| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92,640 |
68,418 |
$2.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71,720 |
57,821 |
$2.20M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,995 |
5,945 |
$439K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
468 |
415 |
$251K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
8,737 |
6,840 |
$226K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,662 |
4,001 |
$221K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,997 |
2,588 |
$209K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,350 |
4,205 |
$181K |
| 20610 |
|
5,753 |
4,206 |
$176K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,984 |
8,619 |
$168K |
| 99233 |
Prolong inpt eval add15 m |
5,815 |
1,708 |
$158K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21,847 |
4,512 |
$148K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
718 |
633 |
$140K |
| 29876 |
|
608 |
520 |
$119K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,407 |
2,229 |
$104K |
| 76830 |
Ultrasound, transvaginal |
1,670 |
1,518 |
$99K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,022 |
1,844 |
$97K |
| 71046 |
Radiologic examination, chest; 2 views |
8,867 |
7,297 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,509 |
1,314 |
$80K |
| 59514 |
|
153 |
136 |
$77K |
| 93000 |
|
13,331 |
10,845 |
$76K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,267 |
1,154 |
$72K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,342 |
4,853 |
$68K |
| 73560 |
|
4,391 |
3,169 |
$67K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,373 |
1,091 |
$67K |
| 59430 |
|
838 |
678 |
$62K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,266 |
1,685 |
$61K |
| 99215 |
Prolong outpt/office vis |
3,229 |
2,649 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,496 |
2,814 |
$50K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,401 |
2,225 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,799 |
2,294 |
$43K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
435 |
364 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
679 |
621 |
$39K |
| 73030 |
|
2,851 |
2,153 |
$39K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,012 |
809 |
$36K |
| 29881 |
|
353 |
307 |
$34K |
| 95911 |
|
319 |
282 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,386 |
2,162 |
$32K |
| 73130 |
|
2,918 |
1,745 |
$32K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,454 |
2,283 |
$32K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
235 |
193 |
$31K |
| 73630 |
|
2,527 |
1,884 |
$31K |
| 95886 |
|
425 |
373 |
$29K |
| 73610 |
|
2,006 |
1,534 |
$28K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,173 |
4,463 |
$27K |
| 73110 |
|
2,130 |
1,229 |
$27K |
| 73562 |
|
1,196 |
942 |
$21K |
| 92250 |
|
2,004 |
1,587 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,810 |
1,367 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,983 |
3,133 |
$19K |
| 94010 |
|
2,466 |
2,047 |
$19K |
| 54150 |
|
164 |
141 |
$18K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
748 |
208 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,878 |
4,777 |
$17K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
993 |
384 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
246 |
240 |
$16K |
| 59025 |
Fetal non-stress test |
735 |
424 |
$16K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
85 |
75 |
$14K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
16 |
13 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
567 |
439 |
$13K |
| 92567 |
|
1,657 |
1,377 |
$13K |
| 74018 |
|
1,049 |
804 |
$12K |
| 76801 |
|
150 |
137 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,023 |
1,328 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
194 |
$11K |
| 99381 |
|
168 |
149 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,251 |
1,088 |
$10K |
| 87428 |
|
514 |
429 |
$10K |
| 81025 |
|
2,473 |
1,860 |
$9K |
| 47562 |
|
24 |
24 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
186 |
158 |
$9K |
| 99385 |
|
160 |
153 |
$9K |
| 73521 |
|
449 |
390 |
$8K |
| 76642 |
|
177 |
154 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
2,835 |
2,287 |
$7K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
25 |
12 |
$7K |
| 76770 |
|
195 |
168 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
241 |
174 |
$6K |
| 77080 |
|
400 |
331 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
203 |
139 |
$5K |
| 93971 |
|
143 |
93 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
33 |
31 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
60 |
42 |
$5K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
38 |
25 |
$5K |
| 90474 |
|
621 |
502 |
$4K |
