| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,247 |
56,690 |
$5.67M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
17,656 |
3,471 |
$5.32M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26,119 |
23,928 |
$3.44M |
| 99233 |
Prolong inpt eval add15 m |
43,992 |
14,663 |
$3.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,164 |
44,197 |
$3.05M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
26,679 |
6,540 |
$2.72M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28,435 |
26,165 |
$2.37M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
38,838 |
16,253 |
$2.04M |
| 99215 |
Prolong outpt/office vis |
15,638 |
12,463 |
$2.03M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
20,719 |
5,539 |
$1.88M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
9,176 |
4,120 |
$1.85M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
4,350 |
1,176 |
$1.41M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
7,434 |
5,847 |
$897K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
11,308 |
10,122 |
$647K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,089 |
7,287 |
$614K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
8,576 |
7,297 |
$557K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,848 |
3,983 |
$514K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,168 |
1,933 |
$378K |
| 54161 |
|
2,708 |
2,184 |
$348K |
| 99205 |
Prolong outpt/office vis |
1,685 |
1,520 |
$290K |
| 99460 |
|
3,943 |
3,404 |
$276K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,120 |
2,800 |
$269K |
| 93304 |
|
6,919 |
5,573 |
$260K |
| 99223 |
Prolong inpt eval add15 m |
1,751 |
1,249 |
$244K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,610 |
5,090 |
$210K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29,070 |
23,452 |
$198K |
| 93325 |
|
22,378 |
17,993 |
$181K |
| 93320 |
|
8,754 |
7,438 |
$180K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,940 |
2,213 |
$144K |
| 95720 |
|
852 |
584 |
$115K |
| 95816 |
|
3,038 |
2,011 |
$114K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
438 |
385 |
$108K |
| 93321 |
|
10,417 |
8,632 |
$92K |
| 99226 |
|
2,041 |
508 |
$91K |
| 99462 |
|
2,786 |
1,973 |
$90K |
| 95951 |
|
508 |
301 |
$89K |
| 99468 |
|
107 |
89 |
$85K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,242 |
1,125 |
$77K |
| 95819 |
|
1,675 |
1,304 |
$77K |
| 99219 |
|
707 |
679 |
$74K |
| 54150 |
|
708 |
507 |
$66K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,172 |
1,100 |
$59K |
| 93308 |
|
2,337 |
2,005 |
$58K |
| 99477 |
|
174 |
150 |
$45K |
| 93000 |
|
3,292 |
2,906 |
$43K |
| 76825 |
|
542 |
472 |
$38K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
159 |
130 |
$36K |
| 99225 |
|
1,245 |
831 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
496 |
430 |
$27K |
| 64642 |
|
219 |
177 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
484 |
384 |
$20K |
| 99471 |
|
27 |
26 |
$18K |
| 31622 |
|
143 |
96 |
$17K |
| 64643 |
|
188 |
154 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
279 |
224 |
$15K |
| 76827 |
|
547 |
473 |
$14K |
| 99418 |
Prolong nursin fac eval 15m |
624 |
275 |
$13K |
| 93356 |
|
344 |
327 |
$11K |
| 42830 |
|
75 |
69 |
$10K |
| 99220 |
|
81 |
69 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
168 |
147 |
$9K |
| 99221 |
|
137 |
89 |
$9K |
| 31525 |
|
123 |
77 |
$8K |
| 93531 |
|
21 |
12 |
$7K |
| 54640 |
|
18 |
12 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
175 |
56 |
$5K |
| 99417 |
Prolong home eval add 15m |
548 |
310 |
$5K |
| 69210 |
|
126 |
89 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
420 |
360 |
$4K |
| 93244 |
|
214 |
190 |
$4K |
| 99218 |
|
70 |
66 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
275 |
249 |
$4K |
| 95874 |
|
368 |
206 |
$3K |
| 29705 |
|
132 |
95 |
$3K |
| 93227 |
|
225 |
199 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
37 |
$3K |
| 76820 |
|
100 |
81 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
18 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
51 |
27 |
$1K |
| 31526 |
|
13 |
12 |
$1K |
| 93224 |
|
41 |
27 |
$1K |
| 99464 |
|
15 |
15 |
$1K |
| 96102 |
|
78 |
55 |
$1K |
| 99235 |
|
13 |
12 |
$1K |
| 83021 |
|
112 |
51 |
$959.20 |
| 95812 |
|
16 |
14 |
$766.64 |
| 77001 |
|
54 |
42 |
$763.28 |
| 96161 |
|
176 |
136 |
$686.19 |
| 96040 |
|
43 |
35 |
$405.89 |
| 99201 |
|
14 |
14 |
$389.68 |
| 99173 |
|
222 |
189 |
$383.97 |
| 96101 |
|
14 |
14 |
$382.14 |
| 96130 |
|
43 |
30 |
$371.12 |
| 81003 |
|
293 |
231 |
$335.08 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
14 |
$290.60 |
| 1160F |
|
44,822 |
39,079 |
$131.19 |
| 76937 |
|
17 |
14 |
$114.78 |
| 81002 |
|
87 |
72 |
$112.78 |
| 93050 |
|
16 |
13 |
$96.13 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$64.64 |
| 1159F |
|
44,193 |
38,505 |
$61.13 |
| 92504 |
|
284 |
223 |
$22.41 |
| 0298T |
|
75 |
72 |
$3.52 |
| 99499 |
|
409 |
116 |
$0.48 |
| 1126F |
|
22,004 |
19,226 |
$0.00 |
| 3074F |
|
17,083 |
14,565 |
$0.00 |
| 3008F |
|
27,104 |
23,580 |
$0.00 |
| 1031F |
|
19,027 |
16,527 |
$0.00 |
| 1125F |
|
3,105 |
2,667 |
$0.00 |
| 3048F |
|
57 |
52 |
$0.00 |
| 3044F |
|
182 |
169 |
$0.00 |
| 1036F |
|
290 |
268 |
$0.00 |
| 3351F |
|
291 |
209 |
$0.00 |
| 88720 |
|
170 |
36 |
$0.00 |
| 3075F |
|
76 |
65 |
$0.00 |
| 4010F |
|
49 |
39 |
$0.00 |
| 4000F |
|
14 |
14 |
$0.00 |
| 3079F |
|
23 |
19 |
$0.00 |
| 3352F |
|
57 |
49 |
$0.00 |
| 3078F |
|
17,759 |
15,220 |
$0.00 |
| 1033F |
|
25,053 |
21,426 |
$0.00 |
| 1032F |
|
260 |
227 |
$0.00 |