| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
314,776 |
279,459 |
$41.07M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
296,633 |
267,448 |
$29.92M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
273,771 |
252,388 |
$16.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120,788 |
101,249 |
$9.97M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129,050 |
108,109 |
$9.13M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
49,773 |
17,368 |
$1.97M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18,039 |
16,048 |
$1.46M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,114 |
14,187 |
$1.32M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,722 |
9,153 |
$1.20M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52,413 |
47,073 |
$902K |
| 59426 |
|
9,780 |
5,332 |
$878K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,395 |
10,023 |
$785K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,130 |
3,698 |
$723K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26,669 |
24,478 |
$694K |
| 59425 |
|
9,173 |
7,592 |
$687K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,970 |
4,145 |
$576K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
7,903 |
6,074 |
$576K |
| 99215 |
Prolong outpt/office vis |
4,368 |
3,737 |
$504K |
| 99233 |
Prolong inpt eval add15 m |
7,337 |
3,142 |
$486K |
| 90791 |
Psychiatric diagnostic evaluation |
5,704 |
4,776 |
$473K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
3,735 |
3,134 |
$454K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,530 |
4,260 |
$387K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,393 |
4,473 |
$375K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,803 |
1,698 |
$297K |
| 99223 |
Prolong inpt eval add15 m |
3,186 |
2,790 |
$283K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,419 |
5,003 |
$278K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,059 |
942 |
$226K |
| 90870 |
|
2,845 |
1,233 |
$217K |
| 97802 |
|
2,307 |
1,833 |
$217K |
| 99205 |
Prolong outpt/office vis |
1,372 |
1,198 |
$192K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,361 |
3,010 |
$166K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,860 |
1,720 |
$159K |
| 31231 |
|
1,091 |
891 |
$144K |
| 95811 |
|
979 |
846 |
$111K |
| 00140 |
|
896 |
793 |
$107K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,178 |
2,759 |
$96K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,989 |
1,834 |
$76K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,114 |
5,027 |
$75K |
| 95806 |
|
1,521 |
1,405 |
$74K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,547 |
9,336 |
$74K |
| 90474 |
|
4,591 |
4,334 |
$70K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
807 |
755 |
$69K |
| 00104 |
|
922 |
528 |
$67K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,197 |
1,991 |
$60K |
| 93000 |
|
5,370 |
4,760 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,408 |
6,115 |
$43K |
| 99381 |
|
472 |
447 |
$39K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,461 |
598 |
$35K |
| 96040 |
|
750 |
690 |
$32K |
| 97803 |
|
599 |
524 |
$32K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
380 |
314 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
533 |
371 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
588 |
539 |
$23K |
| 87428 |
|
575 |
508 |
$21K |
| 59025 |
Fetal non-stress test |
1,331 |
905 |
$19K |
| 29914 |
|
31 |
24 |
$19K |
| 99383 |
|
196 |
187 |
$19K |
| 83655 |
|
1,964 |
1,811 |
$19K |
| 20610 |
|
1,370 |
1,162 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
330 |
290 |
$18K |
| 00731 |
|
209 |
176 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
4,537 |
4,033 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,161 |
1,672 |
$16K |
| 91200 |
|
2,094 |
1,945 |
$16K |
| 90671 |
|
1,462 |
1,327 |
$15K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
214 |
133 |
$15K |
| 95251 |
|
666 |
558 |
$14K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
92 |
77 |
$14K |
| 92504 |
|
692 |
589 |
$13K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
256 |
189 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,008 |
781 |
$13K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
195 |
123 |
$12K |
| 90686 |
|
13,801 |
12,483 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
692 |
630 |
$12K |
| 59430 |
|
117 |
109 |
$11K |
| 99152 |
|
891 |
778 |
$10K |
| 99221 |
|
351 |
296 |
$10K |
| 62370 |
|
428 |
394 |
$10K |
| 93296 |
|
905 |
786 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
359 |
219 |
$9K |
| 99382 |
|
89 |
88 |
$9K |
| 96112 |
|
73 |
50 |
$8K |
| 81025 |
|
1,391 |
1,150 |
$8K |
| 93295 |
|
301 |
258 |
$7K |
| 76830 |
Ultrasound, transvaginal |
189 |
167 |
$6K |
| H0038 |
Self-help/peer services, per 15 minutes |
