| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
93,432 |
33,052 |
$932K |
| 99233 |
Prolong inpt eval add15 m |
60,252 |
24,739 |
$680K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
9,399 |
9,106 |
$658K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,285 |
54,870 |
$501K |
| Z1034 |
|
7,020 |
5,745 |
$409K |
| 99215 |
Prolong outpt/office vis |
6,816 |
5,836 |
$311K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,251 |
83,645 |
$283K |
| 99223 |
Prolong inpt eval add15 m |
18,912 |
18,117 |
$272K |
| 76813 |
|
5,246 |
4,905 |
$267K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
3,769 |
3,746 |
$211K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18,823 |
17,980 |
$181K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13,088 |
12,695 |
$170K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
7,765 |
2,272 |
$162K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,023 |
10,823 |
$146K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
7,056 |
6,534 |
$146K |
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
922 |
406 |
$122K |
| 59425 |
|
14,780 |
11,231 |
$113K |
| 59514 |
|
2,756 |
2,219 |
$93K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,794 |
1,695 |
$80K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,195 |
5,166 |
$68K |
| Z1032 |
|
450 |
450 |
$65K |
| 93304 |
|
1,573 |
1,308 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12,191 |
11,874 |
$57K |
| Z6410 |
|
4,236 |
3,688 |
$47K |
| 93320 |
|
1,770 |
1,675 |
$41K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,185 |
7,036 |
$31K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
6,388 |
3,800 |
$30K |
| Z6500 |
|
245 |
245 |
$30K |
| Z4305 |
|
296 |
285 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,678 |
6,540 |
$27K |
| 99381 |
|
2,449 |
2,282 |
$27K |
| Z4304 |
|
437 |
427 |
$23K |
| 93321 |
|
1,348 |
1,209 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,414 |
2,401 |
$23K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
15,559 |
13,645 |
$22K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
4,583 |
4,238 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
953 |
823 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,744 |
2,425 |
$18K |
| H2000 |
Comprehensive multidisciplinary evaluation |
2,951 |
2,926 |
$17K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
37,159 |
27,998 |
$16K |
| 11721 |
|
3,515 |
3,483 |
$16K |
| 77014 |
|
2,532 |
327 |
$14K |
| 99460 |
|
3,198 |
3,163 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,713 |
4,927 |
$13K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,075 |
1,065 |
$11K |
| 77427 |
|
1,377 |
656 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,800 |
11,823 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,185 |
2,978 |
$10K |
| 99253 |
|
1,736 |
1,697 |
$9K |
| 93325 |
|
4,218 |
3,836 |
$9K |
| 90680 |
|
8,452 |
6,944 |
$9K |
| 93000 |
|
5,343 |
5,249 |
$8K |
| 90670 |
|
11,390 |
9,701 |
$7K |
| 90744 |
|
6,795 |
5,727 |
$7K |
| J9202 |
Goserelin acetate implant, per 3.6 mg |
201 |
194 |
$7K |
| 91010 |
|
1,166 |
1,166 |
$7K |
| 99205 |
Prolong outpt/office vis |
704 |
676 |
$6K |
| 50590 |
|
112 |
106 |
$6K |
| 59430 |
|
3,122 |
3,091 |
$6K |
| 99401 |
|
9,488 |
9,100 |
$6K |
| Z6400 |
|
246 |
246 |
$6K |
| 96151 |
|
2,896 |
2,722 |
$6K |
| 99254 |
|
1,132 |
1,074 |
$6K |
| 90698 |
|
5,766 |
5,021 |
$5K |
| 59025 |
Fetal non-stress test |
7,243 |
3,981 |
$5K |
| 99462 |
|
2,451 |
1,850 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
297 |
295 |
$5K |
| 51798 |
|
3,249 |
3,154 |
$5K |
| 97803 |
|
8,054 |
7,930 |
$5K |
| 76825 |
|
339 |
339 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,066 |
869 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
178 |
178 |
$4K |
| 99221 |
|
999 |
970 |
$4K |
| 99252 |
|
868 |
755 |
$4K |
| 93015 |
|
521 |
