| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70,124 |
62,649 |
$3.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,738 |
63,143 |
$2.38M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,928 |
2,701 |
$346K |
| 45384 |
|
1,743 |
1,605 |
$320K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,196 |
4,685 |
$237K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,425 |
3,113 |
$216K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,640 |
3,171 |
$192K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,300 |
2,179 |
$148K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,737 |
3,457 |
$137K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
8,821 |
3,179 |
$131K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,163 |
4,002 |
$116K |
| 99223 |
Prolong inpt eval add15 m |
1,592 |
1,377 |
$114K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,081 |
1,464 |
$107K |
| 20610 |
|
2,557 |
1,864 |
$88K |
| 99215 |
Prolong outpt/office vis |
1,512 |
1,391 |
$83K |
| 87428 |
|
5,491 |
4,029 |
$82K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13,790 |
10,847 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,151 |
2,506 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
9,156 |
8,673 |
$60K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,014 |
940 |
$55K |
| 43450 |
|
1,570 |
1,383 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
14,742 |
12,746 |
$51K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,564 |
1,140 |
$50K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,177 |
1,025 |
$46K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
786 |
601 |
$43K |
| 99233 |
Prolong inpt eval add15 m |
1,196 |
497 |
$40K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
856 |
792 |
$40K |
| 99221 |
|
1,077 |
748 |
$33K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,121 |
793 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
341 |
309 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,315 |
2,074 |
$21K |
| 73562 |
|
2,716 |
2,436 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
593 |
558 |
$19K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
89 |
82 |
$17K |
| 0001A |
|
619 |
605 |
$16K |
| 73630 |
|
2,308 |
2,075 |
$15K |
| 0002A |
|
530 |
506 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
383 |
201 |
$14K |
| 43775 |
|
19 |
16 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
500 |
473 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
976 |
940 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
382 |
318 |
$11K |
| 99205 |
Prolong outpt/office vis |
151 |
134 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
334 |
293 |
$9K |
| 72100 |
|
1,235 |
1,183 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
224 |
186 |
$9K |
| 99220 |
|
125 |
112 |
$9K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
117 |
110 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
353 |
299 |
$8K |
| 94060 |
|
674 |
644 |
$7K |
| 73030 |
|
1,266 |
1,084 |
$7K |
| 94729 |
|
697 |
666 |
$7K |
| 0004A |
|
370 |
335 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
266 |
244 |
$6K |
| 87807 |
|
674 |
525 |
$6K |
| 94727 |
|
675 |
644 |
$5K |
| 76830 |
Ultrasound, transvaginal |
182 |
172 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
18 |
16 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
259 |
179 |
$3K |
| 97802 |
|
186 |
169 |
$3K |
| 59025 |
Fetal non-stress test |
395 |
268 |
$3K |
| 73130 |
|
439 |
405 |
$3K |
| 31231 |
|
27 |
27 |
$3K |
| 95813 |
|
63 |
46 |
$3K |
| 99051 |
|
197 |
184 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
43 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
38 |
$3K |
| 0054A |
|
112 |
104 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,306 |
916 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
103 |
101 |
$2K |
| 73610 |
|
324 |
286 |
$2K |
| 58120 |
|
12 |
12 |
$2K |
| 0072A |
|
37 |
33 |
$2K |
| 99219 |
|
36 |
32 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
54 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
15 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
31 |
31 |
$1K |
| 93018 |
|
191 |
178 |
$1K |
| 0071A |
|
34 |
29 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
15 |
$1K |
| 72040 |
|
190 |
180 |
$1K |
| 0003A |
|
120 |
108 |
$1K |
| 99406 |
|
250 |
201 |
$991.06 |
| 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) |
929 |
732 |
$956.25 |
| 76641 |
|
38 |
38 |
$945.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
70 |
$887.58 |
| 99307 |
|
121 |
104 |
$849.09 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
24 |
$797.94 |
| 71250 |
|
17 |
16 |
$796.51 |
| 73502 |
|
87 |
79 |
$736.22 |
| 70486 |
|
12 |
12 |
$629.18 |
| 99460 |
|
13 |
13 |
$610.61 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
174 |
141 |
$604.21 |
| 93000 |
|
79 |
71 |
$538.13 |
| 74018 |
|
96 |
83 |
$533.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
43 |
$509.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
44 |
$499.80 |
| 11055 |
|
25 |
24 |
$479.42 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
18 |
$470.34 |
| 99235 |
|
14 |
12 |
$463.96 |
| 81002 |
|
212 |
190 |
$359.19 |
| 93971 |
|
13 |
12 |
$356.62 |
| 92134 |
|
90 |
78 |
$344.28 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
217 |
98 |
$317.25 |
| 93248 |
|
18 |
17 |
$298.92 |
| 73110 |
|
50 |
38 |
$284.28 |
| 0124A |
|
15 |
15 |
$257.46 |
| 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 |
47 |
45 |
$249.30 |
| 95886 |
|
13 |
13 |
$207.54 |
| 20552 |
|
25 |
25 |
$200.87 |
| G0127 |
Trimming of dystrophic nails, any number |
68 |
65 |
$193.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
7,420 |
5,514 |
$177.97 |
| 94618 |
|
32 |
26 |
$170.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
411 |
346 |
$145.28 |
| 76000 |
|
12 |
12 |
$132.36 |
| 11719 |
|
32 |
31 |
$105.15 |
| 92133 |
|
26 |
24 |
$99.66 |
| 74019 |
|
13 |
12 |
$93.08 |
| 91300 |
|
1,033 |
889 |
$61.78 |
| 81025 |
|
12 |
12 |
$60.60 |
| 85018 |
|
45 |
31 |
$44.84 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
189 |
139 |
$41.76 |
| 99441 |
|
40 |
30 |
$35.67 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
13 |
$28.98 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
974 |
687 |
$4.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29 |
27 |
$0.49 |
| 1126F |
|
25 |
21 |
$0.00 |
| 99024 |
|
598 |
556 |
$0.00 |
| 91307 |
|
91 |
63 |
$0.00 |
| 96127 |
|
120 |
83 |
$0.00 |
| 91305 |
|
102 |
97 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 1125F |
|
18 |
16 |
$0.00 |
| 3288F |
|
3,913 |
3,473 |
$0.00 |
| 90661 |
|
35 |
32 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
19 |
14 |
$0.00 |
| 99072 |
|
122 |
71 |
$0.00 |
| 92015 |
Determination of refractive state |
90 |
54 |
$0.00 |
| 1159F |
|
39 |
33 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 0518F |
|
47 |
47 |
$0.00 |