| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131,993 |
119,591 |
$4.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65,303 |
60,496 |
$2.10M |
| 99233 |
Prolong inpt eval add15 m |
102,678 |
49,461 |
$1.86M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
10,204 |
9,964 |
$445K |
| 99223 |
Prolong inpt eval add15 m |
9,765 |
9,353 |
$309K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,656 |
4,517 |
$240K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12,287 |
11,584 |
$237K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,020 |
1,836 |
$237K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
6,069 |
4,426 |
$219K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,733 |
8,221 |
$216K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,602 |
1,019 |
$187K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15,994 |
10,258 |
$149K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,890 |
6,530 |
$132K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,214 |
1,169 |
$127K |
| S9470 |
Nutritional counseling, dietitian visit |
3,767 |
3,510 |
$121K |
| 99350 |
Prolong home eval add 15m |
6,369 |
5,739 |
$114K |
| 99215 |
Prolong outpt/office vis |
2,633 |
2,378 |
$98K |
| 88307 |
|
1,624 |
1,597 |
$95K |
| 99254 |
|
933 |
917 |
$83K |
| 88342 |
|
4,783 |
4,595 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,167 |
1,155 |
$61K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
307 |
108 |
$60K |
| 97803 |
|
1,380 |
1,257 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,159 |
1,935 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,908 |
3,777 |
$39K |
| 59025 |
Fetal non-stress test |
2,377 |
1,676 |
$39K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,070 |
1,957 |
$34K |
| 99220 |
|
861 |
835 |
$30K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
610 |
557 |
$30K |
| 99245 |
|
261 |
261 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
570 |
562 |
$26K |
| 90686 |
|
1,921 |
1,827 |
$26K |
| 76801 |
|
1,032 |
993 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
611 |
602 |
$22K |
| H0006 |
Alcohol and/or drug services; case management |
331 |
301 |
$21K |
| 80305 |
|
3,821 |
3,263 |
$20K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
182 |
182 |
$18K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
224 |
221 |
$17K |
| 99401 |
|
1,136 |
961 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
618 |
579 |
$16K |
| 95806 |
|
258 |
253 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
244 |
243 |
$14K |
| 99253 |
|
175 |
174 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,424 |
1,021 |
$12K |
| 93000 |
|
1,273 |
1,107 |
$12K |
| 90677 |
|
125 |
105 |
$11K |
| 59425 |
|
275 |
210 |
$11K |
| 90682 |
|
299 |
292 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
191 |
$11K |
| 97804 |
|
627 |
575 |
$10K |
| 99205 |
Prolong outpt/office vis |
190 |
179 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,155 |
894 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
475 |
456 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
103 |
101 |
$10K |
| 11102 |
|
262 |
256 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
589 |
477 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
195 |
194 |
$10K |
| 76813 |
|
257 |
251 |
$9K |
| 95886 |
|
217 |
206 |
$8K |
| 99443 |
|
582 |
511 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
120 |
117 |
$7K |
| 80306 |
|
672 |
614 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,137 |
1,878 |
$6K |
| 99406 |
|
951 |
847 |
$6K |
| 99442 |
|
386 |
372 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
469 |
286 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
80 |
77 |
$6K |
| 97802 |
|
141 |
141 |
$5K |
| 99441 |
|
426 |
384 |
$5K |
| 88341 |
|
194 |
185 |
$5K |
| 99217 |
|
342 |
317 |
$4K |
| 90688 |
|
290 |
289 |
$4K |
| 36569 |
|
44 |
40 |
$4K |
| 95819 |
