| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
544,794 |
524,118 |
$60.84M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
415,276 |
410,045 |
$51.03M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
256,008 |
252,521 |
$44.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447,693 |
413,021 |
$37.02M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88,048 |
87,932 |
$15.26M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
149,911 |
147,942 |
$10.01M |
| 99215 |
Prolong outpt/office vis |
54,025 |
51,727 |
$8.52M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
73,895 |
68,771 |
$8.42M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67,672 |
67,496 |
$8.06M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
91,075 |
90,286 |
$7.94M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
53,477 |
52,859 |
$6.12M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
92,412 |
36,091 |
$6.09M |
| 99233 |
Prolong inpt eval add15 m |
58,217 |
25,951 |
$5.36M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
46,016 |
45,505 |
$3.91M |
| 99223 |
Prolong inpt eval add15 m |
24,609 |
21,940 |
$3.70M |
| 31231 |
|
16,444 |
16,215 |
$3.64M |
| 70450 |
Computed tomography, head or brain; without contrast material |
94,849 |
91,438 |
$3.52M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
17,622 |
17,244 |
$3.50M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
16,092 |
16,067 |
$3.06M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
36,650 |
31,854 |
$2.97M |
| 71045 |
Radiologic examination, chest; single view |
307,907 |
237,506 |
$2.73M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
322,671 |
274,821 |
$2.64M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
11,040 |
5,735 |
$2.52M |
| 76818 |
|
22,266 |
15,808 |
$2.42M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
748 |
747 |
$2.33M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
874 |
844 |
$2.32M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39,388 |
38,769 |
$2.22M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14,347 |
13,857 |
$2.21M |
| 99205 |
Prolong outpt/office vis |
10,671 |
10,644 |
$2.18M |
| 76830 |
Ultrasound, transvaginal |
23,397 |
23,101 |
$2.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34,129 |
34,115 |
$2.10M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
21,699 |
20,363 |
$1.99M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
107,872 |
106,835 |
$1.93M |
| 99072 |
|
204,742 |
188,829 |
$1.76M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,822 |
13,714 |
$1.73M |
| 99460 |
|
19,153 |
19,093 |
$1.71M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,856 |
10,841 |
$1.70M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
17,233 |
16,903 |
$1.56M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16,930 |
15,954 |
$1.50M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
20,668 |
20,539 |
$1.49M |
| 93000 |
|
93,557 |
92,209 |
$1.43M |
| 95816 |
|
4,272 |
4,233 |
$1.43M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,189 |
23,403 |
$1.42M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30,706 |
