| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
71,123 |
68,818 |
$7.27M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
33,562 |
32,921 |
$4.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113,159 |
107,098 |
$3.67M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14,503 |
14,245 |
$1.87M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28,979 |
28,085 |
$1.80M |
| 99233 |
Prolong inpt eval add15 m |
33,476 |
15,107 |
$1.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78,788 |
73,949 |
$1.08M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12,285 |
12,137 |
$1.05M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
6,098 |
5,043 |
$1.04M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
966 |
919 |
$867K |
| 99223 |
Prolong inpt eval add15 m |
9,856 |
9,483 |
$813K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,421 |
7,170 |
$614K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
32,180 |
28,025 |
$560K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
20,733 |
7,881 |
$479K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,435 |
1,416 |
$422K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,554 |
5,328 |
$332K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
688 |
680 |
$276K |
| 99215 |
Prolong outpt/office vis |
5,253 |
4,663 |
$275K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,164 |
4,087 |
$267K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,709 |
2,068 |
$252K |
| 97139 |
|
8,383 |
2,520 |
$215K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
2,415 |
2,364 |
$192K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,710 |
4,450 |
$180K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,328 |
886 |
$175K |
| 95886 |
|
1,026 |
1,024 |
$143K |
| 90686 |
|
9,884 |
9,707 |
$133K |
| 99255 |
|
910 |
893 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,834 |
5,490 |
$126K |
| 59025 |
Fetal non-stress test |
5,347 |
4,079 |
$118K |
| 97802 |
|
849 |
846 |
$118K |
| 93000 |
|
3,679 |
3,578 |
$99K |
| 97803 |
|
1,949 |
1,603 |
$87K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
82 |
67 |
$79K |
| 99205 |
Prolong outpt/office vis |
729 |
720 |
$77K |
| 97750 |
|
1,833 |
971 |
$76K |
| 95912 |
|
202 |
202 |
$70K |
| 92557 |
|
1,280 |
1,264 |
$58K |
| 97010 |
|
3,042 |
592 |
$57K |
| 64615 |
|
383 |
379 |
$54K |
| 20610 |
|
1,203 |
1,047 |
$54K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,026 |
947 |
$53K |
| 99292 |
|
259 |
245 |
$50K |
| 93297 |
|
3,515 |
3,502 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,590 |
7,311 |
$46K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
75 |
73 |
$41K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
309 |
308 |
$41K |
| 59425 |
|
448 |
341 |
$39K |
| 90670 |
|
4,159 |
4,005 |
$38K |
| 51798 |
|
1,254 |
1,221 |
$31K |
| 94729 |
|
494 |
492 |
$31K |
| 11721 |
|
1,353 |
1,347 |
$29K |
| 52000 |
|
359 |
357 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
976 |
909 |
$25K |
| 94060 |
|
390 |
384 |
$24K |
| 90647 |
|
2,613 |
2,502 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,841 |
3,804 |
$23K |
| 93296 |
|
947 |
947 |
$23K |
| 90723 |
|
2,490 |
2,404 |
$22K |
| 90715 |
|
642 |
607 |
$22K |
| Z1034 |
|
396 |
308 |
$20K |
| 94010 |
|
541 |
535 |
$19K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
128 |
123 |
$19K |
| 95911 |
|
75 |
75 |
$18K |
| 99356 |
|
342 |
338 |
$18K |
| 95909 |
|
109 |
109 |
$18K |
| H1000 |
Prenatal care, at-risk assessment |
83 |
83 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
889 |
856 |
$15K |
| 59430 |
|
168 |
