| 76830 |
Ultrasound, transvaginal |
2,833 |
2,601 |
$156K |
| 96127 |
|
7,276 |
6,860 |
$134K |
| 99223 |
Prolong inpt eval add15 m |
1,904 |
1,742 |
$111K |
| 99490 |
Ccm add 20min |
7,271 |
7,089 |
$107K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
776 |
736 |
$92K |
| 99205 |
Prolong outpt/office vis |
691 |
592 |
$83K |
| 93000 |
|
8,444 |
7,790 |
$81K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,960 |
1,171 |
$78K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,327 |
1,284 |
$74K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,354 |
2,199 |
$73K |
| 36415 |
Collection of venous blood by venipuncture |
24,321 |
21,167 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
904 |
831 |
$57K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
593 |
574 |
$54K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
619 |
494 |
$46K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,121 |
1,059 |
$45K |
| 99442 |
|
1,272 |
1,125 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,118 |
1,050 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
740 |
639 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,422 |
1,335 |
$34K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
569 |
439 |
$30K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
371 |
351 |
$27K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,600 |
5,277 |
$27K |
| 99460 |
|
561 |
519 |
$22K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,254 |
1,217 |
$22K |
| 92650 |
|
460 |
436 |
$20K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
299 |
114 |
$20K |
| 92586 |
|
525 |
466 |
$18K |
| 51798 |
|
3,193 |
2,935 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
833 |
733 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
225 |
136 |
$17K |
| 90756 |
|
845 |
793 |
$16K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
133 |
128 |
$14K |
| 93298 |
|
621 |
604 |
$14K |
| 82962 |
|
10,518 |
9,508 |
$12K |
| 59025 |
Fetal non-stress test |
249 |
132 |
$12K |
| 99443 |
|
217 |
185 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
100 |
91 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
122 |
92 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
143 |
103 |
$8K |
| 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) |
2,366 |
2,170 |
$7K |
| 43775 |
|
12 |
12 |
$7K |
| 94010 |
|
814 |
753 |
$7K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
360 |
352 |
$6K |
| 80305 |
|
856 |
775 |
$6K |
| 94726 |
|
942 |
912 |
$5K |
| 99385 |
|
51 |
41 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
730 |
527 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,313 |
1,177 |
$5K |
| 52000 |
|
75 |
67 |
$5K |
| 90688 |
|
342 |
337 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
70 |
55 |
$5K |
| 93296 |
|
489 |
466 |
$5K |
| 99464 |
|
76 |
69 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
126 |
125 |
$4K |
| 76818 |
|
47 |
26 |
$4K |
| 90715 |
|
132 |
120 |
$4K |
| 94729 |
|
956 |
926 |
$4K |
| 94618 |
|
339 |
328 |
$4K |
| 93295 |
|
169 |
162 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
25 |
25 |
$3K |
| 51701 |
|
135 |
118 |
$3K |
| 99406 |
|
360 |
335 |
$3K |
| 99243 |
|
26 |
26 |
$2K |
| 81025 |
|
465 |
435 |
$2K |
| 99219 |
|
65 |
63 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
53 |
45 |
$2K |
| 95251 |
|
213 |
176 |
$2K |
| 90686 |
|
129 |
123 |
$2K |
| 99383 |
|
18 |
17 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$2K |
| 81002 |
|
8,532 |
7,810 |
$2K |
| 94060 |
|
277 |
268 |
$2K |
| 51736 |
|
138 |
128 |
$2K |
| 99462 |
|
82 |
52 |
$2K |
| 96160 |
|
78 |
67 |
$1K |
| 99384 |
|
13 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
71 |
41 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
47 |
25 |
$1K |
| 99386 |
|
14 |
14 |
$1K |
| 76801 |
|
14 |
14 |
$1K |
| 99242 |
|
18 |
18 |
$1K |
| 99292 |
|
27 |
24 |
$1K |
| 82947 |
|
511 |
452 |
$959.57 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
162 |
154 |
$906.90 |
| 99397 |
|
50 |
46 |
$851.29 |
| 99221 |
|
33 |
18 |
$673.68 |
| 99252 |
|
14 |
14 |
$645.33 |
| 99318 |
|
12 |
12 |
$518.66 |
| 90674 |
|
21 |
19 |
$478.21 |
| 99220 |
|
14 |
13 |
$444.85 |
| 90656 |
|
24 |
24 |
$402.30 |
| 93242 |
|
85 |
63 |
$396.51 |
| 93244 |
|
45 |
44 |
$385.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
24 |
$347.19 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
60 |
56 |
$318.03 |
| 93294 |
|
39 |
38 |
$273.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$268.06 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
25 |
12 |
$181.16 |
| 99173 |
|
29 |
27 |
$174.80 |
| 93248 |
|
14 |
13 |
$165.10 |
| 92551 |
|
30 |
28 |
$155.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
15 |
$140.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,194 |
2,023 |
$93.32 |
| 93246 |
|
13 |
12 |
$88.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$82.48 |
| 36416 |
|
49 |
46 |
$81.47 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
27 |
$33.73 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
96 |
89 |
$22.27 |
| 94761 |
|
12 |
12 |
$17.28 |
| 3079F |
|
25,126 |
23,913 |
$0.00 |
| 3008F |
|
79,099 |
74,104 |
$0.00 |
| 1034F |
|
6,121 |
5,636 |
$0.00 |
| 1126F |
|
38,931 |
36,817 |
$0.00 |
| 1036F |
|
72,430 |
65,936 |
$0.00 |
| 3074F |
|
51,458 |
48,460 |
$0.00 |
| 3075F |
|
7,650 |
7,342 |
$0.00 |
| 3080F |
|
1,935 |
1,822 |
$0.00 |
| 1125F |
|
8,673 |
8,186 |
$0.00 |
| 99000 |
|
768 |
724 |
$0.00 |
| 1123F |
|
858 |
816 |
$0.00 |
| 3044F |
|
623 |
593 |
$0.00 |
| 1035F |
|
44 |
39 |
$0.00 |
| 85018 |
|
35 |
32 |
$0.00 |
| 1160F |
|
68,091 |
62,947 |
$0.00 |
| 1159F |
|
68,130 |
62,982 |
$0.00 |
| 3078F |
|
39,494 |
37,308 |
$0.00 |
| 3725F |
|
7,153 |
6,916 |
$0.00 |
| 3077F |
|
4,718 |
4,487 |
$0.00 |
| 3051F |
|
70 |
67 |
$0.00 |
| 3288F |
|
72 |
69 |
$0.00 |
| 3046F |
|
16 |
14 |
$0.00 |