| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269,112 |
255,161 |
$12.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121,710 |
116,766 |
$4.71M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
66,855 |
26,115 |
$1.46M |
| 99233 |
Prolong inpt eval add15 m |
42,522 |
17,669 |
$1.33M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18,456 |
18,212 |
$1.07M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13,084 |
12,901 |
$958K |
| 99215 |
Prolong outpt/office vis |
15,938 |
14,375 |
$822K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
7,176 |
3,252 |
$521K |
| 99223 |
Prolong inpt eval add15 m |
8,260 |
8,043 |
$472K |
| 99205 |
Prolong outpt/office vis |
2,981 |
2,938 |
$315K |
| 90961 |
|
7,123 |
6,932 |
$303K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
11,338 |
11,090 |
$261K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
7,231 |
7,005 |
$236K |
| 59025 |
Fetal non-stress test |
8,516 |
7,238 |
$233K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
69,469 |
61,649 |
$219K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,260 |
3,245 |
$194K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,405 |
2,619 |
$192K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
3,026 |
2,911 |
$176K |
| 93970 |
|
5,108 |
5,031 |
$170K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,736 |
2,706 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,818 |
1,812 |
$106K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,564 |
1,484 |
$106K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
864 |
862 |
$88K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,708 |
3,171 |
$87K |
| 31231 |
|
925 |
914 |
$85K |
| 93978 |
|
2,810 |
2,747 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,939 |
1,889 |
$75K |
| 95886 |
|
1,968 |
1,926 |
$75K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
38 |
38 |
$69K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,464 |
1,443 |
$66K |
| 90962 |
|
1,971 |
1,905 |
$63K |
| 90686 |
|
4,134 |
4,093 |
$62K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,593 |
1,581 |
$61K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,641 |
1,575 |
$59K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,113 |
931 |
$58K |
| 31575 |
|
1,074 |
1,056 |
$58K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
897 |
881 |
$58K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,759 |
1,189 |
$55K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
675 |
658 |
$42K |
| 93886 |
|
723 |
609 |
$39K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
283 |
281 |
$35K |
| 93971 |
|
1,073 |
1,040 |
$31K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,486 |
700 |
$30K |
| 99222 |
Initial hospital care, per day, moderate complexity |
740 |
714 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,970 |
2,911 |
$29K |
| 96040 |
|
1,145 |
1,009 |
$28K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,081 |
1,029 |
$26K |
| 93990 |
|
1,152 |
1,082 |
$25K |
| 93880 |
|
595 |
579 |
$24K |
| 92557 |
|
1,402 |
1,382 |
$23K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
373 |
368 |
$22K |
| 20611 |
|
762 |
624 |
$20K |
| 90674 |
|
677 |
673 |
$19K |
| 99221 |
|
584 |
572 |
$18K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,056 |
661 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
251 |
250 |
$17K |
| 99255 |
|
142 |
138 |
$17K |
| 92567 |
|
2,487 |
2,443 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
808 |
755 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
133 |
131 |
$12K |
| 93922 |
|
869 |
830 |
$12K |
| 99243 |
|
174 |
174 |
$12K |
| 17110 |
|
198 |
192 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
