| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
483,211 |
433,181 |
$41.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
558,616 |
483,630 |
$34.79M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
130,071 |
121,669 |
$13.78M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
212,425 |
84,948 |
$10.20M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72,032 |
65,541 |
$8.98M |
| 99233 |
Prolong inpt eval add15 m |
116,651 |
45,978 |
$8.16M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
56,973 |
52,919 |
$7.15M |
| 99223 |
Prolong inpt eval add15 m |
42,211 |
35,825 |
$5.54M |
| 99215 |
Prolong outpt/office vis |
36,709 |
29,392 |
$4.57M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
32,572 |
28,479 |
$4.38M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54,657 |
49,317 |
$4.09M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
24,790 |
9,000 |
$4.04M |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
4,930 |
4,687 |
$3.84M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
4,157 |
3,940 |
$3.46M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
47,469 |
40,652 |
$2.50M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41,029 |
37,575 |
$2.41M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
27,992 |
25,194 |
$2.30M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36,265 |
33,659 |
$2.28M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
5,967 |
1,234 |
$2.12M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
8,962 |
8,189 |
$2.05M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
32,518 |
30,209 |
$1.91M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
35,358 |
33,594 |
$1.88M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
16,608 |
3,735 |
$1.87M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
51,090 |
22,594 |
$1.84M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
22,958 |
22,004 |
$1.62M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24,155 |
21,899 |
$1.50M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
56,434 |
22,903 |
$1.42M |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
3,803 |
3,547 |
$1.38M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
201,190 |
166,825 |
$1.35M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30,843 |
28,460 |
$1.33M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36,720 |
32,177 |
$1.30M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
35,619 |
33,702 |
$1.29M |
| 70450 |
Computed tomography, head or brain; without contrast material |
36,864 |
30,287 |
$1.27M |
| 99222 |
Initial hospital care, per day, moderate complexity |
12,824 |
11,399 |
$1.27M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26,270 |
24,129 |
$1.26M |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
8,703 |
1,452 |
$1.25M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17,120 |
15,888 |
$1.24M |
| 88307 |
|
15,468 |
14,348 |
$1.18M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17,027 |
15,132 |
$1.09M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
10,305 |
9,043 |
$1.06M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,410 |
13,944 |
$1.02M |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
3,193 |
3,014 |
$944K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
3,779 |
3,223 |
$878K |
| 71045 |
Radiologic examination, chest; single view |
126,906 |
83,454 |
$844K |
| 59025 |
Fetal non-stress test |
34,761 |
24,046 |
$803K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
19,137 |
16,858 |
$799K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,505 |
9,168 |
$735K |
| 99205 |
Prolong outpt/office vis |
4,375 |
3,994 |
$727K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28,816 |
27,070 |
$727K |
| D7140 |
Extraction, erupted tooth or exposed root |
24,534 |
4,156 |
$727K |
| 59430 |
|
3,479 |
3,350 |
$718K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
8,264 |
7,211 |
$662K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
6,419 |
1,752 |
$649K |
| 71046 |
Radiologic examination, chest; 2 views |
68,027 |
62,440 |
$644K |
| 59514 |
|
687 |
616 |
$625K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
4,074 |
3,728 |
$624K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
7,189 |
6,730 |
$569K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
5,270 |
1,254 |
$499K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
18,414 |
16,277 |
$486K |
| 99220 |
|
4,130 |
3,728 |
$474K |
| 95720 |
|
2,959 |
1,482 |
$471K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,325 |
4,849 |
$463K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23,324 |
21,910 |
$460K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
7,301 |
6,396 |
$444K |
| D2934 |
|
1,968 |
606 |
$422K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
6,577 |
4,951 |
$417K |
| 99468 |
|
505 |
450 |
$410K |
| 88342 |
|
13,716 |
12,031 |
$409K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
7,639 |
7,092 |
$400K |
| 31231 |
|
2,687 |
2,490 |
$390K |
| 99221 |
|
5,329 |
4,619 |
$387K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16,149 |
13,952 |
$381K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,565 |
1,386 |
$369K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,813 |
2,567 |
$364K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
8,686 |
8,227 |
$356K |
| 76801 |
|
7,989 |
7,305 |
$355K |
| 01961 |
|
795 |
742 |
$344K |
| 77427 |
|
2,934 |
1,155 |
$340K |
| 74178 |
|
4,441 |
4,148 |
$337K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,631 |
8,172 |
$335K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
4,809 |
4,571 |
$320K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
5,016 |
4,426 |
$314K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,242 |
4,935 |
$312K |
| 37243 |
|
91 |
73 |
$308K |
| 54150 |
|
2,305 |
2,031 |
$304K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,732 |
4,504 |
$303K |
| 77387 |
|
7,283 |
1,178 |
$279K |
| 99460 |
|
3,208 |
2,968 |
$271K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,309 |
4,019 |
$255K |
| 71250 |
|
5,656 |
5,287 |
$254K |
| 70498 |
|
3,650 |
3,311 |
$253K |
| 88341 |
|
3,902 |
3,165 |
$250K |
| 20610 |
|
4,491 |
3,875 |
$246K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
9,925 |
9,293 |
$243K |
| 76820 |
|
10,030 |
4,520 |
$240K |
| 67228 |
|
800 |
667 |
$237K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
5,318 |
4,827 |
$228K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,406 |
5,584 |
$227K |
| 74018 |
|
30,038 |
18,875 |
$213K |
| 70496 |
|
2,890 |
2,599 |
$198K |
| D0330 |
Panoramic radiographic image |
4,532 |
3,697 |
$192K |
| 99188 |
|
11,232 |
8,841 |
$189K |
| 74174 |
|
2,010 |
1,893 |
$188K |
| 92134 |
|
14,104 |
12,767 |
$185K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
758 |
489 |
$182K |
| 99464 |
|
2,398 |
2,256 |
$180K |
| 90961 |
|
4,687 |
4,432 |
$179K |
| 73130 |
|
20,782 |
15,382 |
$179K |
| 62323 |
|
851 |
778 |
$169K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
558 |
81 |
$166K |
| 31575 |
|
2,575 |
2,312 |
$160K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,646 |
4,436 |
$149K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,083 |
1,908 |
$145K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,949 |
2,626 |
$144K |
| 76830 |
Ultrasound, transvaginal |
4,517 |
4,339 |
$143K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,526 |
11,427 |
$142K |
| 73630 |
|
16,764 |
12,898 |
$141K |
| 57454 |
|
1,023 |
930 |
$141K |
| 90791 |
Psychiatric diagnostic evaluation |
1,558 |
1,259 |
$139K |
| 64493 |
|
627 |
566 |
$136K |
| 31579 |
|
919 |
837 |
$132K |
| 93320 |
|
7,069 |
6,210 |
$132K |
| 54161 |
|
943 |
804 |
$127K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,560 |
3,063 |
$126K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,804 |
1,634 |
$121K |
| 99219 |
|
1,463 |
1,365 |
$121K |
| 73610 |
|
14,279 |
11,831 |
$119K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,453 |
6,659 |
$114K |
| 72141 |
|
1,686 |
1,513 |
$113K |
| 27096 |
|
819 |
706 |
$112K |
| 36247 |
|
207 |
154 |
$108K |
| 92083 |
|
7,266 |
6,685 |
$107K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
6,092 |
5,724 |
$107K |
| 93970 |
|
2,933 |
2,576 |
$106K |
| 72100 |
|
10,258 |
9,512 |
$106K |
| 76770 |
|
3,862 |
3,559 |
$105K |
| 99462 |
|
2,715 |
2,134 |
$103K |
| 73030 |
|
11,536 |
10,210 |
$103K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
445 |
408 |
$103K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,510 |
2,149 |
$102K |
| 93458 |
|
520 |
449 |
$96K |
| 74019 |
|
8,212 |
7,474 |
$91K |
| 76642 |
|
3,012 |
2,621 |
$91K |
| 95819 |
|
1,781 |
1,652 |
$90K |
| 73562 |
|
8,774 |
7,587 |
$88K |
| 64488 |
|
897 |
795 |
$84K |
| 73564 |
|
8,112 |
6,973 |
$83K |
| 66982 |
|
180 |
174 |
$82K |
| 20611 |
|
902 |
782 |
$82K |
| 77066 |
Tomosynthesis, mammo |
1,810 |
1,716 |
$81K |
| 92133 |
|
8,021 |
7,385 |
$80K |
| 88173 |
|
1,719 |
1,474 |
$79K |
| 73110 |
|
9,003 |
7,432 |
$77K |
| 92612 |
|
557 |
510 |
$76K |
| 73502 |
|
7,620 |
6,651 |
$76K |
| 77065 |
Tomosynthesis, mammo |
2,117 |
1,902 |
$75K |
| 95811 |
|
446 |
427 |
$74K |
| 92551 |
|
9,447 |
9,031 |
$74K |
| 88141 |
|
3,517 |
3,114 |
$73K |
| 70486 |
|
1,768 |
1,501 |
$72K |
| 76825 |
|
874 |
737 |
$71K |
| 31237 |
|
290 |
238 |
$71K |
| 99225 |
|
1,400 |
1,047 |
$69K |
| 72156 |
|
634 |
571 |
$69K |
| 64494 |
|
596 |
540 |
$68K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
921 |
438 |
$67K |
| 74183 |
|
626 |
599 |
$66K |
| 99477 |
|
253 |
216 |
$66K |
| 93886 |
|
318 |
291 |
$65K |
| 11012 |
|
218 |
134 |
$63K |
| 92020 |
|
5,559 |
5,093 |
$62K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,699 |
1,613 |
$61K |
| 72040 |
|
6,054 |
5,545 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,085 |
6,162 |
$58K |
| 93325 |
|
10,377 |
9,121 |
$56K |
| 77338 |
|
457 |
412 |
$55K |
| 76813 |
|
1,119 |
1,073 |
$54K |
| 76536 |
|
2,159 |
2,066 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,639 |
1,461 |
$52K |
| 88304 |
|
3,463 |
3,211 |
$51K |
| 73590 |
|
7,082 |
5,773 |
$50K |
| 93016 |
|
2,854 |
2,705 |
$49K |
| 93298 |
|
2,432 |
2,302 |
$48K |
| 93248 |
|
2,303 |
2,176 |
$48K |
| 93971 |
|
2,085 |
1,861 |
$47K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
252 |
243 |
$46K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,148 |
1,150 |
$44K |
| 74170 |
|
737 |
688 |
$44K |
| 93304 |
|
1,151 |
1,083 |
$44K |
| 64615 |
|
345 |
334 |
$44K |
| 70491 |
|
717 |
652 |
$43K |
| 88189 |
|
671 |
547 |
$43K |
| 76775 |
|
2,097 |
1,754 |
$42K |
| 93018 |
|
3,846 |
3,629 |
$41K |
| 52000 |
|
246 |
233 |
$40K |
| 76506 |
|
1,318 |
978 |
$40K |
| 99226 |
|
498 |
340 |
$39K |
| 99157 |
|
312 |
277 |
$39K |
| 93925 |
|
884 |
844 |
$39K |
| 88360 |
|
623 |
549 |
$36K |
| 99478 |
|
353 |
45 |
$36K |
| 72170 |
|
5,363 |
4,682 |
$36K |
| 88172 |
|
1,560 |
1,341 |
$36K |
| 73560 |
|
4,421 |
3,529 |
$36K |
| 77301 |
|
97 |
91 |
$35K |
| 17110 |
|
425 |
374 |
$35K |
| 99152 |
|
12,131 |
8,791 |
$35K |
| 93307 |
|
1,085 |
1,009 |
$35K |
| 73552 |
|
4,636 |
3,652 |
$34K |
| 93295 |
|
1,330 |
1,275 |
$34K |
| 73700 |
|
713 |
612 |
$34K |
| 77080 |
|
4,076 |
3,803 |
$33K |
| 99406 |
|
5,808 |
3,536 |
$33K |
| D1206 |
Topical application of fluoride varnish |
1,677 |
1,550 |
$32K |
| 88112 |
|
1,547 |
1,316 |
$32K |
| 99385 |
|
492 |
460 |
$32K |
| D1120 |
Prophylaxis - child |
1,805 |
1,670 |
$31K |
| 95816 |
|
664 |
607 |
$31K |
| 94375 |
|
2,429 |
2,285 |
$31K |
| 22853 |
|
124 |
109 |
$31K |
| 69210 |
|
837 |
759 |
$30K |
| 99497 |
|
1,772 |
1,081 |
$30K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
233 |
220 |
$30K |
| 73221 |
|
476 |
435 |
$30K |
| D0272 |
Bitewings - two radiographic images |
1,447 |
1,366 |
$29K |
| 76827 |
|
966 |
809 |
$29K |
| 71271 |
|
724 |
653 |
$29K |
| 76641 |
|
742 |
712 |
$29K |
| 84165 |
|
2,175 |
1,987 |
$27K |
| 81025 |
|
5,927 |
5,162 |
$27K |
| 71270 |
|
599 |
561 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
908 |
866 |
$26K |
| 93880 |
|
696 |
629 |
$24K |
| 77300 |
|
643 |
549 |
$24K |
| 75574 |
|
250 |
229 |
$24K |
| 99383 |
|
300 |
290 |
$24K |
| 72110 |
|
1,869 |
1,777 |
$23K |
| 70552 |
|
242 |
223 |
$23K |
| D7240 |
Removal of impacted tooth - completely bony |
75 |
26 |
$22K |
| 73080 |
|
2,598 |
2,186 |
$22K |
| 72158 |
|
164 |
156 |
$22K |
| 72197 |
|
201 |
193 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,939 |
896 |
$20K |
| 43235 |
|
117 |
113 |
$20K |
| 73090 |
|
2,684 |
2,222 |
$19K |
| 74230 |
|
1,124 |
973 |
$19K |
| 77062 |
|
1,111 |
1,065 |
$19K |
| D9239 |
|
232 |
202 |
$19K |
| 77061 |
|
1,065 |
992 |
$18K |
| 99384 |
|
192 |
188 |
$18K |
| 76942 |
|
595 |
524 |
$18K |
| 00320 |
|
108 |
101 |
$18K |
| 83020 |
|
2,999 |
2,455 |
$18K |
| 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) |
12,215 |
10,010 |
$18K |
| 99173 |
|
9,181 |
8,853 |
$18K |
| 93976 |
|
408 |
383 |
$17K |
| 36902 |
|
73 |
65 |
$17K |
| 49083 |
|
86 |
63 |
$17K |
| 93975 |
|
270 |
254 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
1,554 |
1,261 |
$16K |
| 99386 |
|
231 |
223 |
$16K |
| 65855 |
|
170 |
139 |
$16K |
| 36556 |
|
184 |
152 |
$15K |
| 99224 |
|
857 |
721 |
$15K |
| 11102 |
|
198 |
191 |
$15K |
| 90474 |
|
2,407 |
1,824 |
$15K |
| 77263 |
|
149 |
135 |
$14K |
| 95886 |
|
388 |
358 |
$14K |
| 27130 |
|
12 |
12 |
$14K |
| 40800 |
|
138 |
129 |
$14K |
| 94726 |
|
1,251 |
1,198 |
$14K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,493 |
1,180 |
$14K |
| 81003 |
|
11,334 |
8,934 |
$14K |
| D1351 |
Sealant - per tooth |
444 |
163 |
$14K |
| 77334 |
|
250 |
203 |
$14K |
| 66174 |
|
69 |
65 |
$13K |
| 36248 |
|
106 |
79 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
216 |
202 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
676 |
643 |
$13K |
| 93321 |
|
1,662 |
1,563 |
$13K |
| 73521 |
|
1,216 |
1,168 |
$13K |
| 86334 |
|
1,019 |
928 |
$13K |
| 95718 |
|
134 |
123 |
$13K |
| 76818 |
|
587 |
373 |
$12K |
| D9243 |
|
124 |
90 |
$11K |
| 19083 |
|
25 |
25 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
423 |
341 |
$11K |
| 99234 |
|
170 |
142 |
$11K |
| 92250 |
|
982 |
846 |
$11K |
| 20930 |
|
536 |
333 |
$11K |
| 30520 |
|
30 |
25 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
1,577 |
1,356 |
$11K |
| 11104 |
|
98 |
92 |
$11K |
| 75726 |
|
150 |
110 |
$10K |
| 76937 |
|
1,107 |
956 |
$10K |
| 94729 |
|
1,205 |
1,153 |
$10K |
| 99417 |
Prolong home eval add 15m |
192 |
169 |
$10K |
| 99218 |
|
180 |
162 |
$10K |
| 93308 |
|
472 |
430 |
$10K |
| 64415 |
|
102 |
93 |
$10K |
| 94060 |
|
966 |
927 |
$10K |
| 88312 |
|
340 |
315 |
$10K |
| 73060 |
|
1,388 |
1,118 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
286 |
264 |
$9K |
| D0145 |
Oral evaluation for a patient under three years of age |
199 |
176 |
$9K |
| 72190 |
|
895 |
734 |
$9K |
| 93356 |
|
392 |
343 |
$9K |
| 75887 |
|
119 |
98 |
$8K |
| 77072 |
|
872 |
845 |
$8K |
| 88313 |
|
440 |
340 |
$8K |
| 92228 |
|
1,473 |
1,301 |
$8K |
| 99235 |
|
98 |
90 |
$8K |
| 58100 |
|
96 |
93 |
$8K |
| 70355 |
|
1,586 |
1,321 |
$8K |
| 72157 |
|
63 |
62 |
$8K |
| 64635 |
|
19 |
16 |
$7K |
| 87807 |
|
685 |
646 |
$7K |
| 87634 |
|
169 |
145 |
$7K |
| 36620 |
|
218 |
170 |
$7K |
| 88348 |
|
80 |
64 |
$7K |
| 88302 |
|
583 |
527 |
$7K |
| 20936 |
|
136 |
108 |
$7K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
480 |
89 |
$7K |
| 99156 |
|
103 |
92 |
$7K |
| 96161 |
|
2,362 |
1,915 |
$7K |
| 78803 |
|
202 |
160 |
$6K |
| 95812 |
|
134 |
127 |
$6K |
| 77001 |
|
593 |
485 |
$6K |
| 93922 |
|
594 |
563 |
$6K |
| 72050 |
|
475 |
448 |
$6K |
| 36561 |
|
15 |
12 |
$6K |
| 93294 |
|
304 |
286 |
$6K |
| D7230 |
|
26 |
12 |
$6K |
| 73120 |
|
724 |
425 |
$6K |
| 90962 |
|
329 |
289 |
$6K |
| 62321 |
|
25 |
24 |
$6K |
| 95951 |
|
22 |
13 |
$5K |
| 00670 |
|
15 |
12 |
$5K |
| 88350 |
|
112 |
68 |
$5K |
| 47000 |
|
28 |
28 |
$5K |
| 72082 |
|
351 |
339 |
$5K |
| 00160 |
|
13 |
13 |
$5K |
| 31629 |
|
14 |
14 |
$5K |
| 36558 |
|
12 |
12 |
$5K |
| D7111 |
|
78 |
41 |
$5K |
| 88188 |
|
97 |
86 |
$5K |
| 76810 |
|
93 |
82 |
$5K |
| 88311 |
|
583 |
527 |
$5K |
| 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) |
291 |
253 |
$4K |
| 77280 |
|
143 |
126 |
$4K |
| 73522 |
|
379 |
365 |
$4K |
| 74240 |
|
117 |
113 |
$4K |
| 11900 |
|
85 |
82 |
$4K |
| 76882 |
|
416 |
331 |
$4K |
| 93923 |
|
116 |
111 |
$4K |
| 72070 |
|
418 |
394 |
$4K |
| 31256 |
|
42 |
38 |
$4K |
| 91200 |
|
455 |
429 |
$4K |
| 64636 |
|
19 |
16 |
$4K |
| 66761 |
|
22 |
12 |
$4K |
| 73620 |
|
462 |
358 |
$4K |
| 72120 |
|
472 |
406 |
$4K |
| 88291 |
|
414 |
363 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
280 |
68 |
$4K |
| 94010 |
|
470 |
447 |
$4K |
| 76376 |
|
229 |
186 |
$4K |
| 77012 |
|
60 |
57 |
$4K |
| 74181 |
|
43 |
42 |
$4K |
| 76377 |
|
98 |
89 |
$3K |
| 77002 |
|
145 |
138 |
$3K |
| 73565 |
|
454 |
443 |
$3K |
| 99459 |
|
455 |
309 |
$3K |
| 72200 |
|
372 |
358 |
$3K |
| 93312 |
|
70 |
58 |
$3K |
| 70480 |
|
54 |
52 |
$3K |
| 52332 |
|
12 |
12 |
$3K |
| 75635 |
|
31 |
28 |
$3K |
| 70544 |
|
58 |
38 |
$3K |
| 70470 |
|
47 |
40 |
$3K |
| 97760 |
|
110 |
69 |
$3K |
| 95251 |
|
87 |
84 |
$3K |
| 70490 |
|
62 |
48 |
$3K |
| 20552 |
|
133 |
104 |
$3K |
| 88300 |
|
435 |
406 |
$3K |
| 95885 |
|
143 |
139 |
$3K |
| 95813 |
|
26 |
26 |
$3K |
| 99155 |
|
26 |
26 |
$2K |
| 72142 |
|
25 |
24 |
$2K |
| 23350 |
|
15 |
15 |
$2K |
| 85097 |
|
48 |
37 |
$2K |
| 91010 |
|
37 |
34 |
$2K |
| 10005 |
|
30 |
25 |
$2K |
| 73200 |
|
44 |
43 |
$2K |
| 84166 |
|
176 |
158 |
$2K |
| 78264 |
|
57 |
54 |
$2K |
| 36581 |
|
19 |
13 |
$2K |
| 74220 |
|
64 |
63 |
$2K |
| 99498 |
|
185 |
101 |
$2K |
| 99443 |
|
145 |
123 |
$2K |
| 72146 |
|
28 |
25 |
$2K |
| 51705 |
|
28 |
27 |
$2K |
| 74150 |
|
42 |
39 |
$2K |
| 88346 |
|
86 |
68 |
$2K |
| 99495 |
|
123 |
113 |
$2K |
| 17000 |
|
42 |
39 |
$2K |
| 93297 |
|
147 |
142 |
$1K |
| 99442 |
|
173 |
144 |
$1K |
| 73720 |
|
14 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,194 |
1,056 |
$1K |
| 01992 |
|
13 |
12 |
$1K |
| 31624 |
|
16 |
14 |
$1K |
| 93282 |
|
68 |
64 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,245 |
1,111 |
$1K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
35 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
167 |
154 |
$1K |
| 88331 |
|
14 |
12 |
$1K |
| 92136 |
|
99 |
84 |
$1K |
| 70543 |
|
23 |
12 |
$1K |
| 76870 |
|
42 |
40 |
$1K |
| 93244 |
|
70 |
64 |
$1K |
| 64447 |
|
15 |
15 |
$1K |
| 95910 |
|
24 |
24 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
630 |
576 |
$1K |
| 73222 |
|
13 |
13 |
$1K |
| 95024 |
|
14 |
13 |
$974.06 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
246 |
206 |
$969.17 |
| 95117 |
|
156 |
74 |
$948.55 |
| 78320 |
|
14 |
13 |
$858.96 |
| 65222 |
|
13 |
12 |
$847.62 |
| 93990 |
|
48 |
42 |
$816.52 |
| 95012 |
|
87 |
68 |
$796.64 |
| 99407 |
|
129 |
52 |
$770.07 |
| 29125 |
|
13 |
12 |
$733.53 |
| 95822 |
|
13 |
12 |
$708.76 |
| 85060 |
|
2,033 |
1,030 |
$661.58 |
| 93245 |
|
57 |
53 |
$639.87 |
| 72131 |
|
18 |
15 |
$634.74 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
14 |
12 |
$612.21 |
| 94664 |
|
416 |
299 |
$605.82 |
| 76821 |
|
17 |
12 |
$602.51 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
35 |
15 |
$589.05 |
| 00400 |
|
16 |
13 |
$577.85 |
| 76981 |
|
22 |
20 |
$566.00 |
| 88108 |
|
30 |
25 |
$560.50 |
| 87207 |
|
199 |
152 |
$553.04 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
137 |
125 |
$542.66 |
| 92613 |
|
613 |
449 |
$522.93 |
| 91038 |
|
12 |
12 |
$510.32 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
14 |
13 |
$481.74 |
| 93926 |
|
13 |
13 |
$480.68 |
| 99381 |
|
15 |
13 |
$469.17 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
36 |
12 |
$423.66 |
| 78226 |
|
12 |
12 |
$392.55 |
| 74022 |
|
41 |
41 |
$387.31 |
| 95909 |
|
15 |
14 |
$385.22 |
| 82550 |
|
105 |
75 |
$375.69 |
| 93793 |
|
109 |
57 |
$358.65 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$344.79 |
| 94016 |
|
13 |
12 |
$341.89 |
| 80051 |
|
91 |
58 |
$341.76 |
| 97164 |
|
14 |
12 |
$339.95 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
17 |
12 |
$339.54 |
| 96040 |
|
32 |
17 |
$302.76 |
| 82565 |
|
107 |
73 |
$300.47 |
| 74420 |
|
13 |
12 |
$296.67 |
| 76514 |
|
312 |
290 |
$282.43 |
| 20999 |
|
21 |
14 |
$255.43 |
| 92002 |
|
14 |
12 |
$248.36 |
| 97602 |
|
60 |
27 |
$243.42 |
| 76519 |
|
13 |
12 |
$234.49 |
| 84520 |
|
109 |
74 |
$233.58 |
| 82947 |
|
107 |
73 |
$224.05 |
| 99401 |
|
13 |
12 |
$217.91 |
| 1159F |
|
517,285 |
452,179 |
$213.05 |
| 77071 |
|
16 |
12 |
$207.76 |
| 3078F |
|
283,350 |
238,693 |
$207.69 |
| 99496 |
|
14 |
14 |
$197.53 |
| 73020 |
|
19 |
17 |
$190.99 |
| 73000 |
|
30 |
26 |
$190.08 |
| 93227 |
|
12 |
12 |
$183.28 |
| 36416 |
|
134 |
124 |
$182.02 |
| 93289 |
|
15 |
14 |
$180.82 |
| 80053 |
Comprehensive metabolic panel |
41 |
39 |
$150.49 |
| 92025 |
|
15 |
13 |
$143.78 |
| 82270 |
|
51 |
51 |
$142.85 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
45 |
43 |
$139.14 |
| 72202 |
|
15 |
15 |
$137.91 |
| 73600 |
|
22 |
16 |
$135.04 |
| 97607 |
|
14 |
13 |
$134.70 |
| 92504 |
|
876 |
692 |
$134.32 |
| 93280 |
|
13 |
13 |
$120.46 |
| 73650 |
|
15 |
13 |
$115.10 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
101 |
87 |
$106.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,936 |
1,910 |
$100.14 |
| 81314 |
|
14 |
14 |
$91.50 |
| 81272 |
|
15 |
15 |
$91.50 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
15 |
14 |
$84.94 |
| 81311 |
|
15 |
15 |
$82.75 |
| 3044F |
|
91,807 |
79,408 |
$80.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
12 |
$78.78 |
| 99441 |
|
21 |
17 |
$73.85 |
| 51798 |
|
25 |
16 |
$67.06 |
| 73100 |
|
15 |
12 |
$66.19 |
| 81276 |
|
15 |
15 |
$57.00 |
| 89060 |
|
34 |
12 |
$51.77 |
| 75774 |
|
234 |
144 |
$48.00 |
| 81273 |
|
15 |
15 |
$38.00 |
| 4010F |
|
103,125 |
89,908 |
$35.90 |
| 4003F |
|
835 |
676 |
$32.35 |
| 90970 |
|
30 |
16 |
$32.04 |
| 92015 |
Determination of refractive state |
749 |
685 |
$27.09 |
| 82962 |
|
12 |
12 |
$24.73 |
| 99153 |
Mod sedat endo service >5yrs |
1,814 |
1,341 |
$22.47 |
| 3074F |
|
219,103 |
185,288 |
$20.00 |
| 94150 |
|
49 |
39 |
$11.46 |
| 86077 |
|
29 |
26 |
$10.21 |
| 3079F |
|
85,616 |
74,031 |
$9.73 |
| 3075F |
|
85,169 |
73,285 |
$9.71 |
| 3077F |
|
70,066 |
60,015 |
$8.28 |
| 3008F |
|
405,491 |
349,260 |
$2.50 |
| 3080F |
|
13,563 |
11,787 |
$2.49 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
118 |
97 |
$0.72 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
33 |
26 |
$0.29 |
| 3046F |
|
1,363 |
1,197 |
$0.04 |
| 3051F |
|
175 |
152 |
$0.01 |
| 3066F |
|
15,556 |
13,974 |
$0.00 |
| 90686 |
|
2,952 |
2,835 |
$0.00 |
| 1111F |
|
692 |
523 |
$0.00 |
| 90723 |
|
2,591 |
2,313 |
$0.00 |
| 3061F |
|
4,252 |
3,869 |
$0.00 |
| 2023F |
|
623 |
489 |
$0.00 |
| 90696 |
|
212 |
187 |
$0.00 |
| 90680 |
|
2,033 |
1,684 |
$0.00 |
| 90651 |
|
864 |
791 |
$0.00 |
| 99024 |
|
656 |
528 |
$0.00 |
| J0178 |
Injection, aflibercept, 1 mg |
262 |
204 |
$0.00 |
| 3341F |
|
56 |
53 |
$0.00 |
| 90716 |
|
63 |
59 |
$0.00 |
| 0503F |
|
489 |
442 |
$0.00 |
| 90620 |
|
56 |
51 |
$0.00 |
| 3060F |
|
83 |
80 |
$0.00 |
| 86335 |
|
14 |
12 |
$0.00 |
| 81301 |
|
16 |
15 |
$0.00 |
| 81270 |
|
13 |
12 |
$0.00 |
| 2020F |
|
76 |
74 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
47 |
41 |
$0.00 |
| 81235 |
|
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 1160F |
|
168,127 |
147,645 |
$0.00 |
| 90633 |
|
1,792 |
1,603 |
$0.00 |
| 90670 |
|
3,599 |
3,194 |
$0.00 |
| 90734 |
|
559 |
512 |
$0.00 |
| 90648 |
|
3,595 |
3,192 |
$0.00 |
| 90685 |
|
1,739 |
1,623 |
$0.00 |
| 2025F |
|
735 |
690 |
$0.00 |
| 0042T |
|
159 |
106 |
$0.00 |
| 2021F |
|
52 |
42 |
$0.00 |
| 90710 |
|
228 |
204 |
$0.00 |
| 0298T |
|
405 |
394 |
$0.00 |
| 81323 |
|
16 |
15 |
$0.00 |
| G9817 |
Death did not occur after discharge from the hospital within 30 days post procedure |
155 |
138 |
$0.00 |
| 90715 |
|
134 |
128 |
$0.00 |
| 2024F |
|
120 |
113 |
$0.00 |
| 81403 |
|
13 |
12 |
$0.00 |
| 2027F |
|
233 |
228 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
150 |
118 |
$0.00 |
| 2022F |
|
224 |
190 |
$0.00 |
| 90700 |
|
181 |
155 |
$0.00 |
| 90707 |
|
107 |
96 |
$0.00 |
| 81275 |
|
16 |
15 |
$0.00 |
| 1158F |
|
16 |
14 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
14 |
12 |
$0.00 |
| 99367 |
|
13 |
12 |
$0.00 |
| 81210 |
|
16 |
15 |
$0.00 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
18 |
12 |
$0.00 |
| 81321 |
|
16 |
15 |
$0.00 |
| 3062F |
|
12 |
12 |
$0.00 |