| 73502 |
|
306 |
224 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
64 |
$4K |
| 97161 |
|
76 |
57 |
$3K |
| 11102 |
|
125 |
105 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
57 |
51 |
$3K |
| 72100 |
|
181 |
162 |
$3K |
| 73221 |
|
17 |
15 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
726 |
449 |
$2K |
| 97597 |
|
138 |
64 |
$2K |
| 92134 |
|
415 |
359 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
3,626 |
2,736 |
$2K |
| 90674 |
|
110 |
105 |
$2K |
| 95816 |
|
56 |
50 |
$2K |
| 97165 |
|
50 |
31 |
$2K |
| 92587 |
|
117 |
91 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
21 |
13 |
$2K |
| 11719 |
|
1,142 |
826 |
$2K |
| 64493 |
|
42 |
39 |
$2K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
692 |
250 |
$1K |
| 81002 |
|
1,628 |
914 |
$1K |
| 90961 |
|
70 |
61 |
$1K |
| 62323 |
|
19 |
12 |
$1K |
| 96127 |
|
1,019 |
818 |
$1K |
| 11100 |
|
70 |
64 |
$1K |
| 71250 |
|
32 |
25 |
$1K |
| 90686 |
|
1,003 |
919 |
$1K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
60 |
38 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
108 |
106 |
$1K |
| 99383 |
|
15 |
14 |
$992.04 |
| 99307 |
|
143 |
115 |
$983.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
81 |
$980.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
25 |
$975.07 |
| 73590 |
|
98 |
60 |
$935.90 |
| 92136 |
|
78 |
62 |
$907.06 |
| 11981 |
|
13 |
12 |
$890.60 |
| 72110 |
|
52 |
42 |
$838.10 |
| 87807 |
|
131 |
85 |
$823.17 |
| 0031A |
|
42 |
37 |
$761.83 |
| 20553 |
|
63 |
50 |
$737.91 |
| 92557 |
|
87 |
66 |
$706.91 |
| 17250 |
|
76 |
29 |
$634.41 |
| 81003 |
|
952 |
559 |
$620.92 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$593.25 |
| 99223 |
Prolong inpt eval add15 m |
95 |
78 |
$590.05 |
| 99441 |
|
213 |
144 |
$471.13 |
| 87210 |
|
145 |
120 |
$452.72 |
| 69210 |
|
53 |
45 |
$436.79 |
| 92083 |
|
34 |
27 |
$434.80 |
| 73080 |
|
41 |
26 |
$430.60 |
| 64494 |
|
30 |
27 |
$430.50 |
| 92579 |
|
12 |
12 |
$392.26 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,530 |
1,993 |
$353.74 |
| 96367 |
|
264 |
114 |
$350.16 |
| 96161 |
|
51 |
41 |
$305.31 |
| 99401 |
|
80 |
58 |
$295.80 |
| 11045 |
|
52 |
24 |
$283.59 |
| 94060 |
|
14 |
14 |
$279.81 |
| 92201 |
|
108 |
87 |
$264.14 |
| 99310 |
Prolong nursin fac eval 15m |
82 |
61 |
$262.96 |
| 73090 |
|
18 |
12 |
$247.80 |
| 95885 |
|
18 |
12 |
$216.66 |
| 17110 |
|
16 |
12 |
$215.73 |
| 99221 |
|
136 |
99 |
$206.71 |
| 0012A |
|
18 |
13 |
$185.40 |
| 73060 |
|
21 |
12 |
$183.62 |
| 93017 |
|
20 |
14 |
$174.24 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
54 |
52 |
$161.14 |
| 92225 |
|
60 |
46 |
$155.10 |
| 0011A |
|
28 |
21 |
$153.66 |
| 99051 |
|
15 |
12 |
$137.87 |
| 76514 |
|
72 |
49 |
$113.54 |
| 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) |
85 |
73 |
$92.00 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
24 |
12 |
$91.32 |
| 64495 |
|
14 |
12 |
$87.18 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
371 |
321 |
$87.11 |
| 93016 |
|
19 |
14 |
$67.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
109 |
59 |
$58.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
147 |
109 |
$57.19 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$45.85 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
41 |
31 |
$35.22 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
680 |
509 |
$32.65 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
19 |
$30.10 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
74 |
36 |
$24.81 |
| 93294 |
|
15 |
12 |
$24.80 |
| 92015 |
Determination of refractive state |
115 |
70 |
$23.51 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
26 |
13 |
$20.59 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
714 |
542 |
$20.03 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
98 |
87 |
$1.02 |
| 90671 |
|
650 |
533 |
$0.02 |
| 90633 |
|
156 |
137 |
$0.01 |
| 99072 |
|
21,176 |
15,744 |
$0.00 |
| 90670 |
|
367 |
336 |
$0.00 |
| 90648 |
|
203 |
184 |
$0.00 |
| 2027F |
|
621 |
491 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
109 |
103 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
222 |
188 |
$0.00 |
| 2022F |
|
189 |
145 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90734 |
|
45 |
40 |
$0.00 |
| 92133 |
|
23 |
12 |
$0.00 |
| 90697 |
|
610 |
515 |
$0.00 |
| 99024 |
|
568 |
433 |
$0.00 |
| 94760 |
|
168 |
121 |
$0.00 |
| 3351F |
|
409 |
329 |
$0.00 |
| 3044F |
|
177 |
167 |
$0.00 |
| 90680 |
|
653 |
558 |
$0.00 |
| 90716 |
|
40 |
38 |
$0.00 |
| 90723 |
|
79 |
69 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
86 |
75 |
$0.00 |
| 0503F |
|
135 |
126 |
$0.00 |
| 99305 |
|
18 |
17 |
$0.00 |
| 90656 |
|
42 |
42 |
$0.00 |