519 |
$4K |
| Z6406 |
|
265 |
254 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
4,245 |
4,233 |
$4K |
| Z4306 |
|
76 |
76 |
$4K |
| 0002A |
|
98 |
94 |
$4K |
| 0001A |
|
95 |
95 |
$4K |
| 81002 |
|
7,619 |
6,337 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,712 |
1,546 |
$3K |
| 90700 |
|
6,594 |
5,537 |
$3K |
| 15275 |
|
1,056 |
485 |
$3K |
| 90713 |
|
4,040 |
3,227 |
$3K |
| 90648 |
|
6,111 |
5,060 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
165 |
163 |
$3K |
| 43249 |
|
202 |
202 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,197 |
713 |
$3K |
| Z6204 |
|
181 |
179 |
$3K |
| 99292 |
|
248 |
144 |
$3K |
| 52000 |
|
360 |
360 |
$3K |
| Z6304 |
|
177 |
171 |
$3K |
| 43264 |
|
50 |
48 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
269 |
260 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
8,708 |
6,667 |
$2K |
| 0011A |
|
70 |
66 |
$2K |
| 96367 |
|
707 |
403 |
$2K |
| 76827 |
|
335 |
335 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,510 |
3,917 |
$2K |
| 99255 |
|
196 |
193 |
$2K |
| 0012A |
|
47 |
45 |
$2K |
| 76820 |
|
88 |
65 |
$2K |
| 80053 |
Comprehensive metabolic panel |
2,745 |
2,438 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
26,888 |
21,849 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
42 |
41 |
$2K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
3,769 |
3,759 |
$1K |
| 86300 |
|
1,289 |
1,245 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,007 |
3,921 |
$1K |
| 43235 |
|
25 |
25 |
$1K |
| 51700 |
|
1,089 |
697 |
$1K |
| 82378 |
|
1,194 |
1,152 |
$1K |
| 77300 |
|
152 |
130 |
$1K |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,542 |
2,515 |
$1K |
| 96152 |
|
675 |
670 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
925 |
920 |
$1K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
607 |
346 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
352 |
350 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
648 |
370 |
$1K |
| 77334 |
|
195 |
159 |
$1K |
| 99382 |
|
391 |
380 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
2,416 |
2,231 |
$952.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,585 |
1,851 |
$919.11 |
| 11750 |
|
108 |
93 |
$916.75 |
| 81003 |
|
6,979 |
6,197 |
$902.85 |
| 92552 |
|
8,363 |
8,193 |
$870.57 |
| 99245 |
|
424 |
424 |
$851.94 |
| 91200 |
|
518 |
518 |
$768.88 |
| 91037 |
|
103 |
103 |
$739.10 |
| 83540 |
|
1,971 |
1,853 |
$729.87 |
| 69210 |
|
1,632 |
1,432 |
$703.08 |
| 82977 |
|
2,067 |
1,928 |
$700.79 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
137 |
131 |
$668.67 |
| Z1038 |
|
12 |
12 |
$653.16 |
| 81025 |
|
4,229 |
3,721 |
$632.84 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
8,202 |
6,253 |
$606.80 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
1,500 |
1,078 |
$525.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
495 |
463 |
$514.20 |
| 90710 |
|
4,348 |
3,995 |
$493.29 |
| 52332 |
|
14 |
13 |
$491.05 |
| 62323 |
|
59 |
57 |
$484.06 |
| 99243 |
|
146 |
146 |
$468.13 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,305 |
1,873 |
$459.15 |
| 90633 |
|
5,050 |
4,556 |
$426.17 |
| 96156 |
|
8,599 |
8,479 |
$425.36 |
| 74328 |
|
40 |
38 |
$398.42 |
| 90686 |
|
4,343 |
4,157 |
$390.51 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
8,121 |
6,210 |
$384.50 |
| 84550 |
|
2,009 |
1,876 |
$376.02 |
| 83615 |
|
2,024 |
1,887 |
$366.44 |
| 90461 |
|
966 |
838 |
$358.69 |
| J3490 |
Unclassified drugs |
1,563 |
777 |
$339.23 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
297 |
297 |
$338.61 |
| 11055 |
|
240 |
224 |
$312.35 |
| 90685 |
|
1,111 |
1,022 |
$296.61 |
| 84520 |
|
158 |
145 |
$276.31 |
| 46600 |
|
53 |
52 |
$275.10 |
| 84100 |
|
2,010 |
1,881 |
$270.17 |
| 99383 |
|
394 |
389 |
$262.56 |
| 20610 |
|
116 |
115 |
$258.58 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
437 |
244 |
$247.08 |
| 94760 |
|
3,089 |
2,423 |
$241.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
890 |
677 |
$238.71 |
| 96402 |
|
441 |
417 |
$229.13 |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
24 |
24 |
$208.30 |
| Z6208 |
|
13 |
13 |
$199.84 |
| Z6308 |
|
13 |
13 |
$199.84 |
| Z6414 |
|
13 |
13 |
$199.84 |
| 73030 |
|
120 |
96 |
$180.43 |
| 77338 |
|
13 |
12 |
$179.50 |
| 99251 |
|
35 |
29 |
$179.01 |
| 85018 |
|
7,379 |
6,855 |
$151.15 |
| 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) |
431 |
426 |
$137.89 |
| 73562 |
|
490 |
387 |
$132.84 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
123 |
123 |
$129.90 |
| 99152 |
|
811 |
797 |
$122.86 |
| 83655 |
|
2,224 |
2,111 |
$114.18 |
| 73630 |
|
155 |
121 |
$102.81 |
| 87420 |
|
383 |
258 |
$101.76 |
| 51784 |
|
14 |
12 |
$85.96 |
| 96417 |
|
21 |
14 |
$85.77 |
| 43248 |
|
28 |
28 |
$66.51 |
| 99000 |
|
620 |
594 |
$65.95 |
| J2785 |
Injection, regadenoson, 0.1 mg |
24 |
24 |
$50.65 |
| 99173 |
|
5,701 |
5,494 |
$35.11 |
| D1206 |
Topical application of fluoride varnish |
1,693 |
1,597 |
$33.94 |
| 93298 |
|
12 |
12 |
$30.42 |
| 90696 |
|
1,248 |
1,239 |
$27.90 |
| J1644 |
Injection, heparin sodium, per 1000 units |
154 |
85 |
$25.42 |
| 84450 |
|
167 |
148 |
$23.87 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
130 |
129 |
$23.75 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
241 |
198 |
$22.12 |
| 84460 |
|
170 |
148 |
$21.82 |
| 77290 |
|
27 |
24 |
$21.04 |
| 82040 |
|
181 |
161 |
$20.86 |
| 82247 |
|
182 |
160 |
$20.19 |
| 84155 |
|
165 |
150 |
$20.15 |
| 11056 |
|
26 |
26 |
$18.99 |
| 82947 |
|
162 |
145 |
$18.91 |
| 84075 |
|
171 |
159 |
$17.86 |
| 82565 |
|
177 |
160 |
$17.36 |
| 82310 |
|
168 |
156 |
$16.86 |
| 84132 |
|
164 |
152 |
$15.89 |
| 94010 |
|
35 |
29 |
$15.58 |
| 84295 |
|
157 |
145 |
$14.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,039 |
1,013 |
$13.14 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
8,334 |
6,406 |
$9.12 |
| 76981 |
|
34 |
34 |
$8.06 |
| 83735 |
|
12 |
12 |
$5.96 |
| 82374 |
|
168 |
154 |
$5.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$5.35 |
| 93288 |
|
26 |
25 |
$4.00 |
| 72110 |
|
13 |
13 |
$2.08 |
| 11730 |
|
82 |
69 |
$0.00 |
| 36416 |
|
1,076 |
1,018 |
$0.00 |
| 58100 |
|
25 |
25 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
169 |
132 |
$0.00 |
| 90651 |
|
406 |
400 |
$0.00 |
| 86580 |
|
249 |
237 |
$0.00 |
| Q4196 |
Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) |
102 |
58 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
14 |
$0.00 |
| 90716 |
|
47 |
44 |
$0.00 |
| 93227 |
|
25 |
25 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
38 |
12 |
$0.00 |
| 17000 |
|
112 |
97 |
$0.00 |
| 58300 |
|
27 |
27 |
$0.00 |
| 99384 |
|
29 |
24 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
15 |
15 |
$0.00 |
| 43259 |
|
16 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$0.00 |
| 36556 |
|
14 |
12 |
$0.00 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
15 |
$0.00 |
| 77263 |
|
12 |
12 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
21 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,392 |
1,386 |
$0.00 |
| 99072 |
|
453 |
399 |
$0.00 |
| 90715 |
|
518 |
515 |
$0.00 |
| 90734 |
|
188 |
184 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
488 |
158 |
$0.00 |
| 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) |
14 |
14 |
$0.00 |
| 11043 |
|
25 |
13 |
$0.00 |
| 97161 |
|
12 |
12 |
$0.00 |
| A4550 |
Surgical trays |
19 |
18 |
$0.00 |
| 90707 |
|
49 |
47 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
147 |
50 |
$0.00 |
| 17110 |
|
129 |
93 |
$0.00 |
| 45300 |
|
24 |
24 |
$0.00 |
| 99051 |
|
89 |
80 |
$0.00 |
| 93225 |
|
25 |
25 |
$0.00 |
| 17003 |
|
15 |
13 |
$0.00 |
| 47562 |
|
13 |
13 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$0.00 |
| 41010 |
|
13 |
13 |
$0.00 |