| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,502 |
45,121 |
$3.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,306 |
40,240 |
$2.16M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20,457 |
18,863 |
$1.99M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,723 |
4,763 |
$643K |
| 99215 |
Prolong outpt/office vis |
7,038 |
5,568 |
$616K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,480 |
8,820 |
$600K |
| 20610 |
|
6,801 |
4,744 |
$322K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,424 |
2,584 |
$303K |
| 00731 |
|
1,854 |
1,607 |
$245K |
| 99233 |
Prolong inpt eval add15 m |
2,883 |
974 |
$209K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,798 |
936 |
$204K |
| 20611 |
|
3,364 |
2,620 |
$200K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,278 |
2,099 |
$183K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,605 |
2,495 |
$167K |
| 00813 |
|
879 |
818 |
$149K |
| 99205 |
Prolong outpt/office vis |
1,108 |
1,007 |
$139K |
| 00840 |
|
908 |
457 |
$132K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,340 |
1,150 |
$129K |
| 99223 |
Prolong inpt eval add15 m |
943 |
854 |
$124K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,036 |
964 |
$121K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
813 |
774 |
$115K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
603 |
558 |
$102K |
| 00811 |
|
739 |
673 |
$97K |
| 99221 |
|
1,311 |
1,125 |
$81K |
| 00790 |
|
552 |
273 |
$81K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,434 |
1,309 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,274 |
2,155 |
$72K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
542 |
511 |
$64K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,894 |
2,359 |
$58K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,261 |
1,499 |
$53K |
| 00812 |
|
420 |
378 |
$53K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
391 |
335 |
$53K |
| 62323 |
|
750 |
697 |
$46K |
| 69210 |
|
1,545 |
1,180 |
$43K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
303 |
124 |
$43K |
| 64493 |
|
499 |
356 |
$40K |
| 64635 |
|
312 |
228 |
$36K |
| 92567 |
|
2,757 |
2,587 |
$34K |
| 92557 |
|
1,185 |
1,122 |
$32K |
| 64721 |
|
89 |
80 |
$27K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
255 |
69 |
$26K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
125 |
120 |
$26K |
| 66982 |
|
52 |
26 |
$24K |
| 64494 |
|
554 |
339 |
$22K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
185 |
87 |
$20K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
421 |
414 |
$20K |
| 90677 |
|
71 |
67 |
$19K |
| 3008F |
|
276 |
263 |
$18K |
| 01480 |
|
201 |
93 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
401 |
386 |
$17K |
| 01400 |
|
184 |
85 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,010 |
897 |
$14K |
| 20553 |
|
399 |
349 |
$13K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,013 |
1,716 |
$11K |
| 64636 |
|
280 |
211 |
$11K |
| 92579 |
|
349 |
326 |
$11K |
| 92504 |
|
362 |
339 |
$10K |
| 20550 |
|
379 |
273 |
$10K |
| 43235 |
|
156 |
135 |
$10K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
602 |
498 |
$10K |
| 31575 |
|
127 |
111 |
$9K |
| 90653 |
|
134 |
125 |
$9K |
| 00400 |
|
100 |
52 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
107 |
107 |
$8K |
| 29881 |
|
12 |
12 |
$8K |
| 01961 |
|
61 |
25 |
$7K |
| 76942 |
|
267 |
219 |
$7K |
| 90686 |
|
475 |
434 |
$7K |
| 92582 |
|
143 |
130 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
51 |
50 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
68 |
68 |
$6K |
| 47562 |
|
18 |
12 |
$6K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
98 |
85 |
$6K |
| 99140 |
|
314 |
273 |
$6K |
| 51798 |
|
810 |
716 |
$6K |
| 97597 |
|
341 |
253 |
$5K |
| 29075 |
|
91 |
67 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
501 |
431 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
51 |
44 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
48 |
$4K |
| 62321 |
|
55 |
53 |
$4K |
| 25600 |
|
15 |
15 |
$4K |
| 92134 |
|
247 |
211 |
$3K |
| 94060 |
|
468 |
445 |
$3K |
| 96127 |
|
826 |
713 |
$3K |
| 52000 |
|
40 |
39 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
88 |
80 |
$3K |
| 27096 |
|
44 |
42 |
$3K |
| 00126 |
|
56 |
27 |
$3K |
| 90746 |
|
39 |
38 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
173 |
159 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
34 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
425 |
398 |
$2K |
| 90671 |
|
12 |
12 |
$2K |
| 94726 |
|
259 |
242 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
13 |
$2K |
| 93000 |
|
229 |
205 |
$2K |
| 95117 |
|
156 |
83 |
$2K |
| 92020 |
|
46 |
46 |
$2K |
| 94729 |
|
323 |
305 |
$2K |
| 92136 |
|
19 |
12 |
$2K |
| 64495 |
|
63 |
30 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
597 |
539 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 95115 |
|
135 |
62 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
17 |
12 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
33 |
29 |
$1K |
| 64483 |
|
18 |
12 |
$1K |
| 20526 |
|
27 |
20 |
$1K |
| 00910 |
|
21 |
12 |
$1K |
| 29540 |
|
43 |
40 |
$1K |
| 90651 |
|
30 |
28 |
$975.75 |
| 92587 |
|
60 |
57 |
$966.43 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
14 |
$738.21 |
| 64445 |
|
15 |
12 |
$633.60 |
| 92551 |
|
71 |
68 |
$627.27 |
| 20600 |
|
13 |
12 |
$562.42 |
| 91200 |
|
70 |
65 |
$551.60 |
| 81002 |
|
298 |
206 |
$525.25 |
| 81025 |
|
60 |
57 |
$463.61 |
| 64447 |
|
22 |
13 |
$457.97 |
| 99417 |
Prolong home eval add 15m |
20 |
12 |
$433.76 |
| 11721 |
|
16 |
15 |
$188.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
197 |
184 |
$116.04 |
| 93308 |
|
13 |
12 |
$71.02 |
| 93325 |
|
26 |
24 |
$32.01 |
| 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) |
173 |
162 |
$31.09 |
| 93321 |
|
13 |
12 |
$20.30 |
| 99173 |
|
12 |
12 |
$19.15 |
| G9678 |
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement |
56 |
53 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
16 |
12 |
$0.00 |
| 3044F |
|
23 |
20 |
$0.00 |
| J3490 |
Unclassified drugs |
15 |
13 |
$0.00 |
| 3052F |
|
16 |
14 |
$0.00 |