| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78,061 |
69,230 |
$4.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,372 |
28,500 |
$1.44M |
| 99223 |
Prolong inpt eval add15 m |
7,027 |
6,216 |
$534K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
754 |
458 |
$448K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,992 |
4,708 |
$307K |
| 99233 |
Prolong inpt eval add15 m |
6,170 |
2,363 |
$289K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,117 |
2,898 |
$288K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,787 |
3,230 |
$202K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,768 |
3,382 |
$183K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,374 |
2,223 |
$150K |
| 99215 |
Prolong outpt/office vis |
1,844 |
1,678 |
$145K |
| 64400 |
|
1,602 |
840 |
$107K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,589 |
2,351 |
$85K |
| 95886 |
|
694 |
642 |
$82K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
432 |
401 |
$66K |
| 20610 |
|
1,812 |
1,372 |
$61K |
| 90834 |
Psychotherapy, 45 minutes with patient |
918 |
537 |
$54K |
| 62323 |
|
570 |
531 |
$41K |
| 3074F |
|
14,691 |
13,290 |
$38K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
418 |
370 |
$36K |
| 99460 |
|
473 |
433 |
$32K |
| 95910 |
|
263 |
243 |
$32K |
| 3078F |
|
11,593 |
10,452 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
566 |
504 |
$28K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,113 |
5,174 |
$26K |
| 64405 |
|
594 |
485 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
254 |
250 |
$20K |
| 64615 |
|
234 |
216 |
$20K |
| 1159F |
|
26,356 |
23,737 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
154 |
144 |
$16K |
| 90686 |
|
1,200 |
1,148 |
$15K |
| 99442 |
|
639 |
507 |
$14K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
191 |
175 |
$14K |
| 99443 |
|
382 |
329 |
$13K |
| 99220 |
|
214 |
181 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
128 |
$11K |
| 99205 |
Prolong outpt/office vis |
85 |
75 |
$10K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
572 |
507 |
$10K |
| 95806 |
|
295 |
285 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
74 |
60 |
$9K |
| 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) |
1,129 |
1,035 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
250 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
96 |
$8K |
| 3079F |
|
2,365 |
2,177 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
124 |
120 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
79 |
78 |
$6K |
| 94060 |
|
1,000 |
899 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
769 |
729 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
86 |
84 |
$5K |
| 94726 |
|
671 |
625 |
$5K |
| 1125F |
|
6,188 |
5,549 |
$5K |
| 1126F |
|
7,455 |
6,763 |
$4K |
| 94729 |
|
729 |
677 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
79 |
$4K |
| 95251 |
|
194 |
177 |
$3K |
| 93295 |
|
182 |
162 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
237 |
107 |
$3K |
| 99441 |
|
250 |
190 |
$3K |
| 93296 |
|
238 |
205 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
502 |
457 |
$3K |
| 99462 |
|
88 |
62 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
94 |
87 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
22 |
12 |
$2K |
| 93294 |
|
290 |
262 |
$2K |
| 99217 |
|
82 |
67 |
$2K |
| 20553 |
|
84 |
63 |
$2K |
| 64450 |
|
31 |
26 |
$2K |
| 90656 |
|
95 |
94 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
66 |
26 |
$1K |
| 82947 |
|
481 |
369 |
$1K |
| 90651 |
|
54 |
54 |
$1K |
| 99497 |
|
56 |
53 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
565 |
484 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
48 |
39 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
46 |
31 |
$1K |
| 95816 |
|
36 |
31 |
$984.98 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
54 |
27 |
$969.77 |
| 90688 |
|
84 |
77 |
$964.38 |
| 76882 |
|
33 |
25 |
$915.12 |
| 99243 |
|
15 |
14 |
$844.55 |
| 93000 |
|
89 |
79 |
$841.78 |
| 20552 |
|
32 |
28 |
$741.01 |
| 93922 |
|
134 |
115 |
$707.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
51 |
$680.15 |
| 3075F |
|
337 |
307 |
$675.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
14 |
$519.68 |
| J3490 |
Unclassified drugs |
3,106 |
2,652 |
$518.73 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
111 |
85 |
$501.15 |
| 96136 |
|
14 |
12 |
$432.83 |
| 81003 |
|
162 |
141 |
$376.82 |
| 36416 |
|
405 |
317 |
$352.66 |
| 90619 |
|
17 |
17 |
$341.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
29 |
28 |
$266.93 |
| 90734 |
|
13 |
13 |
$200.20 |
| 3077F |
|
88 |
76 |
$175.00 |
| 90633 |
|
14 |
14 |
$170.50 |
| 87807 |
|
15 |
12 |
$126.18 |
| G0008 |
Administration of influenza virus vaccine |
44 |
30 |
$119.25 |
| 90756 |
|
33 |
25 |
$113.56 |
| 99000 |
|
126 |
116 |
$101.13 |
| 3080F |
|
13 |
13 |
$25.00 |
| 1160F |
|
755 |
737 |
$0.00 |