| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,839 |
45,576 |
$3.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,978 |
38,994 |
$2.07M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19,187 |
16,258 |
$1.40M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,401 |
6,716 |
$831K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20,850 |
4,592 |
$461K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,276 |
5,357 |
$384K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
749 |
697 |
$316K |
| 99233 |
Prolong inpt eval add15 m |
8,669 |
2,624 |
$303K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,144 |
2,979 |
$300K |
| 92015 |
Determination of refractive state |
16,746 |
15,402 |
$252K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,601 |
3,356 |
$221K |
| 99223 |
Prolong inpt eval add15 m |
3,136 |
2,751 |
$219K |
| 95811 |
|
568 |
501 |
$214K |
| 92250 |
|
13,964 |
11,118 |
$205K |
| 99215 |
Prolong outpt/office vis |
2,191 |
2,015 |
$190K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,478 |
454 |
$171K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,180 |
3,596 |
$99K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
927 |
730 |
$90K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,016 |
547 |
$82K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,832 |
1,388 |
$64K |
| 92060 |
|
1,271 |
1,183 |
$63K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,772 |
3,049 |
$58K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,076 |
986 |
$56K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
209 |
177 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,930 |
3,594 |
$46K |
| 92083 |
|
2,027 |
1,496 |
$41K |
| 80061 |
Lipid panel |
5,356 |
4,939 |
$36K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
827 |
397 |
$35K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,134 |
994 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,743 |
2,216 |
$32K |
| 80050 |
General health panel |
2,911 |
2,682 |
$31K |
| 90686 |
|
2,799 |
2,534 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
411 |
386 |
$29K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,986 |
1,827 |
$29K |
| 92134 |
|
1,630 |
1,238 |
$26K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
216 |
214 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,025 |
2,088 |
$25K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
233 |
198 |
$23K |
| 3008F |
|
13,969 |
12,566 |
$23K |
| 1159F |
|
15,996 |
14,320 |
$22K |
| 73630 |
|
1,047 |
651 |
$22K |
| 92002 |
|
298 |
287 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,901 |
4,516 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
266 |
248 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,570 |
4,219 |
$20K |
| 80053 |
Comprehensive metabolic panel |
4,672 |
4,192 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
229 |
208 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
230 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
490 |
456 |
$15K |
| 83861 |
|
4,430 |
1,501 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
11,359 |
10,086 |
$14K |
| 87428 |
|
294 |
268 |
$13K |
| 88312 |
|
155 |
130 |
$12K |
| 92133 |
|
974 |
669 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,595 |
4,862 |
$11K |
| 99000 |
|
6,800 |
5,894 |
$11K |
| 94010 |
|
730 |
653 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,740 |
1,190 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
151 |
132 |
$10K |
| 88342 |
|
180 |
166 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
116 |
$9K |
| 82607 |
|
1,197 |
1,081 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
223 |
205 |
$9K |
| 81002 |
|
3,672 |
2,965 |
$8K |
| 2010F |
|
4,653 |
4,192 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,699 |
1,580 |
$8K |
| 88313 |
|
124 |
113 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
176 |
$7K |
| 0502F |
|
1,338 |
784 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
924 |
611 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
118 |
41 |
$6K |
| 84153 |
|
681 |
622 |
$6K |
| 84439 |
|
1,497 |
1,378 |
$6K |
| 92557 |
|
209 |
209 |
$6K |
| 87631 |
|
83 |
77 |
$6K |
| 95800 |
|
45 |
43 |
$5K |
| 90670 |
|
132 |
115 |
$4K |
| 2001F |
|
2,703 |
2,408 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
53 |
$4K |
| 92225 |
|
1,264 |
307 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,272 |
2,148 |
$4K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
67 |
52 |
$3K |
| 1160F |
|
3,645 |
3,228 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
48 |
$3K |
| 82728 |
|
596 |
545 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
147 |
55 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
67 |
48 |
$3K |
| 81001 |
|
1,142 |
1,067 |
$2K |
| 99490 |
Ccm add 20min |
1,078 |
998 |
$2K |
| 99307 |
|
908 |
347 |
$2K |
| 2000F |
|
884 |
796 |
$2K |
| 82747 |
|
316 |
277 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
33 |
24 |
$2K |
| 90461 |
|
1,157 |
1,021 |
$2K |
| 94729 |
|
54 |
49 |
$2K |
| 95115 |
|
214 |
84 |
$2K |
| 92136 |
|
59 |
53 |
$1K |
| 83550 |
|
379 |
335 |
$1K |
| 87081 |
|
239 |
208 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
41 |
13 |
$1K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
16 |
12 |
$1K |
| 94727 |
|
54 |
49 |
$1K |
| 93015 |
|
25 |
25 |
$1K |
| 83540 |
|
396 |
352 |
$1K |
| 91320 |
|
15 |
13 |
$1K |
| 94760 |
|
2,176 |
1,797 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
944 |
616 |
$1K |
| 84481 |
|
149 |
134 |
$1K |
| 93000 |
|
171 |
143 |
$974.89 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$956.06 |
| 83516 |
|
743 |
229 |
$935.41 |
| 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) |
132 |
122 |
$873.69 |
| 90648 |
|
87 |
77 |
$862.07 |
| 92587 |
|
181 |
164 |
$837.33 |
| 88738 |
|
342 |
314 |
$822.35 |
| 87634 |
|
15 |
14 |
$764.17 |
| 99173 |
|
313 |
303 |
$702.95 |
| 87807 |
|
59 |
54 |
$702.81 |
| 82652 |
|
67 |
62 |
$690.89 |
| 81015 |
|
388 |
364 |
$688.72 |
| 90961 |
|
14 |
13 |
$664.82 |
| 99402 |
|
29 |
25 |
$654.45 |
| 90680 |
|
30 |
24 |
$648.56 |
| 97161 |
|
15 |
13 |
$620.66 |
| 96127 |
|
137 |
128 |
$593.37 |
| 0071A |
|
13 |
13 |
$524.00 |
| 0503F |
|
48 |
41 |
$512.50 |
| 0013A |
|
14 |
13 |
$492.00 |
| 73560 |
|
28 |
16 |
$460.56 |
| 84702 |
|
159 |
118 |
$452.51 |
| 92567 |
|
38 |
37 |
$447.89 |
| 0134A |
|
12 |
12 |
$410.00 |
| 4037F |
|
352 |
337 |
$400.00 |
| 90698 |
|
15 |
12 |
$394.80 |
| 92226 |
|
38 |
15 |
$382.29 |
| 73562 |
|
18 |
12 |
$370.73 |
| 99306 |
Prolong nursin fac eval 15m |
22 |
18 |
$351.16 |
| 99439 |
|
139 |
122 |
$350.48 |
| 90653 |
|
12 |
12 |
$326.69 |
| 51798 |
|
54 |
49 |
$324.45 |
| 92202 |
|
55 |
44 |
$285.62 |
| 99487 |
Ccm add 20min |
35 |
28 |
$276.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$269.98 |
| 3078F |
|
38 |
37 |
$250.00 |
| 90723 |
|
19 |
14 |
$225.92 |
| 92201 |
|
16 |
14 |
$213.20 |
| 90674 |
|
14 |
12 |
$177.24 |
| 82570 |
|
55 |
55 |
$168.76 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
32 |
27 |
$154.32 |
| 90480 |
|
13 |
12 |
$142.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$139.44 |
| 90756 |
|
49 |
40 |
$137.52 |
| 90651 |
|
12 |
12 |
$132.00 |
| 4274F |
|
35 |
33 |
$125.00 |
| 82043 |
|
55 |
55 |
$120.07 |
| 92551 |
|
12 |
12 |
$118.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
91 |
87 |
$105.16 |
| 99001 |
|
269 |
253 |
$94.95 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
14 |
$85.45 |
| 81025 |
|
12 |
12 |
$80.67 |
| G0008 |
Administration of influenza virus vaccine |
75 |
63 |
$45.38 |
| 90694 |
|
15 |
14 |
$40.16 |
| 90688 |
|
13 |
13 |
$29.50 |
| 85018 |
|
16 |
15 |
$26.31 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
71 |
63 |
$6.30 |
| 36416 |
|
134 |
104 |
$6.21 |
| 91300 |
|
63 |
55 |
$0.30 |
| 91301 |
|
18 |
17 |
$0.13 |
| 91313 |
|
12 |
12 |
$0.06 |
| 91307 |
|
13 |
13 |
$0.04 |
| 3074F |
|
18 |
17 |
$0.00 |
| 3080F |
|
15 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
35 |
32 |
$0.00 |
| 3061F |
|
32 |
26 |
$0.00 |
| 4010F |
|
19 |
14 |
$0.00 |
| 83721 |
|
84 |
80 |
$0.00 |
| 99072 |
|
109 |
95 |
$0.00 |
| 2022F |
|
31 |
25 |
$0.00 |
| 3077F |
|
29 |
25 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 99497 |
|
12 |
12 |
$0.00 |