| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
766,125 |
703,363 |
$25.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
628,795 |
583,238 |
$14.07M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
164,150 |
155,258 |
$12.18M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
163,355 |
155,288 |
$8.90M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
114,354 |
109,455 |
$3.72M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
10,666 |
2,293 |
$2.88M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
116,379 |
46,877 |
$2.41M |
| 99215 |
Prolong outpt/office vis |
43,340 |
39,540 |
$1.96M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54,247 |
52,486 |
$1.90M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52,722 |
48,496 |
$1.58M |
| 90791 |
Psychiatric diagnostic evaluation |
22,836 |
21,533 |
$1.57M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
43,055 |
38,417 |
$1.50M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
29,883 |
12,525 |
$1.46M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41,992 |
40,752 |
$1.45M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
242,612 |
189,084 |
$1.43M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
35,001 |
32,746 |
$1.31M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25,440 |
23,821 |
$1.19M |
| 90834 |
Psychotherapy, 45 minutes with patient |
30,952 |
25,754 |
$1.18M |
| 70450 |
Computed tomography, head or brain; without contrast material |
41,659 |
37,964 |
$1.17M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
3,789 |
380 |
$1.11M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
12,954 |
2,832 |
$1.05M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
29,022 |
27,163 |
$1.05M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26,086 |
25,179 |
$1.03M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36,117 |
33,999 |
$1.03M |
| 99442 |
|
52,456 |
49,496 |
$984K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
18,564 |
17,843 |
$982K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
10,975 |
2,023 |
$947K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
41,378 |
39,506 |
$893K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39,286 |
36,646 |
$874K |
| 99233 |
Prolong inpt eval add15 m |
29,431 |
13,165 |
$842K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
41,431 |
39,558 |
$794K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,240 |
1,159 |
$761K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
21,658 |
19,482 |
$748K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
2,469 |
2,292 |
$734K |
| 90832 |
Psychotherapy, 30 minutes with patient |
26,532 |
21,344 |
$710K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
9,366 |
8,753 |
$705K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57,849 |
53,726 |
$687K |
| 71046 |
Radiologic examination, chest; 2 views |
84,607 |
80,163 |
$622K |
| 99460 |
|
9,085 |
8,619 |
$586K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17,683 |
16,563 |
$552K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18,270 |
17,069 |
$490K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
7,374 |
7,078 |
$489K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
10,626 |
9,993 |
$485K |
| 71045 |
Radiologic examination, chest; single view |
84,991 |
61,706 |
$457K |
| 90837 |
Psychotherapy, 53 minutes with patient |
7,181 |
5,253 |
$440K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16,710 |
10,667 |
$434K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
6,267 |
5,857 |
$411K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
11,279 |
10,750 |
$406K |
| 99223 |
Prolong inpt eval add15 m |
7,212 |
6,322 |
$406K |
| 88307 |
|
6,672 |
6,343 |
$376K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
6,106 |
5,811 |
$374K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20,469 |
12,272 |
$368K |
| 76801 |
|
12,495 |
11,838 |
$358K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12,906 |
12,534 |
$328K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
27,590 |
25,021 |
$322K |
| 90961 |
|
4,753 |
4,450 |
$295K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
18,727 |
17,830 |
$292K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,706 |
3,510 |
$289K |
| 72131 |
|
9,366 |
8,739 |
$284K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,468 |
9,613 |
$281K |
| 92015 |
Determination of refractive state |
24,220 |
21,470 |
$278K |
| 76642 |
|
11,925 |
9,897 |
$273K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
8,376 |
7,627 |
$272K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
11,129 |
10,184 |
$270K |
| 76830 |
Ultrasound, transvaginal |
9,901 |
9,595 |
$263K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
4,134 |
3,898 |
$262K |
| 99243 |
|
8,336 |
8,107 |
$261K |
| 76813 |
|
6,040 |
5,767 |
$257K |
| 70498 |
|
4,733 |
4,416 |
$256K |
| 99468 |
|
386 |
343 |
$252K |
| 77427 |
|
2,730 |
1,295 |
$248K |
| 72128 |
|
7,789 |
7,249 |
$241K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,288 |
2,176 |
$235K |
| 77014 |
|
8,549 |
1,266 |
$229K |
| 88141 |
|
10,668 |
10,153 |
$224K |
| 20610 |
|
11,666 |
9,132 |
$219K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
10,190 |
6,330 |
$209K |
| 59025 |
Fetal non-stress test |
9,776 |
7,718 |
$207K |
| 70486 |
|
6,002 |
5,631 |
$194K |
| 99236 |
Prolong inpt eval add15 m |
2,590 |
2,462 |
$190K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
6,686 |
3,458 |
$181K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,628 |
1,492 |
$175K |
| 76821 |
|
6,318 |
3,673 |
$175K |
| 99441 |
|
18,912 |
18,150 |
$174K |
| 70496 |
|
3,087 |
2,881 |
$173K |
| 11721 |
|
21,283 |
20,027 |
$154K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,758 |
3,602 |
$153K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,565 |
3,362 |
$138K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,970 |
2,821 |
$138K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
11,772 |
10,810 |
$138K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
999 |
958 |
$136K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
6,140 |
5,873 |
$132K |
| 76820 |
|
6,291 |
3,613 |
$130K |
| 0001A |
|
2,991 |
2,911 |
$121K |
| 74018 |
|
20,439 |
14,232 |
$120K |
| 99462 |
|
4,241 |
3,299 |
$118K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,104 |
2,973 |
$116K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
534 |
500 |
$110K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,254 |
2,435 |
