| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170,255 |
155,323 |
$10.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128,269 |
114,926 |
$7.03M |
| 99215 |
Prolong outpt/office vis |
27,800 |
25,216 |
$2.80M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23,427 |
21,970 |
$2.58M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
28,678 |
26,819 |
$1.48M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
6,987 |
5,682 |
$1.03M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43,544 |
16,112 |
$998K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
8,129 |
3,807 |
$845K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
12,558 |
9,777 |
$722K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,237 |
9,599 |
$672K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
19,108 |
15,011 |
$610K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
94,706 |
78,685 |
$583K |
| 93000 |
|
43,250 |
40,447 |
$538K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,276 |
10,314 |
$534K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
7,224 |
6,108 |
$520K |
| 99460 |
|
6,214 |
5,487 |
$371K |
| 99205 |
Prolong outpt/office vis |
1,968 |
1,899 |
$368K |
| 99233 |
Prolong inpt eval add15 m |
9,837 |
3,682 |
$366K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,606 |
3,520 |
$355K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,909 |
5,277 |
$353K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
347 |
301 |
$352K |
| 76818 |
|
7,578 |
4,364 |
$331K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,016 |
2,956 |
$328K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,054 |
4,422 |
$273K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,147 |
2,138 |
$253K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,357 |
1,066 |
$252K |
| 99223 |
Prolong inpt eval add15 m |
2,940 |
2,466 |
$209K |
| 76820 |
|
6,039 |
4,282 |
$200K |
| 76830 |
Ultrasound, transvaginal |
1,599 |
1,423 |
$192K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,863 |
1,684 |
$166K |
| 20610 |
|
7,480 |
5,666 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,431 |
1,404 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,438 |
10,029 |
$134K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,365 |
577 |
$129K |
| 14301 |
|
116 |
106 |
$125K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
3,523 |
3,291 |
$118K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
310 |
302 |
$107K |
| 14302 |
|
68 |
62 |
$105K |
| 43775 |
|
138 |
98 |
$94K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
853 |
816 |
$87K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,186 |
1,177 |
$87K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,995 |
1,778 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,278 |
6,081 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,083 |
1,074 |
$73K |
| 99243 |
|
804 |
801 |
$72K |
| 94010 |
|
2,511 |
2,435 |
$68K |
| 77427 |
|
632 |
299 |
$65K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
539 |
524 |
$55K |
| 93018 |
|
3,150 |
3,022 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,133 |
2,898 |
$54K |
| 99245 |
|
371 |
370 |
$51K |
| 94060 |
|
1,322 |
1,193 |
$45K |
| 93320 |
|
1,863 |
1,676 |
$44K |
| 76821 |
|
631 |
406 |
$42K |
| 93296 |
|
4,892 |
4,652 |
$41K |
| 76813 |
|
831 |
768 |
$40K |
| 99443 |
|
969 |
917 |
$39K |
| 90670 |
|
1,870 |
1,335 |
$39K |
| 99221 |
|
478 |
435 |
$37K |
| 99462 |
|
1,470 |
1,189 |
$36K |
| 93016 |
|
3,262 |
3,127 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
297 |
292 |
$34K |
| 93325 |
|
2,404 |
2,156 |
$34K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,079 |
1,033 |
$33K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
119 |
38 |
$33K |
| 99442 |
|
1,874 |
1,689 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
533 |
497 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,281 |
2,248 |
$30K |
| 81002 |
|
21,325 |
18,213 |
$30K |
| 99350 |
Prolong home eval add 15m |
695 |
632 |
$29K |
| 76801 |
|
846 |
775 |
$29K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
649 |
449 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,146 |
1,970 |
$27K |
| 94729 |
|
1,120 |
989 |
$27K |
| 93970 |
|
741 |
624 |
$25K |
| 90677 |
|
557 |
428 |
$24K |
| 93356 |
|
1,400 |
1,295 |
$24K |
| 93295 |
|
1,490 |
1,426 |
$24K |
| 54150 |
|
246 |
240 |
$24K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,235 |
1,474 |
$23K |
| 99349 |
|
665 |
535 |
$23K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
5,313 |
3,754 |
$22K |
| 31231 |
|
332 |
292 |
$21K |
| 90686 |
|
3,926 |
3,316 |
$19K |
| 73030 |
|
867 |
702 |
$19K |
| 97803 |
|
223 |
210 |
$18K |
| 99401 |
|
683 |
638 |
$18K |
| 94727 |
|
736 |
683 |
$17K |
| 72110 |
|
484 |
456 |
$17K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
135 |
58 |
$17K |
| 76857 |
|
617 |
569 |
$16K |
| 59025 |
Fetal non-stress test |
360 |
283 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
507 |
412 |
$15K |
| 73562 |
|
698 |
499 |
$14K |
| 94375 |
|
523 |
508 |
$14K |
| 73610 |
|
580 |
452 |
$13K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
39 |
25 |
$13K |
| 93015 |
|
232 |
210 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
614 |
189 |
$13K |
| 93298 |
|
1,246 |
1,184 |
$12K |
| 97802 |
|
235 |
225 |
$12K |
| 95251 |
|
429 |
403 |
$12K |
| 95806 |
|
127 |
127 |
$12K |
| 90698 |
|
1,566 |
1,100 |
$12K |
| 99241 |
|
234 |
231 |
$12K |
| 99220 |
|
255 |
251 |
$12K |
| 73630 |
|
533 |
414 |
$12K |
| 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 |
1,067 |
1,003 |
$11K |
| 95800 |
|
339 |
324 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
579 |
542 |
$11K |
| 73564 |
|
362 |
249 |
$11K |
| 95811 |
|
130 |
121 |
$11K |
| 47562 |
|
30 |
29 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
191 |
178 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
6,836 |
6,268 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,517 |
1,395 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
221 |
213 |
$10K |
| 99464 |
|
153 |
150 |
$10K |
| 27130 |
|
16 |
12 |
$10K |
| 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) |
3,857 |
3,677 |
$10K |
| 69210 |
|
380 |
324 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
262 |
218 |
$9K |
| 99468 |
|
13 |
13 |
$9K |
| 95782 |
|
106 |
104 |
$9K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
40 |
38 |
$9K |
| 59430 |
|
39 |
38 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
192 |
178 |
$9K |
| 99173 |
|
3,016 |
2,793 |
$8K |
| 87081 |
|
1,556 |
1,485 |
$8K |
| 52000 |
|
114 |
108 |
$8K |
| 99441 |
|
817 |
708 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
223 |
216 |
$7K |
| 92551 |
|
798 |
776 |
$7K |
| 77334 |
|
92 |
63 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,339 |
1,132 |
$7K |
| 93458 |
|
95 |
73 |
$7K |
| 94664 |
|
380 |
371 |
$6K |
| 77014 |
|
112 |
18 |
$6K |
| 99385 |
|
74 |
72 |
$6K |
| 99497 |
|
129 |
93 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
92 |
85 |
$5K |
| 93297 |
|
952 |
901 |
$5K |
| 76825 |
|
65 |
64 |
$5K |
| 77290 |
|
113 |
94 |
$5K |
| 20550 |
|
284 |
151 |
$5K |
| 90674 |
|
260 |
258 |
$5K |
| 90461 |
|
873 |
706 |
$4K |
| 93294 |
|
817 |
698 |
$4K |
| 81003 |
|
10,319 |
9,215 |
$4K |
| 29125 |
|
163 |
107 |
$4K |
| 93299 |
|
329 |
329 |
$4K |
| 90756 |
|
282 |
281 |
$4K |
| 81025 |
|
768 |
719 |
$4K |
| 76827 |
|
65 |
64 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
29 |
28 |
$4K |
| 87430 |
|
241 |
236 |
$3K |
| 94618 |
|
191 |
174 |
$3K |
| 95012 |
|
90 |
87 |
$3K |
| 99255 |
|
30 |
28 |
$3K |
| 90680 |
|
540 |
373 |
$3K |
| 75561 |
|
25 |
25 |
$3K |
| 93971 |
|
165 |
131 |
$3K |
| 95813 |
|
14 |
14 |
$3K |
| 73560 |
|
143 |
102 |
$3K |
| 99386 |
|
42 |
41 |
$2K |
| 99217 |
|
114 |
114 |
$2K |
| 99251 |
|
39 |
38 |
$2K |
| 95816 |
|
28 |
26 |
$2K |
| 90656 |
|
120 |
119 |
$2K |
| 77080 |
|
248 |
242 |
$2K |
| 99152 |
|
89 |
84 |
$2K |
| 92558 |
|
795 |
643 |
$2K |
| 76642 |
|
77 |
62 |
$2K |
| 93280 |
|
144 |
140 |
$2K |
| 31575 |
|
29 |
26 |
$2K |
| 73110 |
|
70 |
56 |
$2K |
| 73130 |
|
76 |
57 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
315 |
313 |
$2K |
| 94726 |
|
167 |
147 |
$2K |
| 75574 |
|
67 |
63 |
$1K |
| 99254 |
|
13 |
13 |
$1K |
| 82962 |
|
2,374 |
2,023 |
$1K |
| 87428 |
|
44 |
39 |
$1K |
| 81000 |
|
612 |
599 |
$1K |
| 11406 |
|
12 |
12 |
$1K |
| 77062 |
|
19 |
14 |
$1K |
| 96127 |
|
358 |
315 |
$896.28 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
74 |
72 |
$836.03 |
| 90661 |
|
41 |
41 |
$823.56 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
148 |
141 |
$809.03 |
| 93290 |
|
162 |
150 |
$792.03 |
| 93925 |
|
25 |
25 |
$719.30 |
| 77061 |
|
17 |
12 |
$696.15 |
| 11043 |
|
19 |
12 |
$694.43 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
242 |
100 |
$686.99 |
| 90744 |
|
279 |
223 |
$673.46 |
| 94150 |
|
309 |
291 |
$594.54 |
| 73565 |
|
52 |
42 |
$571.94 |
| 90716 |
|
15 |
13 |
$569.88 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
72 |
30 |
$554.54 |
| 36406 |
|
17 |
14 |
$549.76 |
| 86756 |
|
46 |
44 |
$543.18 |
| 93040 |
|
294 |
198 |
$502.64 |
| 93283 |
|
17 |
15 |
$500.44 |
| 99417 |
Prolong home eval add 15m |
71 |
62 |
$450.66 |
| 90688 |
|
54 |
54 |
$434.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
415 |
388 |
$405.00 |
| 51798 |
|
55 |
54 |
$386.40 |
| 99219 |
|
15 |
12 |
$380.62 |
| 95819 |
|
16 |
14 |
$379.59 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
76 |
72 |
$354.62 |
| 87400 |
|
25 |
25 |
$295.32 |
| 83880 |
|
126 |
110 |
$273.86 |
| 97760 |
|
170 |
142 |
$253.74 |
| 93922 |
|
25 |
25 |
$245.37 |
| 99457 |
|
31 |
24 |
$241.35 |
| 92587 |
|
52 |
38 |
$206.89 |
| J3490 |
Unclassified drugs |
336 |
133 |
$201.40 |
| 93244 |
|
28 |
27 |
$200.53 |
| 99310 |
Prolong nursin fac eval 15m |
15 |
12 |
$196.95 |
| 90633 |
|
47 |
36 |
$181.97 |
| 99402 |
|
19 |
17 |
$180.32 |
| 90707 |
|
21 |
13 |
$174.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$153.97 |
| 99201 |
|
13 |
13 |
$145.26 |
| 90734 |
|
14 |
12 |
$144.18 |
| 93242 |
|
28 |
27 |
$140.90 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
43 |
12 |
$139.56 |
| 97010 |
|
240 |
64 |
$139.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
100 |
94 |
$115.64 |
| 82948 |
|
62 |
60 |
$105.22 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
20 |
18 |
$96.18 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
48 |
47 |
$65.59 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,673 |
566 |
$59.16 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
25 |
25 |
$56.93 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$55.62 |
| 94760 |
|
226 |
214 |
$47.80 |
| 96160 |
|
34 |
34 |
$41.96 |
| 36416 |
|
160 |
157 |
$26.12 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
13 |
13 |
$21.00 |
| 99307 |
|
15 |
15 |
$12.66 |
| 0502F |
|
2,368 |
1,737 |
$3.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$1.80 |
| 99024 |
|
5,675 |
4,604 |
$1.00 |
| 3074F |
|
894 |
855 |
$0.06 |
| 3078F |
|
775 |
738 |
$0.04 |
| 1159F |
|
1,744 |
1,659 |
$0.00 |
| 1160F |
|
1,679 |
1,600 |
$0.00 |
| 3077F |
|
43 |
39 |
$0.00 |
| 3725F |
|
52 |
51 |
$0.00 |
| 3008F |
|
2,018 |
1,913 |
$0.00 |
| 3079F |
|
65 |
63 |
$0.00 |
| 1000F |
|
39 |
39 |
$0.00 |
| 0501F |
|
87 |
70 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
40 |
$0.00 |
| 0503F |
|
58 |
52 |
$0.00 |
| 92242 |
|
33 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
32 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
24 |
24 |
$0.00 |
| 90651 |
|
49 |
26 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |
| 3044F |
|
26 |
26 |
$0.00 |
| 0500F |
|
13 |
13 |
$0.00 |
| 64450 |
|
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
16 |
16 |
$0.00 |