| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108,445 |
103,710 |
$4.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115,706 |
111,480 |
$3.49M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25,875 |
25,215 |
$1.60M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15,077 |
14,619 |
$980K |
| 99233 |
Prolong inpt eval add15 m |
24,137 |
11,087 |
$800K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,893 |
8,874 |
$693K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
9,413 |
4,113 |
$674K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,463 |
7,357 |
$567K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,636 |
19,263 |
$566K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,524 |
6,495 |
$521K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13,728 |
13,650 |
$492K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25,451 |
25,224 |
$484K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21,970 |
11,067 |
$460K |
| 99223 |
Prolong inpt eval add15 m |
5,622 |
5,439 |
$425K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
11,508 |
4,493 |
$368K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,680 |
6,434 |
$363K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,109 |
4,014 |
$357K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,368 |
4,040 |
$278K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,934 |
2,919 |
$272K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,781 |
3,821 |
$256K |
| 99215 |
Prolong outpt/office vis |
4,598 |
4,332 |
$255K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
40,885 |
35,384 |
$251K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,328 |
2,218 |
$232K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
609 |
303 |
$215K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,239 |
1,219 |
$193K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,330 |
2,319 |
$182K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,812 |
1,747 |
$159K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,612 |
2,560 |
$154K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,325 |
5,108 |
$153K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13,704 |
13,091 |
$144K |
| 99460 |
|
1,910 |
1,887 |
$140K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,084 |
2,049 |
$113K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,806 |
2,676 |
$112K |
| 76821 |
|
1,206 |
880 |
$90K |
| 92551 |
|
6,729 |
6,698 |
$84K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,863 |
4,233 |
$76K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,116 |
1,089 |
$72K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,105 |
2,024 |
$72K |
| 76820 |
|
1,124 |
810 |
$64K |
| 0240U |
|
655 |
648 |
$63K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
783 |
724 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,755 |
1,671 |
$49K |
| 95117 |
|
3,457 |
2,207 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,314 |
1,310 |
$45K |
| 90474 |
|
2,143 |
2,131 |
$41K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,380 |
1,363 |
$40K |
| 99205 |
Prolong outpt/office vis |
340 |
317 |
$39K |
| 76827 |
|
505 |
383 |
$38K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,477 |
1,463 |
$37K |
| 54150 |
|
192 |
190 |
$34K |
| 76828 |
|
798 |
591 |
$34K |
| 99173 |
|
6,827 |
6,799 |
$33K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,563 |
1,537 |
$31K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,951 |
4,151 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,153 |
1,018 |
$27K |
| 0002A |
|
1,203 |
1,197 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,475 |
1,249 |
$25K |
| 93000 |
|
1,162 |
1,149 |
$25K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,550 |
1,485 |
$24K |
| 76536 |
|
543 |
530 |
$23K |
| 93971 |
|
642 |
607 |
$23K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
460 |
146 |
$22K |
| 0001A |
|
1,204 |
1,199 |
$22K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,281 |
766 |
$22K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,020 |
2,565 |
$20K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
203 |
160 |
$17K |
| 90961 |
|
499 |
481 |
$16K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
330 |
318 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,767 |
1,427 |
$13K |
| 90686 |
|
9,279 |
9,203 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
350 |
342 |
$12K |
| 92083 |
|
597 |
511 |
$12K |
| 64615 |
|
306 |
303 |
$12K |
| 93320 |
|
288 |
278 |
$11K |
| 95819 |
|
108 |
105 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
91 |
91 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
195 |
190 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
819 |
805 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,233 |
1,210 |
$8K |
| 93325 |
|
1,004 |
931 |
$8K |
| 20553 |
|
637 |
563 |
$8K |
| 93304 |
|
250 |
235 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
75 |
73 |
$7K |
| 85610 |
|
3,300 |
3,022 |
$7K |
| 93298 |
|
1,186 |
1,165 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
69 |
65 |
$7K |
| 94010 |
|
311 |
305 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
60 |
57 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
260 |
255 |
$6K |
| 93296 |
|
632 |
608 |
$6K |
| 73630 |
|
373 |
334 |
$6K |
| 92133 |
|
811 |
698 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
591 |
497 |
$5K |
| 0072A |
|
109 |
106 |
$4K |
| 99406 |
|
692 |
655 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
96 |
80 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
39 |
38 |
$4K |
| 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 |
894 |
874 |
$4K |
| 0071A |
|
93 |
93 |
$4K |
| 95886 |
|
89 |
85 |
$4K |
| 77427 |
|
32 |
12 |
$3K |
| 93321 |
|
445 |
420 |
$3K |
| 76376 |
|
259 |
254 |
$3K |
| 76642 |
|
108 |
92 |
$3K |
| 59025 |
Fetal non-stress test |
123 |
102 |
$2K |
| 93922 |
|
59 |
53 |
$2K |
| 64483 |
|
26 |
25 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
211 |
208 |
$2K |
| 93970 |
|
64 |
63 |
$2K |
| 93018 |
|
131 |
126 |
$2K |
| 73110 |
|
110 |
97 |
$2K |
| 99220 |
|
26 |
26 |
$2K |
| 20611 |
|
105 |
89 |
$2K |
| 99307 |
|
324 |
228 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$2K |
| 95912 |
|
14 |
14 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
77 |
73 |
$2K |
| 92552 |
|
85 |
85 |
$1K |
| 20610 |
|
42 |
38 |
$1K |
| 99462 |
|
49 |
43 |
$965.76 |
| 99381 |
|
12 |
12 |
$862.40 |
| 73140 |
|
58 |
48 |
$777.83 |
| 90832 |
Psychotherapy, 30 minutes with patient |
31 |
26 |
$698.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
72 |
$694.14 |
| 93308 |
|
28 |
28 |
$673.31 |
| 92250 |
|
30 |
24 |
$665.39 |
| 0031A |
|
26 |
26 |
$650.40 |
| 97162 |
|
24 |
24 |
$647.52 |
| 93299 |
|
186 |
183 |
$613.50 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$613.39 |
| 90661 |
|
29 |
29 |
$558.70 |
| 76775 |
|
13 |
13 |
$558.55 |
| 93295 |
|
28 |
27 |
$555.22 |
| 87660 |
|
45 |
41 |
$539.15 |
| 0111A |
|
12 |
12 |
$484.80 |
| 99401 |
|
70 |
69 |
$477.72 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
123 |
89 |
$476.51 |
| 87510 |
|
45 |
41 |
$445.20 |
| 87480 |
|
45 |
41 |
$445.20 |
| 92136 |
|
75 |
51 |
$437.92 |
| 97802 |
|
12 |
12 |
$433.34 |
| 93356 |
|
135 |
124 |
$400.35 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
23 |
12 |
$386.02 |
| 99335 |
|
30 |
26 |
$367.26 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
28 |
25 |
$364.98 |
| 73130 |
|
33 |
27 |
$358.88 |
| 90674 |
|
26 |
25 |
$329.38 |
| 93294 |
|
53 |
52 |
$329.38 |
| 93880 |
|
14 |
14 |
$290.72 |
| 99306 |
Prolong nursin fac eval 15m |
50 |
47 |
$276.45 |
| 93297 |
|
28 |
27 |
$171.82 |
| 20552 |
|
14 |
12 |
$149.60 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$145.39 |
| 51798 |
|
25 |
24 |
$133.46 |
| 0012A |
|
18 |
18 |
$133.30 |
| 92015 |
Determination of refractive state |
26 |
26 |
$132.30 |
| 99201 |
|
16 |
12 |
$126.74 |
| 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) |
559 |
537 |
$115.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
56 |
55 |
$99.02 |
| 93280 |
|
13 |
13 |
$87.62 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
603 |
506 |
$77.90 |
| 93290 |
|
14 |
13 |
$63.45 |
| 90653 |
|
12 |
12 |
$52.73 |
| 97803 |
|
12 |
12 |
$44.47 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
15 |
15 |
$41.04 |
| 81002 |
|
13 |
13 |
$37.37 |
| 90656 |
|
571 |
571 |
$23.02 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$22.69 |
| 36415 |
Collection of venous blood by venipuncture |
2,074 |
1,875 |
$11.42 |
| 99358 |
Prolong nursin fac eval 15m |
96 |
82 |
$10.56 |
| 81003 |
|
13 |
12 |
$7.07 |
| 90723 |
|
2,370 |
2,358 |
$0.00 |
| 90680 |
|
2,019 |
2,012 |
$0.00 |
| 90651 |
|
234 |
231 |
$0.00 |
| 90647 |
|
2,634 |
2,627 |
$0.00 |
| 90698 |
|
266 |
263 |
$0.00 |
| 90677 |
|
498 |
495 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
92 |
92 |
$0.00 |
| 90744 |
|
113 |
113 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$0.00 |
| 92060 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
30 |
30 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90670 |
|
3,892 |
3,875 |
$0.00 |
| 90710 |
|
545 |
543 |
$0.00 |
| 90671 |
|
499 |
499 |
$0.00 |
| 90633 |
|
782 |
781 |
$0.00 |
| 90734 |
|
115 |
110 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 99490 |
Ccm add 20min |
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |