| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
135,431 |
131,598 |
$7.71M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
54,283 |
46,133 |
$4.75M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
33,429 |
32,031 |
$3.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66,572 |
60,837 |
$2.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,697 |
54,237 |
$2.14M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
88,135 |
19,927 |
$1.43M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
16,739 |
3,405 |
$1.42M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,626 |
14,473 |
$1.16M |
| 99233 |
Prolong inpt eval add15 m |
44,155 |
9,257 |
$936K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18,042 |
13,880 |
$857K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,520 |
10,936 |
$846K |
| 99460 |
|
10,822 |
9,503 |
$813K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,104 |
24,227 |
$710K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15,530 |
9,137 |
$662K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14,246 |
11,992 |
$545K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,149 |
5,821 |
$520K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
7,410 |
1,440 |
$509K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17,307 |
15,235 |
$503K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12,715 |
11,324 |
$485K |
| 70450 |
Computed tomography, head or brain; without contrast material |
26,813 |
21,881 |
$473K |
| 71045 |
Radiologic examination, chest; single view |
123,211 |
72,248 |
$438K |
| 99223 |
Prolong inpt eval add15 m |
10,730 |
5,673 |
$400K |
| 88307 |
|
5,928 |
5,384 |
$397K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
90,033 |
67,496 |
$389K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,643 |
8,786 |
$314K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,536 |
1,281 |
$304K |
| 71046 |
Radiologic examination, chest; 2 views |
50,042 |
43,481 |
$299K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
10,195 |
8,825 |
$299K |
| 99462 |
|
8,922 |
6,033 |
$291K |
| 99215 |
Prolong outpt/office vis |
4,688 |
4,419 |
$283K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,375 |
218 |
$274K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,389 |
1,377 |
$246K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,588 |
2,493 |
$245K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,317 |
4,870 |
$233K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,333 |
5,184 |
$184K |
| 54150 |
|
2,133 |
1,874 |
$177K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,465 |
4,293 |
$175K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,931 |
9,263 |
$173K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,105 |
10,598 |
$156K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
5,596 |
5,214 |
$155K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,284 |
2,559 |
$135K |
| 76820 |
|
3,712 |
2,165 |
$132K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
1,728 |
1,371 |
$118K |
| 99381 |
|
1,675 |
1,592 |
$116K |
| 88141 |
|
6,269 |
5,874 |
$113K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,237 |
1,185 |
$111K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
12,575 |
2,614 |
$110K |
| 71250 |
|
4,373 |
3,829 |
$109K |
| 70496 |
|
2,204 |
1,856 |
$90K |
| 70498 |
|
2,202 |
1,873 |
$88K |
| 74018 |
|
23,252 |
12,868 |
$85K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,724 |
2,477 |
$84K |
| 95720 |
|
1,424 |
727 |
$81K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
7,267 |
6,647 |
$81K |
| D9243 |
|
558 |
474 |
$77K |
| 59410 |
|
123 |
97 |
$76K |
| 99464 |
|
1,263 |
1,113 |
$74K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
490 |
489 |
$67K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
923 |
859 |
$63K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,706 |
4,432 |
$62K |
| D7240 |
Removal of impacted tooth - completely bony |
160 |
86 |
$58K |
| 93970 |
|
2,958 |
2,647 |
$51K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
953 |
841 |
$49K |
| 01922 |
|
93 |
93 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,556 |
2,627 |
$41K |
| 99219 |
|
339 |
319 |
$40K |
| 76830 |
Ultrasound, transvaginal |