$109K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,948 |
1,711 |
$106K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18,979 |
18,318 |
$105K |
| 0002A |
|
2,697 |
2,683 |
$105K |
| 95811 |
|
1,714 |
1,611 |
$104K |
| 88342 |
|
4,806 |
4,448 |
$101K |
| 83020 |
|
7,802 |
7,423 |
$100K |
| 73630 |
|
16,404 |
14,405 |
$99K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,960 |
1,837 |
$96K |
| 93970 |
|
4,215 |
3,507 |
$94K |
| 72141 |
|
1,942 |
1,834 |
$92K |
| 76641 |
|
3,419 |
1,867 |
$89K |
| H1000 |
Prenatal care, at-risk assessment |
3,234 |
2,965 |
$88K |
| 73560 |
|
15,709 |
11,455 |
$88K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,895 |
1,729 |
$87K |
| 77066 |
Tomosynthesis, mammo |
3,202 |
3,067 |
$85K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,791 |
1,631 |
$78K |
| 73030 |
|
12,140 |
10,718 |
$75K |
| 93272 |
|
4,240 |
4,078 |
$75K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,826 |
2,568 |
$75K |
| 93016 |
|
4,748 |
4,505 |
$73K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
472 |
450 |
$72K |
| 73610 |
|
11,522 |
10,267 |
$72K |
| 76770 |
|
3,846 |
3,615 |
$71K |
| 59514 |
|
103 |
100 |
$71K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
949 |
879 |
$66K |
| 31575 |
|
2,156 |
2,024 |
$65K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,077 |
2,874 |
$64K |
| 73130 |
|
9,781 |
8,660 |
$64K |
| 99245 |
|
911 |
883 |
$63K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,488 |
1,420 |
$61K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,668 |
3,078 |
$60K |
| 94060 |
|
6,702 |
6,363 |
$59K |
| 59430 |
|
1,063 |
1,030 |
$56K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,986 |
2,817 |
$54K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
180 |
151 |
$53K |
| 11056 |
|
5,016 |
4,773 |
$50K |
| 88304 |
|
5,178 |
4,959 |
$50K |
| 54150 |
|
1,101 |
1,052 |
$49K |
| 88112 |
|
2,753 |
2,530 |
$48K |
| 95886 |
|
2,951 |
2,819 |
$48K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,861 |
2,293 |
$48K |
| 99242 |
|
2,046 |
1,962 |
$47K |
| 93018 |
|
4,992 |
4,698 |
$47K |
| 93971 |
|
3,135 |
2,879 |
$46K |
| 99418 |
Prolong nursin fac eval 15m |
844 |
392 |
$44K |
| 99310 |
Prolong nursin fac eval 15m |
1,435 |
749 |
$43K |
| 84165 |
|
4,553 |
4,334 |
$42K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
620 |
573 |
$42K |
| 71250 |
|
1,962 |
1,824 |
$41K |
| 99254 |
|
610 |
557 |
$41K |
| 17110 |
|
1,337 |
1,192 |
$41K |
| 99306 |
Prolong nursin fac eval 15m |
1,289 |
1,142 |
$41K |
| 76536 |
|
2,523 |
2,409 |
$41K |
| 92134 |
|
5,452 |
5,073 |
$40K |
| 74230 |
|
3,239 |
2,908 |
$39K |
| 99205 |
Prolong outpt/office vis |
589 |
532 |
$38K |
| 74183 |
|
557 |
534 |
$38K |
| 71271 |
|
1,126 |
1,078 |
$37K |
| 73502 |
|
5,579 |
5,209 |
$37K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
721 |
635 |
$36K |
| 43235 |
|
386 |
369 |
$35K |
| 93923 |
|
2,353 |
2,205 |
$35K |
| 85060 |
|
3,600 |
3,112 |
$33K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,250 |
2,119 |
$32K |
| 95813 |
|
901 |
854 |
$32K |
| 91200 |
|
2,808 |
2,694 |
$32K |
| 92083 |
|
3,912 |
3,714 |
$32K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,763 |
2,601 |
$32K |
| 01961 |
|
205 |
190 |
$31K |
| 93295 |
|
973 |
934 |
$30K |
| 72110 |
|
2,872 |
2,752 |
$30K |
| 73110 |
|
4,760 |
4,272 |
$30K |
| 99385 |
|
701 |
650 |
$30K |
| 93320 |
|
2,448 |
2,227 |
$30K |
| 99307 |
|
3,466 |
1,459 |
$29K |
| 99349 |
|
2,278 |
1,903 |
$29K |
| 64483 |
|
813 |
771 |
$29K |
| 99217 |
|
1,103 |
1,055 |
$29K |
| 73221 |
|
672 |
600 |
$28K |
| 73564 |
|
3,379 |
2,882 |
$27K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
865 |
856 |
$27K |
| 00142 |
|
813 |
679 |
$25K |
| 92133 |
|
3,634 |
3,422 |
$25K |
| 90966 |
|
340 |
330 |
$24K |
| 99477 |
|
117 |
106 |
$24K |
| 93350 |
|
648 |
584 |
$24K |
| 95941 |
|
214 |
196 |
$22K |
| 95117 |
|
3,074 |
1,818 |
$22K |
| 88173 |
|
374 |
333 |
$21K |
| 95953 |
|
295 |
185 |
$21K |
| 72100 |
|
2,766 |
2,615 |
$21K |
| 70491 |
|
366 |
341 |
$20K |
| 77263 |
|
247 |
232 |
$20K |
| 86255 |
|
1,369 |
1,263 |
$20K |
| 57454 |
|
216 |
204 |
$19K |
| 99220 |
|
405 |
388 |
$19K |
| 99464 |
|
331 |
324 |
$19K |
| 94729 |
|
6,036 |
5,687 |
$19K |
| 99255 |
|
202 |
179 |
$19K |
| 99316 |
|
728 |
640 |
$18K |
| 52000 |
|
513 |
500 |
$18K |
| 99406 |
|
2,978 |
2,860 |
$18K |
| 93298 |
|
1,076 |
925 |
$18K |
| 96127 |
|
5,601 |
3,815 |
$17K |
| 93458 |
|
157 |
147 |
$16K |
| 99201 |
|
1,049 |
1,036 |
$16K |
| 20611 |
|
449 |
425 |
$16K |
| 77065 |
Tomosynthesis, mammo |
1,491 |
1,416 |
$14K |
| 00811 |
|
362 |
320 |
$14K |
| 94726 |
|
4,062 |
3,844 |
$13K |
| 94618 |
|
1,192 |
1,130 |
$13K |
| 72050 |
|
1,202 |
1,142 |
$13K |
| 99384 |
|
237 |
220 |
$12K |
| 99383 |
|
279 |
260 |
$12K |
| 95816 |
|
639 |
606 |
$12K |
| 96131 |
|
122 |
119 |
$12K |
| 93227 |
|
624 |
607 |
$11K |
| 64493 |
|
285 |
251 |
$11K |
| 11720 |
|
3,526 |
3,335 |
$11K |
| 92020 |
|
1,566 |
1,487 |
$11K |
| 93325 |
|
3,831 |
3,531 |
$11K |
| 95720 |
|
103 |
65 |
$11K |
| 96112 |
|
263 |
255 |
$11K |
| 96113 |
|
166 |
129 |
$10K |
| 77080 |
|
3,353 |
3,242 |
$10K |
| 94010 |
|
1,976 |
1,890 |
$10K |
| 69210 |
|
1,081 |
989 |
$10K |
| 51741 |
|
2,257 |
1,955 |
$10K |
| 96137 |
|
184 |
177 |
$10K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
759 |
507 |
$10K |
| 51798 |
|
1,592 |
1,458 |
$10K |
| 11900 |
|
635 |
609 |
$9K |
| 99443 |
|
1,628 |
1,473 |
$9K |
| 00731 |
|
249 |
231 |
$9K |
| 86334 |
|
944 |
894 |
$9K |
| 73590 |
|
1,429 |
1,200 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
660 |
590 |
$9K |
| 76506 |
|
363 |
280 |
$9K |
| 43775 |
|
14 |
14 |
$9K |
| 90962 |
|
190 |
172 |
$9K |
| 72040 |
|
1,228 |
1,168 |
$8K |
| 11055 |
|
1,423 |
1,330 |
$8K |
| 76937 |
|
1,047 |
964 |
$8K |
| 0013A |
|
95 |
91 |
$8K |
| 77002 |
|
423 |
397 |
$7K |
| 11100 |
|
445 |
420 |
$7K |
| 77334 |
|
106 |
67 |
$7K |
| 27130 |
|
12 |
12 |
$7K |
| 0072A |
|
73 |
71 |
$7K |
| 0003A |
|
74 |
73 |
$7K |
| 93880 |
|
440 |
403 |
$6K |
| 96130 |
|
150 |
146 |
$6K |
| 99241 |
|
508 |
497 |
$6K |
| 93248 |
|
371 |
357 |
$6K |
| 20550 |
|
268 |
214 |
$6K |
| 64494 |
|
308 |
224 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,959 |
1,854 |
$6K |
| 92557 |
|
1,725 |
1,652 |
$6K |
| 0071A |
|
57 |
56 |
$6K |
| 99253 |
|
108 |
100 |
$5K |
| 77001 |
|
626 |
571 |
$5K |
| 90785 |
|
798 |
701 |
$5K |
| 99386 |
|
105 |
93 |
$5K |
| 76857 |
|
315 |
189 |
$5K |
| 84166 |
|
506 |
477 |
$5K |
| 88341 |
|
89 |
87 |
