| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139,251 |
134,501 |
$9.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66,670 |
63,673 |
$4.17M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
61,178 |
25,009 |
$2.13M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,921 |
11,912 |
$1.72M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14,948 |
14,815 |
$1.41M |
| 99233 |
Prolong inpt eval add15 m |
25,405 |
11,418 |
$936K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12,309 |
12,125 |
$656K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
51,299 |
45,295 |
$642K |
| 99215 |
Prolong outpt/office vis |
8,380 |
7,531 |
$571K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
400 |
398 |
$480K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,566 |
19,238 |
$329K |
| 99223 |
Prolong inpt eval add15 m |
4,437 |
4,361 |
$313K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,321 |
2,297 |
$276K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,190 |
1,182 |
$267K |
| 93000 |
|
9,029 |
8,843 |
$218K |
| 87428 |
|
3,148 |
3,146 |
$207K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,076 |
4,000 |
$197K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,747 |
2,726 |
$197K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,827 |
3,758 |
$178K |
| J9271 |
Injection, pembrolizumab, 1 mg |
14 |
12 |
$164K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
432 |
432 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,746 |
2,548 |
$152K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,531 |
4,221 |
$152K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,185 |
2,162 |
$148K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
409 |
408 |
$132K |
| 99205 |
Prolong outpt/office vis |
865 |
859 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,421 |
2,413 |
$121K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
4,932 |
4,812 |
$120K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,760 |
1,928 |
$103K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,512 |
2,106 |
$94K |
| 96367 |
|
1,521 |
954 |
$91K |
| 90686 |
|
7,697 |
7,566 |
$63K |
| 51701 |
|
570 |
513 |
$60K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,018 |
696 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,233 |
7,202 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,413 |
1,403 |
$51K |
| 99255 |
|
375 |
356 |
$49K |
| 77014 |
|
1,621 |
583 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
2,642 |
2,613 |
$39K |
| 77427 |
|
332 |
187 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,156 |
1,776 |
$38K |
| 99152 |
|
984 |
947 |
$38K |
| 92551 |
|
2,943 |
2,932 |
$35K |
| 0001A |
|
883 |
883 |
$35K |
| 0002A |
|
848 |
848 |
$34K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
358 |
358 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
555 |
555 |
$33K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
68 |
68 |
$33K |
| 93296 |
|
1,698 |
1,687 |
$33K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
813 |
538 |
$33K |
| 93458 |
|
136 |
135 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,345 |
3,326 |
$30K |
| 93297 |
|
2,190 |
2,028 |
$29K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
345 |
322 |
$25K |
| 93295 |
|
635 |
628 |
$24K |
| 81002 |
|
9,452 |
9,273 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
442 |
442 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
913 |
413 |
$21K |
| 76830 |
Ultrasound, transvaginal |
396 |
396 |
$20K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
136 |
136 |
$20K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,381 |
1,286 |
$19K |
| 0054A |
|
396 |
396 |
$16K |
| 99221 |
|
511 |
506 |
$15K |
| 73630 |
|
783 |
710 |
$13K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
763 |
501 |
$13K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
746 |
735 |
$12K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
43 |
42 |
$12K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
56 |
55 |
$12K |
| 73564 |
|
647 |
555 |
$11K |
| 0071A |
|
281 |
281 |
$11K |
| 85018 |
|
3,787 |
3,650 |
$11K |
| J1453 |
Injection, fosaprepitant, 1 mg |
88 |
61 |
$11K |
| 0072A |
|
270 |
270 |
$11K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
485 |
314 |
$10K |
| 73610 |
|
530 |
510 |
$10K |
| 91320 |
|
76 |
76 |
$10K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
61 |
27 |
$10K |
| 76642 |
|
202 |
162 |
$9K |
| 99173 |
|
2,554 |
2,543 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
358 |
358 |
$8K |
| 93351 |
|
29 |
29 |
$8K |
| 93294 |
|
587 |
583 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
288 |
283 |
$8K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
400 |
237 |
$8K |
| J2785 |
Injection, regadenoson, 0.1 mg |
43 |
42 |
$8K |
| 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 |
1,188 |
1,177 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
332 |
168 |
$8K |
| 0124A |
|
170 |
170 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
190 |
189 |
$6K |
| 0004A |
|
149 |
149 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
37 |
37 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
128 |
128 |
$5K |
| 99000 |
|
3,392 |
3,353 |
$5K |
| 71250 |
|
68 |
68 |
$5K |
| 0003A |
|
115 |
115 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
936 |
535 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
300 |
299 |
$4K |
| 90656 |
|
413 |
413 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
46 |
12 |
$4K |
| 93016 |
|
139 |
138 |
$4K |
| 90480 |
|
103 |
103 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
38 |
38 |
$4K |
| 77066 |
Tomosynthesis, mammo |
44 |
44 |
$4K |
| 43259 |
|
25 |
25 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
24 |
24 |
$4K |
| 76536 |
|
76 |
76 |
$4K |
| 90670 |
|
1,341 |
1,311 |
$3K |
| 74018 |
|
203 |
198 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
601 |
317 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
120 |
95 |
$3K |
| 93299 |
|
387 |
386 |
$3K |
| 93018 |
|
139 |
138 |
$3K |
| 81025 |
|
1,003 |
994 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
415 |
293 |
$3K |
| 77334 |
|
37 |
31 |
$3K |
| 0052A |
|
68 |
68 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$3K |
| 93290 |
|
253 |
222 |
$2K |
| 77062 |
|
28 |
28 |
$2K |
| 93280 |
|
125 |
119 |
$2K |
| 97161 |
|
26 |
26 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
26 |
13 |
$2K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
166 |
71 |
$2K |
| 99243 |
|
12 |
12 |
$2K |
| 80053 |
Comprehensive metabolic panel |
175 |
132 |
$2K |
| 73140 |
|
116 |
113 |
$1K |
| 73130 |
|
81 |
76 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
73 |
67 |
$1K |
| 46600 |
|
12 |
12 |
$1K |
| 96417 |
|
32 |
26 |
$1K |
| 90647 |
|
573 |
552 |
$1K |
| 0082A |
|
30 |
30 |
$1K |
| 90723 |
|
552 |
529 |
$1K |
| 77263 |
|
12 |
12 |
$1K |
| 93971 |
|
12 |
12 |
$1K |
| 81003 |
|
549 |
525 |
$1K |
| 93350 |
|
12 |
12 |
$992.90 |
| 51741 |
|
24 |
24 |
$977.25 |
| 43237 |
|
12 |
12 |
$969.03 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
313 |
206 |
$921.62 |
| 0051A |
|
23 |
23 |
$910.00 |
| 90680 |
|
358 |
343 |
$888.25 |
| 73030 |
|
62 |
57 |
$882.50 |
| 76770 |
|
26 |
26 |
$818.86 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$783.64 |
| 99305 |
|
12 |
12 |
$727.00 |
| 77300 |
|
17 |
15 |
$640.42 |
| 0081A |
|
16 |
16 |
$640.00 |
| 99306 |
Prolong nursin fac eval 15m |
30 |
30 |
$635.58 |
| 20610 |
|
15 |
13 |
$632.81 |
| 0083A |
|
14 |
14 |
$560.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
64 |
62 |
$554.60 |
| 99442 |
|
37 |
33 |
$541.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$522.44 |
| 99307 |
|
59 |
37 |
$430.92 |
| 90633 |
|
301 |
292 |
$387.00 |
| 96523 |
|
17 |
12 |
$362.34 |
| 99406 |
|
27 |
26 |
$356.05 |
| 72110 |
|
12 |
12 |
$349.47 |
| 91322 |
|
16 |
16 |
$295.10 |
| 73110 |
|
12 |
12 |
$240.84 |
| 99499 |
|
14 |
14 |
$221.51 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
25 |
$207.54 |
| 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) |
3,069 |
2,986 |
$168.96 |
| 90685 |
|
43 |
43 |
$131.35 |
| 90677 |
|
121 |
120 |
$126.00 |
| 90696 |
|
44 |
44 |
$103.24 |
| 94760 |
|
401 |
401 |
$68.93 |
| 90688 |
|
32 |
32 |
$66.90 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
31 |
28 |
$57.29 |
| 90651 |
|
46 |
46 |
$36.00 |
| 90710 |
|
39 |
39 |
$27.00 |
| 90716 |
|
24 |
24 |
$27.00 |
| 90707 |
|
12 |
12 |
$18.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
58 |
57 |
$11.30 |
| 3074F |
|
199 |
197 |
$0.01 |
| 3078F |
|
308 |
306 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
292 |
232 |
$0.00 |
| 3079F |
|
38 |
38 |
$0.00 |
| 99443 |
|
15 |
12 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
12 |
$0.00 |