| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87,317 |
74,473 |
$4.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,731 |
52,892 |
$2.65M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29,623 |
8,741 |
$672K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,708 |
6,193 |
$530K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,193 |
4,840 |
$379K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
10,354 |
9,400 |
$370K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,181 |
4,149 |
$367K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
13,241 |
6,973 |
$321K |
| 99215 |
Prolong outpt/office vis |
5,400 |
4,057 |
$321K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
4,324 |
1,518 |
$204K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,432 |
2,385 |
$203K |
| 99233 |
Prolong inpt eval add15 m |
4,621 |
1,752 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,930 |
2,704 |
$177K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,902 |
2,383 |
$159K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,442 |
4,668 |
$148K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,047 |
3,169 |
$141K |
| 99223 |
Prolong inpt eval add15 m |
1,789 |
1,464 |
$129K |
| 90837 |
Psychotherapy, 53 minutes with patient |
905 |
541 |
$78K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,462 |
1,220 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
843 |
841 |
$76K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,898 |
1,932 |
$65K |
| E0601 |
Continuous positive airway pressure (cpap) device |
276 |
276 |
$60K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,189 |
3,096 |
$59K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,176 |
1,088 |
$56K |
| 88307 |
|
967 |
915 |
$54K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15,703 |
12,625 |
$54K |
| 92557 |
|
2,712 |
2,489 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,928 |
1,837 |
$51K |
| 88342 |
|
2,736 |
2,388 |
$50K |
| 95910 |
|
465 |
439 |
$41K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
605 |
564 |
$33K |
| 92567 |
|
3,495 |
3,259 |
$30K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
63 |
62 |
$29K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
393 |
338 |
$28K |
| 90686 |
|
1,800 |
1,797 |
$28K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
235 |
214 |
$28K |
| 95908 |
|
488 |
455 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
141 |
141 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
141 |
141 |
$26K |
| 31575 |
|
445 |
380 |
$23K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
305 |
305 |
$20K |
| 31231 |
|
167 |
159 |
$19K |
| 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) |
4,418 |
4,130 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
142 |
142 |
$17K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
152 |
151 |
$16K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
442 |
362 |
$16K |
| 99460 |
|
171 |
168 |
$15K |
| 88341 |
|
358 |
295 |
$14K |
| 64615 |
|
198 |
196 |
$13K |
| 99243 |
|
174 |
173 |
$13K |
| 93971 |
|
1,346 |
1,144 |
$12K |
| 95811 |
|
275 |
245 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,379 |
826 |
$11K |
| 88360 |
|
264 |
244 |
$11K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
450 |
349 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
142 |
133 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
358 |
358 |
$10K |
| 97535 |
Self-care/home management training, each 15 minutes |
492 |
275 |
$10K |
| 93227 |
|
840 |
767 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
242 |
242 |
$9K |
| 69210 |
|
554 |
462 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
313 |
168 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
26 |
$8K |
| 88304 |
|
1,085 |
1,028 |
$7K |
| 90670 |
|
506 |