30,675 |
$1.41M |
| 71046 |
Radiologic examination, chest; 2 views |
126,248 |
124,268 |
$1.41M |
| 99222 |
Initial hospital care, per day, moderate complexity |
12,140 |
11,086 |
$1.27M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
9,745 |
9,542 |
$1.12M |
| 76813 |
|
8,761 |
8,733 |
$1.11M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,251 |
3,489 |
$1.06M |
| 21086 |
|
395 |
360 |
$1.03M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
30,185 |
30,162 |
$973K |
| 72082 |
|
10,331 |
10,286 |
$945K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12,665 |
12,483 |
$923K |
| 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 |
4,328 |
4,324 |
$921K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28,762 |
27,565 |
$832K |
| 93320 |
|
17,049 |
16,678 |
$805K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,962 |
11,959 |
$784K |
| 76801 |
|
6,355 |
6,250 |
$774K |
| 88307 |
|
7,659 |
7,596 |
$774K |
| 76641 |
|
11,716 |
11,697 |
$731K |
| 31575 |
|
5,098 |
4,989 |
$687K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,363 |
6,356 |
$679K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
8,496 |
8,404 |
$661K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
8,076 |
7,953 |
$619K |
| 95720 |
|
3,077 |
1,837 |
$613K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,563 |
623 |
$589K |
| 93970 |
|
14,141 |
13,656 |
$585K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,104 |
5,097 |
$583K |
| 14040 |
|
1,182 |
1,106 |
$581K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,338 |
3,302 |
$569K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13,836 |
5,669 |
$553K |
| 93325 |
|
26,334 |
25,223 |
$552K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,868 |
3,861 |
$538K |
| 76770 |
|
7,163 |
7,117 |
$534K |
| 76820 |
|
10,734 |
7,583 |
$523K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
8,282 |
8,193 |
$470K |
| 71250 |
|
9,644 |
9,560 |
$462K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,704 |
6,024 |
$457K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
1,054 |
432 |
$452K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,716 |
2,541 |
$427K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
5,752 |
5,228 |
$381K |
| 31237 |
|
872 |
705 |
$372K |
| 73110 |
|
10,168 |
8,993 |
$369K |
| 0002A |
|
8,798 |
8,790 |
$355K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
7,581 |
7,562 |
$351K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,813 |
3,813 |
$350K |
| 92557 |
|
7,824 |
7,740 |
$334K |
| 58558 |
|
228 |
228 |
$334K |
| 73564 |
|
7,628 |
7,200 |
$331K |
| 73562 |
|
12,100 |
11,231 |
$329K |
| 0001A |
|
8,932 |
8,921 |
$322K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
6,513 |
5,244 |
$318K |
| 20610 |
|
4,939 |
4,302 |
$312K |
| 94010 |
|
10,233 |
10,120 |
$310K |
| 92567 |
|
16,389 |
16,248 |
$306K |
| 99462 |
|
7,611 |
6,876 |
$299K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,181 |
8,046 |
$297K |
| 72100 |
|
8,863 |
8,804 |
$295K |
| 31579 |
|
1,230 |
1,221 |
$276K |
| 73610 |
|
14,296 |
13,526 |
$259K |
| 73630 |
|
16,466 |
15,564 |
$254K |
| 93976 |
|
1,554 |
1,195 |
$252K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,160 |
3,053 |
$245K |
| 94729 |
|
4,153 |
4,130 |
$243K |
| 74018 |
|
24,272 |
18,342 |
$232K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
2,005 |
879 |
$224K |
| 95117 |
|
15,610 |
8,186 |
$217K |
| 93298 |
|
5,888 |
5,876 |
$215K |
| 92060 |
|
3,028 |
3,003 |
$212K |
| 70496 |
|
2,861 |
2,800 |
$211K |
| 59025 |
Fetal non-stress test |
4,742 |
4,126 |
$210K |
| 73130 |
|
10,133 |
9,479 |
$203K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
4,813 |
4,736 |
$201K |
| 99221 |
|
2,823 |
2,590 |
$200K |
| 99464 |
|
2,675 |
2,665 |
$196K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,806 |
12,512 |
$195K |
| 92083 |
|
2,954 |
2,935 |
$192K |
| 93015 |
|
2,484 |
2,456 |
$182K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,489 |
1,449 |
$182K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,300 |
1,297 |
$180K |
| 73030 |
|
9,737 |
9,348 |
$165K |
| 76536 |
|
4,707 |
4,692 |
$161K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,133 |
4,082 |
$161K |
| 93299 |
|
597 |
596 |
$156K |
| 81025 |
|
19,840 |
19,589 |
$154K |
| 70498 |
|
2,326 |
2,291 |
$151K |
| 86077 |
|
3,263 |
2,939 |
$149K |
| 75574 |
|
1,257 |
1,256 |
$141K |
| 88304 |
|
9,621 |
9,569 |
$138K |
| 93224 |
|
1,423 |
1,405 |
$129K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,055 |
10,944 |
$127K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,599 |
1,592 |
$125K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
355 |
355 |
$124K |
| 0012A |
|
3,047 |
3,047 |
$121K |
| 94727 |
|
2,669 |
2,664 |
$121K |
| 36415 |
Collection of venous blood by venipuncture |
66,451 |
64,597 |
$119K |
| 92579 |
|
2,244 |
2,239 |
$119K |
| 88312 |
|
2,487 |
2,479 |
$117K |
| 76506 |
|
3,344 |
2,874 |
$115K |
| 92134 |
|
2,932 |
2,878 |
$111K |
| 90870 |
|
1,506 |
958 |
$111K |
| 46600 |
|
854 |
853 |
$110K |
| 99459 |
|
4,415 |
4,327 |
$109K |
| 20550 |
|
1,813 |
1,512 |
$104K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,359 |
1,353 |
$102K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,497 |
1,326 |
$101K |
| 73080 |
|
4,024 |
3,509 |
$98K |
| 93971 |
|
3,367 |
3,280 |
$98K |
| 90686 |
|
26,832 |
26,816 |
$97K |
| 92551 |
|
11,610 |
11,607 |
$93K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
2,431 |
2,302 |
$92K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,959 |
1,940 |
$92K |
| 94060 |
|
1,866 |
1,860 |
$89K |
| 99442 |
|
1,099 |
1,039 |
$88K |
| 76775 |
|
1,765 |
1,756 |
$87K |
| 17110 |
|
675 |
645 |
$87K |
| 76857 |
|
1,611 |
1,588 |
$87K |
| 72110 |
|
2,400 |
2,392 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,582 |
3,944 |
$86K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
690 |
690 |
$86K |
| 54161 |
|
824 |
746 |
$86K |
| 72040 |
|
2,612 |
2,593 |
$86K |
| 95012 |
|
4,472 |
4,459 |
$83K |
| 74019 |
|
6,926 |
6,721 |
$82K |
| 69210 |
|
1,762 |
1,703 |
$81K |
| 92133 |
|
2,315 |
2,299 |
$81K |
| 20611 |
|
724 |
633 |
$79K |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
13 |
12 |
$78K |
| 95782 |
|
582 |
582 |
$76K |
| 0011A |
|
1,992 |
1,991 |
$71K |
| 88342 |
|
1,335 |
1,324 |
$71K |
| 54300 |
|
100 |
98 |
$70K |
| 73502 |
|
2,815 |
2,754 |
$70K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
616 |
273 |
$70K |
| 92504 |
|
2,209 |
2,106 |
$68K |
| 72197 |
|
615 |
611 |
$66K |
| 74183 |
|
592 |
588 |
$65K |
| 16025 |
|
416 |
316 |
$64K |
| 94726 |
|
1,155 |
1,152 |
$64K |
| 95951 |
|
186 |
115 |
$63K |
| 70486 |
|
1,562 |
1,555 |
$63K |
| 90677 |
|
2,956 |
2,956 |
$63K |
| 92582 |
|
651 |
651 |
$62K |
| 76642 |
|
1,579 |
1,572 |
$60K |
| 96111 |
|
512 |
504 |
$59K |
| 99441 |
|
1,221 |
1,154 |
$58K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,999 |
1,872 |
$57K |
| 81003 |
|
34,305 |
31,704 |
$55K |
| 70491 |
|
794 |
789 |
$54K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
3,095 |
3,039 |
$53K |
| 90834 |
Psychotherapy, 45 minutes with patient |
599 |
238 |
$53K |
| 96415 |
|
1,364 |
1,320 |
$51K |
| 88108 |
|
2,134 |
1,939 |
$50K |
| 20526 |
|
465 |
429 |
$48K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,561 |
5,550 |
$48K |
| 99385 |
|
427 |
427 |
$48K |
| 73090 |
|
4,391 |
3,778 |
$48K |
| 88291 |
|
1,455 |
1,248 |
$46K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,393 |
3,371 |
$45K |
| 93016 |
|
2,144 |
2,134 |
$44K |
| 95886 |
|
309 |
287 |
$44K |
| 95800 |
|
986 |
983 |
$43K |
| 92015 |
Determination of refractive state |
6,529 |
6,519 |
$42K |
| 93975 |
|
452 |
438 |
$42K |
| 96160 |
|
26,093 |
26,017 |
$41K |
| 76821 |
|
437 |
327 |
$40K |
| 59410 |
|
31 |
30 |
$40K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,116 |
888 |
$40K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
37 |
37 |
$40K |
| 77066 |
Tomosynthesis, mammo |
779 |
778 |
$40K |
| 73590 |
|
3,714 |
3,468 |
$40K |
| 97802 |
|
953 |
947 |
$38K |
| 54150 |
|
364 |
363 |
$37K |
| 52000 |
|
167 |
167 |
$34K |
| 99443 |
|
307 |
295 |
$34K |
| 94664 |
|
1,673 |
1,668 |
$34K |
| 95819 |
|
203 |
202 |
$34K |
| 73140 |
|
974 |
891 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,792 |
1,410 |
$33K |
| 77080 |
|
2,909 |
2,908 |
$33K |
| 93296 |
|
1,824 |
1,820 |
$33K |
| 81002 |
|
11,715 |
11,280 |
$32K |
| 93018 |
|
2,323 |
2,313 |
$32K |
| 11900 |
|
575 |
554 |
$31K |
| 43775 |
|
12 |
12 |
$31K |
| 97803 |
|
1,069 |
1,013 |
$31K |
| 83020 |
|
1,604 |
1,567 |
$30K |
| 47563 |
|
31 |
31 |
$30K |
| 29075 |
|
296 |
259 |
$29K |
| 92201 |
|
1,116 |
822 |
$28K |
| 92550 |
|
1,230 |
1,207 |
$28K |
| 99173 |
|
18,277 |
18,275 |
$27K |
| 77065 |
Tomosynthesis, mammo |
662 |
646 |
$27K |
| 76825 |
|
92 |
89 |
$27K |
| 73560 |
|
1,115 |
1,078 |
$27K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
398 |
323 |
$26K |
| 93458 |
|
103 |
97 |
$26K |
| 72141 |
|
335 |
332 |
$26K |
| 82962 |
|
10,356 |
10,041 |
$25K |
| 99243 |
|
107 |
106 |
$25K |
| 51701 |
|
631 |
624 |
$25K |
| 86833 |
|
85 |
83 |
$24K |
| 90839 |
|
197 |
197 |
$23K |
| 0004A |
|
499 |
499 |
$23K |
| 0071A |
|
477 |
477 |
$22K |
| 0072A |
|
489 |
489 |
$22K |
| 99292 |
|
236 |
110 |
$22K |
| 93886 |
|
76 |
76 |
$22K |
| 88112 |
|
761 |
746 |
$21K |
| 95251 |
|
654 |
647 |
$21K |
| 86832 |
|
85 |
83 |
$21K |
| 95018 |
|
375 |
326 |
$21K |
| 73521 |
|
404 |
397 |
$21K |
| 73221 |
|
258 |
251 |
$21K |
| 93454 |
|
105 |
103 |
$20K |
| 0064A |
|
449 |
449 |
$20K |
| 68761 |
|
122 |
115 |
$19K |
| 16020 |
|
245 |
156 |
$19K |
| 93880 |
|
311 |
310 |
$18K |
| 92250 |
|
531 |
526 |
$18K |
| 88350 |
|
99 |
97 |
$18K |
| 77072 |
|
1,691 |
1,686 |
$18K |
| 99217 |
|
363 |
356 |
$17K |
| 76870 |
|
324 |
319 |
$17K |
| 88189 |
|
213 |
204 |
$17K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
1,204 |
882 |
$16K |
| 56820 |
|
106 |
99 |
$16K |
| 99177 |
|
3,710 |
3,710 |
$15K |
| 51798 |
|
1,350 |
1,316 |
$15K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
59 |
59 |
$15K |
| 94618 |
|
418 |
418 |
$14K |
| 99386 |
|
113 |
113 |
$14K |
| 90715 |
|
335 |
335 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
78 |
78 |
$14K |
| 96112 |
|
131 |
127 |
$14K |
| 99053 |
|
2,168 |
2,135 |
$13K |
| 74230 |
|
476 |
471 |
$13K |
| 10005 |
|
165 |
165 |
$13K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,747 |
1,712 |
$13K |
| 95718 |
|
97 |
88 |
$12K |
| 72170 |
|
914 |
897 |
$12K |
| 99152 |
|
979 |
913 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,057 |
1,055 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
87 |
87 |
$12K |
| 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) |
9,645 |
9,181 |
$11K |
| 96127 |
|
1,993 |
1,982 |
$11K |
| 72050 |
|
242 |
242 |
$11K |
| 11721 |
|
487 |
487 |
$11K |
| 77014 |
|
274 |
25 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
191 |
110 |
$11K |
| 54360 |
|
16 |
16 |
$11K |
| 77427 |
|
60 |
27 |
$11K |
| 71271 |
|
171 |
171 |
$10K |
| 87490 |
|
449 |
448 |
$10K |
| 93308 |
|
434 |
395 |
$10K |
| 99220 |
|
92 |
92 |
$10K |
| 73700 |
|
186 |
181 |
$10K |
| 93351 |
|
38 |
38 |
$9K |
| 95700 |
|
36 |
36 |
$9K |
| 90461 |
|
27,334 |
27,301 |
$9K |
| 91200 |
|
258 |
258 |
$9K |
| 70544 |
|
206 |
194 |
$9K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
94 |
55 |
$8K |
| 99497 |
|
165 |
157 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
144 |
102 |
$8K |
| 16030 |
|
49 |
37 |
$8K |
| 93295 |
|
233 |
233 |
$8K |
| 29705 |
|
130 |
125 |
$8K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
642 |
639 |
$8K |
| 99401 |
|
313 |
304 |
$8K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
285 |
283 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,507 |
2,475 |
$8K |
| 88348 |
|
95 |
93 |
$8K |
| 12001 |
|
84 |
82 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
38 |
36 |
$7K |
| 76827 |
|
92 |
89 |
$7K |
| 78451 |
|
112 |
112 |
$7K |
| 93793 |
|
679 |
277 |
$7K |
| 92285 |
|
289 |
263 |
$7K |
| 72083 |
|
81 |
81 |
$7K |
| 93304 |
|
102 |
85 |
$6K |
| 92002 |
|
69 |
69 |
$6K |
| 51741 |
|
488 |
465 |
$6K |
| 95708 |
|
27 |
24 |
$6K |
| 95806 |
|
134 |
134 |
$6K |
| 88341 |
|
50 |
44 |
$6K |
| 11102 |
|
64 |
62 |
$6K |
| 62323 |
|
51 |
48 |
$6K |
| 78306 |
|
149 |
149 |
$6K |
| 20600 |
|
116 |
110 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
432 |
432 |
$5K |
| 92226 |
|
174 |
72 |
$5K |
| 0031A |
|
153 |
153 |
$5K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
51 |
48 |
$5K |
| 90670 |
|
7,013 |
7,008 |
$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) |
180 |
179 |
$5K |
| 99417 |
Prolong home eval add 15m |
133 |
129 |
$5K |
| 59430 |
|
25 |
24 |
$5K |
| 74178 |
|
40 |
40 |
$5K |
| 72070 |
|
353 |
352 |
$5K |
| 51784 |
|
63 |
63 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
94 |
92 |
$5K |
| 99463 |
|
53 |
53 |
$5K |
| 51728 |
|
12 |
12 |
$4K |
| 93321 |
|
407 |
345 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
281 |
278 |
$4K |
| 51700 |
|
132 |
77 |
$4K |
| 36556 |
|
42 |
37 |
$4K |
| 74174 |
|
56 |
55 |
$4K |
| 88311 |
|
250 |
237 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
99 |
81 |
$4K |
| 72081 |
|
91 |
91 |
$4K |
| 36416 |
|
1,245 |
1,241 |
$4K |
| 77062 |
|
72 |
72 |
$4K |
| 73070 |
|
257 |
235 |
$4K |
| 77085 |
|
230 |
230 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
519 |
514 |
$4K |
| 96450 |
|
44 |
40 |
$4K |
| 99234 |
|
32 |
27 |
$4K |
| 93925 |
|
67 |
67 |
$4K |
| 88173 |
|
38 |
38 |
$3K |
| 88346 |
|
99 |
97 |
$3K |
| 88313 |
|
112 |
110 |
$3K |
| 88331 |
|
31 |
30 |
$3K |
| 97597 |
|
120 |
97 |
$3K |
| 0042T |
|
28 |
27 |
$3K |
| 77073 |
|
49 |
49 |
$3K |
| 73060 |
|
345 |
336 |
$3K |
| 72146 |
|
41 |
40 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
13 |
13 |
$3K |
| 93227 |
|
129 |
128 |
$3K |
| 92552 |
|
217 |
217 |
$3K |
| 99051 |
|
329 |
321 |
$3K |
| 43259 |
|
12 |
12 |
$3K |
| 96161 |
|
4,803 |
4,690 |
$3K |
| 99218 |
|
39 |
37 |
$3K |
| 90937 |
|
40 |
12 |
$3K |
| 92588 |
|
139 |
138 |
$3K |
| 76937 |
|
269 |
230 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
70 |
67 |
$3K |
| 93923 |
|
54 |
54 |
$3K |
| 72131 |
|
62 |
62 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
123 |
113 |
$3K |
| 73552 |
|
197 |
193 |
$3K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
225 |
225 |
$2K |
| 90656 |
|
3,605 |
3,601 |
$2K |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
72 |
72 |
$2K |
| 54235 |
|
61 |
57 |
$2K |
| 99305 |
|
25 |
25 |
$2K |
| 90962 |
|
12 |
12 |
$2K |
| 76942 |
|
96 |
94 |
$2K |
| 30140 |
|
12 |
12 |
$2K |
| 76998 |
|
26 |
25 |
$2K |
| 0054A |
|
65 |
65 |
$2K |
| 93294 |
|
97 |
97 |
$2K |
| 95910 |
|
12 |
12 |
$2K |
| 99381 |
|
38 |
38 |
$2K |
| 99383 |
|
17 |
17 |
$2K |
| 76498 |
|
26 |
26 |
$2K |
| 20605 |
|
37 |
36 |
$2K |
| 99201 |
|
41 |
41 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
52 |
52 |
$2K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
45 |
44 |
$2K |
| 90674 |
|
69 |
68 |
$2K |
| 72156 |
|
14 |
12 |
$2K |
| 76981 |
|
15 |
15 |
$2K |
| 0003A |
|
38 |
38 |
$2K |
| 0111A |
|
38 |
37 |
$2K |
| 77263 |
|
15 |
15 |
$2K |
| 10040 |
|
16 |
16 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
38 |
24 |
$2K |
| 73120 |
|
101 |
97 |
$2K |
| 83655 |
|
138 |
138 |
$2K |
| 90378 |
|
226 |
226 |
$1K |
| 29085 |
|
15 |
13 |
$1K |
| 99423 |
|
30 |
26 |
$1K |
| 93990 |
|
13 |
13 |
$1K |
| 76885 |
|
39 |
39 |
$1K |
| 93356 |
|
159 |
156 |
$1K |
| 90698 |
|
5,167 |
5,166 |
$1K |
| 20606 |
|
15 |
12 |
$1K |
| 92225 |
|
47 |
37 |
$1K |
| 93244 |
|
57 |
57 |
$1K |
| 85018 |
|
599 |
586 |
$1K |
| 72157 |
|
12 |
12 |
$1K |
| 72158 |
|
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
163 |
162 |
$1K |
