| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219,169 |
192,045 |
$8.44M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
178,052 |
159,641 |
$4.97M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36,436 |
30,654 |
$1.24M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,842 |
12,367 |
$738K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,700 |
11,718 |
$725K |
| 90837 |
Psychotherapy, 53 minutes with patient |
8,787 |
6,617 |
$663K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,686 |
9,357 |
$559K |
| 92015 |
Determination of refractive state |
73,115 |
56,247 |
$545K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
11,058 |
8,218 |
$478K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,910 |
8,005 |
$466K |
| 3008F |
|
39,298 |
37,626 |
$366K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,630 |
8,349 |
$363K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,113 |
6,796 |
$357K |
| 99215 |
Prolong outpt/office vis |
6,740 |
5,868 |
$339K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
4,121 |
3,905 |
$331K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
659 |
358 |
$272K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,214 |
4,069 |
$246K |
| 99233 |
Prolong inpt eval add15 m |
11,202 |
4,258 |
$241K |
| 99173 |
|
13,026 |
12,416 |
$227K |
| 92551 |
|
15,975 |
15,256 |
$203K |
| 96116 |
|
2,357 |
2,158 |
$200K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,003 |
1,809 |
$196K |
| 96133 |
|
708 |
654 |
$195K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,703 |
8,564 |
$192K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
390 |
376 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,691 |
3,395 |
$152K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,144 |
1,996 |
$150K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,918 |
2,263 |
$150K |
| 96139 |
|
659 |
607 |
$143K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
20,736 |
17,164 |
$121K |
| 92060 |
|
2,714 |
2,435 |
$109K |
| 96132 |
|
937 |
861 |
$104K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,076 |
1,527 |
$100K |
| 76801 |
|
1,493 |
1,361 |
$85K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,973 |
2,597 |
$81K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,596 |
928 |
$78K |
| 96118 |
|
278 |
267 |
$76K |
| 76813 |
|
1,365 |
1,248 |
$72K |
| 93325 |
|
2,315 |
2,053 |
$71K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,327 |
1,765 |
$71K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,018 |
917 |
$69K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,253 |
1,104 |
$68K |
| 0002A |
|
1,825 |
1,786 |
$66K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
649 |
560 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,985 |
1,917 |
$61K |
| 0001A |
|
1,762 |
1,732 |
$60K |
| 92134 |
|
5,355 |
4,481 |
$58K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,480 |
2,488 |
$53K |
| 99000 |
|
14,205 |
12,592 |
$50K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
335 |
311 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
2,802 |
2,549 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,367 |
2,130 |
$45K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,033 |
707 |
$44K |
| 93000 |
|
3,014 |
2,733 |
$44K |
| 96119 |
|
205 |
193 |
$44K |
| D7240 |
Removal of impacted tooth - completely bony |
252 |
81 |
$42K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,238 |
1,927 |
$40K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
855 |
385 |
$38K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
358 |
345 |
$33K |
| J2357 |
Injection, omalizumab, 5 mg |
24 |
12 |
$33K |
| 99188 |
|
2,596 |
2,524 |
$32K |
| 92341 |
|
1,227 |
1,135 |
$31K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
74 |
67 |
$30K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
389 |
