| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105,474 |
89,564 |
$4.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,439 |
49,011 |
$2.37M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30,145 |
11,594 |
$636K |
| 99233 |
Prolong inpt eval add15 m |
17,830 |
7,784 |
$526K |
| 99215 |
Prolong outpt/office vis |
6,906 |
5,408 |
$324K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
43,405 |
37,154 |
$296K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,140 |
7,103 |
$289K |
| 99223 |
Prolong inpt eval add15 m |
4,851 |
4,347 |
$283K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,853 |
3,521 |
$270K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,199 |
4,784 |
$242K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,206 |
5,754 |
$231K |
| 59025 |
Fetal non-stress test |
9,596 |
6,379 |
$199K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,851 |
2,715 |
$189K |
| 59410 |
|
273 |
249 |
$181K |
| 76818 |
|
5,381 |
4,083 |
$156K |
| H1000 |
Prenatal care, at-risk assessment |
1,196 |
1,072 |
$141K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,093 |
989 |
$110K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,190 |
1,081 |
$106K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,771 |
1,698 |
$95K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,004 |
2,725 |
$93K |
| 87428 |
|
3,164 |
2,843 |
$92K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,243 |
1,162 |
$90K |
| 95886 |
|
1,533 |
1,398 |
$76K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,252 |
1,192 |
$76K |
| 20610 |
|
1,569 |
1,100 |
$65K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,337 |
2,144 |
$64K |
| 99205 |
Prolong outpt/office vis |
638 |
604 |
$60K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
697 |
659 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,094 |
1,842 |
$50K |
| 93971 |
|
2,619 |
2,486 |
$49K |
| 97803 |
|
2,675 |
2,517 |
$45K |
| 99255 |
|
497 |
452 |
$43K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,110 |
977 |
$40K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
569 |
539 |
$37K |
| 93970 |
|
1,324 |
1,217 |
$34K |
| 90832 |
Psychotherapy, 30 minutes with patient |
889 |
763 |
$31K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
355 |
322 |
$31K |
| 99078 |
|
1,013 |
700 |
$31K |
| 90791 |
Psychiatric diagnostic evaluation |
341 |
315 |
$28K |
| 11721 |
|
2,180 |
1,901 |
$26K |
| 93000 |
|
2,291 |
2,121 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
978 |
887 |
$25K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,614 |
840 |
$23K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
886 |
392 |
$23K |
| 31579 |
|
232 |
207 |
$23K |
| 81025 |
|
3,150 |
2,867 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
446 |
422 |
$19K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
80 |
66 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,593 |
1,403 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,223 |
1,122 |
$17K |
| 76820 |
|
823 |
535 |
$16K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
733 |
645 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,186 |
484 |
$16K |
| 76801 |
|
417 |
406 |
$15K |
| 99243 |
|
271 |
247 |
$14K |
| 95816 |
|
572 |
518 |
$14K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
51 |
24 |
$14K |
| 73562 |
|
744 |
509 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
235 |
215 |
$12K |
| 93296 |
|
1,025 |
944 |
$10K |
| 73630 |
|
692 |
448 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
138 |
127 |
$8K |
| 90836 |
|
205 |
99 |
$8K |
| 95811 |
|
114 |
103 |
$8K |
| 92557 |
|
297 |
255 |
$7K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
580 |
520 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
49 |
43 |
$6K |
| 11056 |
|
291 |
211 |
$6K |
| 97802 |
|
146 |
135 |
$5K |
| 96127 |
|
508 |
442 |
$5K |
| 99254 |
|
71 |
64 |
$5K |
| 99406 |
|
725 |
600 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
62 |
40 |
$4K |
| 95720 |
|
30 |
15 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,377 |
1,250 |
$4K |
| 99442 |
|
174 |
173 |
$4K |
| 77014 |
|
114 |
26 |
$4K |
| 76830 |
Ultrasound, transvaginal |
68 |
63 |
$3K |
| 92567 |
|
344 |
295 |
$3K |
| 87210 |
|
813 |
737 |
$3K |
| 94060 |
|
285 |
266 |
$3K |
| 93880 |
|
162 |
144 |
$3K |
| 93227 |
|
126 |
117 |
$3K |
| 69210 |
|
167 |
149 |
$3K |
| 59425 |
|
55 |
37 |
$3K |
| 51725 |
|
29 |
25 |
$2K |
| 81002 |
|
1,244 |
962 |
$2K |
| 97161 |
|
46 |
44 |
$2K |
| 93298 |
|
136 |
130 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
81 |
76 |
$2K |
| 54150 |
|
44 |
43 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
57 |
$2K |
| 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) |
5,416 |
4,925 |
$2K |
| 99385 |
|
26 |
26 |
$2K |
| 93016 |
|
125 |
118 |
$2K |
| 95251 |
|
102 |
90 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
25 |
$2K |
| 99292 |
|
38 |
15 |
$1K |
| 95819 |
|
57 |
50 |
$1K |
| 94727 |
|
297 |
281 |
$1K |
| 93295 |
|
51 |
48 |
$1K |
| 99220 |
|
12 |
12 |
$1K |
| 31231 |
|
13 |
12 |
$1K |
| 81003 |
|
762 |
664 |
$1K |
| 93018 |
|
125 |
118 |
$1K |
| 94729 |
|
300 |
281 |
$1K |
| 92504 |
|
79 |
66 |
$981.40 |
| 97162 |
|
15 |
12 |
$954.18 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
12 |
$940.50 |
| 99441 |
|
89 |
83 |
$785.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
12 |
$770.13 |
| 99459 |
|
47 |
44 |
$752.49 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
44 |
25 |
$720.60 |
| 93244 |
|
43 |
41 |
$707.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
24 |
$533.42 |
| 90715 |
|
14 |
12 |
$511.72 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
157 |
108 |
$509.97 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$508.80 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
28 |
25 |
$487.43 |
| 87807 |
|
57 |
48 |
$446.19 |
| 99152 |
|
45 |
37 |
$410.66 |
| 99221 |
|
16 |
16 |
$391.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
26 |
$361.45 |
| 73564 |
|
18 |
12 |
$346.85 |
| 93308 |
|
27 |
25 |
$336.18 |
| 73030 |
|
25 |
12 |
$312.92 |
| 99443 |
|
15 |
15 |
$293.99 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
15 |
12 |
$286.05 |
| 43450 |
|
17 |
12 |
$282.69 |
| 93925 |
|
16 |
12 |
$268.89 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
16 |
$213.63 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
13 |
$186.75 |
| 93294 |
|
16 |
13 |
$175.04 |
| 93280 |
|
13 |
12 |
$140.05 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
22 |
18 |
$137.62 |
| 76937 |
|
12 |
12 |
$100.77 |
| 93325 |
|
14 |
13 |
$34.77 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
15 |
12 |
$11.87 |
| G8484 |
Influenza immunization was not administered, reason not given |
50 |
50 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,070 |
1,044 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
31 |
31 |
$0.00 |
| 4004F |
|
16 |
16 |
$0.00 |
| 1036F |
|
659 |
639 |
$0.00 |
| 0503F |
|
268 |
267 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
272 |
262 |
$0.00 |
| 3017F |
|
98 |
93 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
16 |
16 |
$0.00 |
| 3014F |
|
19 |
18 |
$0.00 |