160 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,586 |
1,580 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
268 |
255 |
$14K |
| 95812 |
|
313 |
300 |
$14K |
| 93970 |
|
64 |
64 |
$13K |
| 94726 |
|
217 |
217 |
$12K |
| 90651 |
|
779 |
775 |
$11K |
| 99152 |
|
397 |
384 |
$11K |
| 93351 |
|
37 |
35 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
451 |
364 |
$10K |
| 90633 |
|
1,113 |
1,078 |
$10K |
| 93294 |
|
543 |
543 |
$10K |
| 99254 |
|
84 |
84 |
$9K |
| 99418 |
Prolong nursin fac eval 15m |
142 |
138 |
$8K |
| 90710 |
|
918 |
892 |
$8K |
| 97799 |
|
333 |
129 |
$8K |
| 96127 |
|
1,612 |
1,591 |
$8K |
| 93295 |
|
159 |
159 |
$7K |
| 99497 |
|
74 |
74 |
$7K |
| 92504 |
|
554 |
514 |
$6K |
| 92526 |
|
215 |
200 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,390 |
559 |
$6K |
| 90681 |
|
653 |
639 |
$6K |
| 99499 |
|
259 |
253 |
$6K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$5K |
| 31575 |
|
198 |
191 |
$4K |
| 95910 |
|
17 |
17 |
$4K |
| 99381 |
|
77 |
76 |
$4K |
| 90677 |
|
286 |
268 |
$4K |
| 90672 |
|
284 |
273 |
$4K |
| 93922 |
|
64 |
64 |
$4K |
| 92551 |
|
2,969 |
2,956 |
$3K |
| 94727 |
|
56 |
56 |
$3K |
| 97165 |
|
75 |
38 |
$3K |
| 93015 |
|
74 |
70 |
$3K |
| 58300 |
|
13 |
12 |
$3K |
| 81025 |
|
432 |
387 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
58 |
25 |
$3K |
| 90734 |
|
261 |
261 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
203 |
200 |
$2K |
| 69210 |
|
106 |
106 |
$2K |
| 90656 |
|
180 |
180 |
$2K |
| 99245 |
|
12 |
12 |
$2K |
| 93308 |
|
76 |
74 |
$2K |
| 99221 |
|
173 |
161 |
$2K |
| 81000 |
|
542 |
538 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
52 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
93 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
40 |
40 |
$2K |
| 93880 |
|
12 |
12 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
205 |
200 |
$2K |
| J3490 |
Unclassified drugs |
13 |
13 |
$2K |
| 31231 |
|
56 |
54 |
$1K |
| 97162 |
|
204 |
204 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
138 |
133 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
43 |
43 |
$1K |
| 83655 |
|
90 |
90 |
$956.48 |
| 81002 |
|
284 |
269 |
$948.69 |
| 93990 |
|
26 |
26 |
$934.44 |
| 90685 |
|
44 |
44 |
$847.26 |
| 90662 |
|
38 |
38 |
$750.49 |
| 90700 |
|
74 |
70 |
$666.00 |
| 93228 |
|
25 |
25 |
$616.17 |
| 11056 |
|
26 |
25 |
$587.36 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$579.32 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
43 |
43 |
$542.34 |
| 99406 |
|
129 |
123 |
$527.86 |
| 11720 |
|
65 |
65 |
$523.34 |
| 90696 |
|
55 |
55 |
$495.00 |
| 93016 |
|
68 |
66 |
$487.51 |
| 92700 |
|
89 |
88 |
$456.42 |
| 93298 |
|
19 |
19 |
$420.27 |
| 93018 |
|
68 |
66 |
$342.11 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
16 |
$331.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
740 |
730 |
$252.19 |
| 93280 |
|
51 |
49 |
$242.64 |
| 99383 |
|
13 |
13 |
$219.32 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
14 |
$182.29 |
| 90733 |
|
20 |
20 |
$180.00 |
| 76937 |
|
13 |
13 |
$178.61 |
| 11057 |
|
14 |
14 |
$136.05 |
| 92134 |
|
14 |
13 |
$133.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
81 |
$72.81 |
| 93325 |
|
26 |
25 |
$47.99 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
54 |
24 |
$45.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
112 |
$4.46 |
| 85018 |
|
49 |
48 |
$4.14 |
| 83037 |
|
40 |
37 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$0.00 |
| 90653 |
|
43 |
43 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
101 |
101 |
$0.00 |
| 84999 |
|
14 |
14 |
$0.00 |