65 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
422 |
385 |
$26K |
| 0012A |
|
710 |
701 |
$26K |
| 90688 |
|
8,243 |
7,922 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
696 |
636 |
$23K |
| 96138 |
|
687 |
632 |
$22K |
| 93320 |
|
351 |
323 |
$22K |
| 90686 |
|
1,280 |
1,218 |
$21K |
| 0071A |
|
631 |
572 |
$21K |
| 96112 |
|
160 |
157 |
$21K |
| D0140 |
Limited oral evaluation - problem focused |
1,090 |
980 |
$20K |
| 0072A |
|
578 |
525 |
$19K |
| 0011A |
|
589 |
571 |
$19K |
| 90480 |
|
545 |
531 |
$19K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
259 |
200 |
$19K |
| 11721 |
|
1,639 |
1,434 |
$18K |
| 20610 |
|
490 |
369 |
$18K |
| 0004A |
|
500 |
463 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
208 |
194 |
$16K |
| 64615 |
|
364 |
329 |
$16K |
| 73110 |
|
622 |
519 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
361 |
293 |
$15K |
| D0330 |
Panoramic radiographic image |
412 |
358 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
430 |
351 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
360 |
345 |
$13K |
| 93304 |
|
158 |
140 |
$13K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
409 |
211 |
$12K |
| 93268 |
|
77 |
69 |
$12K |
| 20553 |
|
1,131 |
954 |
$12K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
162 |
101 |
$11K |
| 93321 |
|
495 |
441 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
337 |
315 |
$11K |
| 93295 |
|
463 |
401 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
357 |
311 |
$9K |
| D7230 |
|
42 |
28 |
$9K |
| 0124A |
|
255 |
236 |
$9K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,000 |
814 |
$8K |
| 73610 |
|
286 |
257 |
$7K |
| 96120 |
|
100 |
98 |
$7K |
| 96113 |
|
41 |
38 |
$7K |
| 90785 |
|
842 |
558 |
$7K |
| 99310 |
Prolong nursin fac eval 15m |
609 |
373 |
$7K |
| 92526 |
|
116 |
94 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
538 |
488 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
252 |
101 |
$5K |
| 91320 |
|
43 |
41 |
$5K |
| 93294 |
|
456 |
389 |
$5K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
52 |
51 |
$5K |
| 73630 |
|
195 |
176 |
$5K |
| 99243 |
|
74 |
72 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
325 |
306 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
271 |
262 |
$4K |
| 11720 |
|
630 |
549 |
$4K |
| 0054A |
|
109 |
106 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
63 |
58 |
$4K |
| 90670 |
|
2,890 |
2,780 |
$3K |
| 99205 |
Prolong outpt/office vis |
47 |
44 |
$3K |
| 99460 |
|
32 |
29 |
$3K |
| 0064A |
|
106 |
91 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$3K |
| 85027 |
|
493 |
446 |
$3K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
178 |
150 |
$3K |
| 0031A |
|
78 |
73 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
94 |
81 |
$3K |
| 59025 |
Fetal non-stress test |
146 |
77 |
$3K |
| 91322 |
|
18 |
18 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
384 |
185 |
$2K |
| 92567 |
|
164 |
155 |
$2K |
| 90647 |
|
1,573 |
1,505 |
$2K |
| 99421 |
|
264 |
246 |
$2K |
| 90723 |
|
1,727 |
1,657 |
$2K |
| 94010 |
|
59 |
56 |
$2K |
| 95117 |
|
509 |
293 |
$2K |
| 11719 |
|
598 |
514 |
$2K |
| 64405 |
|
64 |
61 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
16 |
14 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
112 |
68 |
$2K |
| 82728 |
|
122 |
115 |
$2K |
| 95886 |
|
32 |
26 |
$2K |
| D9222 |
|
36 |
29 |
$2K |
| 97535 |
Self-care/home management training, each 15 minutes |
129 |
76 |
$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) |
1,276 |
1,172 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 90656 |
|
60 |
60 |
$2K |
| 0082A |
|
40 |
38 |
$1K |
| 73140 |
|
63 |
52 |
$1K |
| 90680 |
|
1,090 |
1,043 |
$1K |
| 74018 |
|
81 |
76 |
$1K |
| 0052A |
|
39 |
37 |
$1K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
14 |
13 |
$1K |
| 0003A |
|
36 |
33 |
$1K |
| D0160 |
|
43 |
27 |
$1K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
47 |
31 |
$1K |
| 96121 |
|
17 |
17 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$1K |
| 90633 |
|
1,648 |
1,568 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
14 |
$1K |
| 00731 |
|
28 |
24 |
$1K |
| 00142 |
|
41 |
39 |
$1K |
| 80053 |
Comprehensive metabolic panel |
82 |
78 |
$1K |
| 92002 |
|
30 |
27 |
$996.19 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
26 |
$970.59 |
| 90651 |
|
731 |
705 |
$964.32 |
| 99245 |
|
13 |
13 |
$957.72 |
| 0081A |
|
25 |
25 |
$954.00 |
| L3260 |
Surgical boot/shoe, each |
75 |
68 |
$945.17 |
| 93224 |
|
12 |
12 |
$913.64 |
| 97162 |
|
14 |
12 |
$880.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
299 |
265 |
$874.33 |
| 92083 |
|
51 |
41 |
$870.15 |
| 98925 |
|
54 |
48 |
$786.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18 |
12 |
$756.15 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
107 |
91 |
$727.57 |
| 99152 |
|
45 |
38 |
$719.59 |
| 95806 |
|
15 |
13 |
$676.19 |
| 76820 |
|
24 |
13 |
$643.89 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
63 |
30 |
$636.76 |
| 99383 |
|
14 |
13 |
$632.83 |
| 0121A |
|
16 |
16 |
$610.56 |
| 0074A |
|
16 |
16 |
$610.56 |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
16 |
14 |
$596.28 |
| 0154A |
|
15 |
15 |
$572.40 |
| 97165 |
|
13 |
12 |
$563.94 |
| 83718 |
|
53 |
50 |
$537.70 |
| 83655 |
|
35 |
31 |
$502.97 |
| 92557 |
|
13 |
12 |
$492.91 |
| 93308 |
|
29 |
25 |
$479.54 |
| 93922 |
|
20 |
13 |
$445.05 |
| 73130 |
|
14 |
12 |
$406.50 |
| 99306 |
Prolong nursin fac eval 15m |
27 |
26 |
$383.82 |
| 73560 |
|
16 |
14 |
$381.91 |
| 0134A |
|
17 |
13 |
$381.60 |
| 73080 |
|
14 |
12 |
$376.08 |
| 99443 |
|
28 |
26 |
$368.58 |
| 93298 |
|
32 |
28 |
$361.05 |
| 81001 |
|
96 |
92 |
$319.29 |
| 95251 |
|
50 |
36 |
$301.55 |
| 92133 |
|
21 |
14 |
$295.21 |
| 82465 |
|
53 |
50 |
$285.68 |
| 90687 |
|
359 |
333 |
$278.04 |
| G0127 |
Trimming of dystrophic nails, any number |
51 |
51 |
$277.74 |
| 99442 |
|
13 |
13 |
$252.72 |
| 30802 |
|
13 |
13 |
$248.64 |
| 90734 |
|
255 |
241 |
$245.32 |
| 94726 |
|
26 |
24 |
$225.15 |
| 87210 |
|
41 |
39 |
$220.78 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$218.22 |
| 94729 |
|
26 |
24 |
$216.91 |
| 93018 |
|
28 |
24 |
$212.16 |
| 85018 |
|
80 |
77 |
$207.65 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
27 |
24 |
$189.40 |
| 92136 |
|
13 |
12 |
$184.78 |
| 90685 |
|
190 |
186 |
$182.05 |
| 95012 |
|
14 |
14 |
$166.40 |
| 90715 |
|
147 |
140 |
$146.02 |
| 93228 |
|
16 |
15 |
$138.58 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
34 |
24 |
$133.23 |
| 69210 |
|
17 |
13 |
$103.80 |
| 90716 |
|
43 |
41 |
$99.68 |
| V5266 |
Battery for use in hearing device |
42 |
42 |
$86.52 |
| 90710 |
|
72 |
70 |
$72.82 |
| 90696 |
|
58 |
57 |
$72.82 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$56.62 |
| 90707 |
|
16 |
15 |
$54.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
137 |
111 |
$45.38 |
| 0151A |
|
12 |
12 |
$38.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
26 |
$28.97 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,132 |
2,010 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
438 |
380 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
50 |
50 |
$0.00 |
| 99177 |
|
42 |
40 |
$0.00 |
| 4040F |
|
25 |
25 |
$0.00 |
| 3017F |
|
580 |
538 |
$0.00 |
| 1036F |
|
827 |
788 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
806 |
747 |
$0.00 |
| 1123F |
|
371 |
351 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
15 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
107 |
93 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
17 |
15 |
$0.00 |
| 3014F |
|
18 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
17 |
15 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
13 |
13 |
$0.00 |