| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168,789 |
155,853 |
$7.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81,242 |
74,572 |
$4.27M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,752 |
14,173 |
$1.17M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,120 |
12,909 |
$1.09M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
763 |
687 |
$582K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,464 |
8,185 |
$534K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18,766 |
6,819 |
$518K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,360 |
6,258 |
$508K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,631 |
4,529 |
$412K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,866 |
3,726 |
$339K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28,537 |
27,836 |
$310K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,963 |
4,747 |
$265K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
7,264 |
7,028 |
$256K |
| 90686 |
|
21,970 |
21,597 |
$222K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,897 |
11,646 |
$220K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
23,629 |
19,384 |
$198K |
| 99215 |
Prolong outpt/office vis |
2,319 |
2,137 |
$176K |
| 36415 |
Collection of venous blood by venipuncture |
51,934 |
47,380 |
$150K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,289 |
3,185 |
$150K |
| 95886 |
|
1,613 |
1,360 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,515 |
1,446 |
$120K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,878 |
13,046 |
$101K |
| 99460 |
|
1,274 |
1,249 |
$99K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,047 |
371 |
$91K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,569 |
1,513 |
$90K |
| 90670 |
|
9,243 |
9,017 |
$81K |
| 93000 |
|
4,504 |
4,267 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,493 |
1,456 |
$57K |
| 64644 |
|
873 |
807 |
$49K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,151 |
2,028 |
$47K |
| 90698 |
|
6,292 |
6,165 |
$42K |
| 96127 |
|
1,621 |
1,578 |
$41K |
| 93971 |
|
1,546 |
1,474 |
$32K |
| 90680 |
|
5,201 |
5,075 |
$31K |
| 95911 |
|
210 |
191 |
$28K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
561 |
533 |
$27K |
| 95909 |
|
257 |
249 |
$24K |
| 99177 |
|
2,525 |
2,462 |
$23K |
| 95806 |
|
277 |
238 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
917 |
903 |
$22K |
| 97802 |
|
236 |
226 |
$22K |
| 90474 |
|
3,196 |
3,130 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,287 |
1,235 |
$20K |
| 83655 |
|
1,439 |
1,401 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,770 |
2,650 |
$18K |
| 90651 |
|
934 |
910 |
$18K |
| 90633 |
|
2,619 |
2,560 |
$15K |
| 90734 |
|
826 |
805 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
149 |
142 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
147 |
139 |
$13K |
| 95873 |
|
1,002 |
930 |
$12K |
| 87430 |
|
1,065 |
988 |
$11K |
| 20610 |
|
430 |
304 |
$11K |
| 93970 |
|
290 |
283 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,233 |
1,096 |
$8K |
| 94060 |
|
279 |
264 |
$8K |
| 99462 |
|
214 |
146 |
$8K |
| 99173 |
|
4,009 |
3,931 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
110 |
105 |
$8K |
| 90744 |
|
1,925 |
1,858 |
$8K |
| 90710 |
|
432 |
422 |
$7K |
| 85027 |
|
1,151 |
1,122 |
$7K |
| 93296 |
|
603 |
576 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
129 |
120 |
$6K |
| 90648 |
|
314 |
307 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
269 |
247 |
$6K |
| 90656 |
|
931 |
927 |
$6K |
| 99307 |
|
426 |
411 |
$5K |
| 90723 |
|
278 |
276 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
676 |
600 |
$5K |
| 90715 |
|
340 |
336 |
$5K |
| 93018 |
|
416 |
392 |
$5K |
| 90697 |
|
1,337 |
1,319 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
99 |
64 |
$5K |
| 85018 |
|
1,822 |
1,776 |
$4K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
38 |
37 |
$4K |
| 87081 |
|
590 |
571 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
69 |
51 |
$4K |
| 90677 |
|
946 |
939 |
$3K |
| 94729 |
|
150 |
145 |
$3K |
| 59025 |
Fetal non-stress test |
63 |
58 |
$3K |
| 76830 |
Ultrasound, transvaginal |
50 |
48 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
60 |
59 |
$3K |
| 93224 |
|
28 |
24 |
$3K |
| 93016 |
|
168 |
159 |
$3K |
| 90696 |
|
202 |
193 |
$2K |
| 54150 |
|
27 |
26 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 94726 |
|
85 |
82 |
$2K |
| 99384 |
|
20 |
20 |
$2K |
| 81003 |
|
1,224 |
1,138 |
$2K |
| 90619 |
|
69 |
69 |
$2K |
| 69210 |
|
40 |
38 |
$2K |
| 90716 |
|
136 |
133 |
$1K |
| 99490 |
Ccm add 20min |
210 |
209 |
$1K |
| 95251 |
|
37 |
36 |
$1K |
| 95819 |
|
25 |
24 |
$1K |
| 90707 |
|
149 |
145 |
$929.42 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$861.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
13 |
12 |
$828.38 |
| 87480 |
|
45 |
45 |
$806.97 |
| 90620 |
|
59 |
56 |
$800.15 |
| 87660 |
|
45 |
45 |
$793.80 |
| 87510 |
|
45 |
45 |
$755.63 |
| 90621 |
|
28 |
28 |
$740.39 |
| 99000 |
|
638 |
601 |
$681.08 |
| 93294 |
|
56 |
50 |
$676.67 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$492.00 |
| 90672 |
|
26 |
26 |
$455.86 |
| 84703 |
|
59 |
52 |
$444.18 |
| 92552 |
|
27 |
27 |
$382.51 |
| 87210 |
|
79 |
71 |
$367.87 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
246 |
235 |
$329.66 |
| 93227 |
|
14 |
14 |
$329.20 |
| 0124A |
|
15 |
14 |
$320.00 |
| 90685 |
|
158 |
156 |
$311.41 |
| 3044F |
|
837 |
770 |
$300.46 |
| 92567 |
|
19 |
18 |
$300.09 |
| 90647 |
|
15 |
15 |
$297.40 |
| 99188 |
|
26 |
25 |
$290.05 |
| 64645 |
|
13 |
12 |
$274.57 |
| 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) |
123 |
121 |
$265.61 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$248.77 |
| 73030 |
|
15 |
13 |
$246.59 |
| 94618 |
|
12 |
12 |
$229.11 |
| 87807 |
|
17 |
17 |
$224.00 |
| 81001 |
|
90 |
79 |
$208.22 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
15 |
$190.43 |
| 90694 |
|
16 |
16 |
$122.00 |
| 90660 |
|
13 |
13 |
$120.12 |
| 96160 |
|
81 |
77 |
$98.70 |
| 99406 |
|
31 |
27 |
$95.10 |
| 99152 |
|
15 |
12 |
$86.91 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
12 |
$62.58 |
| 82465 |
|
13 |
13 |
$58.38 |
| 85014 |
|
12 |
12 |
$23.60 |
| 36416 |
|
103 |
97 |
$9.51 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
43 |
41 |
$6.24 |
| G0008 |
Administration of influenza virus vaccine |
152 |
142 |
$5.09 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
37 |
37 |
$3.92 |
| 99024 |
|
388 |
353 |
$0.00 |
| 96161 |
|
30 |
26 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |