| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
133,486 |
43,071 |
$3.20M |
| 99233 |
Prolong inpt eval add15 m |
34,022 |
16,174 |
$1.19M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
120,545 |
60,333 |
$964K |
| 99223 |
Prolong inpt eval add15 m |
14,798 |
12,868 |
$885K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,631 |
24,617 |
$745K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
125,898 |
56,451 |
$719K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16,927 |
14,771 |
$596K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
9,998 |
8,001 |
$505K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,694 |
15,665 |
$394K |
| 99222 |
Initial hospital care, per day, moderate complexity |
7,397 |
6,375 |
$346K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
16,381 |
6,854 |
$182K |
| 99220 |
|
1,065 |
905 |
$49K |
| 95819 |
|
808 |
709 |
$38K |
| 99307 |
|
5,911 |
3,385 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,145 |
5,001 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
470 |
363 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
743 |
672 |
$29K |
| 80053 |
Comprehensive metabolic panel |
4,415 |
3,605 |
$29K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,162 |
990 |
$27K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,006 |
3,188 |
$25K |
| 80061 |
Lipid panel |
3,020 |
2,381 |
$24K |
| 99221 |
|
378 |
344 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
832 |
739 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
14,034 |
11,427 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
647 |
595 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,590 |
1,162 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
503 |
453 |
$11K |
| 90686 |
|
805 |
624 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,251 |
970 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,452 |
1,127 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
168 |
154 |
$8K |
| 0001A |
|
426 |
398 |
$8K |
| 99348 |
|
449 |
138 |
$8K |
| 0002A |
|
403 |
375 |
$8K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
90 |
66 |
$7K |
| 99051 |
|
337 |
308 |
$6K |
| 99306 |
Prolong nursin fac eval 15m |
352 |
293 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
81 |
$5K |
| 99407 |
|
446 |
348 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
283 |
220 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
773 |
716 |
$3K |
| 90732 |
|
37 |
28 |
$3K |
| 93000 |
|
269 |
260 |
$3K |
| 0012A |
|
134 |
125 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
30 |
27 |
$2K |
| 0011A |
|
151 |
144 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
210 |
168 |
$2K |
| 80050 |
General health panel |
82 |
64 |
$2K |
| 99226 |
|
68 |
48 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
52 |
41 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
83 |
67 |
$1K |
| 82728 |
|
143 |
123 |
$1K |
| 0003A |
|
100 |
92 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$1K |
| 73630 |
|
472 |
251 |
$1K |
| 99406 |
|
226 |
175 |
$1K |
| 99349 |
|
19 |
13 |
$1K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
180 |
156 |
$1K |
| 81001 |
|
473 |
370 |
$982.64 |
| 83550 |
|
151 |
125 |
$977.34 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
81 |
80 |
$964.60 |
| 99347 |
|
83 |
26 |
$958.98 |
| 0004A |
|
67 |
63 |
$879.56 |
| 82043 |
|
186 |
142 |
$736.63 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
28 |
25 |
$707.40 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
42 |
42 |
$699.53 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27 |
24 |
$679.33 |
| 82570 |
|
186 |
142 |
$657.46 |
| 83540 |
|
164 |
138 |
$648.42 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
27 |
24 |
$631.58 |
| 87634 |
|
122 |
104 |
$624.00 |
| 20610 |
|
26 |
26 |
$521.81 |
| 0072A |
|
13 |
12 |
$402.99 |
| 0064A |
|
38 |
35 |
$378.72 |
| 99310 |
Prolong nursin fac eval 15m |
37 |
32 |
$350.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
530 |
434 |
$323.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
56 |
$315.04 |
| 95886 |
|
181 |
148 |
$283.28 |
| 99305 |
|
49 |
40 |
$279.72 |
| 96380 |
|
24 |
24 |
$262.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$205.32 |
| 99318 |
|
129 |
102 |
$200.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
46 |
$186.87 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
12 |
$175.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
37 |
$141.79 |
| 81003 |
|
137 |
127 |
$139.75 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
41 |
40 |
$136.12 |
| 91300 |
|
563 |
474 |
$112.49 |
| 0124A |
|
12 |
12 |
$110.34 |
| 11721 |
|
29 |
24 |
$108.70 |
| 90474 |
|
29 |
24 |
$73.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
71 |
71 |
$30.03 |
| 90656 |
|
420 |
367 |
$22.35 |
| 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) |
944 |
873 |
$15.75 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
47 |
41 |
$6.91 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
823 |
730 |
$4.79 |
| 90677 |
|
133 |
123 |
$0.02 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
485 |
449 |
$0.00 |
| 3044F |
|
474 |
417 |
$0.00 |
| 99217 |
|
28 |
24 |
$0.00 |
| 90647 |
|
56 |
50 |
$0.00 |
| 90723 |
|
33 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 91301 |
|
170 |
148 |
$0.00 |
| 91307 |
|
39 |
30 |
$0.00 |
| 99000 |
|
24 |
12 |
$0.00 |
| 90461 |
|
149 |
107 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
215 |
157 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
23 |
17 |
$0.00 |
| 99072 |
|
840 |
582 |
$0.00 |
| 96160 |
|
95 |
81 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
14 |
12 |
$0.00 |