| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86,196 |
64,438 |
$3.31M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
41,759 |
12,033 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,778 |
34,077 |
$1.02M |
| 99233 |
Prolong inpt eval add15 m |
19,595 |
7,449 |
$720K |
| 99223 |
Prolong inpt eval add15 m |
6,503 |
5,588 |
$451K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,711 |
1,033 |
$338K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,500 |
2,442 |
$262K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
238 |
195 |
$241K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,773 |
3,082 |
$231K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,796 |
3,833 |
$228K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
11,111 |
2,978 |
$162K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,176 |
3,251 |
$144K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
936 |
689 |
$136K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
20,087 |
15,654 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,911 |
2,227 |
$108K |
| 99215 |
Prolong outpt/office vis |
1,651 |
1,248 |
$89K |
| 43248 |
|
1,432 |
1,032 |
$88K |
| 90961 |
|
2,321 |
2,047 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,770 |
1,459 |
$78K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,734 |
1,551 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,185 |
4,007 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,681 |
1,272 |
$63K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,417 |
1,915 |
$62K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,154 |
962 |
$61K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,301 |
1,104 |
$51K |
| 95720 |
|
493 |
194 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,015 |
2,904 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
798 |
683 |
$39K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
366 |
333 |
$34K |
| 93975 |
|
249 |
224 |
$28K |
| 99220 |
|
422 |
358 |
$26K |
| 95811 |
|
276 |
167 |
$22K |
| 76830 |
Ultrasound, transvaginal |
453 |
402 |
$22K |
| 76801 |
|
244 |
214 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
477 |
368 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,945 |
2,411 |
$20K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
585 |
488 |
$18K |
| 99217 |
|
633 |
542 |
$17K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
131 |
98 |
$16K |
| 99219 |
|
324 |
267 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
13,071 |
10,190 |
$16K |
| 99221 |
|
478 |
402 |
$14K |
| 90962 |
|
390 |
365 |
$13K |
| 59510 |
|
13 |
12 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,021 |
2,453 |
$12K |
| 93000 |
|
3,518 |
2,164 |
$11K |
| 20610 |
|
533 |
331 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
232 |
205 |
$8K |
| 76775 |
|
786 |
602 |
$8K |
| 95117 |
|
691 |
283 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
90 |
65 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
65 |
63 |
$8K |
| 99205 |
Prolong outpt/office vis |
80 |
72 |
$8K |
| 95886 |
|
208 |
97 |
$7K |
| 94060 |
|
454 |
356 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
368 |
210 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,175 |
888 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
124 |
117 |
$6K |
| 81001 |
|
3,682 |
3,009 |
$5K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
26 |
25 |
$5K |
| 52000 |
|
42 |
38 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
97 |
80 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
58 |
37 |
$4K |
| 20552 |
|
194 |
153 |
$4K |
| 73110 |
|
336 |
210 |
$4K |
| 93458 |
|
14 |
14 |
$4K |
| 99383 |
|
61 |
54 |
$3K |
| 81002 |
|
2,476 |
1,237 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
556 |
376 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
193 |
193 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
97 |
41 |
$3K |
| 94729 |
|
254 |
201 |
$2K |
| 93018 |
|
214 |
167 |
$2K |
| 87428 |
|
34 |
33 |
$2K |
| 94726 |
|
233 |
189 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
196 |
187 |
$2K |
| 74018 |
|
211 |
133 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
241 |
241 |
$1K |
| D1206 |
Topical application of fluoride varnish |
185 |
77 |
$848.85 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
13 |
$788.75 |
| 99381 |
|
19 |
14 |
$710.76 |
| 99226 |
|
20 |
17 |
$654.42 |
| 99152 |
|
82 |
68 |
$652.03 |
| 87420 |
|
188 |
91 |
$602.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
119 |
108 |
$591.18 |
| 93272 |
|
26 |
24 |
$497.26 |
| 93016 |
|
32 |
25 |
$338.59 |
| 92567 |
|
35 |
28 |
$289.20 |
| 81003 |
|
201 |
156 |
$285.66 |
| 90686 |
|
77 |
59 |
$268.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$244.58 |
| 99443 |
|
18 |
12 |
$231.75 |
| 69210 |
|
14 |
12 |
$228.48 |
| 73560 |
|
29 |
24 |
$128.15 |
| 51798 |
|
13 |
13 |
$89.87 |
| 82947 |
|
55 |
38 |
$79.80 |
| G0008 |
Administration of influenza virus vaccine |
81 |
62 |
$54.80 |
| 85027 |
|
19 |
16 |
$46.25 |
| 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) |
24 |
21 |
$43.85 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
23 |
14 |
$24.24 |
| 99000 |
|
44 |
40 |
$3.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
44 |
16 |
$0.29 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
23 |
13 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
15 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
27 |
$0.00 |