| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148,013 |
135,521 |
$7.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,396 |
21,541 |
$1.76M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16,389 |
8,286 |
$964K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,869 |
9,654 |
$774K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,838 |
21,572 |
$767K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,114 |
10,850 |
$655K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,291 |
9,271 |
$580K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
10,237 |
9,969 |
$528K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,950 |
4,621 |
$498K |
| 76818 |
|
10,166 |
4,479 |
$493K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,751 |
6,645 |
$447K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,390 |
3,345 |
$445K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,244 |
6,188 |
$285K |
| 99215 |
Prolong outpt/office vis |
2,498 |
2,026 |
$272K |
| 99233 |
Prolong inpt eval add15 m |
2,897 |
1,507 |
$272K |
| 99460 |
|
2,699 |
2,690 |
$248K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,098 |
4,087 |
$223K |
| 99223 |
Prolong inpt eval add15 m |
2,065 |
1,993 |
$219K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,261 |
2,243 |
$198K |
| 88307 |
|
2,411 |
2,374 |
$164K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,639 |
1,612 |
$146K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,179 |
1,148 |
$135K |
| 99442 |
|
2,158 |
2,127 |
$125K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,065 |
2,486 |
$100K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,575 |
1,568 |
$93K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,459 |
1,437 |
$93K |
| 99205 |
Prolong outpt/office vis |
603 |
603 |
$84K |
| 88312 |
|
2,344 |
2,323 |
$60K |
| 76801 |
|
1,310 |
1,259 |
$59K |
| 93970 |
|
2,435 |
2,400 |
$58K |
| 76813 |
|
1,035 |
1,023 |
$56K |
| 99462 |
|
1,325 |
1,075 |
$53K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
329 |
329 |
$51K |
| 88304 |
|
3,920 |
3,863 |
$49K |
| 88141 |
|
3,108 |
3,092 |
$48K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
436 |
430 |
$48K |
| 99441 |
|
1,151 |
1,134 |
$46K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
815 |
813 |
$45K |
| 99221 |
|
588 |
534 |
$42K |
| 99381 |
|
724 |
712 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
686 |
683 |
$37K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,286 |
1,205 |
$36K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
251 |
249 |
$35K |
| 43775 |
|
25 |
25 |
$31K |
| 88313 |
|
2,060 |
2,036 |
$19K |
| 99443 |
|
259 |
258 |
$18K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
253 |
240 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
391 |
245 |
$15K |
| 93000 |
|
1,026 |
1,024 |
$13K |
| 93971 |
|
808 |
789 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
312 |
305 |
$11K |
| 99497 |
|
527 |
518 |
$10K |
| 99243 |
|
116 |
116 |
$10K |
| 92557 |
|
358 |
358 |
$9K |
| 92567 |
|
778 |
776 |
$7K |
| 90686 |
|
549 |
549 |
$7K |
| 99242 |
|
110 |
110 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
300 |
291 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
27 |
12 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
183 |
183 |
$6K |
| 88300 |
|
1,564 |
1,537 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
401 |
396 |
$5K |
| 94060 |
|
779 |
754 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
6,063 |
5,973 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
443 |
441 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
40 |
39 |
$5K |
| 99219 |
|
48 |
48 |
$5K |
| 99496 |
|
48 |
48 |
$5K |
| 95718 |
|
36 |
36 |
$4K |
| 11043 |
|
42 |
27 |
$4K |
| 99253 |
|
41 |
37 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
66 |
65 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
80 |
80 |
$4K |
| 94727 |
|
561 |
539 |
$4K |
| 94729 |
|
719 |
710 |
$4K |
| 76827 |
|
157 |
154 |
$3K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
16 |
16 |
$3K |
| 93016 |
|
197 |
197 |
$3K |
| 93925 |
|
104 |
102 |
$2K |
| 99254 |
|
19 |
16 |
$2K |
| 92588 |
|
82 |
82 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$2K |
| 93018 |
|
211 |
211 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
55 |
52 |
$2K |
| 99201 |
|
444 |
313 |
$2K |
| 99385 |
|
25 |
25 |
$2K |
| 31575 |
|
25 |
25 |
$2K |
| 93880 |
|
66 |
64 |
$2K |
| 99241 |
|
50 |
49 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$1K |
| 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) |
109 |
108 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
141 |
$1K |
| 95816 |
|
27 |
25 |
$1K |
| 99495 |
|
12 |
12 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
23 |
15 |
$1K |
| 88311 |
|
125 |
123 |
$951.57 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
28 |
28 |
$848.26 |
| 96161 |
|
344 |
340 |
$735.20 |
| 94726 |
|
93 |
93 |
$710.76 |
| 88302 |
|
90 |
83 |
$688.06 |
| 88344 |
|
12 |
12 |
$381.66 |
| 96127 |
|
255 |
254 |
$336.17 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$318.74 |
| 95251 |
|
15 |
14 |
$312.79 |
| 90674 |
|
12 |
12 |
$281.10 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
48 |
48 |
$234.12 |
| 99401 |
|
46 |
46 |
$223.32 |
| 99386 |
|
12 |
12 |
$183.78 |
| 93923 |
|
12 |
12 |
$143.71 |
| 96160 |
|
72 |
71 |
$129.72 |
| 99404 |
|
15 |
15 |
$96.41 |
| 99407 |
|
13 |
12 |
$91.61 |
| 1126F |
|
2,869 |
2,706 |
$63.96 |
| 1160F |
|
3,982 |
3,803 |
$47.70 |
| 3078F |
|
338 |
338 |
$22.50 |
| 36410 |
|
12 |
12 |
$13.87 |
| 1159F |
|
3,971 |
3,785 |
$13.21 |
| 3074F |
|
311 |
311 |
$12.50 |
| 1125F |
|
468 |
457 |
$8.64 |
| 1170F |
|
377 |
375 |
$3.53 |
| 3075F |
|
67 |
67 |
$2.50 |
| 4035F |
|
190 |
190 |
$0.00 |
| 99499 |
|
231 |
125 |
$0.00 |
| 3288F |
|
146 |
145 |
$0.00 |
| 1003F |
|
491 |
487 |
$0.00 |
| 3077F |
|
15 |
15 |
$0.00 |
| 99024 |
|
984 |
825 |
$0.00 |
| 97802 |
|
228 |
178 |
$0.00 |
| 3008F |
|
640 |
638 |
$0.00 |
| 1220F |
|
232 |
232 |
$0.00 |
| 1036F |
|
149 |
148 |
$0.00 |
| 2016F |
|
74 |
74 |
$0.00 |
| 3049F |
|
13 |
13 |
$0.00 |
| 1006F |
|
45 |
44 |
$0.00 |
| 4037F |
|
283 |
283 |
$0.00 |
| 1000F |
|
184 |
184 |
$0.00 |
| 3048F |
|
58 |
58 |
$0.00 |
| 1005F |
|
62 |
62 |
$0.00 |
| 3079F |
|
96 |
96 |
$0.00 |
| 3044F |
|
200 |
200 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
134 |
81 |
$0.00 |
| 3017F |
|
68 |
68 |
$0.00 |
| 2015F |
|
62 |
62 |
$0.00 |