1,817 |
1,718 |
$39K |
| 93298 |
|
2,928 |
2,785 |
$38K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,316 |
1,092 |
$38K |
| 99221 |
|
6,499 |
1,238 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,227 |
1,154 |
$37K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,374 |
1,078 |
$37K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,760 |
2,390 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,477 |
3,137 |
$35K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
787 |
677 |
$35K |
| 77427 |
|
463 |
216 |
$32K |
| 88342 |
|
1,226 |
1,037 |
$32K |
| 95951 |
|
296 |
104 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,354 |
1,241 |
$31K |
| 76813 |
|
534 |
514 |
$28K |
| 99243 |
|
288 |
286 |
$28K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,175 |
707 |
$27K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
229 |
145 |
$26K |
| 76770 |
|
1,593 |
1,469 |
$26K |
| D9239 |
|
720 |
620 |
$25K |
| 74174 |
|
490 |
467 |
$25K |
| 84165 |
|
3,008 |
2,743 |
$23K |
| 93308 |
|
1,255 |
1,128 |
$22K |
| 93971 |
|
1,926 |
1,727 |
$22K |
| 11721 |
|
4,794 |
4,109 |
$22K |
| 92134 |
|
1,668 |
1,552 |
$20K |
| 73560 |
|
4,369 |
3,510 |
$19K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,040 |
972 |
$18K |
| 96112 |
|
151 |
149 |
$18K |
| 77065 |
Tomosynthesis, mammo |
1,140 |
909 |
$18K |
| 99468 |
|
26 |
25 |
$17K |
| 93886 |
|
905 |
761 |
$17K |
| 76801 |
|
484 |
461 |
$17K |
| 99220 |
|
113 |
109 |
$17K |
| 99255 |
|
103 |
94 |
$15K |
| 76642 |
|
929 |
722 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
764 |
733 |
$15K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
75 |
75 |
$15K |
| 96161 |
|
5,247 |
4,794 |
$15K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
889 |
851 |
$15K |
| 96156 |
|
395 |
127 |
$14K |
| 99477 |
|
211 |
57 |
$14K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
2,842 |
342 |
$14K |
| 70355 |
|
2,044 |
1,803 |
$13K |
| 96167 |
|
205 |
205 |
$13K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,042 |
806 |
$13K |
| 71271 |
|
893 |
806 |
$13K |
| 20610 |
|
857 |
777 |
$13K |
| 99217 |
|
211 |
199 |
$13K |
| 93923 |
|
992 |
921 |
$12K |
| 99451 |
|
593 |
582 |
$12K |
| 77066 |
Tomosynthesis, mammo |
558 |
428 |
$12K |
| 99205 |
Prolong outpt/office vis |
100 |
99 |
$11K |
| 93282 |
|
663 |
570 |
$11K |
| 92083 |
|
866 |
801 |
$10K |
| 99254 |
|
97 |
74 |
$9K |
| 93289 |
|
394 |
353 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
961 |
873 |
$9K |
| 95816 |
|
389 |
352 |
$8K |
| 94726 |
|
667 |
619 |
$8K |
| D9310 |
|
121 |
121 |
$8K |
| 11056 |
|
1,398 |
1,170 |
$8K |
| 77014 |
|
548 |
113 |
$7K |
| 99253 |
|
138 |
102 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,124 |
860 |
$7K |
| 93880 |
|
605 |
584 |
$7K |
| 31575 |
|
236 |
191 |
$7K |
| D9222 |
|
70 |
70 |
$6K |
| 93000 |
|
282 |
258 |
$6K |
| 99478 |
|
203 |
14 |
$6K |
| 94729 |
|
679 |
633 |
$6K |
| 92250 |
|
480 |
440 |
$6K |
| 77263 |
|
71 |
69 |
$6K |
| 77301 |
|
40 |
36 |
$6K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
24 |
24 |
$6K |
| 99252 |
|
133 |
95 |
$6K |
| 92133 |
|
421 |
398 |
$5K |
| 94060 |
|
622 |
578 |
$5K |
| 74019 |
|
529 |
473 |
$5K |
| 88108 |
|
365 |
307 |
$5K |
| 74183 |
|
157 |
138 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
314 |
153 |
$4K |
| 93295 |
|
197 |
172 |
$4K |
| 11900 |
|
222 |
217 |
$4K |
| 72170 |
|
960 |
798 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
60 |
57 |
$4K |
| 83020 |
|
676 |
625 |
$4K |
| D9610 |
|
73 |
73 |
$3K |
| 15002 |
|
15 |
15 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
147 |
142 |
$3K |
| 96158 |
|
55 |
53 |
$3K |
| 73610 |
|
574 |
483 |
$3K |
| 93321 |
|
577 |
517 |
$3K |
| 73030 |
|
766 |
591 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
6,343 |
1,472 |
$3K |
| 95819 |
|
89 |
82 |
$3K |
| 36410 |
|
513 |
396 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
54 |
30 |
$2K |
| 76536 |
|
183 |
172 |
$2K |
| 77300 |
|
70 |
61 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
71 |
48 |
$2K |
| 93261 |
|
102 |
86 |
$2K |
| 73700 |
|
55 |
52 |
$2K |
| 77080 |
|
1,145 |
1,128 |
$2K |
| 81003 |
|
651 |
631 |
$2K |
| 77338 |
|
40 |
36 |
$2K |
| 93042 |
|
460 |
394 |