926 |
720 |
$6K |
| 96113 |
|
30 |
25 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
55 |
45 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
837 |
562 |
$5K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
13 |
12 |
$4K |
| 62323 |
|
65 |
56 |
$4K |
| 96127 |
|
615 |
563 |
$4K |
| 90656 |
|
1,758 |
1,711 |
$4K |
| 76942 |
|
168 |
146 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
37 |
$3K |
| 51728 |
|
44 |
38 |
$3K |
| 51784 |
|
104 |
89 |
$3K |
| 12011 |
|
233 |
202 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
120 |
76 |
$3K |
| 12001 |
|
405 |
365 |
$3K |
| 90677 |
|
1,838 |
1,794 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
946 |
825 |
$2K |
| 73030 |
|
96 |
93 |
$2K |
| 10061 |
|
376 |
330 |
$2K |
| 85018 |
|
1,158 |
1,064 |
$2K |
| 76801 |
|
117 |
105 |
$2K |
| 90670 |
|
7,697 |
7,170 |
$2K |
| 73502 |
|
131 |
118 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
143 |
73 |
$2K |
| 36620 |
|
61 |
55 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
151 |
127 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
39 |
39 |
$2K |
| 90698 |
|
9,992 |
9,251 |
$2K |
| 93294 |
|
124 |
107 |
$2K |
| 51798 |
|
305 |
269 |
$1K |
| 95886 |
|
21 |
14 |
$1K |
| 87210 |
|
274 |
214 |
$1K |
| 43235 |
|
14 |
14 |
$1K |
| 64493 |
|
20 |
13 |
$1K |
| 69210 |
|
51 |
40 |
$1K |
| 51797 |
|
44 |
38 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
68 |
$1K |
| 11721 |
|
86 |
70 |
$1K |
| 98960 |
|
25 |
13 |
$1K |
| 10060 |
|
336 |
312 |
$999.24 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
89 |
84 |
$923.44 |
| 12002 |
|
238 |
216 |
$918.19 |
| 81002 |
|
807 |
730 |
$876.50 |
| 92551 |
|
103 |
100 |
$754.52 |
| 90680 |
|
4,556 |
4,261 |
$697.39 |
| 64494 |
|
20 |
13 |
$695.89 |
| 51741 |
|
141 |
120 |
$664.42 |
| 73070 |
|
30 |
26 |
$640.13 |
| 99459 |
|
30 |
27 |
$512.67 |
| 90715 |
|
268 |
250 |
$509.48 |
| 99173 |
|
312 |
294 |
$498.46 |
| 64447 |
|
18 |
12 |
$472.07 |
| 76937 |
|
59 |
53 |
$409.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
111 |
93 |
$409.13 |
| 81003 |
|
527 |
416 |
$402.76 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$398.24 |
| 90480 |
|
206 |
161 |
$393.90 |
| 99177 |
|
103 |
97 |
$369.33 |
| 0112A |
|
18 |
12 |
$369.00 |
| 93297 |
|
16 |
15 |
$341.14 |
| 99188 |
|
34 |
32 |
$308.53 |
| 73562 |
|
14 |
12 |
$303.12 |
| 76000 |
|
47 |
38 |
$286.89 |
| 72170 |
|
12 |
12 |
$278.67 |
| 99307 |
|
102 |
59 |
$277.34 |
| 92567 |
|
40 |
37 |
$250.90 |
| 93018 |
|
38 |
30 |
$232.91 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
61 |
43 |
$228.94 |
| 90662 |
|
18 |
12 |
$195.51 |
| 31500 |
|
93 |
91 |
$194.82 |
| 93307 |
|
14 |
14 |
$178.61 |
| 80061 |
Lipid panel |
16 |
13 |
$133.90 |
| 73080 |
|
12 |
12 |
$128.70 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
154 |
141 |
$106.00 |
| 90744 |
|
2,574 |
2,392 |
$103.42 |
| 90734 |
|
151 |
138 |
$102.50 |
| 36416 |
|
79 |
67 |
$81.00 |
| 90633 |
|
2,723 |
2,564 |
$78.34 |
| 82962 |
|
62 |
53 |
$63.92 |
| 96161 |
|
31 |
29 |
$58.01 |
| 99441 |
|
86 |
69 |
$55.56 |
| 90970 |
|
50 |
13 |
$48.43 |
| 81000 |
|
87 |
58 |
$47.24 |
| 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) |
656 |
574 |
$18.56 |
| 64400 |
|
68 |
63 |
$11.48 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
34,028 |
29,584 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
14,269 |
12,604 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
118 |
103 |
$0.00 |
| 93016 |
|
18 |
15 |
$0.00 |
| 91318 |
|
13 |
12 |
$0.00 |
| 90716 |
|
301 |
271 |
$0.00 |
| 90696 |
|
33 |
31 |
$0.00 |
| 90651 |
|
168 |
155 |
$0.00 |
| 93458 |
|
13 |
13 |
$0.00 |
| 20680 |
|
37 |
25 |
$0.00 |
| 99385 |
|
55 |
50 |
$0.00 |
| 90697 |
|
107 |
107 |
$0.00 |
| G8808 |
Trans-abdominal or trans-vaginal ultrasound not performed, reason not given |
31 |
30 |
$0.00 |
| 90619 |
|
79 |
55 |
$0.00 |
| 90688 |
|
93 |
92 |
$0.00 |
| 58300 |
|
17 |
13 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 73564 |
|
12 |
12 |
$0.00 |
| 91307 |
|
16 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
12,765 |
11,234 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
17,039 |
15,179 |
$0.00 |
| 90681 |
|
365 |
360 |
$0.00 |
| 90707 |
|
267 |
246 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
2,671 |
2,470 |
$0.00 |
| G8806 |
Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented |
472 |
420 |
$0.00 |
| 1040F |
|
186 |
176 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
318 |
304 |
$0.00 |
| 3085F |
|
186 |
176 |
$0.00 |
| 3016F |
|
187 |
177 |
$0.00 |
| 90710 |
|
131 |
128 |
$0.00 |
| 90685 |
|
138 |
124 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
26 |
$0.00 |
| 90700 |
|
26 |
24 |
$0.00 |
| 99219 |
|
13 |
13 |
$0.00 |