| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150,215 |
128,628 |
$12.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87,687 |
76,592 |
$5.68M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
6,189 |
5,801 |
$1.03M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,131 |
8,473 |
$806K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,145 |
4,298 |
$591K |
| 36415 |
Collection of venous blood by venipuncture |
52,257 |
45,810 |
$505K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,893 |
3,487 |
$379K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,251 |
5,701 |
$352K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,106 |
2,872 |
$310K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,435 |
2,769 |
$298K |
| 99215 |
Prolong outpt/office vis |
4,468 |
3,768 |
$297K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,153 |
1,907 |
$233K |
| 99233 |
Prolong inpt eval add15 m |
7,316 |
2,170 |
$227K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,934 |
1,853 |
$198K |
| 99223 |
Prolong inpt eval add15 m |
3,596 |
2,412 |
$195K |
| 88342 |
|
2,891 |
2,315 |
$193K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,354 |
1,229 |
$180K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
3,880 |
3,684 |
$170K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,808 |
1,895 |
$167K |
| 88313 |
|
2,666 |
2,116 |
$166K |
| 93000 |
|
7,948 |
7,382 |
$164K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29,475 |
24,832 |
$139K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,169 |
1,078 |
$136K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,151 |
1,687 |
$104K |
| 99243 |
|
931 |
842 |
$98K |
| 90686 |
|
5,096 |
4,432 |
$95K |
| 88312 |
|
1,323 |
1,046 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,564 |
1,462 |
$77K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,539 |
7,560 |
$72K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
920 |
879 |
$71K |
| 88341 |
|
824 |
621 |
$71K |
| 92551 |
|
8,145 |
7,258 |
$70K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
1,130 |
1,044 |
$69K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,496 |
1,376 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
593 |
541 |
$59K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,534 |
1,462 |
$56K |
| 76536 |
|
634 |
607 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,297 |
9,651 |
$55K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
521 |
507 |
$51K |
| 99401 |
|
5,406 |
4,458 |
$50K |
| J2785 |
Injection, regadenoson, 0.1 mg |
954 |
879 |
$49K |
| 76830 |
Ultrasound, transvaginal |
526 |
504 |
$48K |
| 46221 |
|
213 |
152 |
$44K |
| 93015 |
|
1,416 |
1,287 |
$43K |
| 90670 |
|
2,028 |
1,732 |
$40K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,497 |
1,356 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
1,976 |
1,868 |
$40K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,120 |
839 |
$39K |
| 99406 |
|
2,880 |
2,228 |
$39K |
| 90648 |
|
1,918 |
1,626 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,399 |
4,289 |
$36K |
| 95886 |
|
286 |
254 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
711 |
633 |
$32K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
75 |
39 |
$31K |
| 90677 |
|
373 |
301 |
$31K |
| 76641 |
|
336 |
320 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,599 |
2,082 |
$30K |
| 95911 |
|
203 |
177 |
$30K |
| 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) |
1,024 |
931 |
$27K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,449 |
2,408 |
$25K |
| 90723 |
|
1,259 |
1,061 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,135 |
1,760 |
$24K |
| 81025 |
|
4,407 |
3,469 |
$24K |
| 90633 |
|
1,126 |
994 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,466 |
1,939 |
$22K |
| 99442 |
|
1,254 |
1,035 |
$22K |
| 90461 |
|
5,575 |
4,613 |
$20K |
| 90651 |
|
827 |
725 |
$18K |
| 99173 |
|
7,911 |
7,047 |
$18K |
| 96127 |
|
4,227 |
3,714 |
$17K |
| 45384 |
|
103 |
97 |
$17K |
| 80053 |
Comprehensive metabolic panel |
2,063 |
1,755 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
152 |
135 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
374 |
321 |
$15K |
| 90734 |
|
673 |
567 |
$14K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
808 |
799 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
192 |
176 |
$13K |
| 99443 |
|
515 |
438 |
$12K |
| 99205 |
Prolong outpt/office vis |
194 |
179 |
$12K |
| 80061 |
Lipid panel |
1,084 |
938 |
$12K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,099 |
898 |
$12K |
| 99495 |
|
92 |
87 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
512 |
483 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,562 |
1,317 |
$11K |
| 45381 |
|
129 |
120 |
$11K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,483 |
831 |
$11K |
| 90674 |
|
465 |
412 |
$10K |
| 90680 |
|
544 |
469 |
$10K |
| 90716 |
|
489 |
438 |
$10K |
| 00813 |
|
112 |
102 |
$10K |
| 90961 |
|
1,083 |
1,029 |
$9K |
| 76770 |
|
106 |
98 |
$9K |
| 90707 |
|
444 |
400 |
$9K |
| 72100 |
|
312 |
307 |
$9K |
| 90653 |
|
296 |
295 |
$8K |
| 64615 |
|
56 |
52 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
209 |
127 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
866 |
744 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
256 |
200 |
$7K |
| W7000 |
|
1,444 |
1,298 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
101 |
87 |
$7K |
| 71250 |
|
65 |
62 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
46 |
40 |
$6K |
| 00731 |
|
177 |
152 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
491 |
390 |
$5K |
| 87807 |
|
475 |
394 |
$5K |
| 75574 |
|
18 |
15 |
$5K |
| 90694 |
|
515 |
506 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
86 |
49 |
$4K |
| 99385 |
|
40 |
37 |
$4K |
| 90715 |
|
192 |
165 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
137 |
126 |
$4K |
| 87081 |
|
1,022 |
903 |
$4K |
| 94060 |
|
202 |
193 |
$4K |
| 73562 |
|
159 |
105 |
$3K |
| 99441 |
|
293 |
242 |
$3K |
| 0012A |
|
76 |
75 |
$3K |
| 45390 |
|
13 |
12 |
$3K |
| 43248 |
|
26 |
25 |
$3K |
| 99217 |
|
39 |
32 |
$3K |
| 96160 |
|
1,249 |
1,118 |
$3K |
| 20553 |
|
67 |
59 |
$3K |
| 00812 |
|
29 |
27 |
$3K |
| 82962 |
|
1,023 |
907 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
355 |
181 |
$2K |
| 99050 |
|
345 |
307 |
$2K |
| 97802 |
|
32 |
32 |
$2K |
| 94726 |
|
52 |
52 |
$2K |
| 94729 |
|
52 |
52 |
$2K |
| 99254 |
|
13 |
13 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
74 |
24 |
$2K |
| 99497 |
|
315 |
308 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
88 |
88 |
$2K |
| 84439 |
|
283 |
202 |
$2K |
| 90620 |
|
64 |
57 |
$2K |
| 90656 |
|
91 |
87 |
$2K |
| 71271 |
|
12 |
12 |
$2K |
| 90696 |
|
74 |
66 |
$2K |
| 73620 |
|
52 |
43 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
22 |
12 |
$1K |
| 36416 |
|
1,297 |
920 |
$1K |
| 73130 |
|
50 |
36 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$1K |
| 90732 |
|
59 |
59 |
$1K |
| 99381 |
|
13 |
12 |
$1K |
| 95251 |
|
27 |
27 |
$912.62 |
| G0008 |
Administration of influenza virus vaccine |
1,549 |
1,535 |
$897.31 |
| 0011A |
|
32 |
26 |
$884.70 |
| 0072A |
|
26 |
25 |
$880.00 |
| 90662 |
|
108 |
107 |
$862.47 |
| 90647 |
|
43 |
38 |
$839.00 |
| 73630 |
|
34 |
25 |
$743.11 |
| 94618 |
|
28 |
28 |
$684.62 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
24 |
13 |
$653.79 |
| 0071A |
|
16 |
16 |
$600.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
31 |
$581.24 |
| 80050 |
General health panel |
12 |
12 |
$562.50 |
| 99221 |
|
14 |
12 |
$506.75 |
| 77080 |
|
12 |
12 |
$490.71 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
90 |
74 |
$479.43 |
| 86140 |
|
88 |
80 |
$411.48 |
| 73560 |
|
17 |
12 |
$370.85 |
| 00811 |
|
16 |
12 |
$302.70 |
| 85651 |
|
119 |
95 |
$299.28 |
| 96161 |
|
104 |
94 |
$269.12 |
| 90700 |
|
17 |
14 |
$256.08 |
| H0049 |
Alcohol and/or drug screening |
295 |
265 |
$255.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
45 |
42 |
$213.84 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
12 |
12 |
$200.21 |
| 84100 |
|
54 |
12 |
$158.10 |
| 83735 |
|
57 |
12 |
$144.54 |
| 81002 |
|
88 |
76 |
$136.52 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
21 |
14 |
$119.34 |
| 81000 |
|
62 |
52 |
$115.47 |
| 81003 |
|
73 |
64 |
$101.56 |
| 20610 |
|
19 |
12 |
$97.61 |
| 93290 |
|
37 |
36 |
$88.70 |
| 84436 |
|
21 |
17 |
$74.14 |
| 81001 |
|
27 |
25 |
$71.82 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
37 |
24 |
$46.58 |
| 90962 |
|
12 |
12 |
$41.09 |
| 99080 |
|
97 |
86 |
$40.00 |
| 91301 |
|
200 |
173 |
$0.16 |
| 91307 |
|
40 |
32 |
$0.01 |
| G0009 |
Administration of pneumococcal vaccine |
166 |
165 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
12 |
$0.00 |
| 99490 |
Ccm add 20min |
20 |
20 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
38 |
38 |
$0.00 |
| 98960 |
|
22 |
15 |
$0.00 |