| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
649,830 |
567,829 |
$33.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
446,208 |
391,345 |
$29.55M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55,053 |
44,758 |
$4.13M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52,016 |
45,007 |
$4.13M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24,060 |
21,399 |
$1.91M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16,877 |
15,114 |
$1.40M |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
79,909 |
62,672 |
$1.39M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142,508 |
120,500 |
$1.38M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
34,734 |
13,962 |
$1.22M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20,222 |
18,328 |
$1.17M |
| 99215 |
Prolong outpt/office vis |
12,696 |
10,432 |
$1.10M |
| 87428 |
|
27,862 |
25,883 |
$906K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28,754 |
27,080 |
$869K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51,573 |
46,241 |
$671K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,571 |
6,841 |
$592K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,035 |
7,972 |
$382K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,227 |
8,735 |
$284K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,095 |
5,201 |
$277K |
| 99223 |
Prolong inpt eval add15 m |
2,411 |
2,037 |
$260K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
12,279 |
5,456 |
$255K |
| 99205 |
Prolong outpt/office vis |
1,895 |
1,721 |
$216K |
| 90474 |
|
18,601 |
15,476 |
$190K |
| 99460 |
|
2,683 |
2,311 |
$168K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,052 |
2,451 |
$167K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,396 |
2,011 |
$155K |
| 00731 |
|
3,471 |
2,671 |
$154K |
| 96127 |
|
71,614 |
60,573 |
$153K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,309 |
3,191 |
$148K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,536 |
4,473 |
$128K |
| 90686 |
|
44,667 |
39,295 |
$122K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,166 |
838 |
$122K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20,154 |
16,396 |
$115K |
| 97113 |
|
1,679 |
499 |
$112K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
4,580 |
2,089 |
$112K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,536 |
2,039 |
$99K |
| 99233 |
Prolong inpt eval add15 m |
1,275 |
585 |
$72K |
| 83655 |
|
6,742 |
5,604 |
$69K |
| 95720 |
|
458 |
420 |
$62K |
| 95951 |
|
295 |
227 |
$61K |
| 01922 |
|
1,076 |
898 |
$59K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,759 |
1,568 |
$59K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
134 |
78 |
$51K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
496 |
457 |
$50K |
| 90677 |
|
4,382 |
4,031 |
$49K |
| 95819 |
|
1,257 |
1,144 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,526 |
1,365 |
$41K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
428 |
386 |
$38K |
| 97161 |
|
654 |
582 |
$37K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
273 |
74 |
$36K |
| 99177 |
|
11,403 |
8,474 |
$36K |
| 99406 |
|
5,810 |
4,547 |
$35K |
| 95886 |
|
556 |
486 |
$34K |
| 99383 |
|
435 |
388 |
$33K |
| 81003 |
|
19,939 |
17,295 |
$33K |
| 99381 |
|
764 |
638 |
$30K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
148 |
138 |
$28K |
| 95816 |
|
716 |
666 |
$28K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
727 |
579 |
$28K |
| 59425 |
|
776 |
596 |
$24K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
193 |
176 |
$24K |
| 43775 |
|
35 |
26 |
$24K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
180 |
144 |
$24K |
| 44361 |
|
320 |
258 |
$23K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,113 |
2,782 |
$19K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
749 |
596 |
$18K |
| 87807 |
|
1,920 |
1,748 |
$18K |
| 85018 |
|
8,139 |
6,948 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,104 |
964 |
$17K |
| 93000 |
|
1,624 |
1,418 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,675 |
3,399 |
$16K |
| 96161 |
|
7,982 |
6,830 |
$16K |
| 90670 |
|
28,488 |
24,072 |
$14K |
| 90682 |
|
776 |
694 |
$13K |
| 99188 |
|
1,869 |
1,488 |
$13K |
| 54150 |
|
165 |
140 |
$13K |
| 17311 |
|
48 |
41 |
$13K |
| 93308 |
|
705 |
634 |
$12K |
| 99384 |
|
177 |
145 |
$11K |
| 94010 |
|
1,395 |
1,258 |
$11K |
| 11102 |
|
192 |
170 |
$11K |
| 90656 |
|
2,573 |
2,538 |
$10K |
| 99382 |
|
102 |
79 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
728 |
552 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,706 |
1,360 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
627 |
357 |
$9K |
| 87400 |
|
931 |
430 |
$8K |
| 99152 |
|
1,066 |
922 |
$8K |
| 99354 |
|
273 |
158 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
995 |
824 |
$7K |
| 93320 |
|
595 |
485 |
$7K |
| 92551 |
|
949 |
800 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
26 |
25 |
$7K |
| 99417 |
Prolong home eval add 15m |
179 |
127 |
$6K |