$2K |
| 72100 |
|
315 |
291 |
$2K |
| 99412 |
|
102 |
78 |
$2K |
| 73590 |
|
368 |
289 |
$2K |
| 36558 |
|
14 |
12 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
17 |
15 |
$2K |
| 01961 |
|
15 |
15 |
$2K |
| 20611 |
|
171 |
155 |
$2K |
| 80053 |
Comprehensive metabolic panel |
214 |
206 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$1K |
| 92557 |
|
1,620 |
1,425 |
$1K |
| 99201 |
|
141 |
114 |
$1K |
| 99441 |
|
101 |
93 |
$1K |
| 92201 |
|
56 |
37 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
92 |
$1K |
| 93280 |
|
91 |
78 |
$1K |
| 93307 |
|
40 |
40 |
$1K |
| 84166 |
|
104 |
100 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
16 |
$1K |
| 99385 |
|
25 |
25 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
29 |
$1K |
| 99235 |
|
19 |
18 |
$1K |
| 73630 |
|
232 |
185 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 88189 |
|
20 |
12 |
$1K |
| 92567 |
|
1,702 |
1,477 |
$1K |
| 93018 |
|
116 |
107 |
$1K |
| 72141 |
|
29 |
26 |
$1K |
| 99442 |
|
134 |
120 |
$1K |
| 96127 |
|
293 |
272 |
$984.83 |
| 92015 |
Determination of refractive state |
4,905 |
3,707 |
$961.34 |
| 73552 |
|
188 |
156 |
$955.08 |
| 76825 |
|
12 |
12 |
$917.99 |
| D0140 |
Limited oral evaluation - problem focused |
50 |
50 |
$897.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$894.52 |
| 77336 |
|
18 |
15 |
$810.00 |
| 88112 |
|
27 |
27 |
$804.83 |
| 94010 |
|
72 |
67 |
$737.42 |
| 88341 |
|
29 |
15 |
$728.36 |
| 72040 |
|
116 |
113 |
$721.56 |
| 93284 |
|
32 |
25 |
$645.36 |
| 97597 |
|
24 |
20 |
$592.85 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$583.71 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
16 |
12 |
$513.21 |
| 77001 |
|
85 |
56 |
$474.87 |
| 99078 |
|
28 |
25 |
$474.00 |
| 0500F |
|
28 |
28 |
$450.10 |
| 96160 |
|
129 |
124 |
$433.90 |
| 73130 |
|
87 |
67 |
$408.95 |
| 76937 |
|
82 |
38 |
$397.94 |
| 74178 |
|
13 |
13 |
$364.67 |
| 77334 |
|
13 |
13 |
$335.84 |
| 95885 |
|
28 |
27 |
$316.65 |
| 73110 |
|
39 |
37 |
$296.13 |
| 73090 |
|
43 |
39 |
$288.76 |
| 77061 |
|
95 |
76 |
$283.20 |
| 93288 |
|
31 |
28 |
$272.16 |
| 73502 |
|
54 |
54 |
$266.17 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
40 |
39 |
$256.66 |
| 70320 |
|
96 |
89 |
$256.31 |
| 93227 |
|
25 |
25 |
$242.73 |
| 84443 |
Thyroid stimulating hormone (TSH) |
43 |
43 |
$238.99 |
| 76857 |
|
31 |
30 |
$233.49 |
| 99417 |
Prolong home eval add 15m |
39 |
38 |
$223.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$216.37 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
27 |
13 |
$210.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
12 |
$205.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$183.92 |
| 85027 |
|
42 |
40 |
$149.19 |
| 99140 |
|
26 |
15 |
$145.48 |
| 99497 |
|
52 |
41 |
$144.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
26 |
$131.03 |
| 72190 |
|
14 |
13 |
$121.54 |
| 80305 |
|
46 |
46 |
$109.53 |
| 73070 |
|
13 |
12 |
$96.28 |
| 88302 |
|
12 |
12 |
$80.01 |
| 82947 |
|
14 |
14 |
$79.77 |
| 11305 |
|
36 |
17 |
$62.08 |
| 99173 |
|
25 |
25 |
$56.20 |
| G0405 |
Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination |
282 |
125 |
$46.80 |
| 93291 |
|
43 |
16 |
$22.96 |
| 36415 |
Collection of venous blood by venipuncture |
591 |
559 |
$17.32 |
| 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) |
422 |
408 |
$13.40 |
| 0502F |
|
766 |
646 |
$2.49 |
| 76706 |
|
14 |
12 |
$2.05 |
| 92002 |
|
12 |
12 |
$1.56 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
184 |
166 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 93299 |
|
196 |
190 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
49 |
16 |
$0.00 |
| 99053 |
|
86 |
86 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
255 |
127 |
$0.00 |
| 3078F |
|
70 |
69 |
$0.00 |
| 90937 |
|
182 |
71 |
$0.00 |
| 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) |
13 |
12 |
$0.00 |
| 0042T |
|
54 |
27 |
$0.00 |
| 98966 |
|
18 |
12 |
$0.00 |
| 99024 |
|
1,884 |
1,614 |
$0.00 |
| 3008F |
|
144 |
133 |
$0.00 |
| 3074F |
|
61 |
61 |
$0.00 |
| 99443 |
|
67 |
46 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 90686 |
|
57 |
55 |
$0.00 |
| G6017 |
Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment |
15 |
15 |
$0.00 |