502 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
121 |
117 |
$7K |
| 95806 |
|
254 |
250 |
$7K |
| 99205 |
Prolong outpt/office vis |
111 |
101 |
$6K |
| 80305 |
|
521 |
300 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
234 |
88 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
391 |
382 |
$4K |
| 95886 |
|
78 |
73 |
$4K |
| 95812 |
|
55 |
41 |
$4K |
| 93016 |
|
521 |
420 |
$3K |
| 77427 |
|
50 |
24 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
288 |
285 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
98 |
83 |
$3K |
| 81002 |
|
1,049 |
985 |
$3K |
| 97162 |
|
73 |
69 |
$3K |
| 95251 |
|
193 |
163 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
79 |
39 |
$2K |
| 93018 |
|
501 |
400 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
677 |
546 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
110 |
70 |
$2K |
| 97161 |
|
55 |
52 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
98 |
98 |
$2K |
| 94726 |
|
356 |
313 |
$2K |
| 95816 |
|
27 |
24 |
$2K |
| 92504 |
|
99 |
87 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$2K |
| 90723 |
|
147 |
146 |
$2K |
| 90647 |
|
143 |
143 |
$2K |
| 94060 |
|
297 |
255 |
$2K |
| 93970 |
|
132 |
104 |
$1K |
| D1206 |
Topical application of fluoride varnish |
125 |
123 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
95 |
$1K |
| 94729 |
|
361 |
318 |
$1K |
| 99241 |
|
49 |
49 |
$1K |
| 97165 |
|
26 |
26 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
136 |
75 |
$1K |
| 85060 |
|
139 |
117 |
$1K |
| 90961 |
|
14 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
34 |
24 |
$1K |
| 99220 |
|
26 |
18 |
$1K |
| 62323 |
|
29 |
24 |
$1K |
| 00811 |
|
17 |
12 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
93 |
39 |
$918.69 |
| 00731 |
|
16 |
13 |
$898.65 |
| 90685 |
|
69 |
69 |
$897.55 |
| 92588 |
|
43 |
43 |
$870.06 |
| 43235 |
|
16 |
12 |
$766.26 |
| 92582 |
|
13 |
13 |
$731.52 |
| 97035 |
|
135 |
78 |
$696.19 |
| 98968 |
|
16 |
13 |
$683.93 |
| 99219 |
|
18 |
13 |
$682.06 |
| 99462 |
|
17 |
12 |
$628.28 |
| 51702 |
|
33 |
25 |
$620.47 |
| 93244 |
|
61 |
60 |
$608.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
57 |
57 |
$603.47 |
| 93280 |
|
87 |
61 |
$596.98 |
| 90680 |
|
66 |
66 |
$577.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
58 |
$573.32 |
| 92551 |
|
70 |
70 |
$566.30 |
| 93248 |
|
42 |
42 |
$493.25 |
| 96161 |
|
252 |
229 |
$478.23 |
| 90651 |
|
28 |
28 |
$417.30 |
| 99173 |
|
237 |
235 |
$414.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
286 |
285 |
$411.96 |
| 93282 |
|
29 |
25 |
$395.53 |
| 93321 |
|
118 |
100 |
$390.58 |
| 99418 |
Prolong nursin fac eval 15m |
17 |
17 |
$380.65 |
| 92553 |
|
12 |
12 |
$280.15 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
40 |
24 |
$247.45 |
| 90677 |
|
40 |
40 |
$232.29 |
| 81025 |
|
28 |
26 |
$216.99 |
| 92555 |
|
12 |
12 |
$213.96 |
| 99442 |
|
74 |
37 |
$197.72 |
| 93295 |
|
21 |
14 |
$185.37 |
| 93325 |
|
133 |
110 |
$182.87 |
| 93294 |
|
26 |
26 |
$181.01 |
| 0298T |
|
15 |
13 |
$180.79 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
15 |
12 |
$172.60 |
| 88302 |
|
24 |
24 |
$159.29 |
| 93272 |
|
16 |
12 |
$152.92 |
| 90656 |
|
12 |
12 |
$150.59 |
| 51798 |
|
34 |
27 |
$128.66 |
| 90734 |
|
12 |
12 |
$125.88 |
| 99406 |
|
61 |
52 |
$101.87 |
| 93880 |
|
17 |
12 |
$72.13 |
| 90697 |
|
24 |
24 |
$60.49 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
139 |
77 |
$55.67 |
| 99177 |
|
15 |
14 |
$46.97 |
| 90461 |
|
117 |
117 |
$33.31 |
| 99307 |
|
48 |
24 |
$28.36 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
33 |
27 |
$22.73 |
| 0503F |
|
135 |
119 |
$0.00 |
| 0502F |
|
5,848 |
4,110 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
130 |
111 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
65 |
57 |
$0.00 |