145 |
141 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,600 |
2,367 |
$11K |
| 93016 |
|
1,058 |
1,036 |
$8K |
| 95117 |
|
1,283 |
572 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
116 |
$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) |
3,128 |
2,792 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
406 |
403 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
407 |
403 |
$7K |
| 76801 |
|
99 |
97 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
48 |
40 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
93 |
91 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
67 |
66 |
$6K |
| 95800 |
|
267 |
266 |
$6K |
| 93000 |
|
930 |
882 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
190 |
183 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
299 |
295 |
$4K |
| 64644 |
|
130 |
103 |
$4K |
| 95874 |
|
728 |
652 |
$4K |
| 81002 |
|
1,180 |
1,164 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
96 |
50 |
$4K |
| 11750 |
|
46 |
37 |
$4K |
| 93925 |
|
91 |
90 |
$4K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
288 |
192 |
$4K |
| 20553 |
|
127 |
109 |
$4K |
| 93018 |
|
676 |
660 |
$4K |
| 99418 |
Prolong nursin fac eval 15m |
93 |
85 |
$4K |
| 90656 |
|
247 |
244 |
$4K |
| 64615 |
|
70 |
69 |
$3K |
| 90715 |
|
107 |
104 |
$3K |
| 94060 |
|
573 |
564 |
$3K |
| 99254 |
|
29 |
29 |
$3K |
| 11302 |
|
38 |
38 |
$2K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
86 |
83 |
$2K |
| 94726 |
|
404 |
399 |
$2K |
| 81025 |
|
342 |
333 |
$2K |
| 99242 |
|
38 |
38 |
$2K |
| 64643 |
|
88 |
69 |
$2K |
| 82962 |
|
1,215 |
1,141 |
$2K |
| 99385 |
|
27 |
26 |
$2K |
| 73630 |
|
134 |
111 |
$2K |
| 69210 |
|
161 |
155 |
$2K |
| 95251 |
|
204 |
199 |
$2K |
| 64616 |
|
31 |
28 |
$2K |
| 64405 |
|
48 |
46 |
$2K |
| 94729 |
|
419 |
414 |
$2K |
| 46600 |
|
26 |
26 |
$1K |
| 92553 |
|
86 |
82 |
$1K |
| 95909 |
|
39 |
39 |
$1K |
| 95806 |
|
44 |
44 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$1K |
| 76937 |
|
520 |
432 |
$1K |
| 51701 |
|
70 |
67 |
$1K |
| 95816 |
|
62 |
62 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
12 |
$1K |
| 99152 |
|
472 |
437 |
$1K |
| 11900 |
|
53 |
52 |
$1K |
| 93975 |
|
14 |
13 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
107 |
$1K |
| 93356 |
|
682 |
662 |
$895.45 |
| 64450 |
|
64 |
62 |
$841.12 |
| 99451 |
|
45 |
45 |
$840.17 |
| 99220 |
|
12 |
12 |
$831.67 |
| 92133 |
|
111 |
110 |
$790.31 |
| 99497 |
|
157 |
133 |
$766.10 |
| 92588 |
|
47 |
46 |
$680.96 |
| 97161 |
|
15 |
13 |
$671.00 |
| 98926 |
|
39 |
38 |
$670.60 |
| 99397 |
|
79 |
78 |
$623.03 |
| 93296 |
|
111 |
108 |
$592.61 |
| 98927 |
|
26 |
24 |
$582.38 |
| 36902 |
|
26 |
25 |
$551.44 |
| 0124A |
|
15 |
15 |
$513.20 |
| 95812 |
|
13 |
13 |
$465.79 |
| 51705 |
|
28 |
26 |
$371.03 |
| 99358 |
Prolong nursin fac eval 15m |
24 |
24 |
$317.56 |
| 20552 |
|
27 |
25 |
$315.39 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
52 |
52 |
$278.05 |
| 99356 |
|
12 |
12 |
$277.36 |
| 11721 |
|
37 |
37 |
$271.02 |
| 90688 |
|
16 |
16 |
$265.92 |
| 0054A |
|
12 |
12 |
$252.40 |
| 92136 |
|
27 |
26 |
$185.36 |
| 51798 |
|
42 |
40 |
$183.95 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
624 |
580 |
$145.89 |
| G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
13 |
12 |
$107.89 |
| 92134 |
|
35 |
25 |
$92.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
52 |
$32.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$30.23 |
| 1158F |
|
868 |
723 |
$0.00 |
| 1124F |
|
45 |
43 |
$0.00 |
| 91312 |
|
15 |
15 |
$0.00 |
| 91300 |
|
37 |
37 |
$0.00 |
| 1157F |
|
637 |
529 |
$0.00 |
| 91305 |
|
39 |
38 |
$0.00 |
| 1123F |
|
1,302 |
1,065 |
$0.00 |
| 99406 |
|
82 |
81 |
$0.00 |