| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81,246 |
74,984 |
$5.47M |
| 99490 |
Ccm add 20min |
50,594 |
50,394 |
$1.56M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12,544 |
12,435 |
$1.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,519 |
18,163 |
$941K |
| 76536 |
|
11,977 |
11,915 |
$776K |
| 99215 |
Prolong outpt/office vis |
6,327 |
6,001 |
$560K |
| 95250 |
|
5,436 |
5,404 |
$448K |
| 99439 |
|
10,051 |
10,018 |
$306K |
| 92250 |
|
7,575 |
7,322 |
$152K |
| 95251 |
|
7,834 |
7,633 |
$150K |
| 99205 |
Prolong outpt/office vis |
1,151 |
1,150 |
$131K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,701 |
1,664 |
$122K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,960 |
1,948 |
$121K |
| 82947 |
|
32,245 |
30,462 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,243 |
1,713 |
$89K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,605 |
8,864 |
$86K |
| 99457 |
|
3,132 |
3,114 |
$86K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,627 |
10,553 |
$80K |
| V2020 |
Frames, purchases |
4,031 |
3,949 |
$80K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,318 |
924 |
$75K |
| 10005 |
|
909 |
899 |
$71K |
| 97802 |
|
2,852 |
2,769 |
$59K |
| 60100 |
|
712 |
684 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,869 |
2,844 |
$48K |
| 99442 |
|
888 |
882 |
$47K |
| 92015 |
Determination of refractive state |
4,833 |
4,622 |
$47K |
| 99458 |
|
1,361 |
1,353 |
$41K |
| 99454 |
|
1,411 |
1,390 |
$40K |
| 11721 |
|
1,739 |
1,719 |
$40K |
| 93923 |
|
611 |
610 |
$37K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
786 |
753 |
$36K |
| 99441 |
|
896 |
892 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
373 |
357 |
$22K |
| 76942 |
|
673 |
659 |
$21K |
| 11056 |
|
464 |
454 |
$20K |
| 92083 |
|
623 |
594 |
$20K |
| 73630 |
|
934 |
658 |
$19K |
| 92342 |
|
855 |
845 |
$18K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
3,436 |
2,249 |
$15K |
| 92134 |
|
723 |
693 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,386 |
1,056 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
97 |
84 |
$10K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
5,836 |
5,713 |
$9K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
714 |
708 |
$8K |
| 92133 |
|
421 |
407 |
$7K |
| 93922 |
|
148 |
148 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
989 |
850 |
$7K |
| 95249 |
|
195 |
191 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
405 |
345 |
$7K |
| 97803 |
|
102 |
98 |
$6K |
| 92285 |
|
609 |
561 |
$6K |
| 92132 |
|
437 |
417 |
$6K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
403 |
396 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
135 |
134 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
139 |
55 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
802 |
732 |
$5K |
| 92341 |
|
288 |
288 |
$5K |
| V2302 |
Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens |
273 |
249 |
$5K |
| 99415 |
Prolong outpt/office vis |
541 |
416 |
$4K |
| 17110 |
|
65 |
57 |
$4K |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
154 |
153 |
$4K |
| 77080 |
|
179 |
174 |
$4K |
| 99443 |
|
44 |
43 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
157 |
144 |
$3K |
| V2301 |
Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
177 |
166 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
116 |
114 |
$3K |
| 99453 |
|
183 |
182 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
430 |
335 |
$2K |
| 92060 |
|
55 |
51 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
447 |
445 |
$1K |
| 92020 |
|
122 |
118 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
27 |
13 |
$1K |
| 99000 |
|
450 |
347 |
$1K |
| 99416 |
Prolong outpt/office vis |
284 |
213 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
239 |
205 |
$1K |
| V2202 |
Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens |
85 |
82 |
$1K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
108 |
101 |
$952.07 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
42 |
32 |
$595.98 |
| 90756 |
|
28 |
28 |
$592.54 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
46 |
46 |
$520.99 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
85 |
72 |
$455.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$366.28 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
15 |
15 |
$355.20 |
| 90688 |
|
14 |
14 |
$267.05 |
| 76514 |
|
43 |
42 |
$253.87 |
| 90686 |
|
13 |
13 |
$228.36 |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
14 |
14 |
$199.71 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
21 |
20 |
$51.90 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
34 |
32 |
$34.24 |
| 99051 |
|
39 |
39 |
$25.00 |
| 36000 |
|
594 |
468 |
$15.06 |
| J7050 |
Infusion, normal saline solution, 250 cc |
26 |
25 |
$13.18 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
41 |
41 |
$6.00 |
| 3077F |
|
9,117 |
8,407 |
$0.01 |
| 3078F |
|
63,980 |
56,156 |
$0.01 |
| 3074F |
|
75,303 |
65,389 |
$0.01 |
| 3080F |
|
5,617 |
5,234 |
$0.01 |
| 3051F |
|
1,678 |
1,668 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
929 |
919 |
$0.00 |
| 3046F |
|
2,525 |
2,508 |
$0.00 |
| 3045F |
|
1,037 |
1,027 |
$0.00 |
| 2024F |
|
6,560 |
6,358 |
$0.00 |
| 2028F |
|
895 |
887 |
$0.00 |
| 80428 |
|
31 |
30 |
$0.00 |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
150 |
140 |
$0.00 |
| 2022F |
|
47 |
45 |
$0.00 |
| 80434 |
|
14 |
14 |
$0.00 |
| 3052F |
|
1,203 |
1,197 |
$0.00 |
| 3079F |
|
29,304 |
27,161 |
$0.00 |
| 3044F |
|
3,656 |
3,636 |
$0.00 |
| 3075F |
|
14,489 |
13,632 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
929 |
919 |
$0.00 |
| 3072F |
|
331 |
320 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
266 |
259 |
$0.00 |
| 80435 |
|
156 |
111 |
$0.00 |
| 99070 |
|
349 |
275 |
$0.00 |