| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131,877 |
113,961 |
$3.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84,157 |
70,247 |
$3.63M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25,653 |
9,991 |
$633K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,549 |
9,699 |
$575K |
| 87428 |
|
7,018 |
6,446 |
$477K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,088 |
1,900 |
$471K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,761 |
7,152 |
$410K |
| 99233 |
Prolong inpt eval add15 m |
12,377 |
6,247 |
$374K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,759 |
6,214 |
$363K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,577 |
5,156 |
$304K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,144 |
4,706 |
$227K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,749 |
3,158 |
$216K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,726 |
12,628 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,258 |
2,846 |
$146K |
| 80050 |
General health panel |
4,566 |
3,305 |
$139K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,958 |
5,872 |
$132K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,352 |
2,688 |
$107K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,881 |
3,469 |
$105K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
711 |
328 |
$88K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,720 |
1,816 |
$74K |
| 99223 |
Prolong inpt eval add15 m |
1,209 |
943 |
$73K |
| 80061 |
Lipid panel |
6,619 |
4,864 |
$69K |
| 87400 |
|
5,707 |
4,813 |
$57K |
| 90686 |
|
5,588 |
5,170 |
$52K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,044 |
5,248 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
483 |
433 |
$52K |
| 90670 |
|
5,240 |
5,068 |
$49K |
| 64493 |
|
531 |
481 |
$45K |
| 99205 |
Prolong outpt/office vis |
478 |
421 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,119 |
1,724 |
$40K |
| 90648 |
|
3,764 |
3,660 |
$36K |
| 90680 |
|
3,526 |
3,416 |
$35K |
| 87081 |
|
4,582 |
4,145 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,723 |
4,565 |
$34K |
| 62322 |
|
411 |
343 |
$33K |
| 0071A |
|
346 |
338 |
$33K |
| 99460 |
|
368 |
341 |
$32K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
105 |
92 |
$31K |
| 87807 |
|
2,828 |
2,448 |
$30K |
| 80053 |
Comprehensive metabolic panel |
4,020 |
3,161 |
$27K |
| 90723 |
|
2,825 |
2,744 |
$27K |
| 0001A |
|
1,068 |
1,032 |
$27K |
| 99215 |
Prolong outpt/office vis |
572 |
413 |
$26K |
| 0002A |
|
861 |
835 |
$25K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
929 |
669 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
430 |
346 |
$23K |
| 62323 |
|
134 |
127 |
$20K |
| 76536 |
|
585 |
460 |
$20K |
| 90697 |
|
1,492 |
1,480 |
$19K |
| 87430 |
|
1,568 |
1,480 |
$18K |
| 97597 |
|
1,406 |
686 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,608 |
1,300 |
$17K |
| 90677 |
|
1,229 |
1,217 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,169 |
460 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,064 |
892 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
314 |
289 |
$15K |
| 90651 |
|
1,509 |
1,430 |
$14K |
| 90633 |
|
1,448 |
1,391 |
$14K |
| 90734 |
|
1,070 |
999 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
594 |
519 |
$8K |
| 84439 |
|
1,477 |
1,143 |
$8K |
| 95911 |
|
94 |
68 |
$7K |
| 90716 |
|
634 |
616 |
$6K |
| 90619 |
|
417 |
397 |
$5K |
| 90707 |
|
579 |
562 |
$5K |
| 64490 |
|
47 |
44 |
$5K |
| 90656 |
|
329 |
328 |
$5K |
| 62320 |
|
43 |
40 |
$5K |
| 93000 |
|
273 |
240 |
$5K |
| 84481 |
|
475 |
386 |
$5K |
| 51798 |
|
1,406 |
1,266 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
279 |
244 |
$4K |
| 84153 |
|
311 |
255 |
$4K |
| 90620 |
|
408 |
378 |
$4K |
| 96127 |
|
898 |
879 |
$3K |
| 90715 |
|
313 |
295 |
$3K |
| 92557 |
|
76 |
65 |
$3K |
| 52000 |
|
46 |
37 |
$3K |
| 83655 |
|
175 |
159 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
277 |
244 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
652 |
621 |
$2K |
| 73560 |
|
162 |
122 |
$2K |
| 94010 |
|
266 |
235 |
$2K |
| 85027 |
|
304 |
257 |
$2K |
| 90688 |
|
198 |
127 |
$2K |
| 94726 |
|
289 |
260 |
$2K |
| 74018 |
|
195 |
155 |
$2K |
| 0072A |
|
15 |
15 |
$2K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
34 |
28 |
$1K |
| 90698 |
|
168 |
160 |
$1K |
| 81003 |
|
1,065 |
870 |
$1K |
| 72100 |
|
67 |
62 |
$1K |
| 81025 |
|
250 |
171 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
38 |
$1K |
| 99243 |
|
27 |
12 |
$1K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
938 |
828 |
$1K |
| 93016 |
|
519 |
511 |
$1K |
| 94729 |
|
289 |
260 |
$1K |
| 90696 |
|
108 |
105 |
$994.28 |
| 20610 |
|
45 |
37 |
$924.13 |
| 90685 |
|
103 |
95 |
$908.20 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
17 |
13 |
$855.55 |
| 99381 |
|
15 |
14 |
$854.14 |
| 95909 |
|
13 |
13 |
$784.89 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
555 |
485 |
$777.96 |
| 90700 |
|
70 |
70 |
$660.00 |
| 95816 |
|
17 |
17 |
$622.91 |
| 74019 |
|
39 |
24 |
$488.74 |
| 0003A |
|
12 |
12 |
$480.00 |
| 90674 |
|
36 |
32 |
$473.80 |
| 80076 |
|
196 |
126 |
$445.20 |
| 82565 |
|
278 |
205 |
$428.85 |
| 81001 |
|
98 |
90 |
$423.70 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
641 |
575 |
$371.37 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
96 |
80 |
$359.56 |
| 93018 |
|
34 |
27 |
$353.01 |
| 73030 |
|
37 |
24 |
$329.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
292 |
276 |
$258.34 |
| 90647 |
|
27 |
27 |
$258.12 |
| 83615 |
|
131 |
111 |
$246.27 |
| 85652 |
|
299 |
224 |
$242.27 |
| 90744 |
|
25 |
24 |
$229.44 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
27 |
$198.24 |
| 92567 |
|
12 |
12 |
$198.00 |
| 51701 |
|
16 |
12 |
$164.22 |
| 84460 |
|
79 |
78 |
$144.82 |
| 90380 |
|
13 |
12 |
$144.54 |
| 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) |
129 |
111 |
$132.73 |
| 84450 |
|
79 |
78 |
$125.46 |
| 82040 |
|
79 |
78 |
$120.36 |
| 90710 |
|
13 |
13 |
$120.00 |
| 87210 |
|
19 |
16 |
$73.20 |
| 82570 |
|
40 |
15 |
$70.80 |
| 76604 |
|
28 |
12 |
$29.19 |
| 82044 |
|
40 |
15 |
$25.96 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$10.85 |
| 91300 |
|
1,181 |
1,091 |
$10.53 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
52 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |