| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89,104 |
82,000 |
$7.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,369 |
40,310 |
$4.59M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17,155 |
16,471 |
$2.05M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,209 |
9,078 |
$1.98M |
| 99441 |
|
28,372 |
24,448 |
$1.83M |
| 99442 |
|
12,364 |
11,318 |
$1.45M |
| 96156 |
|
7,369 |
7,308 |
$1.41M |
| 99233 |
Prolong inpt eval add15 m |
10,021 |
3,023 |
$996K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,587 |
15,769 |
$990K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,954 |
4,912 |
$954K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
12,643 |
7,089 |
$924K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,298 |
889 |
$722K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,652 |
3,611 |
$670K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,725 |
10,558 |
$551K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,005 |
5,937 |
$539K |
| 99215 |
Prolong outpt/office vis |
2,438 |
2,392 |
$478K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
5,545 |
5,444 |
$476K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,512 |
2,500 |
$430K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
898 |
603 |
$426K |
| 99000 |
|
15,433 |
14,717 |
$391K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
20,289 |
15,046 |
$374K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,129 |
2,122 |
$349K |
| 99223 |
Prolong inpt eval add15 m |
1,614 |
1,549 |
$324K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,121 |
1,112 |
$320K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
500 |
404 |
$310K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,891 |
1,886 |
$299K |
| 90670 |
|
1,501 |
1,496 |
$294K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,470 |
2,552 |
$289K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,309 |
3,206 |
$280K |
| 97162 |
|
1,645 |
1,633 |
$254K |
| 90651 |
|
1,267 |
1,264 |
$239K |
| 17110 |
|
1,357 |
1,308 |
$235K |
| 99385 |
|
973 |
971 |
$201K |
| 90461 |
|
2,876 |
2,804 |
$197K |
| 36415 |
Collection of venous blood by venipuncture |
29,546 |
28,091 |
$182K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,152 |
1,143 |
$180K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,005 |
1,718 |
$178K |
| 99386 |
|
741 |
737 |
$176K |
| 99443 |
|
1,046 |
1,015 |
$176K |
| 99205 |
Prolong outpt/office vis |
552 |
548 |
$175K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,234 |
5,213 |
$157K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
220 |
148 |
$146K |
| 90756 |
|
5,551 |
5,530 |
$135K |
| 99495 |
|
491 |
483 |
$129K |
| 11721 |
|
1,906 |
1,897 |
$122K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,619 |
3,245 |
$115K |
| 99173 |
|
5,172 |
5,163 |
$114K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,225 |
1,204 |
$108K |
| 90734 |
|
994 |
992 |
$96K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
232 |
160 |
$95K |
| 31575 |
|
410 |
406 |
$90K |
| 93000 |
|
3,063 |
3,038 |
$88K |
| 71046 |
Radiologic examination, chest; 2 views |
1,895 |
1,858 |
$88K |
| 90715 |
|
1,682 |
1,674 |
$83K |
| 11102 |
|
548 |
535 |
$82K |
| 77080 |
|
660 |
651 |
$82K |
| 92551 |
|
4,055 |
4,045 |
$82K |
| 11720 |
|
1,236 |
1,215 |
$78K |
| 90680 |
|
645 |
643 |
$75K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
278 |
254 |
$75K |
| 51798 |
|
1,868 |
1,845 |
$65K |
| 90620 |
|
531 |
529 |
$58K |
| 20553 |
|
453 |
441 |
$57K |
| 90746 |
|
439 |
438 |
$54K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
593 |
573 |
$52K |
| 90674 |
|
2,014 |
2,006 |
$51K |
| 11750 |
|
101 |
87 |
$50K |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
684 |
682 |
$49K |
| 17000 |
|
388 |
378 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,152 |
1,090 |
$44K |
| 97161 |
|
251 |
250 |
$43K |
| 90698 |
|
310 |
310 |
$40K |
| 69210 |
|
404 |
392 |
$40K |
| 81002 |
|
6,091 |
5,857 |
$40K |
| 97164 |
|
356 |
353 |
$40K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
322 |
321 |
$32K |
| 90686 |
|
2,363 |
2,356 |
$29K |
| 99001 |
|
849 |
841 |
$29K |
| 11900 |
|
319 |
314 |
$28K |
| 92552 |
|
404 |
404 |
$28K |
| 81025 |
|
1,524 |
1,490 |
$27K |
| 96127 |
|
3,362 |
3,282 |
$26K |
| 99497 |
|
226 |
217 |
$25K |
| 90633 |
|
661 |
661 |
$24K |
| 11043 |
|
48 |
39 |
$23K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
357 |
255 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
118 |
100 |
$22K |
| 90710 |
|
144 |
144 |
$22K |
| 90723 |
|
269 |
269 |
$20K |
| 11056 |
|
196 |
196 |
$20K |
| 3074F |
|
6,688 |
6,362 |
$19K |
| 92504 |
|
337 |
311 |
$18K |
| 90716 |
|
145 |
145 |
$18K |
| 85018 |
|
2,037 |
2,028 |
$17K |
| 90707 |
|
168 |
168 |
$16K |
| 86580 |
|
709 |
680 |
$15K |
| 20610 |
|
128 |
124 |
$15K |
| 85610 |
|
1,065 |
819 |
$14K |
| 99242 |
|
96 |
96 |
$14K |
| 1159F |
|
9,713 |
9,445 |
$14K |
| 11200 |
|
112 |
110 |
$14K |
| 90648 |
|
701 |
699 |
$12K |
| 93922 |
|
57 |
56 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
641 |
641 |
$11K |
| A4550 |
Surgical trays |
391 |
386 |
$11K |
| 90732 |
|
100 |
100 |
$11K |
| 90694 |
|
174 |
174 |
$10K |
| 62323 |
|
32 |
25 |
$10K |
| 52000 |
|
25 |
24 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
104 |
70 |
$9K |
| 99050 |
|
327 |
320 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
849 |
841 |
$8K |
| 99220 |
|
52 |
50 |
$8K |
| 81000 |
|
755 |
739 |
$8K |
| 99243 |
|
38 |
38 |
$8K |
| 76801 |
|
25 |
25 |
$7K |
| 99335 |
|
122 |
116 |
$7K |
| 90696 |
|
104 |
104 |
$6K |
| 90677 |
|
13 |
13 |
$6K |
| 96151 |
|
168 |
167 |
$6K |
| 73562 |
|
88 |
83 |
$6K |
| 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 |
2,658 |
2,530 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
114 |
114 |
$6K |
| 99496 |
|
12 |
12 |
$6K |
| 58301 |
|
28 |
27 |
$5K |
| 73030 |
|
100 |
95 |
$5K |
| 95905 |
|
33 |
28 |
$5K |
| 1158F |
|
1,092 |
1,051 |
$5K |
| 3077F |
|
536 |
515 |
$5K |
| 72100 |
|
79 |
79 |
$5K |
| 82948 |
|
363 |
336 |
$5K |
| 99306 |
Prolong nursin fac eval 15m |
16 |
15 |
$4K |
| 90744 |
|
112 |
112 |
$4K |
| 83655 |
|
101 |
101 |
$4K |
| 97535 |
Self-care/home management training, each 15 minutes |
50 |
40 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
35 |
29 |
$4K |
| 96150 |
|
92 |
92 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
13 |
$3K |
| 76810 |
|
15 |
15 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
14 |
13 |
$3K |
| 11301 |
|
15 |
13 |
$3K |
| 0012A |
|
120 |
120 |
$3K |
| 20550 |
|
25 |