|
341 |
328 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$4K |
| 99221 |
|
231 |
226 |
$4K |
| 88304 |
|
267 |
265 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
27 |
27 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
429 |
232 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
255 |
249 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
65 |
65 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
112 |
109 |
$3K |
| 99385 |
|
67 |
66 |
$3K |
| 17110 |
|
82 |
80 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
334 |
287 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
144 |
143 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
87 |
79 |
$3K |
| 99243 |
|
33 |
33 |
$2K |
| 71271 |
|
122 |
122 |
$2K |
| 51741 |
|
56 |
53 |
$2K |
| 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) |
1,479 |
1,365 |
$2K |
| 51798 |
|
258 |
244 |
$2K |
| 90670 |
|
13 |
13 |
$2K |
| 81025 |
|
543 |
485 |
$2K |
| 59426 |
|
39 |
27 |
$2K |
| 99459 |
|
154 |
152 |
$1K |
| 94760 |
|
1,273 |
1,240 |
$1K |
| 95251 |
|
186 |
175 |
$1K |
| 99255 |
|
13 |
13 |
$1K |
| 81002 |
|
2,281 |
1,871 |
$1K |
| 77427 |
|
19 |
13 |
$1K |
| 99226 |
|
133 |
84 |
$1K |
| 99386 |
|
25 |
25 |
$1K |
| 64615 |
|
39 |
26 |
$1K |
| 11900 |
|
42 |
42 |
$966.44 |
| 99292 |
|
28 |
24 |
$876.63 |
| 99349 |
|
34 |
32 |
$841.38 |
| G0008 |
Administration of influenza virus vaccine |
374 |
349 |
$723.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
121 |
114 |
$701.45 |
| 93015 |
|
12 |
12 |
$642.23 |
| 99316 |
|
14 |
14 |
$585.77 |
| 99152 |
|
12 |
12 |
$550.08 |
| 92552 |
|
41 |
41 |
$529.10 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
128 |
122 |
$497.86 |
| 99225 |
|
30 |
26 |
$441.68 |
| 99336 |
|
54 |
46 |
$349.36 |
| 90837 |
Psychotherapy, 53 minutes with patient |
50 |
26 |
$329.65 |
| 95250 |
|
13 |
13 |
$316.53 |
| 94729 |
|
13 |
13 |
$310.12 |
| 59430 |
|
12 |
12 |
$295.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$288.00 |
| G9920 |
Screening performed and negative |
3,310 |
3,144 |
$266.25 |
| 96152 |
|
65 |
54 |
$264.16 |
| 90662 |
|
49 |
47 |
$263.63 |
| 90651 |
|
18 |
16 |
$253.60 |
| 94727 |
|
13 |
13 |
$241.30 |
| 96101 |
|
28 |
26 |
$237.56 |
| 88313 |
|
36 |
36 |
$229.96 |
| 99497 |
|
21 |
21 |
$227.78 |
| 96160 |
|
142 |
131 |
$194.05 |
| 77001 |
|
29 |
28 |
$185.32 |
| 90656 |
|
34 |
29 |
$176.05 |
| 82270 |
|
145 |
143 |
$170.05 |
| 95800 |
|
14 |
13 |
$168.92 |
| 88311 |
|
36 |
36 |
$144.38 |
| 99318 |
|
12 |
12 |
$115.75 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
13 |
$91.20 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
80 |
78 |
$79.05 |
| G0317 |
Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) |
15 |
12 |
$73.17 |
| 81000 |
|
77 |
72 |
$55.60 |
| 99173 |
|
24 |
24 |
$53.80 |
| 96127 |
|
21 |
19 |
$38.36 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
25 |
25 |
$27.76 |
| 3725F |
|
21,604 |
20,192 |
$20.40 |
| 3074F |
|
6,880 |
6,421 |
$11.00 |
| 3078F |
|
4,714 |
4,419 |
$11.00 |
| 3075F |
|
995 |
958 |
$10.00 |
| 3008F |
|
92,554 |
85,815 |
$0.00 |
| 1220F |
|
20,442 |
19,345 |
$0.00 |
| 3079F |
|
3,551 |
3,336 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$0.00 |
| 1123F |
|
2,354 |
2,036 |
$0.00 |
| 3061F |
|
356 |
338 |
$0.00 |
| 4010F |
|
384 |
374 |
$0.00 |
| 3044F |
|
434 |
407 |
$0.00 |
| 3080F |
|
815 |
779 |
$0.00 |
| 1111F |
|
275 |
251 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 99024 |
|
23 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
13 |
$0.00 |
| 1126F |
|
14 |
12 |
$0.00 |
| 0502F |
|
231 |
208 |
$0.00 |
| 1160F |
|
697 |
639 |
$0.00 |
| 3077F |
|
1,232 |
1,159 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
548 |
543 |
$0.00 |
| 1159F |
|
712 |
653 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
140 |
133 |
$0.00 |
| 3046F |
|
17 |
12 |
$0.00 |
| 80377 |
|
27 |
27 |
$0.00 |