$5K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
1,376 |
1,236 |
$5K |
| 95913 |
|
43 |
41 |
$5K |
| 76831 |
|
187 |
183 |
$5K |
| 92060 |
|
306 |
298 |
$5K |
| 95782 |
|
78 |
77 |
$5K |
| 77290 |
|
133 |
122 |
$5K |
| 36569 |
|
89 |
83 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
24 |
24 |
$4K |
| 77077 |
|
565 |
554 |
$4K |
| 58340 |
|
230 |
225 |
$4K |
| 93294 |
|
286 |
276 |
$4K |
| 96136 |
|
246 |
242 |
$4K |
| 77280 |
|
151 |
137 |
$4K |
| 11102 |
|
242 |
223 |
$4K |
| 73562 |
|
621 |
490 |
$4K |
| 66982 |
|
13 |
12 |
$4K |
| 93244 |
|
265 |
255 |
$4K |
| 65855 |
|
31 |
26 |
$3K |
| 95938 |
|
472 |
428 |
$3K |
| 51729 |
|
70 |
65 |
$3K |
| 92504 |
|
1,044 |
989 |
$3K |
| 46600 |
|
107 |
103 |
$3K |
| 92250 |
|
460 |
430 |
$3K |
| 77301 |
|
15 |
12 |
$3K |
| 96160 |
|
2,991 |
2,556 |
$3K |
| 72170 |
|
538 |
494 |
$3K |
| 01992 |
|
101 |
82 |
$3K |
| 95718 |
|
45 |
43 |
$3K |
| 99417 |
Prolong home eval add 15m |
288 |
160 |
$3K |
| 72082 |
|
217 |
213 |
$3K |
| 73700 |
|
76 |
72 |
$3K |
| 77300 |
|
76 |
53 |
$3K |
| 76942 |
|
257 |
226 |
$3K |
| 73080 |
|
485 |
440 |
$3K |
| 99221 |
|
93 |
84 |
$2K |
| 64642 |
|
39 |
37 |
$2K |
| 62370 |
|
188 |
177 |
$2K |
| 17311 |
|
15 |
14 |
$2K |
| 93308 |
|
179 |
168 |
$2K |
| 90836 |
|
64 |
60 |
$2K |
| 62323 |
|
41 |
40 |
$2K |
| 51784 |
|
83 |
77 |
$2K |
| 51797 |
|
82 |
77 |
$2K |
| 92587 |
|
109 |
107 |
$2K |
| 31231 |
|
105 |
96 |
$2K |
| 25600 |
|
12 |
12 |
$2K |
| 73552 |
|
320 |
280 |
$2K |
| 92567 |
|
1,584 |
1,529 |
$2K |
| 64566 |
|
218 |
117 |
$2K |
| 97161 |
|
28 |
25 |
$2K |
| 62321 |
|
28 |
26 |
$2K |
| 90686 |
|
316 |
274 |
$2K |
| 11057 |
|
158 |
148 |
$2K |
| 73090 |
|
260 |
208 |
$2K |
| 73140 |
|
319 |
281 |
$2K |
| 36620 |
|
44 |
38 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
83 |
81 |
$2K |
| 99292 |
|
41 |
26 |
$1K |
| 92585 |
|
67 |
67 |
$1K |
| 77338 |
|
20 |
12 |
$1K |
| 76514 |
|
299 |
291 |
$1K |
| 75561 |
|
15 |
13 |
$1K |
| 99407 |
|
97 |
89 |
$1K |
| G0127 |
Trimming of dystrophic nails, any number |
1,344 |
1,257 |
$1K |
| 93280 |
|
61 |
58 |
$1K |
| V5266 |
Battery for use in hearing device |
246 |
239 |
$1K |
| 99305 |
|
48 |
44 |
$1K |
| 99219 |
|
24 |
24 |
$1K |
| 01810 |
|
22 |
21 |
$1K |
| 36902 |
|
16 |
16 |
$1K |
| 11750 |
|
16 |
14 |
$1K |
| 93352 |
|
40 |
39 |
$974.93 |
| 93922 |
|
76 |
63 |
$947.91 |
| 72197 |
|
13 |
13 |
$909.42 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
216 |
136 |
$908.26 |
| 94727 |
|
278 |
267 |
$907.92 |
| 20526 |
|
34 |
24 |
$888.46 |
| 99358 |
Prolong nursin fac eval 15m |
194 |
191 |
$851.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
73 |
$834.22 |
| 89060 |
|
75 |
69 |
$815.07 |
| 92650 |
|
37 |
37 |
$801.82 |
| 97814 |
|
22 |
13 |
$791.84 |
| 96101 |
|
15 |
15 |
$775.34 |
| 98927 |
|
49 |
40 |
$766.83 |
| 75635 |
|
17 |
17 |
$750.44 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
1,394 |
1,136 |
$693.00 |
| 31579 |
|
12 |
12 |
$690.00 |
| 88189 |
|
14 |
12 |
$688.43 |
| 88360 |
|
28 |
25 |
$679.01 |
| 91010 |
|
31 |
26 |
$670.24 |
| 99348 |
|
75 |
55 |
$667.31 |
| 99078 |
|
15 |
13 |
$665.55 |
| 70480 |
|
18 |
15 |
$659.56 |
| 95910 |
|
14 |
14 |
$614.71 |
| 93975 |
|
13 |
13 |
$597.44 |
| 98926 |
|
49 |
43 |
$573.47 |
| 92136 |
|
87 |
83 |
$571.31 |
| 64643 |
|
13 |
13 |
$553.63 |
| 95251 |
|
44 |
41 |
$553.41 |
| 73620 |
|
114 |
100 |
$550.18 |
| 51728 |
|
12 |
12 |
$531.34 |
| 93312 |
|
14 |
14 |
$509.96 |
| 77072 |
|
82 |
79 |
$508.14 |
| 92551 |
|
87 |
83 |
$493.90 |
| 97597 |
|
96 |
74 |
$484.25 |
| 99423 |
|
17 |
14 |
$478.54 |
| 11981 |
|
13 |
13 |
$453.56 |
| 74328 |
|
18 |
13 |
$450.04 |
| 64450 |
|
22 |
21 |
$448.50 |
| 27096 |
|
12 |
12 |
$438.38 |
| 64447 |
|
27 |
26 |
$436.98 |
| 95874 |
|
27 |
27 |
$423.20 |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
135 |
27 |
$410.70 |
| 72070 |
|
52 |
49 |
$407.52 |
| 99218 |
|
14 |
13 |
$402.40 |
| 74240 |
|
14 |
12 |
$397.93 |
| T1002 |
Rn services, up to 15 minutes |
100 |
97 |
$397.20 |
| 97813 |
|
15 |
13 |
$393.29 |
| 17250 |
|
41 |
39 |
$381.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
63 |
$369.42 |
| 97162 |
|
13 |
13 |
$366.80 |
| 51700 |
|
44 |
40 |
$364.25 |
| 88312 |
|
39 |
31 |
$349.21 |
| 77333 |
|
15 |
12 |
$339.98 |
| 78264 |
|
13 |
13 |
$330.06 |
| 92588 |
|
12 |
12 |
$329.52 |
| 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) |
2,572 |
2,227 |
$329.50 |
| 95885 |
|
44 |
44 |
$314.91 |
| 86335 |
|
27 |
27 |
$285.32 |
| H0006 |
Alcohol and/or drug services; case management |
51 |
23 |
$257.95 |
| 99347 |
|
14 |
12 |
$250.40 |
| 76870 |
|
14 |
13 |
$243.37 |
| 93978 |
|
12 |
12 |
$241.16 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
18 |
12 |
$225.83 |
| 94770 |
|
44 |
44 |
$224.81 |
| 99091 |
|
288 |
286 |
$213.75 |
| 93284 |
|
12 |
12 |
$209.16 |
| 10005 |
|
13 |
13 |
$207.45 |
| 93282 |
|
13 |
12 |
$206.11 |
| 73060 |
|
33 |
24 |
$185.94 |
| 74420 |
|
16 |
12 |
$184.46 |
| 92550 |
|
96 |
88 |
$183.32 |
| 93926 |
|
12 |
12 |
$179.33 |
| 88302 |
|
28 |
27 |
$177.88 |
| 76882 |
|
28 |
27 |
$163.13 |
| 75565 |
|
26 |
24 |
$162.40 |
| 93321 |
|
41 |
39 |
$159.94 |
| 96161 |
|
53 |
51 |
$147.60 |
| 74220 |
|
12 |
12 |
$146.02 |
| 90656 |
|
13 |
12 |
$133.00 |
| 92082 |
|
12 |
12 |
$112.48 |
| 73600 |
|
16 |
15 |
$104.23 |
| 92285 |
|
48 |
41 |
$102.92 |
| 95012 |
|
12 |
12 |
$97.36 |
| 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) |
84 |
81 |
$82.44 |
| 88311 |
|
12 |
12 |
$71.90 |
| 91300 |
|
5,774 |
5,001 |
$55.71 |
| 90651 |
|
55 |
50 |
$50.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$39.36 |
| 90620 |
|
18 |
16 |
$32.40 |
| 99497 |
|
16 |
13 |
$16.92 |
| 99446 |
|
15 |
13 |
$15.71 |
| 1036F |
|
474,486 |
436,251 |
$15.63 |
| 91307 |
|
129 |
127 |
$1.10 |
| 91301 |
|
95 |
95 |
$0.85 |
| 1111F |
|
6,964 |
6,109 |
$0.00 |
| 3074F |
|
5,683 |
5,527 |
$0.00 |
| 3044F |
|
7,322 |
6,890 |
$0.00 |
| 3075F |
|
2,076 |
2,022 |
$0.00 |
| 3079F |
|
1,482 |
1,446 |
$0.00 |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
47 |
42 |
$0.00 |
| 3080F |
|
28 |
27 |
$0.00 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
96 |
94 |
$0.00 |
| 4004F |
|
144,320 |
134,653 |
$0.00 |
| 3078F |
|
13,591 |
13,121 |
$0.00 |
| 99080 |
|
560 |
530 |
$0.00 |
| 3046F |
|
325 |
317 |
$0.00 |
| 3045F |
|
59 |
56 |
$0.00 |
| 3077F |
|
954 |
924 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
53 |
48 |
$0.00 |
| 90734 |
|
50 |
43 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
69 |
33 |
$0.00 |