| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117,434 |
107,840 |
$8.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,194 |
73,330 |
$4.55M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
65,267 |
26,194 |
$2.34M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28,277 |
26,057 |
$2.00M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20,351 |
19,545 |
$1.57M |
| 99233 |
Prolong inpt eval add15 m |
31,150 |
11,871 |
$1.43M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13,784 |
13,202 |
$1.33M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
225,321 |
191,640 |
$1.10M |
| 99215 |
Prolong outpt/office vis |
10,975 |
10,201 |
$977K |
| 99223 |
Prolong inpt eval add15 m |
10,804 |
9,925 |
$917K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14,744 |
13,722 |
$772K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,395 |
8,890 |
$709K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,855 |
4,343 |
$590K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
11,279 |
10,431 |
$556K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,048 |
2,256 |
$492K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,943 |
2,827 |
$456K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
8,317 |
7,638 |
$449K |
| 59025 |
Fetal non-stress test |
14,831 |
9,932 |
$434K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,772 |
10,458 |
$430K |
| 90791 |
Psychiatric diagnostic evaluation |
3,860 |
3,648 |
$394K |
| 99460 |
|
5,872 |
5,466 |
$392K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,567 |
4,951 |
$367K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,112 |
1,966 |
$357K |
| 90686 |
|
30,177 |
28,954 |
$334K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,614 |
4,300 |
$281K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
2,711 |
2,338 |
$269K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
365 |
325 |
$236K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,775 |
2,669 |
$233K |
| 95720 |
|
1,567 |
673 |
$193K |
| 90677 |
|
5,452 |
5,167 |
$189K |
| 90670 |
|
13,851 |
13,010 |
$189K |
| 90671 |
|
1,574 |
1,513 |
$181K |
| 93000 |
|
17,969 |
16,616 |
$157K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
71 |
65 |
$156K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,242 |
6,874 |
$149K |
| 90651 |
|
1,519 |
1,455 |
$146K |
| 95951 |
|
915 |
347 |
$145K |
| 90680 |
|
12,009 |
11,226 |
$140K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79,549 |
52,670 |
$130K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,856 |
1,546 |
$123K |
| 99205 |
Prolong outpt/office vis |
954 |
908 |
$122K |
| 20610 |
|
3,076 |
2,417 |
$119K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,193 |
3,432 |
$117K |
| 0002A |
|
3,338 |
3,312 |
$115K |
| 96160 |
|
36,143 |
32,358 |
$111K |
| 90715 |
|
2,919 |
2,834 |
$110K |
| 97803 |
|
2,982 |
2,791 |
$104K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,761 |
1,447 |
$101K |
| 93990 |
|
2,177 |
1,957 |
$96K |
| 92551 |
|
10,247 |
9,497 |
$93K |
| 90697 |
|
7,352 |
7,021 |
$89K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
598 |
529 |
$85K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,080 |
1,036 |
$83K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,080 |
2,045 |
$77K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,601 |
1,320 |
$76K |
| 0001A |
|
2,651 |
2,629 |
$75K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,031 |
1,584 |
$75K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,579 |
1,489 |
$71K |
| 90648 |
|
6,799 |
6,294 |
$68K |
| 93320 |
|
2,888 |
2,418 |
$68K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
862 |
808 |
$67K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,040 |
1,615 |
$67K |
| 90633 |
|
5,890 |
5,715 |
$67K |
| 90461 |
|
49,414 |
28,109 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,955 |
1,871 |
$64K |
| 88720 |
|
15,363 |
11,702 |
$59K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
830 |
669 |
$58K |
| 97802 |
|
980 |
966 |
$57K |
| 36832 |
|
208 |
191 |
$53K |
| 93325 |
|
5,466 |
4,534 |
$50K |
| 97804 |
|
2,533 |
2,435 |
$50K |
| 90723 |
|
4,264 |
3,927 |
$46K |
| 95886 |
|
494 |
481 |
$45K |
| 73630 |
|
1,846 |
1,314 |
$44K |
| 99221 |
|
746 |
679 |
$43K |
| 93296 |
|
3,897 |
3,511 |
$39K |
| 93970 |
|
340 |
329 |
$38K |
| 94010 |
|
3,178 |
2,892 |
$38K |
| 99307 |
|
1,359 |
795 |
$38K |
| 99349 |
|
2,237 |
1,970 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
810 |
794 |
$35K |
| 93295 |
|
2,109 |
1,921 |
$33K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
421 |
401 |
$29K |
| 99243 |
|
445 |
277 |
$29K |
| 90837 |
Psychotherapy, 53 minutes with patient |
207 |
105 |
$29K |
| 95911 |
|
189 |
184 |
$28K |
| 99217 |
|
874 |
799 |
$28K |
| 90681 |
|
1,955 |
1,849 |
$27K |
| 90656 |
|
2,029 |
2,025 |
$26K |
| 93294 |
|
3,360 |
2,990 |
$25K |
| 99177 |
|
6,364 |
6,062 |
$24K |
| 99220 |
|
277 |
268 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,549 |
9,328 |
$20K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
262 |
256 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
381 |
341 |
$19K |
| 96161 |
|
9,680 |
8,743 |
$18K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
119 |
118 |
$18K |
| 90716 |
|
1,183 |
1,159 |
$17K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,169 |
2,893 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,046 |
1,880 |
$16K |
| 76820 |
|
735 |
536 |
$16K |
| 99462 |
|
529 |
453 |
$15K |
| 59425 |
|
32 |
32 |
$15K |
| 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) |
1,965 |
1,864 |
$15K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
52 |
27 |
$14K |
| 44970 |
|
28 |
28 |
$14K |
| 73564 |
|
478 |
455 |
$13K |
| 96127 |
|
2,909 |
2,688 |
$13K |
| 90707 |
|
949 |
936 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
124 |
118 |
$12K |
| 59410 |
|
13 |
13 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
437 |
410 |
$12K |
| 90698 |
|
1,069 |
1,018 |
$12K |
| 99173 |
|
4,809 |
4,606 |
$11K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
418 |
268 |
$11K |
| 95819 |
|
85 |
83 |
$11K |
| 20611 |
|
148 |
128 |
$10K |
| 95251 |
|
348 |
337 |
$10K |
| 99219 |
|
125 |
117 |
$9K |
| 95885 |
|
156 |
153 |
$9K |
| 96040 |
|
324 |
310 |
$9K |
| 99417 |
Prolong home eval add 15m |
295 |
187 |
$8K |
| 93971 |
|
108 |
97 |
$8K |
| 0071A |
|
189 |
189 |
$8K |
| 90700 |
|
689 |
670 |
$8K |
| 95910 |
|
51 |
51 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
849 |
817 |
$7K |
| 90480 |
|
399 |
335 |
$7K |
| 0072A |
|
174 |
173 |
$7K |
| 72100 |
|
266 |
258 |
$7K |
| 90734 |
|
320 |
307 |
$7K |
| 95816 |
|
117 |
106 |
$7K |
| G0271 |
Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
385 |
366 |
$6K |
| 99381 |
|
104 |
78 |
$6K |
| J1756 |
Injection, iron sucrose, 1 mg |
147 |
66 |
$5K |
| 72110 |
|
137 |
131 |
$5K |
| 96380 |
|
403 |
371 |
$5K |
| 76821 |
|
173 |
117 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
135 |
73 |
$5K |
| 90710 |
|
230 |
222 |
$5K |
| 11981 |
|
75 |
75 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
39 |
38 |
$4K |
| 73560 |
|
202 |
190 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
128 |
113 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
253 |
245 |
$3K |
| 99383 |
|
36 |
35 |
$3K |
| 93356 |
|
375 |
290 |
$3K |
| 52000 |
|
26 |
25 |
$3K |
| 43251 |
|
35 |
29 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
333 |
300 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
152 |
149 |
$3K |
| 73130 |
|
121 |
94 |
$3K |
| 81025 |
|
382 |
368 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
171 |
160 |
$3K |
| 87428 |
|
75 |
72 |
$3K |
| 90696 |
|
198 |
191 |
$3K |
| 82962 |
|
1,112 |
937 |
$3K |
| 45390 |
|
12 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
774 |
496 |
$2K |
| 93922 |
|
75 |
67 |
$2K |
| 93298 |
|
43 |
43 |
$2K |
| 90381 |
|
180 |
173 |
$2K |
| 90620 |
|
68 |
68 |
$2K |
| 99242 |
|
33 |
26 |
$2K |
| 90380 |
|
88 |
73 |
$2K |
| 73610 |
|
70 |
61 |
$2K |
| 0173A |
|
46 |
46 |
$2K |
| 94618 |
|
141 |
135 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
32 |
27 |
$1K |
| 46600 |
|
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 95800 |
|
33 |
33 |
$1K |
| 91200 |
|
96 |
85 |
$996.01 |
| 43235 |
|
14 |
14 |
$986.45 |
| 94729 |
|
45 |
45 |
$936.10 |
| 96116 |
|
13 |
13 |
$912.82 |
| 51798 |
|
126 |
117 |
$876.78 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
48 |
24 |
$802.40 |
| 96156 |
|
17 |
17 |
$798.99 |
| 94726 |
|
26 |
26 |
$755.36 |
| 99418 |
Prolong nursin fac eval 15m |
25 |
18 |
$580.69 |
| 96112 |
|
15 |
13 |
$536.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,150 |
835 |
$510.16 |
| 73502 |
|
15 |
12 |
$457.28 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$433.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$401.90 |
| 94060 |
|
16 |
16 |
$398.46 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
194 |
96 |
$388.67 |
| 72040 |
|
13 |
13 |
$388.34 |
| 73030 |
|
15 |
13 |
$345.91 |
| 90662 |
|
56 |
52 |
$333.35 |
| 96113 |
|
15 |
13 |
$315.75 |
| 81003 |
|
152 |
147 |
$312.58 |
| 98960 |
|
15 |
12 |
$275.95 |
| 99350 |
Prolong home eval add 15m |
31 |
26 |
$272.72 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
20 |
12 |
$241.21 |
| 93308 |
|
22 |
15 |
$208.81 |
| 93297 |
|
13 |
12 |
$195.46 |
| 93299 |
|
13 |
12 |
$184.28 |
| 93018 |
|
29 |
24 |
$183.90 |
| 99459 |
|
14 |
14 |
$175.68 |
| 94664 |
|
12 |
12 |
$169.03 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$162.05 |
| 91321 |
|
15 |
15 |
$156.20 |
| 95970 |
|
12 |
12 |
$149.27 |
| 90744 |
|
12 |
12 |
$121.00 |
| 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 |
12 |
12 |
$74.95 |
| G0008 |
Administration of influenza virus vaccine |
29 |
26 |
$61.61 |
| 93321 |
|
22 |
15 |
$60.21 |
| 81002 |
|
13 |
12 |
$40.43 |
| 94760 |
|
39 |
39 |
$26.42 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
185 |
162 |
$21.80 |
| 90474 |
|
144 |
144 |
$10.66 |
| 91300 |
|
62 |
59 |
$0.45 |
| 0502F |
|
39 |
36 |
$0.10 |