| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122,257 |
107,035 |
$7.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70,971 |
62,621 |
$5.99M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
21,727 |
19,858 |
$3.44M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16,488 |
15,231 |
$1.83M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23,004 |
7,499 |
$1.09M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,945 |
13,005 |
$856K |
| 99233 |
Prolong inpt eval add15 m |
9,740 |
3,462 |
$702K |
| 99223 |
Prolong inpt eval add15 m |
3,770 |
3,121 |
$576K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,759 |
6,052 |
$526K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,800 |
4,374 |
$437K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,019 |
3,681 |
$408K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26,306 |
24,761 |
$405K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,915 |
4,708 |
$395K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,107 |
6,386 |
$366K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
5,251 |
4,886 |
$364K |
| 99215 |
Prolong outpt/office vis |
3,588 |
3,073 |
$352K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,927 |
3,597 |
$252K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,423 |
673 |
$246K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15,378 |
8,837 |
$239K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,335 |
5,600 |
$239K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,489 |
4,116 |
$230K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,628 |
1,402 |
$213K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,933 |
1,512 |
$201K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29,268 |
22,988 |
$188K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,483 |
1,480 |
$183K |
| 71045 |
Radiologic examination, chest; single view |
20,257 |
13,346 |
$151K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,549 |
1,780 |
$150K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,902 |
1,887 |
$148K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,691 |
1,579 |
$115K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,189 |
1,011 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,378 |
1,332 |
$110K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
1,345 |
1,248 |
$97K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
807 |
746 |
$87K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
718 |
384 |
$77K |
| 71046 |
Radiologic examination, chest; 2 views |
8,097 |
7,496 |
$73K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,044 |
1,762 |
$60K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
301 |
285 |
$59K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
897 |
815 |
$54K |
| 36415 |
Collection of venous blood by venipuncture |
18,013 |
15,137 |
$50K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,018 |
834 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,428 |
1,246 |
$43K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,903 |
1,609 |
$43K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,371 |
1,211 |
$42K |
| 92567 |
|
3,730 |
3,413 |
$40K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
433 |
415 |
$40K |
| 99221 |
|
691 |
593 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
357 |
331 |
$38K |
| 90686 |
|
10,234 |
9,717 |
$36K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,351 |
1,193 |
$35K |
| 80053 |
Comprehensive metabolic panel |
3,073 |
2,397 |
$34K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
125 |
87 |
$34K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
863 |
849 |
$31K |
| 20611 |
|
329 |
316 |
$31K |
| Q3014 |
Telehealth originating site facility fee |
2,035 |
1,561 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
346 |
302 |
$30K |
| 11721 |
|
2,239 |
2,103 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
865 |
812 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
810 |
735 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
353 |
328 |
$27K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
360 |
339 |
$25K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
1,100 |
1,042 |
$25K |
| 92015 |
Determination of refractive state |
2,142 |
2,007 |
$25K |
| 99205 |
Prolong outpt/office vis |
192 |
172 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
252 |
$24K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
188 |
164 |
$23K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
172 |
160 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,658 |
1,480 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,158 |
2,367 |
$21K |
| 99460 |
|
262 |
255 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
667 |
654 |
$19K |
| 73630 |
|
2,562 |
2,027 |
$18K |
| 93793 |
|
2,558 |
2,031 |
$18K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
853 |
787 |
$18K |
| 93298 |
|
612 |
556 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
365 |
353 |
$15K |
| 95886 |
|
190 |
165 |
$15K |
| 93294 |
|
763 |
725 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
607 |
575 |
$15K |
| 80061 |
Lipid panel |
1,341 |
1,200 |
$14K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
45 |
13 |
$14K |
| 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 |
388 |
350 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
616 |
557 |
$13K |
| 88342 |
|
354 |
332 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
580 |
553 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,562 |
1,440 |
$12K |
| 76830 |
Ultrasound, transvaginal |
434 |
415 |
$11K |
| 71250 |
|
327 |
309 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
226 |
214 |
$11K |
| 93248 |
|
454 |
440 |
$10K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
42 |
42 |
$10K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
166 |
108 |
$10K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
510 |
459 |
$9K |
| 85027 |
|
1,661 |
1,492 |
$9K |
| 87631 |
|
80 |
61 |
$9K |
| 90474 |
|
777 |
722 |
$9K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
43 |
42 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,308 |
1,143 |
$8K |
| 95811 |
|
42 |
29 |
$8K |
| 0002A |
|
200 |
197 |
$8K |
| 93297 |
|
438 |
371 |
$7K |
| 90785 |
|
478 |
453 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
75 |
62 |
$7K |
| 99217 |
|
154 |
134 |
$7K |
| 73610 |
|
873 |
768 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
977 |
839 |
$7K |
| 0001A |
|
229 |
203 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
178 |
166 |
$6K |
| 90670 |
|
2,796 |
2,654 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
70 |
65 |
$5K |
| 86780 |
|
554 |
476 |
$5K |
| 92557 |
|
158 |
150 |
$5K |
| 62323 |
|
41 |
40 |
$4K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
43 |
14 |
$4K |
| 73562 |
|
593 |
448 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
28 |
28 |
$4K |
| 95909 |
|
38 |
33 |
$4K |
| 90715 |
|
290 |
253 |
$4K |
| 99152 |
|
553 |
482 |
$3K |
| 95908 |
|
38 |
36 |
$3K |
| 76937 |
|
452 |
380 |
$3K |
| 82728 |
|
306 |
273 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
90 |
79 |
$3K |
| 92134 |
|
168 |
157 |
$3K |
| 72141 |
|
41 |
38 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
406 |
328 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
89 |
63 |
$3K |
| 74018 |
|
394 |
321 |
$3K |
| 95910 |
|
15 |
14 |
$3K |
| 82607 |
|
217 |
179 |
$3K |
| 96127 |
|
956 |
866 |
$3K |
| 95911 |
|
13 |
12 |
$2K |
| V5266 |
Battery for use in hearing device |
207 |
194 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
19 |
12 |
$2K |
| 73030 |
|
245 |
223 |
$2K |
| 90651 |
|
94 |
78 |
$2K |
| 87653 |
|
64 |
52 |
$2K |
| 81003 |
|
993 |
585 |
$2K |
| 90656 |
|
625 |
622 |
$2K |
| 81001 |
|
832 |
733 |
$2K |
| 93922 |
|
248 |
240 |
$2K |
| 87340 |
|
262 |
225 |
$2K |
| 73110 |
|
234 |
204 |
$2K |
| 64615 |
|
39 |
25 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
24 |
24 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
28 |
25 |
$2K |
| 86140 |
|
404 |
322 |
$2K |
| 93295 |
|
76 |
70 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
14 |
$2K |
| 0004A |
|
30 |
29 |
$2K |
| 98942 |
|
20 |
12 |
$2K |
| 95885 |
|
26 |
26 |
$1K |
| 92002 |
|
25 |
24 |
$1K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
13 |
13 |
$1K |
| 86803 |
|
121 |
111 |
$1K |
| 93246 |
|
91 |
88 |
$1K |
| 43235 |
|
12 |
12 |
$1K |
| 0071A |
|
73 |
73 |
$1K |
| 88141 |
|
120 |
100 |
$1K |
| 73502 |
|
143 |
133 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
89 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
29 |
$1K |
| 93976 |
|
49 |
48 |
$1K |
| 76801 |
|
29 |
25 |
$1K |
| 93296 |
|
42 |
40 |
$1K |
| 86850 |
|
170 |
148 |
$1K |
| 86769 |
|
40 |
40 |
$920.36 |
| 92558 |
|
122 |
113 |
$919.84 |
| 97803 |
|
16 |
12 |
$818.22 |
| 0072A |
|
48 |
46 |
$759.92 |
| 85652 |
|
312 |
248 |
$744.93 |
| 82043 |
|
159 |
141 |
$743.53 |
| 72100 |
|
69 |
67 |
$738.08 |
| 94060 |
|
100 |
91 |
$733.20 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$659.28 |
| 73130 |
|
76 |
68 |
$605.10 |
| 94726 |
|
69 |
64 |
$596.19 |
| 95800 |
|
12 |
12 |
$566.17 |
| 93971 |
|
35 |
33 |
$554.49 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
142 |
132 |
$540.28 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
14 |
$534.25 |
| 76642 |
|
17 |
15 |
$488.91 |
| 77001 |
|
35 |
29 |
$478.77 |
| 94729 |
|
69 |
64 |
$444.25 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
15 |
$414.40 |
| 92504 |
|
14 |
14 |
$413.47 |
| 20610 |
|
25 |
24 |
$370.95 |
| 11056 |
|
20 |
13 |
$369.78 |
| 87280 |
|
51 |
32 |
$368.82 |
| 87210 |
|
90 |
74 |
$332.68 |
| 76775 |
|
29 |
27 |
$327.87 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$313.95 |
| 86901 |
|
160 |
142 |
$286.97 |
| 86900 |
|
160 |
142 |
$286.97 |
| 82570 |
|
41 |
38 |
$264.04 |
| 80069 |
|
26 |
25 |
$245.43 |
| 99421 |
|
15 |
13 |
$220.55 |
| 81025 |
|
63 |
60 |
$208.00 |
| 74230 |
|
13 |
13 |
$195.73 |
| 84156 |
|
41 |
38 |
$187.19 |
| 85610 |
|
39 |
25 |
$185.12 |
| 99220 |
|
16 |
12 |
$182.64 |
| 92587 |
|
27 |
24 |
$174.32 |
| 80076 |
|
72 |
71 |
$124.20 |
| 90734 |
|
50 |
37 |
$122.31 |
| 84439 |
|
12 |
12 |
$115.08 |
| 85018 |
|
104 |
102 |
$104.10 |
| 82565 |
|
17 |
12 |
$96.73 |
| 17110 |
|
15 |
13 |
$78.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
63 |
36 |
$72.28 |
| 87480 |
|
26 |
25 |
$50.52 |
| 87510 |
|
26 |
25 |
$50.52 |
| 87660 |
|
26 |
25 |
$50.52 |
| 90677 |
|
208 |
197 |
$32.78 |
| 90685 |
|
182 |
159 |
$22.26 |
| 90658 |
|
12 |
12 |
$21.86 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
14 |
12 |
$8.07 |
| 91300 |
|
729 |
647 |
$0.53 |
| 91307 |
|
242 |
226 |
$0.33 |
| 91305 |
|
32 |
32 |
$0.31 |
| 90619 |
|
12 |
12 |
$0.10 |
| 90698 |
|
1,807 |
1,703 |
$0.01 |
| 90680 |
|
681 |
634 |
$0.00 |
| 90744 |
|
336 |
304 |
$0.00 |
| 90697 |
|
226 |
218 |
$0.00 |
| 90723 |
|
310 |
300 |
$0.00 |
| 86762 |
|
14 |
14 |
$0.00 |
| 90716 |
|
35 |
35 |
$0.00 |
| 90647 |
|
292 |
284 |
$0.00 |
| 3074F |
|
93 |
90 |
$0.00 |
| 90696 |
|
57 |
52 |
$0.00 |
| 98943 |
|
38 |
13 |
$0.00 |
| 90633 |
|
543 |
492 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 3078F |
|
66 |
65 |
$0.00 |
| 90681 |
|
65 |
64 |
$0.00 |
| 90710 |
|
74 |
67 |
$0.00 |
| 90707 |
|
33 |
33 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |