| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75,604 |
67,454 |
$4.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,400 |
62,207 |
$4.08M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39,465 |
11,993 |
$1.71M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,140 |
8,099 |
$830K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
6,275 |
2,298 |
$809K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,206 |
6,280 |
$606K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,970 |
9,080 |
$587K |
| 99223 |
Prolong inpt eval add15 m |
5,817 |
4,946 |
$561K |
| 99233 |
Prolong inpt eval add15 m |
8,825 |
3,508 |
$550K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
571 |
527 |
$429K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,601 |
3,412 |
$358K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,408 |
4,693 |
$331K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,774 |
2,436 |
$324K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,907 |
2,940 |
$267K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,312 |
3,083 |
$260K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,161 |
2,725 |
$196K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,411 |
3,079 |
$180K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
31,314 |
23,441 |
$176K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,619 |
3,215 |
$173K |
| 76830 |
Ultrasound, transvaginal |
1,971 |
1,727 |
$155K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,826 |
1,710 |
$149K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,361 |
3,136 |
$141K |
| 99215 |
Prolong outpt/office vis |
1,528 |
1,388 |
$141K |
| 59430 |
|
518 |
484 |
$123K |
| 59514 |
|
155 |
130 |
$121K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,162 |
1,539 |
$112K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,339 |
1,217 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,396 |
1,335 |
$102K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,198 |
1,076 |
$101K |
| 59025 |
Fetal non-stress test |
3,328 |
1,351 |
$97K |
| 90791 |
Psychiatric diagnostic evaluation |
1,159 |
1,004 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,821 |
2,588 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,183 |
1,096 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,402 |
3,145 |
$63K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
822 |
723 |
$56K |
| 99385 |
|
728 |
677 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
727 |
692 |
$55K |
| 90686 |
|
2,012 |
1,879 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
758 |
731 |
$51K |
| 93307 |
|
1,708 |
1,545 |
$51K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,083 |
820 |
$48K |
| 99221 |
|
819 |
665 |
$47K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
393 |
366 |
$43K |
| 99495 |
|
383 |
344 |
$43K |
| 99205 |
Prolong outpt/office vis |
344 |
319 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,321 |
1,236 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,741 |
2,633 |
$34K |
| 93016 |
|
1,930 |
1,759 |
$32K |
| 99220 |
|
314 |
291 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
435 |
398 |
$29K |
| 99219 |
|
324 |
304 |
$28K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
536 |
454 |
$28K |
| 93000 |
|
2,451 |
2,168 |
$26K |
| 93018 |
|
1,920 |
1,748 |
$24K |
| 99217 |
|
530 |
466 |
$23K |
| 62323 |
|
322 |
287 |
$21K |
| 64493 |
|
207 |
147 |
$21K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
129 |
113 |
$21K |
| 76818 |
|
331 |
144 |
$20K |
| 82962 |
|
2,178 |
2,098 |
$18K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
156 |
139 |
$17K |
| 99386 |
|
199 |
179 |
$17K |
| 99225 |
|
373 |
210 |
$17K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
500 |
434 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
380 |
358 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,529 |
1,267 |
$14K |
| 64494 |
|
253 |
135 |
$14K |
| 93298 |
|
783 |
648 |
$12K |
| 90670 |
|
581 |
544 |
$12K |
| 92567 |
|
1,148 |
954 |
$11K |
| 93244 |
|
639 |
566 |
$10K |
| 81025 |
|
923 |
796 |
$8K |
| 93880 |
|
288 |
274 |
$7K |
| 94729 |
|
908 |
876 |
$7K |
| 94726 |
|
743 |
715 |
$7K |
| 94060 |
|
757 |
733 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
202 |
56 |
$6K |
| 69210 |
|
137 |
95 |
$5K |
| 99384 |
|
52 |
51 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
818 |
757 |
$4K |
| 64635 |
|
39 |
29 |
$4K |
| 93242 |
|
531 |
451 |
$4K |
| 31231 |
|
35 |
29 |
$4K |
| 64495 |
|
42 |
15 |
$3K |
| 87210 |
|
762 |
588 |
$3K |
| 99307 |
|
926 |
808 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
30 |
28 |
$3K |
| 76801 |
|
46 |
39 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
370 |
332 |
$3K |
| 54150 |
|
44 |
42 |
$3K |
| 93458 |
|
15 |
13 |
$3K |
| 93308 |
|
167 |
145 |
$3K |
| 27096 |
|
54 |
42 |
$3K |
| 90671 |
|
36 |
31 |
$3K |
| 93295 |
|
79 |
76 |
$3K |
| 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) |
3,916 |
3,591 |
$2K |
| 99496 |
|
12 |
12 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
64 |
64 |
$2K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
132 |
127 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
83 |
33 |
$2K |
| 99406 |
|
187 |
142 |
$2K |
| 64483 |
|
13 |
13 |
$2K |
| 93970 |
|
51 |
49 |
$2K |
| 58563 |
|
14 |
13 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
41 |
24 |
$2K |
| 94618 |
|
106 |
91 |
$2K |
| 96127 |
|
469 |
441 |
$1K |
| 90698 |
|
209 |
198 |
$1K |
| 12001 |
|
44 |
40 |
$1K |
| 73630 |
|
163 |
110 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
164 |
145 |
$1K |
| 64636 |
|
38 |
29 |
$1K |
| 99226 |
|
19 |
15 |
$1K |
| 93294 |
|
74 |
68 |
$1K |
| 76857 |
|
49 |
42 |
$1K |
| 99383 |
|
17 |
17 |
$1K |
| 81002 |
|
514 |
323 |
$1K |
| 10060 |
|
13 |
13 |
$985.84 |
| 11750 |
|
17 |
12 |
$927.63 |
| 11721 |
|
278 |
266 |
$915.10 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
99 |
75 |
$903.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
49 |
$852.82 |
| 93288 |
|
107 |
97 |
$803.57 |
| J2790 |
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) |
14 |
12 |
$770.89 |
| 64484 |
|
12 |
12 |
$764.97 |
| 99442 |
|
26 |
25 |
$719.98 |
| 90680 |
|
178 |
163 |
$655.58 |
| 93248 |
|
34 |
34 |
$652.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
32 |
$602.30 |
| 99152 |
|
62 |
56 |
$532.44 |
| 90715 |
|
24 |
24 |
$510.27 |
| 90653 |
|
17 |
16 |
$509.28 |
| 93971 |
|
25 |
25 |
$416.37 |
| 93272 |
|
24 |
24 |
$391.57 |
| 90656 |
|
18 |
16 |
$390.37 |
| 82274 |
|
24 |
24 |
$370.33 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$369.08 |
| 93325 |
|
175 |
143 |
$362.85 |
| 90744 |
|
40 |
39 |
$348.78 |
| 93321 |
|
76 |
66 |
$339.78 |
| 51798 |
|
58 |
55 |
$269.57 |
| 90685 |
|
19 |
19 |
$258.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$244.73 |
| 85610 |
|
74 |
38 |
$234.17 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
38 |
37 |
$188.69 |
| 81003 |
|
172 |
105 |
$115.49 |
| 90474 |
|
12 |
12 |
$109.55 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
12 |
12 |
$98.86 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
13 |
$5.00 |
| 3075F |
|
16 |
14 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 3074F |
|
140 |
131 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
33 |
25 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |
| 3079F |
|
52 |
43 |
$0.00 |
| 3044F |
|
87 |
80 |
$0.00 |
| 3052F |
|
37 |
28 |
$0.00 |
| J3490 |
Unclassified drugs |
52 |
26 |
$0.00 |
| 3078F |
|
110 |
106 |
$0.00 |
| 90633 |
|
42 |
42 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90707 |
|
29 |
28 |
$0.00 |
| 3046F |
|
16 |
15 |
$0.00 |
| 3051F |
|
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
23 |
$0.00 |