| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,069 |
68,814 |
$2.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,029 |
24,316 |
$1.48M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
26,414 |
7,632 |
$827K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
29,118 |
26,397 |
$772K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13,746 |
13,357 |
$711K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,089 |
5,964 |
$510K |
| 99243 |
|
6,123 |
5,995 |
$381K |
| 64483 |
|
3,963 |
3,600 |
$354K |
| 98942 |
|
9,864 |
3,669 |
$257K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
12,849 |
5,144 |
$244K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
13,467 |
4,692 |
$201K |
| 90791 |
Psychiatric diagnostic evaluation |
2,495 |
2,417 |
$199K |
| 64493 |
|
2,414 |
2,223 |
$194K |
| 62321 |
|
2,320 |
2,141 |
$173K |
| 27096 |
|
2,248 |
2,063 |
$153K |
| 20610 |
|
5,148 |
4,644 |
$147K |
| 99490 |
Ccm add 20min |
5,053 |
5,006 |
$128K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,302 |
1,790 |
$111K |
| 64484 |
|
2,933 |
2,448 |
$106K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,758 |
1,145 |
$104K |
| 64494 |
|
2,766 |
2,171 |
$102K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,015 |
1,001 |
$99K |
| 72275 |
|
2,075 |
1,762 |
$99K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,233 |
979 |
$93K |
| 62323 |
|
872 |
799 |
$63K |
| 64495 |
|
1,693 |
1,257 |
$62K |
| 99222 |
Initial hospital care, per day, moderate complexity |
825 |
791 |
$57K |
| 64721 |
|
363 |
260 |
$54K |
| 97161 |
|
933 |
931 |
$49K |
| 97162 |
|
914 |
906 |
$44K |
| 95886 |
|
746 |
655 |
$43K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,091 |
1,078 |
$38K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
295 |
294 |
$34K |
| 77002 |
|
958 |
780 |
$32K |
| 99439 |
|
1,110 |
1,100 |
$31K |
| 64635 |
|
225 |
203 |
$31K |
| 99406 |
|
4,264 |
4,130 |
$30K |
| 20550 |
|
1,120 |
1,046 |
$29K |
| 99442 |
|
542 |
513 |
$25K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,222 |
2,040 |
$25K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,948 |
2,863 |
$24K |
| 99215 |
Prolong outpt/office vis |
259 |
231 |
$24K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
820 |
301 |
$24K |
| 95911 |
|
290 |
274 |
$24K |
| 72141 |
|
517 |
515 |
$19K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
3,475 |
2,959 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
853 |
802 |
$17K |
| 99253 |
|
259 |
252 |
$16K |
| 97014 |
|
2,116 |
889 |
$16K |
| 20526 |
|
322 |
309 |
$15K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
182 |
180 |
$14K |
| 22551 |
|
26 |
13 |
$14K |
| 64636 |
|
245 |
186 |
$13K |
| 99443 |
|
193 |
186 |
$13K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
367 |
358 |
$13K |
| 99254 |
|
141 |
135 |
$13K |
| 73221 |
|
381 |
370 |
$13K |
| 96127 |
|
2,886 |
2,766 |
$12K |
| 95910 |
|
161 |
155 |
$12K |
| 22612 |
|
24 |
12 |
$12K |
| 22853 |
|
102 |
56 |
$12K |
| 97165 |
|
201 |
200 |
$11K |
| 97535 |
Self-care/home management training, each 15 minutes |
502 |
448 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
236 |
230 |
$8K |
| 76377 |
|
337 |
329 |
$7K |
| 20553 |
|
282 |
260 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
189 |
94 |
$7K |
| 97166 |
|
131 |
128 |
$7K |
| 20600 |
|
239 |
225 |
$6K |
| 97035 |
|
744 |
319 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
82 |
82 |
$5K |
| 99205 |
Prolong outpt/office vis |
42 |
42 |
$5K |
| 73564 |
|
678 |
660 |
$5K |
| 20605 |
|
202 |
193 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
71 |
71 |
$4K |
| 97168 |
|
136 |
133 |
$4K |
| 73630 |
|
790 |
718 |
$4K |
| 64450 |
|
160 |
156 |
$4K |
| J2704 |
Injection, propofol, 10 mg |
3,793 |
3,113 |
$4K |
| 72110 |
|
511 |
505 |
$4K |
| 64640 |
|
48 |
25 |
$4K |
| 99441 |
|
325 |
303 |
$3K |
| 96130 |
|
54 |
53 |
$3K |
| 95816 |
|
91 |
91 |
$3K |
| 64490 |
|
40 |
40 |
$3K |
| 97163 |
|
56 |
56 |
$3K |
| 73560 |
|
454 |
445 |
$2K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,959 |
1,657 |
$2K |
| 72100 |
|
387 |
385 |
$2K |
| 73030 |
|
385 |
382 |
$2K |
| 72050 |
|
251 |
248 |
$2K |
| 98940 |
|
109 |
43 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
22 |
14 |
$2K |
| 72040 |
|
256 |
253 |
$2K |
| 73502 |
|
243 |
218 |
$1K |
| 73610 |
|
278 |
252 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
68 |
$1K |
| 99409 |
|
41 |
38 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
31 |
31 |
$1K |
| 97164 |
|
42 |
41 |
$1K |
| 96116 |
|
26 |
26 |
$1K |
| 73020 |
|
313 |
309 |
$1K |
| 01810 |
|
30 |
24 |
$1K |
| 72070 |
|
173 |
171 |
$891.81 |
| 96139 |
|
14 |
13 |
$882.95 |
| 99487 |
Ccm add 20min |
354 |
354 |
$856.70 |
| 96132 |
|
14 |
14 |
$703.94 |
| 01938 |
|
21 |
21 |
$666.74 |
| 72146 |
|
16 |
16 |
$573.68 |
| 94664 |
|
60 |
60 |
$562.22 |
| 64405 |
|
12 |
12 |
$553.35 |
| 95909 |
|
12 |
12 |
$543.62 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
147 |
146 |
$536.04 |
| 96133 |
|
14 |
14 |
$523.96 |
| 64491 |
|
13 |
13 |
$520.10 |
| 73130 |
|
95 |
88 |
$493.42 |
| 22505 |
|
13 |
13 |
$493.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
561 |
506 |
$455.25 |
| 73110 |
|
79 |
72 |
$429.94 |
| 99221 |
|
13 |
13 |
$416.58 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
111 |
110 |
$409.40 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
345 |
335 |
$403.45 |
| 20551 |
|
13 |
12 |
$399.95 |
| 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) |
1,068 |
1,058 |
$343.63 |
| 73140 |
|
93 |
88 |
$340.56 |
| 97012 |
|
109 |
39 |
$301.53 |
| 76000 |
|
33 |
30 |
$294.81 |
| 80305 |
|
42 |
41 |
$292.04 |
| 72131 |
|
13 |
13 |
$268.38 |
| 94010 |
|
15 |
15 |
$244.58 |
| 96138 |
|
14 |
13 |
$237.33 |
| 96136 |
|
12 |
12 |
$237.15 |
| 20552 |
|
12 |
12 |
$153.96 |
| 73565 |
|
25 |
25 |
$115.64 |
| 97113 |
|
78 |
14 |
$106.94 |
| 73501 |
|
14 |
13 |
$73.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
164 |
141 |
$62.02 |
| 36415 |
Collection of venous blood by venipuncture |
105 |
104 |
$53.71 |
| 99489 |
Ccm add 20min |
66 |
66 |
$25.55 |
| 81002 |
|
15 |
15 |
$22.66 |
| 96146 |
|
16 |
16 |
$13.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
50 |
$9.16 |
| 99050 |
|
165 |
161 |
$5.00 |
| 97010 |
|
2,882 |
1,264 |
$3.62 |
| 20930 |
|
562 |
292 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
17 |
15 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
16 |
16 |
$0.00 |
| 20936 |
|
162 |
86 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
15 |
15 |
$0.00 |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
17 |
17 |
$0.00 |
| 99024 |
|
355 |
320 |
$0.00 |
| 95117 |
|
37 |
14 |
$0.00 |