| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,293 |
25,518 |
$1.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,550 |
11,300 |
$726K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,854 |
3,160 |
$233K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,629 |
3,009 |
$196K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,095 |
4,763 |
$174K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,662 |
2,487 |
$163K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,047 |
971 |
$119K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,451 |
1,322 |
$102K |
| W0037 |
|
6,553 |
6,553 |
$97K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,930 |
1,702 |
$93K |
| 99215 |
Prolong outpt/office vis |
1,300 |
1,096 |
$92K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,211 |
1,831 |
$88K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
971 |
830 |
$81K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,374 |
869 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,116 |
1,073 |
$72K |
| 99460 |
|
794 |
737 |
$60K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,081 |
915 |
$59K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,330 |
1,992 |
$55K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,871 |
1,665 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
604 |
462 |
$50K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
433 |
354 |
$46K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,112 |
1,014 |
$42K |
| 76801 |
|
750 |
444 |
$42K |
| 99222 |
Initial hospital care, per day, moderate complexity |
609 |
461 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
3,974 |
3,031 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,865 |
1,577 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
907 |
776 |
$32K |
| 73630 |
|
2,799 |
1,470 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,077 |
2,857 |
$30K |
| 0240U |
|
267 |
255 |
$29K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
674 |
219 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
45 |
36 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
4,771 |
3,806 |
$24K |
| 59025 |
Fetal non-stress test |
1,225 |
827 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,085 |
1,009 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
3,113 |
2,437 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
441 |
380 |
$16K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
247 |
230 |
$16K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
17 |
14 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
303 |
129 |
$16K |
| 90715 |
|
927 |
858 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,583 |
1,171 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
188 |
$13K |
| Q3014 |
Telehealth originating site facility fee |
629 |
560 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,243 |
1,838 |
$13K |
| 99188 |
|
509 |
475 |
$11K |
| 73610 |
|
988 |
656 |
$11K |
| 74018 |
|
993 |
632 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,250 |
1,024 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
283 |
264 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
159 |
128 |
$9K |
| 90686 |
|
2,799 |
2,595 |
$8K |
| 80061 |
Lipid panel |
620 |
546 |
$7K |
| 20610 |
|
199 |
168 |
$6K |
| 80050 |
General health panel |
238 |
211 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
717 |
644 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
357 |
313 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
12 |
$4K |
| 90677 |
|
404 |
361 |
$4K |
| 73562 |
|
397 |
265 |
$4K |
| 76376 |
|
369 |
345 |
$4K |
| 0002A |
|
86 |
85 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
25 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
56 |
52 |
$3K |
| 73030 |
|
264 |
175 |
$3K |
| 0071A |
|
77 |
74 |
$3K |
| 90670 |
|
1,959 |
1,831 |
$3K |
| 0001A |
|
67 |
64 |
$2K |
| 73110 |
|
205 |
134 |
$2K |
| 0072A |
|
70 |
63 |
$2K |
| 81001 |
|
930 |
776 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
92 |
51 |
$2K |
| 54150 |
|
14 |
13 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
78 |
73 |
$2K |
| 90473 |
|
160 |
147 |
$2K |
| 90480 |
|
65 |
65 |
$2K |
| 90656 |
|
295 |
289 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 91322 |
|
12 |
12 |
$1K |
| 84439 |
|
213 |
172 |
$1K |
| 86140 |
|
327 |
290 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
213 |
181 |
$1K |
| 11721 |
|
117 |
105 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
25 |
$1K |
| 90651 |
|
334 |
316 |
$1K |
| 81025 |
|
179 |
159 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
24 |
24 |
$1K |
| 76830 |
Ultrasound, transvaginal |
25 |
13 |
$948.70 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
12 |
$874.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
58 |
$859.40 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
13 |
$825.44 |
| 73130 |
|
62 |
37 |
$746.61 |
| 82728 |
|
60 |
57 |
$722.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
149 |
141 |
$718.85 |
| 73502 |
|
60 |
41 |
$670.86 |
| 96161 |
|
95 |
90 |
$591.08 |
| 99462 |
|
16 |
13 |
$573.60 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
183 |
134 |
$566.83 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
101 |
92 |
$518.79 |
| 90671 |
|
276 |
260 |
$492.40 |
| 99307 |
|
14 |
14 |
$445.08 |
| 99217 |
|
14 |
12 |
$438.79 |
| 36416 |
|
604 |
492 |
$365.35 |
| 90633 |
|
1,486 |
1,383 |
$353.23 |
| 83550 |
|
45 |
42 |
$349.60 |
| 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) |
192 |
173 |
$344.50 |
| 82570 |
|
79 |
64 |
$341.88 |
| 74019 |
|
35 |
26 |
$327.48 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$319.88 |
| 96381 |
|
18 |
18 |
$287.38 |
| 83540 |
|
49 |
45 |
$271.74 |
| 72100 |
|
16 |
12 |
$233.31 |
| 73140 |
|
27 |
13 |
$187.53 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
29 |
25 |
$140.03 |
| 90688 |
|
16 |
14 |
$111.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
13 |
$85.04 |
| 85027 |
|
15 |
13 |
$71.17 |
| 82950 |
|
12 |
12 |
$52.25 |
| 96127 |
|
15 |
13 |
$50.78 |
| 85018 |
|
26 |
26 |
$50.47 |
| 90685 |
|
79 |
74 |
$44.91 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
67 |
31 |
$1.29 |
| 90648 |
|
2,183 |
2,027 |
$0.00 |
| 90700 |
|
65 |
59 |
$0.00 |
| 90461 |
|
739 |
700 |
$0.00 |
| 90734 |
|
258 |
242 |
$0.00 |
| 90707 |
|
112 |
105 |
$0.00 |
| 90681 |
|
84 |
71 |
$0.00 |
| 90710 |
|
182 |
172 |
$0.00 |
| 91300 |
|
23 |
16 |
$0.00 |
| 90696 |
|
166 |
156 |
$0.00 |
| 90723 |
|
1,665 |
1,543 |
$0.00 |
| 90697 |
|
202 |
193 |
$0.00 |
| 90680 |
|
1,542 |
1,448 |
$0.00 |
| 90716 |
|
104 |
99 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
26 |
$0.00 |
| 91307 |
|
70 |
64 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 99024 |
|
31 |
25 |
$0.00 |
| 91305 |
|
31 |
29 |
$0.00 |