| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237,370 |
223,837 |
$13.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219,228 |
205,154 |
$12.34M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
190,967 |
90,040 |
$4.19M |
| 99233 |
Prolong inpt eval add15 m |
48,865 |
23,542 |
$1.78M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16,848 |
16,352 |
$1.77M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17,071 |
16,640 |
$1.37M |
| S9083 |
Global fee urgent care centers |
10,429 |
9,851 |
$1.08M |
| 99223 |
Prolong inpt eval add15 m |
19,772 |
18,646 |
$1.01M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
167,744 |
147,417 |
$874K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
23,091 |
22,604 |
$871K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
21,274 |
19,577 |
$809K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,832 |
16,668 |
$789K |
| 99222 |
Initial hospital care, per day, moderate complexity |
11,832 |
11,390 |
$499K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,928 |
2,099 |
$487K |
| 93000 |
|
31,480 |
30,195 |
$449K |
| 59025 |
Fetal non-stress test |
16,914 |
13,609 |
$408K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
19,717 |
18,319 |
$403K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
5,304 |
5,173 |
$369K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,005 |
5,818 |
$289K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,719 |
2,662 |
$262K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12,110 |
9,416 |
$243K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,904 |
7,127 |
$242K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,593 |
17,225 |
$229K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,074 |
2,049 |
$189K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,786 |
4,678 |
$174K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
857 |
676 |
$171K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,136 |
1,107 |
$167K |
| 97803 |
|
3,545 |
3,394 |
$155K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
6,225 |
3,729 |
$134K |
| 99215 |
Prolong outpt/office vis |
2,442 |
2,207 |
$128K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
2,657 |
2,551 |
$114K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
364 |
248 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,046 |
2,034 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,913 |
1,872 |
$87K |
| 20611 |
|
1,294 |
953 |
$83K |
| 20610 |
|
3,255 |
2,236 |
$77K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,128 |
2,863 |
$72K |
| 95806 |
|
756 |
747 |
$62K |
| 90686 |
|
7,586 |
7,363 |
$59K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
323 |
298 |
$57K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,455 |
3,406 |
$55K |
| 97802 |
|
778 |
749 |
$53K |
| 76813 |
|
1,230 |
1,207 |
$52K |
| 99254 |
|
683 |
546 |
$48K |
| 76818 |
|
1,594 |
1,108 |
$48K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
343 |
169 |
$47K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,410 |
1,147 |
$46K |
| 59426 |
|
980 |
875 |
$41K |
| 94729 |
|
1,587 |
1,538 |
$37K |
| 37607 |
|
137 |
117 |
$36K |
| 90961 |
|
397 |
380 |
$35K |
| 95816 |
|
1,702 |
1,643 |
$34K |
| 93296 |
|
4,308 |
4,085 |
$34K |
| 99310 |
Prolong nursin fac eval 15m |
763 |
560 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,041 |
1,016 |
$33K |
| 99152 |
|
922 |
882 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
978 |
867 |
$30K |
| 99460 |
|
320 |
302 |
$29K |
| 93295 |
|
1,715 |
1,628 |
$27K |
| 95886 |
|
385 |
313 |
$26K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
53 |
52 |
$26K |
| 90682 |
|
742 |
735 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,731 |
1,542 |
$22K |
| 95811 |
|
154 |
147 |
$22K |
| 43775 |
|
80 |
76 |
$21K |
| 36907 |
|
175 |
163 |
$21K |
| 93297 |
|
3,346 |
3,148 |
$20K |
| 76801 |
|
426 |
406 |
$19K |
| 11721 |
|
1,758 |
1,715 |
$19K |
| 99221 |
|
481 |
452 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,503 |
4,677 |
$19K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,080 |
364 |
$19K |
| 99205 |
Prolong outpt/office vis |
306 |
290 |
$19K |
| 73630 |
|
535 |
444 |
$19K |
| 36830 |
|
82 |
76 |
$19K |
| 80305 |
|
1,669 |
1,218 |
$18K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
222 |
217 |
$17K |
| 00920 |
|
148 |
141 |
$16K |
| 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 |
2,465 |
2,329 |
$16K |
| 93018 |
|
586 |
569 |
$15K |
| 36902 |
|
79 |
77 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
344 |
342 |
$15K |
| 94727 |
|
1,027 |
995 |
$14K |
| 92558 |
|
1,833 |
1,811 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
658 |
658 |
$14K |
| 73564 |
|
303 |
264 |
$13K |
| 72110 |
|
216 |
201 |
$13K |
| 73610 |
|
346 |
297 |
$12K |
| 73130 |
|
431 |
351 |
$12K |
| 99219 |
|
380 |
370 |
$11K |
| 73110 |
|
310 |
259 |
$11K |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
239 |
185 |
$11K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
535 |
472 |
$11K |
| 72114 |
|
182 |
178 |
$11K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
555 |
408 |
$10K |
| 99459 |
|
1,097 |
1,011 |
$10K |
| 94010 |
|
610 |
591 |
$10K |
| 00811 |
|
347 |
335 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,162 |
877 |
$9K |
| H0006 |
Alcohol and/or drug services; case management |
120 |
105 |
$8K |
| 93294 |
|
934 |
888 |
$7K |
| 90670 |
|
823 |
814 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,628 |
1,576 |
$7K |
| 94060 |
|
240 |
233 |
$7K |
| 97804 |
|
454 |
451 |
$7K |
| 99306 |
Prolong nursin fac eval 15m |
266 |
239 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
173 |
169 |
$7K |
| 99442 |
|
895 |
859 |
$7K |
| 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) |
1,834 |
1,721 |
$6K |
| 97813 |
|
232 |
191 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,951 |
1,617 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
47 |
46 |
$6K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
64 |
38 |
$6K |
| 99255 |
|
113 |
102 |
$6K |
| 00731 |
|
228 |
173 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
224 |
209 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,541 |
2,507 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
643 |
571 |
$5K |
| 81025 |
|
3,342 |
3,173 |
$5K |
| 95251 |
|
228 |
221 |
$5K |
| 99350 |
Prolong home eval add 15m |
93 |
69 |
$4K |
| 73562 |
|
281 |
221 |
$4K |
| 64615 |
|
40 |
37 |
$4K |
| 91200 |
|
595 |
578 |
$4K |
| 95910 |
|
39 |
39 |
$4K |
| 93356 |
|
144 |
134 |
$4K |
| 93016 |
|
320 |
311 |
$3K |
| 99220 |
|
91 |
89 |
$3K |
| 95800 |
|
39 |
39 |
$3K |
| 00813 |
|
84 |
84 |
$3K |
| 90656 |
|
142 |
139 |
$3K |
| 62323 |
|
39 |
39 |
$3K |
| 81002 |
|
6,750 |
6,332 |
$3K |
| 98927 |
|
121 |
116 |
$3K |
| 93458 |
|
25 |
25 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
264 |
191 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
189 |
152 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
98 |
90 |
$3K |
| 90673 |
|
88 |
87 |
$3K |
| 95909 |
|
12 |
12 |
$3K |
| 99349 |
|
157 |
143 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
27 |
27 |
$2K |
| 76820 |
|
110 |
78 |
$2K |
| 73502 |
|
54 |
52 |
$2K |
| 93298 |
|
284 |
271 |
$2K |
| 99307 |
|
157 |
132 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
300 |
232 |
$2K |
| 72052 |
|
28 |
26 |
$2K |
| 20550 |
|
71 |
68 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
119 |
$2K |
| 98929 |
|
49 |
35 |
$2K |
| 0124A |
|
77 |
75 |
$2K |
| 87430 |
|
2,252 |
2,142 |
$2K |
| 94726 |
|
28 |
27 |
$2K |
| 90715 |
|
220 |
212 |
$2K |
| 92586 |
|
35 |
35 |
$2K |
| 20553 |
|
45 |
44 |
$2K |
| 97161 |
|
13 |
13 |
$2K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
319 |
264 |
$2K |
| 73030 |
|
81 |
65 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
48 |
47 |
$1K |
| 99386 |
|
65 |
61 |
$1K |
| 99201 |
|
12 |
12 |
$1K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
14 |
12 |
$1K |
| 59425 |
|
80 |
79 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
15 |
15 |
$1K |
| 90698 |
|
432 |
431 |
$1K |
| 93248 |
|
85 |
71 |
$1K |
| 95720 |
|
17 |
13 |
$1K |
| 00812 |
|
16 |
15 |
$1K |
| 94618 |
|
102 |
100 |
$998.88 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
92 |
40 |
$989.83 |
| 99385 |
|
121 |
114 |
$951.90 |
| 99217 |
|
49 |
49 |
$860.89 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
112 |
98 |
$782.18 |
| 46600 |
|
31 |
28 |
$778.96 |
| 99497 |
|
30 |
27 |
$670.37 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
25 |
$670.06 |
| 54150 |
|
34 |
32 |
$666.88 |
| 93246 |
|
95 |
80 |
$627.35 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
441 |
397 |
$604.77 |
| 99441 |
|
122 |
120 |
$586.46 |
| 96130 |
|
148 |
134 |
$570.76 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
123 |
43 |
$559.31 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
58 |
50 |
$548.32 |
| 99406 |
|
124 |
122 |
$534.54 |
| 90474 |
|
63 |
63 |
$474.45 |
| 99304 |
|
26 |
26 |
$395.09 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
44 |
41 |
$385.11 |
| 93244 |
|
33 |
28 |
$342.69 |
| 90662 |
|
58 |
55 |
$331.79 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
13 |
12 |
$324.01 |
| 0003A |
|
12 |
12 |
$280.00 |
| 73140 |
|
19 |
17 |
$276.80 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
31 |
29 |
$252.00 |
| 36415 |
Collection of venous blood by venipuncture |
149 |
145 |
$242.14 |
| 99443 |
|
28 |
28 |
$240.80 |
| 92551 |
|
48 |
48 |
$227.02 |
| 96127 |
|
33 |
27 |
$216.48 |
| 93242 |
|
33 |
28 |
$212.15 |
| 93280 |
|
40 |
38 |
$206.48 |
| 90633 |
|
85 |
84 |
$179.68 |
| 00840 |
|
24 |
13 |
$172.05 |
| 90688 |
|
17 |
17 |
$166.78 |
| 93225 |
|
15 |
14 |
$158.40 |
| 11719 |
|
58 |
57 |
$133.84 |
| 99173 |
|
80 |
69 |
$124.92 |
| 90785 |
|
229 |
157 |
$102.49 |
| 82962 |
|
355 |
308 |
$101.09 |
| 87210 |
|
12 |
12 |
$95.53 |
| G0008 |
Administration of influenza virus vaccine |
409 |
392 |
$80.50 |
| 76937 |
|
14 |
13 |
$67.21 |
| 11056 |
|
12 |
12 |
$19.80 |
| 91300 |
|
30 |
27 |
$1.00 |
| 3044F |
|
4,281 |
3,997 |
$0.00 |
| 3074F |
|
12,711 |
12,092 |
$0.00 |
| 3079F |
|
1,967 |
1,924 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
21 |
16 |
$0.00 |
| 0503F |
|
129 |
121 |
$0.00 |
| 86580 |
|
37 |
31 |
$0.00 |
| 3075F |
|
649 |
639 |
$0.00 |
| 90677 |
|
38 |
36 |
$0.00 |
| 59430 |
|
69 |
67 |
$0.00 |
| 0500F |
|
260 |
255 |
$0.00 |
| 90651 |
|
50 |
50 |
$0.00 |
| 99253 |
|
32 |
30 |
$0.00 |
| 58300 |
|
13 |
13 |
$0.00 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
15 |
13 |
$0.00 |
| 90680 |
|
78 |
78 |
$0.00 |
| 90744 |
|
39 |
39 |
$0.00 |
| 59514 |
|
19 |
17 |
$0.00 |
| 90619 |
|
18 |
16 |
$0.00 |
| 0502F |
|
9,126 |
7,981 |
$0.00 |
| 3078F |
|
11,037 |
10,506 |
$0.00 |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
122 |
68 |
$0.00 |
| G9643 |
Elective surgery |
184 |
184 |
$0.00 |
| G9644 |
Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure |
174 |
174 |
$0.00 |
| G9497 |
Received instruction from the anesthesiologist or proxy prior to the day of surgery to abstain from smoking on the day of surgery |
182 |
182 |
$0.00 |
| 91312 |
|
65 |
62 |
$0.00 |
| G9655 |
A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used |
190 |
189 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
135 |
75 |
$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 |
14 |
14 |
$0.00 |
| 83037 |
|
13 |
13 |
$0.00 |
| 96160 |
|
14 |
14 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
50 |
49 |
$0.00 |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
17 |
15 |
$0.00 |