| 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) |
251 |
150 |
$6K |
| 00811 |
|
588 |
501 |
$6K |
| 95251 |
|
213 |
193 |
$6K |
| 99157 |
|
66 |
56 |
$5K |
| 00812 |
|
109 |
58 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,074 |
1,841 |
$5K |
| 90698 |
|
16,779 |
13,775 |
$5K |
| 93325 |
|
1,699 |
1,469 |
$4K |
| 99235 |
|
39 |
36 |
$4K |
| 93321 |
|
720 |
646 |
$4K |
| 62323 |
|
71 |
64 |
$4K |
| 90680 |
|
17,389 |
14,784 |
$4K |
| 97162 |
|
57 |
52 |
$3K |
| 00813 |
|
170 |
150 |
$3K |
| 96160 |
|
6,079 |
3,641 |
$3K |
| 64615 |
|
63 |
41 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
728 |
330 |
$3K |
| 81025 |
|
1,183 |
998 |
$3K |
| 64493 |
|
71 |
50 |
$3K |
| 99442 |
|
306 |
235 |
$3K |
| 92550 |
|
165 |
131 |
$3K |
| 00126 |
|
28 |
28 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
86 |
66 |
$2K |
| 90715 |
|
1,937 |
1,749 |
$2K |
| 99155 |
|
43 |
35 |
$2K |
| 92558 |
|
4,941 |
3,733 |
$2K |
| 92526 |
|
39 |
13 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
69 |
52 |
$2K |
| 90732 |
|
388 |
376 |
$2K |
| 81002 |
|
1,030 |
680 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
14 |
12 |
$2K |
| 90739 |
|
12 |
12 |
$2K |
| 94726 |
|
206 |
177 |
$2K |
| 43762 |
|
15 |
12 |
$2K |
| 92587 |
|
165 |
134 |
$2K |
| 00840 |
|
360 |
313 |
$1K |
| 01961 |
|
285 |
245 |
$1K |
| 99173 |
|
957 |
675 |
$1K |
| 95812 |
|
32 |
29 |
$1K |
| 90716 |
|
2,488 |
2,139 |
$1K |
| 99462 |
|
134 |
93 |
$1K |
| 99234 |
|
13 |
13 |
$1K |
| 97597 |
|
62 |
49 |
$1K |
| 94729 |
|
200 |
172 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,217 |
1,053 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
259 |
234 |
$1K |
| 99305 |
|
47 |
42 |
$1K |
| 95885 |
|
28 |
27 |
$1K |
| 95909 |
|
15 |
15 |
$1K |
| 90651 |
|
2,239 |
2,047 |
$999.23 |
| 64494 |
|
40 |
25 |
$814.17 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
31 |
29 |
$783.44 |
| 90707 |
|
2,446 |
2,101 |
$782.25 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
394 |
357 |
$767.85 |
| 99221 |
|
133 |
115 |
$720.23 |
| 99441 |
|
152 |
122 |
$694.90 |
| 99385 |
|
248 |
236 |
$671.36 |
| 71046 |
Radiologic examination, chest; 2 views |
63 |
54 |
$653.71 |
| 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) |
32,696 |
28,567 |
$619.72 |
| 90744 |
|
7,988 |
6,414 |
$602.54 |
| 90633 |
|
12,263 |
10,716 |
$558.14 |
| 69210 |
|
15 |
15 |
$500.62 |
| 95851 |
|
63 |
51 |
$499.07 |
| 90723 |
|
10,567 |
9,627 |
$480.44 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
678 |
606 |
$469.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
68 |
$463.94 |
| 97804 |
|
14 |
14 |
$417.04 |
| 64495 |
|
21 |
13 |
$415.71 |
| 17110 |
|
135 |
118 |
$367.87 |
| 99174 |
|
84 |
69 |
$366.12 |
| 99443 |
|
25 |
18 |
$344.85 |
| 99306 |
Prolong nursin fac eval 15m |
14 |
12 |
$340.49 |
| 90734 |
|
2,209 |
1,990 |
$336.28 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
173 |
95 |
$305.36 |
| 92588 |
|
15 |
12 |
$244.09 |
| 90671 |
|
437 |
393 |
$232.89 |
| 99386 |
|
85 |
79 |
$222.29 |
| 20610 |
|
85 |
69 |
$212.20 |
| 86580 |
|
166 |
131 |
$146.89 |
| 36416 |
|
112 |
74 |
$120.06 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
171 |
150 |
$113.65 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
530 |
460 |
$105.58 |
| 97802 |
|
60 |
57 |
$87.06 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
840 |
688 |
$82.01 |
| 90648 |
|
14,239 |
13,078 |
$73.11 |
| 90461 |
|
12 |
12 |
$61.20 |
| 97803 |
|
229 |
221 |
$61.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
405 |
332 |
$60.89 |
| 82962 |
|
199 |
174 |
$48.64 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
276 |
222 |
$39.97 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
228 |
178 |
$34.05 |
| 90634 |
|
72 |
62 |
$32.76 |
| 90710 |
|
1,548 |
1,326 |
$28.03 |
| 95117 |
|
186 |
102 |
$26.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
614 |
496 |
$16.87 |
| 69209 |
|
51 |
39 |
$12.18 |
| 86308 |
|
22 |
13 |
$4.90 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
157 |
114 |
$1.93 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
162 |
143 |
$1.13 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
51 |
42 |
$0.70 |
| 90621 |
|
162 |
145 |
$0.00 |
| 90700 |
|
628 |
591 |
$0.00 |
| 90685 |
|
147 |
125 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
17 |
12 |
$0.00 |
| 91300 |
|
30 |
24 |
$0.00 |
| 99219 |
|
79 |
49 |
$0.00 |
| 59426 |
|
298 |
137 |
$0.00 |
| 47562 |
|
28 |
27 |
$0.00 |
| 01968 |
|
13 |
13 |
$0.00 |
| 99397 |
|
14 |
12 |
$0.00 |
| 90750 |
|
27 |
21 |
$0.00 |
| 0071A |
|
13 |
13 |
$0.00 |
| 00400 |
|
15 |
12 |
$0.00 |
| 90620 |
|
230 |
215 |
$0.00 |
| 90696 |
|
1,370 |
1,166 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
127 |
124 |
$0.00 |
| 00790 |
|
116 |
104 |
$0.00 |
| 90647 |
|
182 |
117 |
$0.00 |
| 91307 |
|
34 |
28 |
$0.00 |
| 90381 |
|
36 |
36 |
$0.00 |
| 99217 |
|
19 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
38 |
26 |
$0.00 |
| 90688 |
|
60 |
59 |
$0.00 |
| 59430 |
|
12 |
12 |
$0.00 |