| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
172,500 |
151,860 |
$13.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
178,040 |
158,776 |
$9.06M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
20,151 |
7,328 |
$2.64M |
| 99233 |
Prolong inpt eval add15 m |
40,748 |
16,729 |
$2.53M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19,069 |
16,656 |
$2.28M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44,570 |
16,368 |
$1.90M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23,874 |
21,466 |
$1.76M |
| 99223 |
Prolong inpt eval add15 m |
11,586 |
9,268 |
$1.20M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,226 |
1,122 |
$894K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13,587 |
12,033 |
$691K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,544 |
19,212 |
$665K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
10,376 |
9,020 |
$663K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,388 |
11,688 |
$643K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12,871 |
11,178 |
$557K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
66,741 |
53,951 |
$411K |
| 31575 |
|
5,104 |
4,475 |
$385K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12,000 |
9,405 |
$379K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,489 |
1,252 |
$327K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,089 |
3,304 |
$317K |
| 99215 |
Prolong outpt/office vis |
3,401 |
2,977 |
$312K |
| 99220 |
|
3,258 |
2,738 |
$304K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,198 |
3,445 |
$290K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,829 |
4,185 |
$273K |
| 43235 |
|
1,307 |
1,110 |
$258K |
| 20610 |
|
4,291 |
3,473 |
$232K |
| 99205 |
Prolong outpt/office vis |
1,648 |
1,484 |
$227K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
650 |
580 |
$226K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,725 |
3,380 |
$190K |
| 59430 |
|
1,171 |
1,125 |
$179K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,558 |
4,187 |
$163K |
| 88307 |
|
2,038 |
1,817 |
$150K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,166 |
2,994 |
$137K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
985 |
879 |
$136K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,859 |
2,698 |
$134K |
| 17110 |
|
1,781 |
1,455 |
$132K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,986 |
1,766 |
$112K |
| 99218 |
|
1,603 |
1,489 |
$106K |
| 11900 |
|
2,363 |
2,013 |
$96K |
| 59025 |
Fetal non-stress test |
4,218 |
3,076 |
$91K |
| 99460 |
|
1,492 |
1,108 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,096 |
1,006 |
$71K |
| 93458 |
|
367 |
327 |
$71K |
| 92134 |
|
7,970 |
6,431 |
$70K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,870 |
1,520 |
$66K |
| 54150 |
|
526 |
406 |
$58K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,439 |
412 |
$48K |
| 99219 |
|
771 |
651 |
$48K |
| 99221 |
|
864 |
697 |
$46K |
| 11102 |
|
684 |
543 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
834 |
762 |
$45K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
985 |
713 |
$45K |
| 92250 |
|
6,525 |
5,540 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
747 |
652 |
$41K |
| 92133 |
|
4,782 |
3,866 |
$38K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
587 |
534 |
$38K |
| 88108 |
|
2,119 |
1,876 |
$34K |
| 93018 |
|
2,764 |
2,506 |
$30K |
| 96158 |
|
1,268 |
533 |
$29K |
| 92083 |
|
2,553 |
2,069 |
$27K |
| 58100 |
|
350 |
311 |
$27K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
112 |
102 |
$26K |
| 59514 |
|
27 |
25 |
$26K |
| 99462 |
|
1,020 |
652 |
$25K |
| 93971 |
|
1,434 |
1,211 |
$24K |
| 88304 |
|
1,898 |
1,719 |
$24K |
| 94726 |
|
2,085 |
1,888 |
$22K |
| 76801 |
|
522 |
484 |
$21K |
| 94729 |
|
2,094 |
1,895 |
$19K |
| 93227 |
|
1,159 |
1,018 |
$18K |
| 90937 |
|
232 |
87 |
$17K |
| 11104 |
|
193 |
162 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
263 |
237 |
$17K |
| 78454 |
|
294 |
260 |
$15K |
| 57454 |
|
115 |
84 |
$13K |
| 58558 |
|
17 |
12 |
$12K |
| 93970 |
|
552 |
447 |
$12K |
| 99225 |
|
304 |
216 |
$11K |
| 94060 |
|
973 |
878 |
$10K |
| 11100 |
|
255 |
217 |
$10K |
| 88312 |
|
396 |
365 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
284 |
263 |
$10K |
| 20611 |
|
98 |
81 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
48 |
41 |
$9K |
| 57456 |
|
91 |
82 |
$9K |
| 69210 |
|
270 |
195 |
$8K |
| 91200 |
|
958 |
713 |
$8K |
| 93351 |
|
147 |
119 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
117 |
111 |
$7K |
| D0330 |
Panoramic radiographic image |
85 |
85 |
$7K |
| 99385 |
|
100 |
90 |
$6K |
| 88342 |
|
236 |
194 |
$6K |
| 64721 |
|
18 |
15 |
$5K |
| 93880 |
|
180 |
154 |
$5K |
| D9239 |
|
33 |
33 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
395 |
352 |
$5K |
| 94010 |
|
639 |
578 |
$5K |
| 99442 |
|
516 |
386 |
$4K |
| 93793 |
|
721 |
473 |
$4K |
| 99201 |
|
146 |
137 |
$4K |
| 88341 |
|
91 |
65 |
$4K |
| D9243 |
|
36 |
21 |
$4K |
| 93924 |
|
81 |
80 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
234 |
219 |
$3K |
| 93016 |
|
184 |
167 |
$3K |
| 90686 |
|
250 |
203 |
$3K |
| 31525 |
|
18 |
14 |
$3K |
| 54160 |
|
13 |
13 |
$3K |
| 31576 |
|
15 |
13 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
156 |
154 |
$2K |
| 93922 |
|
297 |
235 |
$2K |
| 96159 |
|
185 |
62 |
$2K |
| 92136 |
|
183 |
121 |
$2K |
| 99443 |
|
156 |
115 |
$2K |
| 92020 |
|
188 |
134 |
$2K |
| 44361 |
|
16 |
14 |
$2K |
| 99226 |
|
40 |
24 |
$2K |
| 92228 |
|
1,280 |
1,236 |
$2K |
| 88173 |
|
29 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
217 |
183 |
$2K |
| 96156 |
|
110 |
76 |
$2K |
| 99235 |
|
19 |
16 |
$1K |
| 99051 |
|
229 |
196 |
$1K |
| 70486 |
|
40 |
26 |
$1K |
| 99386 |
|
16 |
12 |
$1K |
| 87210 |
|
433 |
265 |
$966.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
41 |
$892.90 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$788.92 |
| 93925 |
|
25 |
25 |
$761.78 |
| 76937 |
|
76 |
63 |
$710.47 |
| 67228 |
|
13 |
12 |
$671.39 |
| 93228 |
|
30 |
29 |
$566.21 |
| 92025 |
|
85 |
73 |
$533.92 |
| 93282 |
|
32 |
24 |
$516.95 |
| 99441 |
|
111 |
83 |
$504.30 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
324 |
281 |
$452.45 |
| 92015 |
Determination of refractive state |
2,661 |
2,176 |
$425.10 |
| 93289 |
|
16 |
13 |
$403.66 |
| 92082 |
|
34 |
31 |
$389.38 |
| 85060 |
|
2,291 |
2,037 |
$388.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
29 |
$324.93 |
| 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) |
797 |
678 |
$306.25 |
| 99152 |
|
717 |
478 |
$279.31 |
| 93244 |
|
15 |
14 |
$275.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
29 |
26 |
$224.59 |
| 95251 |
|
21 |
12 |
$208.29 |
| 3008F |
|
87,924 |
76,482 |
$181.97 |
| 64400 |
|
18 |
12 |
$90.58 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
39 |
$60.16 |
| 88300 |
|
13 |
12 |
$58.95 |
| 93701 |
|
17 |
12 |
$55.59 |
| 81025 |
|
70 |
63 |
$52.08 |
| 88311 |
|
12 |
12 |
$43.59 |
| 92227 |
|
297 |
258 |
$42.49 |
| 99421 |
|
17 |
15 |
$35.61 |
| 99459 |
|
17 |
13 |
$11.25 |
| 99173 |
|
22 |
15 |
$11.12 |
| 76514 |
|
16 |
15 |
$10.20 |
| 1159F |
|
55,718 |
49,790 |
$7.08 |
| 3074F |
|
54,073 |
47,224 |
$0.00 |
| 4010F |
|
11,379 |
10,262 |
$0.00 |
| 1036F |
|
16,913 |
14,880 |
$0.00 |
| 1125F |
|
7,065 |
6,019 |
$0.00 |
| 3079F |
|
20,238 |
17,920 |
$0.00 |
| 1031F |
|
8,651 |
7,142 |
$0.00 |
| 3044F |
|
8,314 |
7,611 |
$0.00 |
| 1126F |
|
22,445 |
19,313 |
$0.00 |
| 3075F |
|
7,218 |
6,410 |
$0.00 |
| 1111F |
|
25,056 |
22,104 |
$0.00 |
| 99024 |
|
4,739 |
3,909 |
$0.00 |
| 3066F |
|
1,891 |
1,752 |
$0.00 |
| 2023F |
|
346 |
317 |
$0.00 |
| 3048F |
|
1,567 |
1,461 |
$0.00 |
| 3061F |
|
299 |
276 |
$0.00 |
| 3080F |
|
969 |
856 |
$0.00 |
| 4008F |
|
992 |
823 |
$0.00 |
| 1034F |
|
3,031 |
2,645 |
$0.00 |
| 3060F |
|
32 |
28 |
$0.00 |
| 1170F |
|
107 |
103 |
$0.00 |
| 86701 |
|
299 |
296 |
$0.00 |
| 94760 |
|
79 |
68 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
179 |
162 |
$0.00 |
| 3049F |
|
340 |
325 |
$0.00 |
| 99217 |
|
262 |
220 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
15 |
$0.00 |
| 1101F |
|
16 |
12 |
$0.00 |
| 4037F |
|
18 |
17 |
$0.00 |
| 91306 |
|
15 |
14 |
$0.00 |
| 0064A |
|
15 |
13 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
12 |
12 |
$0.00 |
| 3077F |
|
3,392 |
2,947 |
$0.00 |
| 1160F |
|
23,527 |
21,027 |
$0.00 |
| 3078F |
|
45,273 |
39,502 |
$0.00 |
| 3016F |
|
1,390 |
1,152 |
$0.00 |
| 3725F |
|
19,420 |
16,896 |
$0.00 |
| 4013F |
|
1,122 |
936 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
745 |
582 |
$0.00 |
| 3288F |
|
2,158 |
1,889 |
$0.00 |
| 2022F |
|
40 |
39 |
$0.00 |
| 4025F |
|
307 |
270 |
$0.00 |
| 3050F |
|
169 |
164 |
$0.00 |
| 0002A |
|
28 |
15 |
$0.00 |
| 2028F |
|
89 |
67 |
$0.00 |
| 3045F |
|
117 |
109 |
$0.00 |
| 86703 |
|
17 |
12 |
$0.00 |
| 3046F |
|
64 |
62 |
$0.00 |
| 91300 |
|
48 |
34 |
$0.00 |
| J9305 |
Injection, pemetrexed, not otherwise specified, 10 mg |
45 |
38 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 2025F |
|
13 |
13 |
$0.00 |