| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68,971 |
67,255 |
$2.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,372 |
22,903 |
$1.03M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20,958 |
7,546 |
$724K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
51,259 |
42,687 |
$476K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,875 |
7,853 |
$419K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,233 |
5,729 |
$405K |
| 99223 |
Prolong inpt eval add15 m |
5,334 |
5,024 |
$392K |
| 99233 |
Prolong inpt eval add15 m |
8,363 |
3,273 |
$378K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,305 |
6,176 |
$339K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,934 |
2,925 |
$212K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,487 |
5,307 |
$171K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,759 |
2,615 |
$134K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,062 |
1,061 |
$96K |
| 99050 |
|
41,185 |
40,785 |
$95K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,141 |
1,141 |
$90K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,843 |
1,840 |
$72K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,228 |
937 |
$62K |
| 87428 |
|
2,934 |
2,923 |
$56K |
| 59425 |
|
985 |
736 |
$55K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
758 |
755 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,305 |
2,268 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,093 |
1,081 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
1,469 |
1,460 |
$37K |
| 93970 |
|
878 |
864 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
574 |
574 |
$29K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
187 |
187 |
$28K |
| 99215 |
Prolong outpt/office vis |
317 |
305 |
$28K |
| 93000 |
|
1,592 |
1,578 |
$28K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,001 |
442 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
347 |
345 |
$24K |
| 99442 |
|
1,416 |
1,353 |
$23K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
228 |
103 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
585 |
585 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,695 |
7,667 |
$23K |
| 72100 |
|
654 |
654 |
$20K |
| 99051 |
|
6,471 |
6,362 |
$19K |
| 99441 |
|
2,623 |
2,489 |
$17K |
| 99221 |
|
503 |
489 |
$17K |
| 99460 |
|
415 |
410 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
42 |
42 |
$15K |
| 73630 |
|
778 |
615 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
169 |
169 |
$13K |
| 73030 |
|
468 |
394 |
$11K |
| 95816 |
|
308 |
250 |
$11K |
| 99205 |
Prolong outpt/office vis |
82 |
82 |
$9K |
| 73562 |
|
432 |
360 |
$9K |
| 73130 |
|
412 |
269 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,020 |
2,014 |
$8K |
| 76641 |
|
89 |
89 |
$8K |
| 93971 |
|
682 |
662 |
$8K |
| 76536 |
|
113 |
113 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
111 |
$7K |
| 81002 |
|
6,951 |
6,805 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
741 |
734 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
325 |
325 |
$5K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
14 |
$4K |
| 92504 |
|
435 |
430 |
$4K |
| 93295 |
|
151 |
151 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
309 |
307 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
5,227 |
5,019 |
$4K |
| 90686 |
|
1,118 |
1,114 |
$4K |
| 77080 |
|
301 |
300 |
$4K |
| 69210 |
|
212 |
199 |
$3K |
| 81025 |
|
528 |
525 |
$3K |
| 57454 |
|
55 |
55 |
$3K |
| 73560 |
|
171 |
139 |
$3K |
| 73610 |
|
108 |
95 |
$3K |
| 92551 |
|
1,522 |
1,522 |
$3K |
| 76830 |
Ultrasound, transvaginal |
50 |
50 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
333 |
308 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
57 |
56 |
$2K |
| 72040 |
|
66 |
66 |
$2K |
| 76775 |
|
28 |
28 |
$1K |
| 73502 |
|
37 |
37 |
$1K |
| 95819 |
|
55 |
51 |
$1K |
| 99243 |
|
17 |
17 |
$1K |
| 59430 |
|
18 |
17 |
$1K |
| 73110 |
|
34 |
32 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
30 |
$1K |
| 99292 |
|
17 |
13 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16 |
16 |
$986.73 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
22 |
12 |
$985.25 |
| 90670 |
|
187 |
186 |
$877.29 |
| 93016 |
|
43 |
43 |
$870.53 |
| 95117 |
|
1,208 |
452 |
$754.07 |
| 31231 |
|
39 |
38 |
$737.10 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$732.60 |
| 11750 |
|
17 |
12 |
$715.19 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
340 |
340 |
$704.55 |
| 74018 |
|
28 |
27 |
$665.01 |
| 93297 |
|
70 |
70 |
$641.50 |
| 81000 |
|
76 |
76 |
$635.09 |
| 93296 |
|
27 |
27 |
$574.68 |
| 20610 |
|
35 |
26 |
$548.95 |
| 92557 |
|
28 |
28 |
$531.75 |
| 73565 |
|
26 |
26 |
$502.96 |
| 99173 |
|
1,519 |
1,519 |
$489.61 |
| 93018 |
|
43 |
43 |
$402.44 |
| 85018 |
|
633 |
630 |
$340.37 |
| 93880 |
|
12 |
12 |
$330.29 |
| 46600 |
|
12 |
12 |
$294.79 |
| 82962 |
|
814 |
759 |
$260.65 |
| 99443 |
|
45 |
43 |
$251.82 |
| 95115 |
|
34 |
19 |
$238.40 |
| 72072 |
|
12 |
12 |
$237.39 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
100 |
100 |
$222.29 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$217.50 |
| 90648 |
|
107 |
107 |
$216.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
98 |
98 |
$162.71 |
| 93290 |
|
12 |
12 |
$137.83 |
| 90633 |
|
65 |
65 |
$90.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
26 |
$32.40 |
| 92567 |
|
15 |
15 |
$23.20 |
| 94010 |
|
13 |
13 |
$14.76 |
| 90680 |
|
12 |
12 |
$9.00 |
| 87807 |
|
15 |
15 |
$8.57 |
| 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) |
43 |
42 |
$3.49 |
| 1159F |
|
16 |
16 |
$0.00 |
| 1003F |
|
16 |
16 |
$0.00 |
| 1160F |
|
16 |
16 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 1090F |
|
16 |
16 |
$0.00 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
25 |
25 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 1158F |
|
15 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 1170F |
|
16 |
16 |
$0.00 |
| 1101F |
|
16 |
16 |
$0.00 |