| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83,642 |
81,566 |
$8.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,480 |
62,866 |
$4.48M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,154 |
6,135 |
$627K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,940 |
3,940 |
$384K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
52,466 |
46,831 |
$357K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,833 |
1,613 |
$201K |
| 80053 |
Comprehensive metabolic panel |
16,213 |
16,085 |
$164K |
| 99223 |
Prolong inpt eval add15 m |
1,276 |
1,259 |
$146K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
939 |
939 |
$102K |
| 80061 |
Lipid panel |
11,598 |
11,577 |
$101K |
| 31231 |
|
648 |
644 |
$98K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
665 |
665 |
$97K |
| 93000 |
|
5,832 |
5,760 |
$77K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,611 |
6,595 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,025 |
14,894 |
$75K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,686 |
2,513 |
$74K |
| 99233 |
Prolong inpt eval add15 m |
932 |
346 |
$67K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
809 |
797 |
$60K |
| 90686 |
|
3,910 |
3,896 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
525 |
525 |
$54K |
| 93458 |
|
228 |
227 |
$51K |
| 99406 |
|
2,707 |
2,625 |
$35K |
| 94010 |
|
1,537 |
1,530 |
$34K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,115 |
1,113 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,673 |
3,650 |
$29K |
| 84439 |
|
2,973 |
2,966 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,429 |
2,424 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
474 |
472 |
$23K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
81 |
81 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
481 |
474 |
$22K |
| 99051 |
|
8,146 |
8,107 |
$16K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
79 |
79 |
$15K |
| 92567 |
|
989 |
988 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,206 |
1,199 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
138 |
138 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
838 |
831 |
$13K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
59 |
24 |
$10K |
| 81001 |
|
2,570 |
2,534 |
$9K |
| 87070 |
|
920 |
917 |
$8K |
| 99441 |
|
198 |
191 |
$7K |
| 99215 |
Prolong outpt/office vis |
50 |
50 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
403 |
346 |
$7K |
| 99217 |
|
134 |
132 |
$7K |
| 87088 |
|
710 |
702 |
$6K |
| J2785 |
Injection, regadenoson, 0.1 mg |
27 |
27 |
$6K |
| 0012A |
|
164 |
164 |
$6K |
| 0011A |
|
172 |
172 |
$6K |
| 93015 |
|
105 |
105 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
20,401 |
19,799 |
$5K |
| 96127 |
|
1,078 |
1,075 |
$4K |
| 94726 |
|
116 |
116 |
$4K |
| 99442 |
|
82 |
78 |
$4K |
| 99443 |
|
39 |
39 |
$4K |
| 31575 |
|
37 |
36 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
27 |
27 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
13 |
$4K |
| 94729 |
|
84 |
84 |
$3K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
12 |
12 |
$3K |
| 99221 |
|
41 |
41 |
$3K |
| 93308 |
|
98 |
93 |
$3K |
| 81025 |
|
384 |
376 |
$2K |
| 93295 |
|
73 |
73 |
$2K |
| 92557 |
|
91 |
91 |
$2K |
| 71250 |
|
18 |
18 |
$2K |
| 82550 |
|
366 |
366 |
$2K |
| 93298 |
|
84 |
84 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
193 |
177 |
$2K |
| 83735 |
|
294 |
294 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
227 |
219 |
$1K |
| 93018 |
|
133 |
132 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
33 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
27 |
$1K |
| 84153 |
|
59 |
59 |
$995.71 |
| 93297 |
|
52 |
52 |
$985.83 |
| 80050 |
General health panel |
39 |
39 |
$938.48 |
| 93296 |
|
228 |
228 |
$919.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
59 |
59 |
$912.71 |
| 82607 |
|
69 |
69 |
$912.05 |
| 82728 |
|
68 |
68 |
$892.93 |
| 92553 |
|
40 |
40 |
$888.57 |
| 94060 |
|
26 |
25 |
$885.87 |
| 93325 |
|
136 |
128 |
$831.17 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
47 |
47 |
$767.71 |
| 93321 |
|
93 |
89 |
$734.77 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$574.52 |
| 93294 |
|
27 |
27 |
$497.25 |
| 85027 |
|
124 |
123 |
$491.79 |
| 69210 |
|
12 |
12 |
$444.76 |
| 90656 |
|
49 |
49 |
$396.99 |
| 93227 |
|
12 |
12 |
$345.84 |
| 83550 |
|
54 |
54 |
$332.62 |
| 80076 |
|
40 |
39 |
$320.20 |
| 82044 |
|
56 |
56 |
$318.69 |
| 83540 |
|
54 |
54 |
$294.87 |
| 92551 |
|
27 |
27 |
$201.42 |
| 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) |
16 |
16 |
$172.04 |
| 99152 |
|
12 |
12 |
$167.67 |
| 86141 |
|
14 |
14 |
$140.33 |
| 81002 |
|
51 |
51 |
$103.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$84.13 |
| 82977 |
|
12 |
12 |
$69.86 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
58 |
58 |
$61.49 |
| 85652 |
|
13 |
13 |
$26.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
12 |
$25.53 |
| 99173 |
|
112 |
112 |
$23.52 |