| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65,370 |
57,652 |
$2.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,945 |
39,148 |
$2.00M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37,864 |
15,317 |
$823K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,264 |
8,748 |
$593K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
74,846 |
64,101 |
$463K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,270 |
8,669 |
$404K |
| 99233 |
Prolong inpt eval add15 m |
12,951 |
6,035 |
$348K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,120 |
1,823 |
$290K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,298 |
5,800 |
$276K |
| 76818 |
|
8,442 |
3,805 |
$249K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
7,293 |
6,636 |
$236K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,431 |
6,116 |
$233K |
| H1000 |
Prenatal care, at-risk assessment |
2,533 |
2,274 |
$213K |
| 76820 |
|
10,872 |
4,969 |
$211K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,093 |
4,785 |
$197K |
| 99223 |
Prolong inpt eval add15 m |
3,284 |
3,045 |
$194K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,394 |
2,984 |
$194K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,787 |
2,638 |
$174K |
| 76821 |
|
6,492 |
3,011 |
$162K |
| 20610 |
|
4,231 |
3,149 |
$158K |
| 99215 |
Prolong outpt/office vis |
2,544 |
2,276 |
$148K |
| 93000 |
|
13,705 |
12,775 |
$134K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,729 |
3,111 |
$128K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,401 |
3,354 |
$123K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,541 |
3,217 |
$115K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,420 |
2,280 |
$88K |
| 99205 |
Prolong outpt/office vis |
1,244 |
1,192 |
$84K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,741 |
2,104 |
$70K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,271 |
1,998 |
$65K |
| 99221 |
|
1,912 |
1,725 |
$63K |
| 95886 |
|
1,621 |
1,528 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,808 |
5,148 |
$60K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
501 |
476 |
$57K |
| J3304 |
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg |
159 |
135 |
$47K |
| 95251 |
|
2,207 |
1,967 |
$43K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,461 |
1,321 |
$42K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,120 |
1,056 |
$41K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
222 |
212 |
$34K |
| 11721 |
|
2,432 |
2,304 |
$34K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,836 |
1,233 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,108 |
1,292 |
$31K |
| 77427 |
|
346 |
171 |
$31K |
| 90791 |
Psychiatric diagnostic evaluation |
464 |
443 |
$30K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,599 |
592 |
$29K |
| 93295 |
|
1,103 |
1,061 |
$28K |
| 77014 |
|
945 |
139 |
$24K |
| 87428 |
|
811 |
713 |
$23K |
| 99243 |
|
449 |
415 |
$22K |
| 95811 |
|
324 |
316 |
$21K |
| 93296 |
|
2,314 |
2,214 |
$21K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,143 |
682 |
$20K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,120 |
507 |
$20K |
| 20611 |
|
372 |
332 |
$19K |
| 11056 |
|
866 |
804 |
$19K |
| 64483 |
|
403 |
380 |
$18K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
285 |
277 |
$17K |
| 99219 |
|
357 |
336 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,292 |
3,004 |
$16K |
| 93016 |
|
1,094 |
1,025 |
$15K |
| 59514 |
|
65 |
47 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
597 |
529 |
$14K |
| 93298 |
|
1,030 |
1,001 |
$14K |
| 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 |
1,227 |
1,188 |
$14K |
| 95913 |
|
70 |
66 |
$13K |
| 99254 |
|
178 |
169 |
$12K |
| 93971 |
|
930 |
881 |
$12K |
| 98940 |
|
922 |
578 |
$12K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,591 |
2,229 |
$11K |
| 99078 |
|
339 |
247 |
$10K |
| 93294 |
|
738 |
703 |
$8K |
| 93018 |
|
1,071 |
1,006 |
$8K |
| 95909 |
|
121 |
111 |
$8K |
| 31575 |
|
136 |
123 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
82 |
72 |
$7K |
| 69210 |
|
368 |
336 |
$7K |
| 99460 |
|
106 |
98 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
87 |
80 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
788 |
709 |
$6K |
| 49905 |
|
19 |
13 |
$5K |
| 99255 |
|
59 |
55 |
$5K |
| 73110 |
|
339 |
254 |
$5K |
| 73130 |
|
341 |
277 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
26 |
26 |
$5K |
| 95816 |
|
197 |
184 |
$5K |
| 95910 |
|
53 |
53 |
$5K |
| 99245 |
|
51 |
45 |
$4K |
| 93922 |
|
479 |
427 |
$4K |
| 81002 |
|
2,676 |
1,576 |
$4K |
| 59025 |
Fetal non-stress test |
173 |
92 |
$4K |
| 76801 |
|
132 |
118 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
80 |
60 |
$3K |
| 93248 |
|
215 |
197 |
$3K |
| 93297 |
|
349 |
326 |
$3K |
| 70496 |
|
85 |
82 |
$3K |
| 77301 |
|
15 |
15 |
$3K |
| 70498 |
|
85 |
82 |
$3K |
| 20550 |
|
126 |
99 |
$3K |
| 93880 |
|
174 |
170 |
$3K |
| 93970 |
|
113 |
110 |
$2K |
| 81025 |
|
392 |
341 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
187 |
159 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
319 |
272 |
$2K |
| 94060 |
|
223 |
208 |
$2K |
| 95819 |
|
31 |
31 |
$2K |
| 64484 |
|
46 |
45 |
$2K |
| 76813 |
|
44 |
41 |
$2K |
| 99218 |
|
58 |
56 |
$2K |
| 97161 |
|
34 |
34 |
$2K |
| 41115 |
|
14 |
13 |
$2K |
| 93227 |
|
59 |
59 |
$1K |
| 99253 |
|
30 |
25 |
$1K |
| 29580 |
|
42 |
39 |
$1K |
| 20526 |
|
41 |
40 |
$1K |
| 49329 |
|
16 |
12 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
24 |
24 |
$1K |
| 93458 |
|
14 |
14 |
$1K |
| 87634 |
|
30 |
25 |
$1K |
| 99252 |
|
26 |
26 |
$968.40 |
| 77338 |
|
15 |
15 |
$947.16 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
85 |
52 |
$939.98 |
| 0004A |
|
14 |
14 |
$937.98 |
| 94729 |
|
208 |
199 |
$848.47 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
16 |
12 |
$843.88 |
| 0042T |
|
64 |
64 |
$764.96 |
| 73030 |
|
63 |
49 |
$751.15 |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
13 |
$739.12 |
| 64493 |
|
14 |
12 |
$716.87 |
| 95800 |
|
15 |
12 |
$697.04 |
| 77012 |
|
25 |
24 |
$695.70 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$680.60 |
| 99220 |
|
13 |
12 |
$644.39 |
| 94726 |
|
158 |
152 |
$607.97 |
| 99459 |
|
47 |
46 |
$596.40 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
24 |
12 |
$574.91 |
| 64494 |
|
24 |
12 |
$545.20 |
| 93923 |
|
49 |
44 |
$523.14 |
| 86756 |
|
93 |
75 |
$517.05 |
| 99242 |
|
13 |
13 |
$483.60 |
| 77300 |
|
20 |
20 |
$475.42 |
| 99423 |
|
16 |
16 |
$470.14 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
71 |
37 |
$461.00 |
| 83037 |
|
98 |
85 |
$460.64 |
| 93246 |
|
50 |
49 |
$347.04 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
37 |
30 |
$316.91 |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
15 |
$296.44 |
| 99441 |
|
13 |
13 |
$283.36 |
| 93280 |
|
19 |
13 |
$268.17 |
| 93308 |
|
29 |
27 |
$251.61 |
| 95806 |
|
28 |
28 |
$249.48 |
| 93325 |
|
114 |
106 |
$220.52 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
51 |
48 |
$182.43 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$151.97 |
| 95874 |
|
14 |
12 |
$144.65 |
| 94010 |
|
42 |
39 |
$137.61 |
| 99442 |
|
14 |
13 |
$94.14 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$77.66 |
| 99421 |
|
12 |
12 |
$61.75 |
| 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) |
464 |
435 |
$26.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$6.34 |
| 91300 |
|
56 |
56 |
$0.51 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
124,266 |
109,301 |
$0.10 |
| 1123F |
|
3,704 |
3,182 |
$0.03 |
| 1036F |
|
86,370 |
75,296 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,735 |
5,767 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
10,005 |
7,379 |
$0.00 |
| 3079F |
|
994 |
900 |
$0.00 |
| 3017F |
|
40,951 |
36,575 |
$0.00 |
| 3074F |
|
7,177 |
6,567 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
6,425 |
5,923 |
$0.00 |
| 99024 |
|
1,873 |
1,560 |
$0.00 |
| 3044F |
|
698 |
648 |
$0.00 |
| 3052F |
|
213 |
191 |
$0.00 |
| 3075F |
|
268 |
250 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
77,745 |
69,417 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
70,050 |
60,386 |
$0.00 |
| 4004F |
|
22,047 |
19,517 |
$0.00 |
| 3078F |
|
8,352 |
7,566 |
$0.00 |
| 3046F |
|
1,946 |
1,739 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,216 |
1,008 |
$0.00 |
| 3023F |
|
531 |
504 |
$0.00 |
| 1090F |
|
1,280 |
1,030 |
$0.00 |
| 3077F |
|
1,233 |
1,062 |
$0.00 |
| 2022F |
|
5,916 |
5,306 |
$0.00 |
| 3051F |
|
429 |
390 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
71 |
48 |
$0.00 |
| 4040F |
|
289 |
245 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
126 |
107 |
$0.00 |