| 90688 |
|
88 |
88 |
$1K |
| 93272 |
|
44 |
43 |
$1K |
| 0013A |
|
25 |
25 |
$1K |
| 76376 |
|
85 |
83 |
$1K |
| 12011 |
|
12 |
12 |
$1K |
| 90680 |
|
3,767 |
3,766 |
$1K |
| 92202 |
|
67 |
67 |
$997.44 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
32 |
12 |
$992.66 |
| 77061 |
|
13 |
13 |
$834.75 |
| 62270 |
|
19 |
17 |
$813.47 |
| 82272 |
|
204 |
199 |
$791.02 |
| 73620 |
|
69 |
69 |
$744.05 |
| 90633 |
|
1,196 |
1,194 |
$731.85 |
| 99001 |
|
378 |
363 |
$693.00 |
| 90682 |
|
12 |
12 |
$687.99 |
| 88300 |
|
125 |
122 |
$663.12 |
| 74220 |
|
17 |
15 |
$591.46 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
24 |
$584.29 |
| J2357 |
Injection, omalizumab, 5 mg |
28 |
24 |
$568.13 |
| 94014 |
|
12 |
12 |
$554.41 |
| 85610 |
|
142 |
74 |
$539.03 |
| 84165 |
|
28 |
26 |
$503.33 |
| 92570 |
|
12 |
12 |
$478.91 |
| 70547 |
|
12 |
12 |
$464.01 |
| 99050 |
|
14 |
14 |
$415.12 |
| 76098 |
|
26 |
26 |
$404.25 |
| 76882 |
|
16 |
12 |
$393.96 |
| 92025 |
|
14 |
14 |
$379.33 |
| 98967 |
|
35 |
25 |
$372.60 |
| 93225 |
|
13 |
12 |
$369.89 |
| 98968 |
|
20 |
19 |
$364.24 |
| 99447 |
|
15 |
15 |
$362.33 |
| 36000 |
|
26 |
24 |
$357.18 |
| 85060 |
|
13 |
12 |
$348.41 |
| 87210 |
|
63 |
57 |
$311.48 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
14 |
14 |
$305.43 |
| 11104 |
|
13 |
13 |
$297.49 |
| V2020 |
Frames, purchases |
25 |
25 |
$292.00 |
| 97804 |
|
33 |
33 |
$283.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
25 |
$247.70 |
| 99375 |
|
117 |
106 |
$220.93 |
| 97760 |
|
38 |
38 |
$215.38 |
| J3121 |
Injection, testosterone enanthate, 1 mg |
12 |
12 |
$196.00 |
| 99367 |
|
14 |
13 |
$192.99 |
| 93242 |
|
15 |
15 |
$188.26 |
| 73600 |
|
12 |
12 |
$157.18 |
| 80305 |
|
13 |
13 |
$152.46 |
| 82270 |
|
37 |
37 |
$142.96 |
| 75565 |
|
12 |
12 |
$141.41 |
| 85651 |
|
31 |
31 |
$140.07 |
| 99000 |
|
80 |
80 |
$134.75 |
| 90662 |
|
12 |
12 |
$133.96 |
| 76010 |
|
12 |
12 |
$131.25 |
| 86580 |
|
12 |
12 |
$130.93 |
| 96040 |
|
28 |
28 |
$129.28 |
| 90744 |
|
837 |
837 |
$124.95 |
| 87807 |
|
13 |
13 |
$121.56 |
| 70360 |
|
12 |
12 |
$110.16 |
| 90707 |
|
533 |
533 |
$107.39 |
| 73100 |
|
12 |
12 |
$105.01 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
14 |
14 |
$67.08 |
| 81000 |
|
13 |
13 |
$50.56 |
| 83014 |
|
12 |
12 |
$47.32 |
| 99366 |
|
15 |
13 |
$46.04 |
| 81001 |
|
13 |
13 |
$41.34 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
12 |
$38.37 |
| 94760 |
|
69 |
66 |
$28.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
15 |
$3.98 |
| 90710 |
|
72 |
72 |
$0.00 |
| 90648 |
|
114 |
114 |
$0.00 |
| 90734 |
|
66 |
66 |
$0.00 |
| 99080 |
|
1,042 |
297 |
$0.00 |
| 90685 |
|
24 |
24 |
$0.00 |
| 90700 |
|
104 |
104 |
$0.00 |
| 99348 |
|
12 |
12 |
$0.00 |
| 99374 |
|
13 |
13 |
$0.00 |
| J9260 |
Injection, methotrexate sodium, 50 mg |
15 |
14 |
$0.00 |
| 90697 |
|
471 |
471 |
$0.00 |
| 90716 |
|
739 |
739 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
12 |
12 |
$0.00 |
| 90651 |
|
80 |
80 |
$0.00 |
| 90619 |
|
58 |
58 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
173 |
151 |
$0.00 |
| 90696 |
|
31 |
31 |
$0.00 |
| 90657 |
|
13 |
13 |
$0.00 |