25 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
136 |
$3K |
| 96160 |
|
143 |
142 |
$3K |
| 29581 |
|
27 |
12 |
$3K |
| 57505 |
|
12 |
12 |
$3K |
| 94760 |
|
352 |
330 |
$3K |
| 3078F |
|
6,433 |
6,120 |
$3K |
| 36416 |
|
224 |
222 |
$2K |
| 99381 |
|
12 |
12 |
$2K |
| 58100 |
|
13 |
13 |
$2K |
| 82274 |
|
39 |
39 |
$2K |
| 0002A |
|
81 |
81 |
$2K |
| 99201 |
|
70 |
70 |
$2K |
| 58300 |
|
12 |
12 |
$2K |
| 87428 |
|
22 |
22 |
$2K |
| 73560 |
|
25 |
25 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
88 |
82 |
$2K |
| 11055 |
|
19 |
17 |
$2K |
| 17003 |
|
101 |
99 |
$2K |
| 0001A |
|
72 |
71 |
$2K |
| 90661 |
|
94 |
94 |
$1K |
| 0011A |
|
126 |
126 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
298 |
293 |
$1K |
| 94010 |
|
18 |
18 |
$1K |
| 3079F |
|
2,370 |
2,287 |
$1K |
| 95251 |
|
65 |
65 |
$1K |
| 90714 |
|
39 |
39 |
$1K |
| 90700 |
|
49 |
49 |
$1K |
| 90750 |
|
34 |
34 |
$1K |
| 3075F |
|
811 |
790 |
$763.00 |
| 1160F |
|
10,856 |
10,527 |
$756.00 |
| P3000 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision |
26 |
26 |
$754.00 |
| G0127 |
Trimming of dystrophic nails, any number |
13 |
13 |
$689.00 |
| G0009 |
Administration of pneumococcal vaccine |
82 |
81 |
$452.35 |
| 90658 |
|
17 |
17 |
$425.00 |
| 92015 |
Determination of refractive state |
13 |
12 |
$350.00 |
| 3725F |
|
3,446 |
3,324 |
$299.00 |
| 82962 |
|
213 |
201 |
$285.90 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
15 |
15 |
$260.00 |
| 90649 |
|
12 |
12 |
$246.00 |
| 1101F |
|
1,697 |
1,628 |
$221.00 |
| 97163 |
|
515 |
515 |
$179.00 |
| 1126F |
|
3,638 |
3,551 |
$86.00 |
| 81003 |
|
106 |
103 |
$77.76 |
| 1111F |
|
4,096 |
3,804 |
$73.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$65.00 |
| 90653 |
|
122 |
122 |
$63.35 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
24 |
$32.77 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
105 |
105 |
$17.08 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
381 |
376 |
$16.52 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
820 |
816 |
$0.00 |
| 1125F |
|
1,421 |
1,397 |
$0.00 |
| 1170F |
|
2,318 |
2,240 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,093 |
2,056 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,084 |
1,055 |
$0.00 |
| 99024 |
|
464 |
407 |
$0.00 |
| 1036F |
|
476 |
473 |
$0.00 |
| 3072F |
|
374 |
357 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
195 |
195 |
$0.00 |
| 2000F |
|
39 |
39 |
$0.00 |
| 3080F |
|
58 |
56 |
$0.00 |
| 1220F |
|
17 |
16 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |
| 1157F |
|
33 |
33 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$0.00 |
| 99499 |
|
1,083 |
692 |
$0.00 |
| 0518F |
|
1,464 |
1,400 |
$0.00 |
| G9920 |
Screening performed and negative |
2,997 |
2,985 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
35 |
35 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
2,472 |
2,445 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
1,563 |
1,545 |
$0.00 |
| 0004A |
|
15 |
15 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 99080 |
|
13 |
13 |
$0.00 |
| 98968 |
|
15 |
15 |
$0.00 |
| 4274F |
|
14 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 3210F |
|
35 |
33 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
92 |
88 |
$0.00 |
| 93793 |
|
14 |
14 |
$0.00 |