| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,631 |
86,500 |
$4.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,504 |
50,371 |
$3.73M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54,347 |
19,569 |
$2.17M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
19,896 |
9,070 |
$2.15M |
| 99233 |
Prolong inpt eval add15 m |
32,732 |
11,039 |
$1.84M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12,835 |
11,258 |
$925K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,339 |
8,701 |
$904K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
10,924 |
9,898 |
$517K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,602 |
3,160 |
$393K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,234 |
10,079 |
$377K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13,560 |
11,738 |
$327K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,932 |
5,619 |
$315K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,083 |
4,541 |
$300K |
| 88307 |
|
4,044 |
3,681 |
$254K |
| 99223 |
Prolong inpt eval add15 m |
2,178 |
1,970 |
$238K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,395 |
2,058 |
$234K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,413 |
4,386 |
$229K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,255 |
2,096 |
$208K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,107 |
1,947 |
$201K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,730 |
2,500 |
$199K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
7,184 |
6,803 |
$187K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,537 |
4,837 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,969 |
1,682 |
$154K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
4,718 |
4,144 |
$152K |
| 20610 |
|
3,790 |
3,116 |
$149K |
| 99460 |
|
1,973 |
1,768 |
$147K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,023 |
2,662 |
$145K |
| 90961 |
|
2,412 |
1,943 |
$133K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,414 |
1,187 |
$132K |
| 71045 |
Radiologic examination, chest; single view |
28,986 |
19,403 |
$130K |
| V2025 |
Deluxe frame |
2,847 |
1,813 |
$124K |
| 99462 |
|
3,825 |
2,764 |
$123K |
| 88342 |
|
4,920 |
4,446 |
$122K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,355 |
7,644 |
$118K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,431 |
2,169 |
$118K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
28,375 |
19,034 |
$117K |
| 59025 |
Fetal non-stress test |
4,249 |
2,124 |
$115K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,014 |
1,832 |
$115K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,177 |
1,968 |
$106K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,213 |
4,400 |
$103K |
| 71046 |
Radiologic examination, chest; 2 views |
13,754 |
12,475 |
$99K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,617 |
1,561 |
$99K |
| V2020 |
Frames, purchases |
3,266 |
2,321 |
$94K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,280 |
1,435 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
818 |
759 |
$87K |
| 99292 |
|
1,329 |
938 |
$81K |
| 71250 |
|
2,908 |
2,464 |
$81K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,022 |
1,633 |
$72K |
| 77066 |
Tomosynthesis, mammo |
661 |
601 |
$71K |
| 70486 |
|
2,516 |
2,176 |
$70K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,070 |
2,789 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,408 |
2,161 |
$63K |
| 93000 |
|
8,734 |
7,267 |
$57K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,346 |
1,017 |
$56K |
| V2760 |
Scratch resistant coating, per lens |
2,937 |
1,884 |
$54K |
| 95117 |
|
8,027 |
3,412 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,802 |
1,720 |
$50K |
| 99464 |
|
906 |
777 |
$49K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,264 |
1,115 |
$49K |
| 99442 |
|
1,216 |
1,039 |
$47K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,817 |
889 |
$46K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
67 |
62 |
$45K |
| 76801 |
|
1,296 |
975 |
$43K |
| 95115 |
|
6,556 |
2,848 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,504 |
1,297 |
$40K |
| 93308 |
|
2,288 |
1,966 |
$39K |
| 76641 |
|
1,700 |
1,552 |
$39K |
| 99253 |
|
433 |
367 |
$39K |
| 92134 |
|
2,260 |
1,908 |
$38K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
323 |
299 |
$37K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
770 |
681 |
$37K |
| 77065 |
Tomosynthesis, mammo |
459 |
392 |
$35K |
| V2219 |
Bifocal seg width over 28 mm |
1,335 |
671 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
464 |
391 |
$34K |
| 99243 |
|
513 |
448 |
$33K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
282 |
243 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,241 |
1,150 |
$32K |
| 96910 |
|
475 |
126 |
$31K |
| 99254 |
|
231 |
181 |
$31K |
| 99215 |
Prolong outpt/office vis |
333 |
277 |
$30K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
352 |
327 |
$30K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,303 |
1,280 |
$30K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,137 |
406 |
$28K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
427 |
360 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,371 |
1,154 |
$24K |
| 93970 |
|
1,377 |
1,163 |
$22K |
| 92060 |
|
447 |
409 |
$22K |
| 99443 |
|
500 |
429 |
$22K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
217 |
56 |
$22K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
206 |
63 |
$21K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
799 |
720 |
$20K |
| 92551 |
|
1,349 |
1,285 |
$19K |
| 72131 |
|
619 |
545 |
$19K |
| 73564 |
|
2,405 |
2,137 |
$19K |
| 76818 |
|
180 |
140 |
$19K |
| 96127 |
|
3,678 |
3,428 |
$18K |
| 76813 |
|
449 |
320 |
$17K |
| 99235 |
|
135 |
114 |
$17K |
| 73630 |
|
2,376 |
2,097 |
$16K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
409 |
359 |
$15K |
| 90461 |
|
765 |
680 |
$15K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,000 |
926 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
136 |
126 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
6,042 |
5,474 |
$15K |
| 95816 |
|
475 |
399 |
$15K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,196 |
3,577 |
$15K |
| 95813 |
|
273 |
209 |
$13K |
| 86580 |
|
1,490 |
1,372 |
$13K |
| 92015 |
Determination of refractive state |
950 |
824 |
$13K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
523 |
351 |
$12K |
| 73130 |
|
1,926 |
1,612 |
$12K |
| 95811 |
|
159 |
139 |
$12K |
| 76770 |
|
665 |
583 |
$12K |
| 90962 |
|
280 |
219 |
$12K |
| 90674 |
|
1,002 |
873 |
$11K |
| 31575 |
|
175 |
153 |
$11K |
| 88341 |
|
216 |
191 |
$10K |
| 72128 |
|
312 |
274 |
$10K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
86 |
68 |
$9K |
| 00142 |
|
195 |
169 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
336 |
269 |
$9K |
| 93971 |
|
694 |
609 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
189 |
148 |
$9K |
| 73030 |
|
1,326 |
1,125 |
$9K |
| 99245 |
|
56 |
55 |
$9K |
| 90671 |
|
63 |
53 |
$8K |
| 72110 |
|
778 |
704 |
$8K |
| 73610 |
|
1,261 |
1,009 |
$8K |
| D0191 |
|
274 |
253 |
$7K |
| 11900 |
|
163 |
151 |
$7K |
| 99205 |
Prolong outpt/office vis |
63 |
59 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
64 |
$7K |
| 72170 |
|
1,167 |
1,023 |
$6K |
| 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) |
1,939 |
1,686 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
363 |
333 |
$6K |
| 99173 |
|
1,559 |
1,480 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
467 |
308 |
$5K |
| 95886 |
|
71 |
63 |
$5K |
| 99255 |
|
24 |
24 |
$5K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
130 |
97 |
$4K |
| 93458 |
|
30 |
25 |
$4K |
| 92083 |
|
106 |
92 |
$4K |
| 99441 |
|
132 |
105 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
68 |
59 |
$3K |
| 99252 |
|
51 |
46 |
$3K |
| 92250 |
|
152 |
126 |
$3K |
| 01961 |
|
16 |
13 |
$3K |
| 73110 |
|
479 |
380 |
$3K |
| 76536 |
|
169 |
159 |
$3K |
| 73590 |
|
496 |
424 |
$3K |
| 51741 |
|
428 |
343 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
209 |
191 |
$2K |
| 92133 |
|
128 |
114 |
$2K |
| 99188 |
|
256 |
233 |
$2K |
| 92020 |
|
235 |
205 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
212 |
157 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
16 |
16 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
182 |
173 |
$2K |
| 85610 |
|
1,872 |
1,156 |
$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) |
255 |
193 |
$2K |
| 90686 |
|
830 |
810 |
$2K |
| 76775 |
|
48 |
38 |
$2K |
| 90732 |
|
30 |
28 |
$2K |
| 76937 |
|
309 |
246 |
$2K |
| 99242 |
|
40 |
39 |
$2K |
| 99307 |
|
165 |
93 |
$2K |
| 20550 |
|
51 |
42 |
$2K |
| 69210 |
|
107 |
92 |
$2K |
| 76820 |
|
61 |
39 |
$2K |
| 94375 |
|
170 |
152 |
$2K |
| 99220 |
|
26 |
25 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
28 |
28 |
$1K |
| 00813 |
|
14 |
13 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
74 |
48 |
$1K |
| 77001 |
|
173 |
141 |
$1K |
| 62322 |
|
15 |
13 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
58 |
37 |
$1K |
| 99217 |
|
32 |
25 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
15 |
$1K |
| 99219 |
|
20 |
13 |
$1K |
| 74178 |
|
24 |
24 |
$1K |
| 99459 |
|
75 |
69 |
$1K |
| 54150 |
|
14 |
12 |
$1K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
19 |
15 |
$995.16 |
| 94727 |
|
144 |
127 |
$973.95 |
| 99221 |
|
13 |
13 |
$961.81 |
| 99401 |
|
59 |
51 |
$947.39 |
| 73502 |
|
123 |
110 |
$920.68 |
| 94729 |
|
170 |
153 |
$884.55 |
| 99318 |
|
42 |
41 |
$866.25 |
| 90670 |
|
194 |
190 |
$785.25 |
| 77081 |
|
185 |
171 |
$741.60 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$739.67 |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$721.23 |
| 81000 |
|
358 |
284 |
$698.61 |
| 77427 |
|
28 |
12 |
$695.11 |
| 74018 |
|
170 |
114 |
$693.03 |
| 88112 |
|
35 |
28 |
$615.73 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
12 |
$532.14 |
| 36573 |
|
15 |
13 |
$530.37 |
| 93227 |
|
32 |
31 |
$493.86 |
| 92082 |
|
15 |
14 |
$456.96 |
| 93298 |
|
53 |
49 |
$456.11 |
| 78580 |
|
30 |
26 |
$453.91 |
| 81002 |
|
186 |
135 |
$402.22 |
| 90688 |
|
281 |
260 |
$349.69 |
| 96402 |
|
39 |
31 |
$344.23 |
| 88304 |
|
29 |
26 |
$311.51 |
| 90620 |
|
14 |
13 |
$306.29 |
| 96161 |
|
134 |
119 |
$290.50 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
72 |
61 |
$278.55 |
| 73090 |
|
43 |
38 |
$267.22 |
| 90756 |
|
13 |
13 |
$243.76 |
| 88104 |
|
14 |
12 |
$233.86 |
| 51736 |
|
57 |
50 |
$222.82 |
| 84165 |
|
29 |
24 |
$212.48 |
| 73060 |
|
45 |
38 |
$207.77 |
| 92201 |
|
12 |
12 |
$196.94 |
| 90694 |
|
15 |
12 |
$146.40 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
28 |
$137.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
26 |
$124.32 |
| 76514 |
|
18 |
15 |
$101.88 |
| 77080 |
|
17 |
17 |
$82.35 |
| 73551 |
|
16 |
12 |
$80.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
631 |
519 |
$50.11 |
| 99153 |
Mod sedat endo service >5yrs |
200 |
142 |
$19.46 |
| G0008 |
Administration of influenza virus vaccine |
136 |
115 |
$16.82 |
| 51798 |
|
382 |
320 |
$16.24 |
| 90656 |
|
19 |
18 |
$15.53 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
26 |
$11.38 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
13 |
$8.76 |
| 90744 |
|
211 |
195 |
$1.73 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
236 |
178 |
$1.46 |
| 90658 |
|
84 |
81 |
$0.72 |
| 90648 |
|
103 |
103 |
$0.70 |
| 90633 |
|
29 |
26 |
$0.29 |
| 90723 |
|
41 |
41 |
$0.17 |
| 90657 |
|
12 |
12 |
$0.11 |
| 90734 |
|
12 |
12 |
$0.10 |
| 90649 |
|
53 |
53 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
16 |
16 |
$0.00 |
| 99152 |
|
14 |
14 |
$0.00 |
| 90653 |
|
18 |
18 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |