| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132,675 |
117,413 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,444 |
19,880 |
$953K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,665 |
2,092 |
$476K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,158 |
4,137 |
$474K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,634 |
590 |
$451K |
| 99205 |
Prolong outpt/office vis |
2,009 |
1,990 |
$289K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,908 |
8,286 |
$206K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,511 |
1,505 |
$166K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,556 |
1,503 |
$138K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,105 |
3,060 |
$118K |
| 76818 |
|
872 |
319 |
$98K |
| 99215 |
Prolong outpt/office vis |
903 |
878 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,173 |
6,865 |
$78K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
581 |
579 |
$75K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
574 |
541 |
$47K |
| 93000 |
|
3,495 |
3,255 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
564 |
163 |
$24K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
458 |
99 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
454 |
453 |
$22K |
| 95117 |
|
2,576 |
1,187 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
1,467 |
1,326 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,102 |
2,652 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,419 |
13,239 |
$15K |
| 92551 |
|
4,212 |
3,558 |
$14K |
| 98940 |
|
655 |
469 |
$11K |
| 92567 |
|
868 |
859 |
$8K |
| 73630 |
|
541 |
336 |
$8K |
| 90670 |
|
5,920 |
5,741 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,458 |
8,358 |
$8K |
| 10022 |
|
23 |
17 |
$7K |
| 59430 |
|
24 |
24 |
$7K |
| 92587 |
|
365 |
362 |
$6K |
| 90686 |
|
9,177 |
9,098 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
56 |
55 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
122 |
118 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
377 |
351 |
$5K |
| 51798 |
|
772 |
755 |
$5K |
| 76536 |
|
58 |
52 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,681 |
4,617 |
$5K |
| 94010 |
|
192 |
137 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
37 |
36 |
$4K |
| 99460 |
|
68 |
67 |
$3K |
| 90698 |
|
3,171 |
3,061 |
$3K |
| 88172 |
|
25 |
17 |
$3K |
| 99245 |
|
162 |
161 |
$3K |
| 95813 |
|
13 |
13 |
$3K |
| 31231 |
|
15 |
15 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
615 |
570 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
41 |
41 |
$2K |
| 74018 |
|
129 |
128 |
$2K |
| 81002 |
|
7,161 |
6,980 |
$2K |
| 72081 |
|
128 |
78 |
$2K |
| 90744 |
|
940 |
915 |
$2K |
| 73130 |
|
106 |
86 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
38 |
$2K |
| 90651 |
|
1,034 |
1,033 |
$1K |
| 76830 |
Ultrasound, transvaginal |
14 |
12 |
$1K |
| 73110 |
|
107 |
80 |
$1K |
| 94060 |
|
37 |
31 |
$1K |
| 76942 |
|
22 |
16 |
$1K |
| 99442 |
|
127 |
127 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
165 |
$1K |
| 76642 |
|
29 |
25 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,374 |
1,337 |
$1K |
| 77072 |
|
116 |
116 |
$1K |
| 90734 |
|
1,200 |
1,197 |
$982.42 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$887.93 |
| 94729 |
|
21 |
16 |
$860.96 |
| 94727 |
|
21 |
16 |
$775.84 |
| 82962 |
|
422 |
375 |
$755.56 |
| 96127 |
|
3,580 |
3,447 |
$754.00 |
| 81025 |
|
81 |
78 |
$636.08 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,674 |
3,599 |
$632.98 |
| 92002 |
|
12 |
12 |
$574.15 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
20 |
13 |
$568.50 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$557.96 |
| 81015 |
|
281 |
264 |
$503.38 |
| 90716 |
|
588 |
581 |
$484.92 |
| 73610 |
|
47 |
40 |
$471.86 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$456.17 |
| 90633 |
|
1,810 |
1,792 |
$450.31 |
| 0001A |
|
186 |
186 |
$450.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
14 |
14 |
$419.62 |
| 73140 |
|
30 |
29 |
$411.55 |
| 99243 |
|
24 |
24 |
$379.14 |
| 92504 |
|
12 |
12 |
$370.34 |
| 90648 |
|
1,354 |
1,349 |
$356.04 |
| 90707 |
|
615 |
608 |
$338.67 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
603 |
567 |
$332.64 |
| 69210 |
|
158 |
157 |
$282.37 |
| 90710 |
|
732 |
720 |
$274.14 |
| 0002A |
|
135 |
135 |
$265.47 |
| 90656 |
|
199 |
199 |
$264.81 |
| 90723 |
|
644 |
639 |
$247.50 |
| 93294 |
|
19 |
19 |
$246.26 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$224.02 |
| 85018 |
|
6,671 |
6,597 |
$219.26 |
| 99384 |
|
161 |
159 |
$214.92 |
| 11721 |
|
27 |
26 |
$190.79 |
| 92250 |
|
12 |
12 |
$187.02 |
| 90715 |
|
486 |
486 |
$181.01 |
| 90677 |
|
711 |
705 |
$179.46 |
| 90461 |
|
1,724 |
1,687 |
$173.09 |
| 92557 |
|
13 |
13 |
$161.29 |
| 73562 |
|
21 |
20 |
$160.23 |
| 0071A |
|
92 |
75 |
$148.00 |
| 95012 |
|
52 |
51 |
$138.22 |
| 72100 |
|
12 |
12 |
$137.23 |
| 90696 |
|
289 |
284 |
$110.64 |
| 90685 |
|
433 |
426 |
$102.69 |
| 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) |
14 |
14 |
$90.45 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
314 |
310 |
$90.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$67.80 |
| 90688 |
|
299 |
298 |
$53.64 |
| 94664 |
|
12 |
12 |
$49.83 |
| 90681 |
|
69 |
66 |
$45.80 |
| 99173 |
|
1,793 |
1,785 |
$43.11 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
320 |
319 |
$42.36 |
| 90674 |
|
51 |
51 |
$37.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
738 |
727 |
$26.98 |
| 90700 |
|
149 |
147 |
$18.00 |
| 90687 |
|
54 |
53 |
$8.91 |
| 86580 |
|
44 |
43 |
$3.66 |
| 96160 |
|
500 |
379 |
$2.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$1.43 |
| 3078F |
|
228 |
213 |
$0.00 |
| 91300 |
|
462 |
438 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
88 |
88 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
12 |
12 |
$0.00 |
| 99050 |
|
659 |
645 |
$0.00 |
| 3044F |
|
2,262 |
2,260 |
$0.00 |
| 3048F |
|
1,027 |
1,027 |
$0.00 |
| 3351F |
|
70 |
70 |
$0.00 |
| 3074F |
|
252 |
239 |
$0.00 |
| 91307 |
|
356 |
337 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
43 |
43 |
$0.00 |
| 3049F |
|
50 |
50 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |