| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94,346 |
90,805 |
$7.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107,465 |
101,804 |
$6.69M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,890 |
11,890 |
$1.51M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32,220 |
32,057 |
$1.33M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,437 |
11,773 |
$1.08M |
| 99215 |
Prolong outpt/office vis |
7,954 |
7,620 |
$964K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16,927 |
6,510 |
$955K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,294 |
10,291 |
$953K |
| 99233 |
Prolong inpt eval add15 m |
11,733 |
4,452 |
$883K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,686 |
4,685 |
$428K |
| 99223 |
Prolong inpt eval add15 m |
2,877 |
2,820 |
$408K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,889 |
1,049 |
$403K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,480 |
5,435 |
$372K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,710 |
3,709 |
$311K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
172 |
172 |
$306K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,056 |
4,031 |
$227K |
| 59514 |
|
831 |
829 |
$187K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,614 |
1,605 |
$183K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,553 |
6,460 |
$181K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,725 |
1,724 |
$174K |
| 99205 |
Prolong outpt/office vis |
1,049 |
1,049 |
$174K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,685 |
3,495 |
$137K |
| 99219 |
|
1,067 |
1,061 |
$124K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,381 |
7,308 |
$104K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
969 |
966 |
$103K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,691 |
1,439 |
$99K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,001 |
1,000 |
$95K |
| 95819 |
|
1,943 |
1,935 |
$93K |
| 99217 |
|
1,382 |
1,374 |
$85K |
| 95811 |
|
1,004 |
1,002 |
$79K |
| 76801 |
|
656 |
656 |
$65K |
| 99460 |
|
718 |
717 |
$64K |
| 20610 |
|
3,235 |
2,731 |
$58K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
357 |
354 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,437 |
6,434 |
$53K |
| 64445 |
|
1,279 |
1,244 |
$38K |
| 59425 |
|
74 |
74 |
$35K |
| 99221 |
|
372 |
369 |
$31K |
| 96040 |
|
786 |
784 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
754 |
747 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,718 |
1,693 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
205 |
205 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
263 |
263 |
$25K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,357 |
2,240 |
$24K |
| J7325 |
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
504 |
490 |
$24K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
95 |
95 |
$24K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
100 |
100 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
280 |
268 |
$23K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
288 |
288 |
$22K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,818 |
3,401 |
$22K |
| 90686 |
|
6,350 |
6,342 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
186 |
186 |
$20K |
| 59426 |
|
25 |
25 |
$20K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
116 |
116 |
$19K |
| 99406 |
|
1,409 |
1,241 |
$18K |
| 20553 |
|
1,477 |
1,430 |
$18K |
| 20551 |
|
1,285 |
1,249 |
$17K |
| 81025 |
|
1,925 |
1,908 |
$14K |
| 99442 |
|
257 |
251 |
$14K |
| 90677 |
|
312 |
312 |
$14K |
| 95813 |
|
213 |
212 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
157 |
157 |
$12K |
| 20605 |
|
1,018 |
954 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
103 |
103 |
$12K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
882 |
818 |
$12K |
| 59410 |
|
12 |
12 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
111 |
110 |
$10K |
| 99152 |
|
1,207 |
1,148 |
$10K |
| 95251 |
|
390 |
389 |
$9K |
| 90674 |
|
1,224 |
1,224 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,553 |
1,511 |
$9K |
| 99381 |
|
80 |
80 |
$8K |
| 73110 |
|
240 |
207 |
$8K |
| 99334 |
|
590 |
590 |
$8K |
| 29065 |
|
98 |
67 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
163 |
163 |
$6K |
| 95822 |
|
123 |
122 |
$6K |
| 83655 |
|
455 |
455 |
$5K |
| 11721 |
|
354 |
354 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
592 |
592 |
$5K |
| 99347 |
|
320 |
320 |
$5K |
| 90715 |
|
143 |
143 |
$5K |
| 99462 |
|
123 |
103 |
$5K |
| 0012A |
|
115 |
115 |
$5K |
| 73130 |
|
150 |
136 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
38 |
38 |
$4K |
| 73560 |
|
250 |
236 |
$4K |
| 99307 |
|
106 |
97 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
250 |
233 |
$4K |
| 87807 |
|
288 |
285 |
$3K |
| 95806 |
|
127 |
127 |
$3K |
| 0011A |
|
121 |
121 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
107 |
58 |
$3K |
| 73564 |
|
118 |
84 |
$3K |
| 51701 |
|
117 |
117 |
$3K |
| 72040 |
|
146 |
144 |
$3K |
| 94726 |
|
289 |
289 |
$3K |
| 94060 |
|
404 |
404 |
$3K |
| 94729 |
|
351 |
351 |
$2K |
| 73562 |
|
111 |
103 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
104 |
102 |
$2K |
| 54150 |
|
25 |
25 |
$2K |
| 99173 |
|
869 |
868 |
$2K |
| 73100 |
|
92 |
64 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
47 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
33 |
$2K |
| 96127 |
|
337 |
333 |
$2K |
| 82962 |
|
616 |
614 |
$2K |
| 72100 |
|
108 |
108 |
$2K |
| 90661 |
|
431 |
431 |
$2K |
| 73030 |
|
89 |
84 |
$2K |
| 72170 |
|
126 |
126 |
$2K |
| 0071A |
|
45 |
45 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$2K |
| 73610 |
|
52 |
49 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| Q4006 |
Cast supplies, long arm cast, adult (11 years +), fiberglass |
59 |
38 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 95816 |
|
24 |
24 |
$1K |
| 85018 |
|
496 |
496 |
$1K |
| 90651 |
|
319 |
319 |
$1K |
| 99348 |
|
37 |
37 |
$935.60 |
| 92551 |
|
81 |
81 |
$843.25 |
| 73120 |
|
40 |
25 |
$770.12 |
| 88720 |
|
166 |
135 |
$769.15 |
| 90656 |
|
35 |
35 |
$690.69 |
| 62323 |
|
14 |
14 |
$570.90 |
| 0002A |
|
14 |
14 |
$560.00 |
| 0072A |
|
13 |
12 |
$520.00 |
| 92567 |
|
45 |
44 |
$509.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
42 |
$489.92 |
| 0001A |
|
14 |
14 |
$474.32 |
| 96161 |
|
76 |
71 |
$375.00 |
| 99441 |
|
28 |
27 |
$354.76 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
35 |
35 |
$352.45 |
| 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) |
160 |
157 |
$331.53 |
| 99188 |
|
26 |
26 |
$280.54 |
| 73502 |
|
15 |
14 |
$221.42 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$199.55 |
| 73620 |
|
17 |
14 |
$143.45 |
| 51798 |
|
14 |
14 |
$88.61 |
| 96160 |
|
7,605 |
7,600 |
$68.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$6.58 |
| 90700 |
|
91 |
91 |
$0.00 |
| 90670 |
|
3,663 |
3,661 |
$0.00 |
| 90633 |
|
844 |
844 |
$0.00 |
| 90734 |
|
98 |
98 |
$0.00 |
| 90710 |
|
41 |
41 |
$0.00 |
| 90707 |
|
135 |
135 |
$0.00 |
| 90671 |
|
138 |
138 |
$0.00 |
| 91308 |
|
25 |
25 |
$0.00 |
| 90647 |
|
2,373 |
2,373 |
$0.00 |
| 90680 |
|
2,304 |
2,303 |
$0.00 |
| 90723 |
|
2,559 |
2,558 |
$0.00 |
| 90716 |
|
137 |
137 |
$0.00 |
| 90620 |
|
26 |
26 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |