| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142,342 |
121,751 |
$5.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102,206 |
90,606 |
$2.75M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,384 |
8,833 |
$534K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,726 |
7,904 |
$489K |
| 99233 |
Prolong inpt eval add15 m |
12,013 |
4,483 |
$384K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,584 |
4,385 |
$261K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,920 |
7,514 |
$254K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,215 |
2,836 |
$207K |
| 3008F |
|
22,686 |
21,745 |
$205K |
| 99223 |
Prolong inpt eval add15 m |
3,830 |
3,445 |
$200K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,389 |
1,749 |
$191K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,294 |
4,500 |
$183K |
| 96130 |
|
3,098 |
2,304 |
$167K |
| 96131 |
|
2,439 |
1,769 |
$153K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
25,744 |
19,677 |
$146K |
| 96137 |
|
2,574 |
1,853 |
$132K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,728 |
2,576 |
$127K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,743 |
2,965 |
$124K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
844 |
715 |
$116K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,131 |
1,928 |
$92K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,850 |
2,215 |
$87K |
| 99215 |
Prolong outpt/office vis |
1,816 |
1,553 |
$82K |
| 92015 |
Determination of refractive state |
10,630 |
8,304 |
$71K |
| 96136 |
|
3,303 |
2,424 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,124 |
947 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,011 |
978 |
$60K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,330 |
2,224 |
$50K |
| 90686 |
|
9,619 |
9,096 |
$49K |
| 20611 |
|
1,407 |
1,116 |
$45K |
| 73630 |
|
3,284 |
2,307 |
$41K |
| 96101 |
|
500 |
472 |
$40K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,634 |
1,497 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,814 |
2,389 |
$36K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
206 |
129 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
476 |
367 |
$24K |
| 0002A |
|
619 |
604 |
$22K |
| Q3014 |
Telehealth originating site facility fee |
2,227 |
1,597 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,289 |
992 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
169 |
148 |
$20K |
| 0001A |
|
642 |
621 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
509 |
459 |
$16K |
| 92567 |
|
1,179 |
1,023 |
$15K |
| 90670 |
|
3,510 |
3,380 |
$15K |
| 99188 |
|
1,188 |
1,109 |
$14K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
34 |
32 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
365 |
266 |
$13K |
| 80306 |
|
809 |
600 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
967 |
299 |
$12K |
| 93000 |
|
972 |
860 |
$12K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
24 |
12 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,294 |
947 |
$11K |
| 96127 |
|
5,370 |
3,280 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,454 |
1,357 |
$10K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
41 |
20 |
$9K |
| 90723 |
|
1,730 |
1,649 |
$9K |
| 65860 |
|
164 |
104 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
35 |
28 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
49 |
38 |
$8K |
| 90647 |
|
1,416 |
1,341 |
$8K |
| 66821 |
|
144 |
93 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
666 |
579 |
$7K |
| 94060 |
|
357 |
330 |
$7K |
| 95886 |
|
101 |
91 |
$6K |
| 90677 |
|
458 |
415 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
105 |
86 |
$6K |
| 0071A |
|
238 |
140 |
$6K |
| 90656 |
|
377 |
371 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
762 |
714 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
71 |
67 |
$5K |
| 90680 |
|
1,080 |
1,031 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
38 |
38 |
$5K |
| 0072A |
|
159 |
107 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
375 |
266 |
$4K |
| 94726 |
|
275 |
254 |
$4K |
| 95806 |
|
94 |
79 |
$4K |
| 11720 |
|
804 |
660 |
$4K |
| 94729 |
|
301 |
280 |
$4K |
| 99205 |
Prolong outpt/office vis |
105 |
59 |
$4K |
| V5266 |
Battery for use in hearing device |
500 |
446 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
77 |
64 |
$3K |
| 92133 |
|
163 |
122 |
$3K |
| 11719 |
|
936 |
772 |
$3K |
| 92310 |
|
208 |
179 |
$3K |
| 95117 |
|
747 |
484 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
887 |
725 |
$3K |
| 82947 |
|
686 |
639 |
$2K |
| 92557 |
|
77 |
68 |
$2K |
| 0031A |
|
65 |
63 |
$2K |
| 76519 |
|
98 |
69 |
$2K |
| 90633 |
|
415 |
381 |
$2K |
| 90674 |
|
153 |
132 |
$2K |
| 96133 |
|
23 |
15 |
$2K |
| 0004A |
|
65 |
53 |
$2K |
| 99442 |
|
237 |
114 |
$2K |
| 99221 |
|
71 |
57 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
197 |
116 |
$2K |
| 99381 |
|
24 |
24 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
30 |
27 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
25 |
$1K |
| 99220 |
|
29 |
26 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
9,611 |
8,313 |
$1K |
| 81001 |
|
408 |
386 |
$1K |
| 0011A |
|
30 |
30 |
$1K |
| 93793 |
|
421 |
160 |
$1K |
| 0012A |
|
27 |
27 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$998.18 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
124 |
106 |
$985.70 |
| 99236 |
Prolong inpt eval add15 m |
14 |
12 |
$896.30 |
| 99254 |
|
12 |
12 |
$859.41 |
| 96132 |
|
22 |
14 |
$803.90 |
| 99443 |
|
68 |
32 |
$798.45 |
| 92134 |
|
62 |
48 |
$747.06 |
| 99310 |
Prolong nursin fac eval 15m |
38 |
32 |
$596.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
206 |
147 |
$566.05 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
12 |
$537.75 |
| 99441 |
|
109 |
59 |
$527.29 |
| 85651 |
|
160 |
152 |
$518.71 |
| 73610 |
|
30 |
28 |
$439.17 |
| 87210 |
|
156 |
106 |
$390.75 |
| 90651 |
|
66 |
64 |
$374.83 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
49 |
45 |
$332.32 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
187 |
158 |
$303.43 |
| 97597 |
|
25 |
15 |
$295.78 |
| 99000 |
|
104 |
93 |
$294.99 |
| 93227 |
|
15 |
13 |
$249.89 |
| 11721 |
|
30 |
28 |
$248.62 |
| 92551 |
|
22 |
20 |
$243.97 |
| 85027 |
|
45 |
40 |
$231.81 |
| 90734 |
|
64 |
62 |
$210.28 |
| 36416 |
|
109 |
91 |
$210.24 |
| 90688 |
|
61 |
61 |
$208.71 |
| 90710 |
|
48 |
44 |
$156.86 |
| 99305 |
|
19 |
15 |
$147.56 |
| 85652 |
|
79 |
75 |
$141.64 |
| 80047 |
|
16 |
15 |
$141.02 |
| 11056 |
|
14 |
13 |
$140.29 |
| 99307 |
|
21 |
12 |
$130.47 |
| 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 |
38 |
29 |
$125.89 |
| 51798 |
|
14 |
12 |
$118.35 |
| 81025 |
|
20 |
13 |
$105.90 |
| 85007 |
|
27 |
26 |
$76.80 |
| 83037 |
|
33 |
31 |
$64.41 |
| 90696 |
|
12 |
12 |
$37.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
16 |
$19.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
273 |
269 |
$1.80 |
| 91300 |
|
1,429 |
1,311 |
$0.98 |
| 91307 |
|
403 |
242 |
$0.63 |
| Q0247 |
Injection, sotrovimab, 500 mg |
31 |
18 |
$0.03 |
| 91301 |
|
57 |
33 |
$0.02 |
| 2028F |
|
108 |
94 |
$0.00 |
| 97803 |
|
58 |
57 |
$0.00 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
43 |
36 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
38 |
27 |
$0.00 |
| 91303 |
|
65 |
63 |
$0.00 |