| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122,094 |
110,379 |
$3.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135,544 |
119,010 |
$3.64M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
65,246 |
62,161 |
$3.27M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
36,739 |
34,485 |
$1.14M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,237 |
10,661 |
$526K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,472 |
6,092 |
$218K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,705 |
5,470 |
$190K |
| 99215 |
Prolong outpt/office vis |
3,853 |
3,520 |
$178K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,119 |
8,781 |
$161K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,300 |
3,793 |
$140K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,723 |
2,612 |
$129K |
| 99223 |
Prolong inpt eval add15 m |
3,237 |
2,945 |
$124K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,755 |
17,311 |
$108K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,534 |
1,445 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,646 |
2,571 |
$97K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
725 |
703 |
$85K |
| 20610 |
|
3,389 |
2,895 |
$80K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,461 |
2,211 |
$78K |
| 90791 |
Psychiatric diagnostic evaluation |
1,056 |
991 |
$76K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,248 |
1,201 |
$69K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,280 |
2,123 |
$68K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,125 |
1,046 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,204 |
2,913 |
$43K |
| 99205 |
Prolong outpt/office vis |
663 |
620 |
$41K |
| 96137 |
|
779 |
722 |
$39K |
| 95811 |
|
588 |
561 |
$34K |
| 96130 |
|
785 |
732 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,038 |
1,422 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
897 |
876 |
$32K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,601 |
1,468 |
$32K |
| 20611 |
|
783 |
672 |
$31K |
| 95886 |
|
1,546 |
1,471 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
898 |
814 |
$29K |
| 99220 |
|
768 |
710 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,503 |
2,308 |
$28K |
| 80305 |
|
3,591 |
2,842 |
$25K |
| 31231 |
|
1,002 |
897 |
$23K |
| 88342 |
|
1,086 |
1,059 |
$22K |
| 59025 |
Fetal non-stress test |
1,123 |
661 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,264 |
503 |
$20K |
| 92015 |
Determination of refractive state |
1,041 |
959 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
1,005 |
493 |
$17K |
| 31575 |
|
520 |
475 |
$16K |
| 96136 |
|
760 |
712 |
$15K |
| 96131 |
|
390 |
368 |
$14K |
| 88307 |
|
220 |
212 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
312 |
308 |
$13K |
| 99406 |
|
1,754 |
1,647 |
$13K |
| 94060 |
|
1,196 |
1,148 |
$13K |
| 95251 |
|
819 |
644 |
$12K |
| 52000 |
|
324 |
315 |
$12K |
| 96101 |
|
108 |
96 |
$11K |
| 69210 |
|
945 |
840 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
96 |
91 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$8K |
| 88304 |
|
866 |
828 |
$8K |
| 76830 |
Ultrasound, transvaginal |
293 |
286 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,245 |
939 |
$8K |
| 99217 |
|
432 |
404 |
$7K |
| 94618 |
|
561 |
535 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
209 |
200 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
228 |
222 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
272 |
252 |
$5K |
| 73564 |
|
582 |
512 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
307 |
288 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
134 |
110 |
$4K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
13 |
12 |
$4K |
| 94727 |
|
1,116 |
1,066 |
$4K |
| 64721 |
|
17 |
15 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
64 |
$4K |
| 94729 |
|
1,131 |
1,081 |
$4K |
| 43235 |
|
44 |
39 |
$3K |
| 90961 |
|
75 |
67 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
142 |
139 |
$3K |
| 00731 |
|
54 |
53 |
$3K |
| 90686 |
|
279 |
272 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
205 |
191 |
$3K |
| 99417 |
Prolong home eval add 15m |
83 |
78 |
$3K |
| 73630 |
|
404 |
364 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
15 |
15 |
$2K |
| 00813 |
|
27 |
25 |
$2K |
| 94375 |
|
77 |
73 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
37 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
878 |
834 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
46 |
45 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
150 |
146 |
$1K |
| 81025 |
|
256 |
227 |
$1K |
| 99443 |
|
139 |
126 |
$1K |
| 85060 |
|
170 |
157 |
$1K |
| 17110 |
|
30 |
26 |
$1K |
| 99442 |
|
60 |
59 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
72 |
69 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
196 |
136 |
$1K |
| 93298 |
|
69 |
61 |
$951.27 |
| 88313 |
|
108 |
104 |
$892.12 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
42 |
12 |
$856.25 |
| 76801 |
|
28 |
25 |
$774.41 |
| 92250 |
|
116 |
97 |
$766.90 |
| 99401 |
|
44 |
41 |
$629.83 |
| 92504 |
|
181 |
168 |
$618.02 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
56 |
51 |
$542.97 |
| 20605 |
|
25 |
16 |
$526.44 |
| 51798 |
|
47 |
47 |
$519.33 |
| 87420 |
|
49 |
46 |
$466.72 |
| 90715 |
|
16 |
14 |
$445.00 |
| 20550 |
|
12 |
12 |
$387.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
40 |
$345.86 |
| 77073 |
|
74 |
66 |
$345.85 |
| 97760 |
|
14 |
12 |
$283.23 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
25 |
14 |
$269.35 |
| 73562 |
|
46 |
43 |
$248.15 |
| 88112 |
|
14 |
14 |
$243.22 |
| 94664 |
|
52 |
51 |
$216.70 |
| 81003 |
|
150 |
140 |
$214.60 |
| 74420 |
|
17 |
15 |
$194.95 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
52 |
47 |
$162.87 |
| 95819 |
|
13 |
12 |
$148.27 |
| 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) |
457 |
431 |
$143.39 |
| 73610 |
|
14 |
14 |
$131.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
16 |
$104.90 |
| 93294 |
|
12 |
12 |
$97.02 |
| 99225 |
|
13 |
12 |
$92.52 |
| 73502 |
|
13 |
13 |
$82.82 |
| 95885 |
|
12 |
12 |
$76.91 |
| 73140 |
|
13 |
12 |
$59.90 |
| 94726 |
|
18 |
18 |
$46.66 |
| 81002 |
|
12 |
12 |
$24.61 |
| 85018 |
|
13 |
13 |
$22.26 |
| 99307 |
|
12 |
12 |
$21.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
54 |
49 |
$20.72 |
| 90670 |
|
42 |
42 |
$0.09 |
| 90648 |
|
27 |
27 |
$0.03 |
| 1036F |
|
9,201 |
8,300 |
$0.00 |
| 3074F |
|
38 |
38 |
$0.00 |
| 99024 |
|
32 |
29 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 3078F |
|
110 |
101 |
$0.00 |
| 4004F |
|
253 |
207 |
$0.00 |