| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
270,011 |
242,884 |
$11.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
194,244 |
179,138 |
$6.25M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
89,062 |
81,995 |
$6.12M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
54,438 |
48,068 |
$4.65M |
| 99233 |
Prolong inpt eval add15 m |
94,793 |
33,055 |
$3.45M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17,729 |
16,792 |
$1.97M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25,786 |
24,375 |
$1.87M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
5,155 |
1,249 |
$1.73M |
| 99215 |
Prolong outpt/office vis |
21,960 |
18,956 |
$1.32M |
| H1000 |
Prenatal care, at-risk assessment |
26,511 |
20,957 |
$1.29M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16,723 |
15,010 |
$1.24M |
| 99223 |
Prolong inpt eval add15 m |
13,584 |
11,638 |
$1.17M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,775 |
12,457 |
$1.15M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
41,612 |
13,905 |
$1.13M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
3,770 |
1,040 |
$1.11M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
10,213 |
2,931 |
$1.03M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27,085 |
23,612 |
$1.03M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
10,612 |
3,088 |
$1.01M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
13,274 |
4,710 |
$982K |
| 82805 |
|
70,464 |
25,447 |
$963K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
32,466 |
26,664 |
$949K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12,425 |
10,776 |
$898K |
| 59410 |
|
716 |
677 |
$811K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
6,680 |
6,116 |
$763K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
7,538 |
6,699 |
$692K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
351,416 |
152,019 |
$627K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,661 |
8,996 |
$625K |
| T1017 |
Targeted case management, each 15 minutes |
25,995 |
15,384 |
$554K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
10,258 |
9,589 |
$518K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37,772 |
33,176 |
$488K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,646 |
8,313 |
$476K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,803 |
3,166 |
$456K |
| 70450 |
Computed tomography, head or brain; without contrast material |
31,376 |
24,970 |
$443K |
| 71045 |
Radiologic examination, chest; single view |
132,883 |
83,575 |
$441K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,049 |
4,969 |
$432K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,229 |
2,994 |
$425K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
105,219 |
75,992 |
$412K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12,383 |
11,962 |
$405K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15,487 |
12,889 |
$396K |
| 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 |
8,160 |
7,319 |
$377K |
| 54161 |
|
1,976 |
1,943 |
$373K |
| 97803 |
|
8,989 |
8,545 |
$363K |
| 80053 |
Comprehensive metabolic panel |
221,380 |
109,102 |
$338K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,350 |
4,708 |
$330K |
| 82947 |
|
171,033 |
39,738 |
$323K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
9,622 |
8,238 |
$315K |
| 83735 |
|
273,023 |
64,832 |
$301K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
4,525 |
4,203 |
$286K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
5,685 |
4,997 |
$286K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,973 |
3,097 |
$286K |
| 88307 |
|
4,456 |
4,145 |
$278K |
| 93304 |
|
7,229 |
5,823 |
$272K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
202,603 |
67,486 |
$247K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,771 |
2,562 |
$245K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
4,573 |
3,894 |
$242K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,862 |
2,752 |
$239K |
| 71046 |
Radiologic examination, chest; 2 views |
50,622 |
45,060 |
$236K |
| 82330 |
|
56,264 |
12,901 |
$213K |
| 99205 |
Prolong outpt/office vis |
1,497 |
1,379 |
$200K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16,157 |
14,710 |
$199K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
541 |
521 |
$197K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,261 |
1,211 |
$195K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
706 |
673 |
$188K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,184 |
1,153 |
$183K |
| 86141 |
|
76,752 |
47,561 |
$182K |
| 59025 |
Fetal non-stress test |
8,870 |
5,921 |
$172K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
7,291 |
5,956 |
$163K |
| 85027 |
|
112,875 |
39,188 |
$161K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,308 |
1,129 |
$158K |
| 82803 |
|
27,045 |
12,834 |
$158K |
| 95782 |
|
1,354 |
1,348 |
$146K |
| 86850 |
|
59,110 |
39,258 |
$145K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,748 |
2,382 |
$142K |
| 90686 |
|
7,729 |
7,399 |
$141K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,306 |
1,290 |
$140K |
| 99243 |
|
1,742 |
1,624 |
$137K |
| 83605 |
|
82,126 |
31,537 |
$133K |
| 74018 |
|
33,441 |
25,992 |
$132K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,695 |
3,758 |
$129K |
| 90671 |
|
952 |
910 |
$128K |
| 95720 |
|
1,081 |
567 |
$125K |
| 92060 |
|
2,347 |
2,123 |
$122K |
| 84484 |
|
45,084 |
29,748 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,285 |
1,260 |
$117K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,484 |
1,401 |
$117K |
| 84100 |
|
248,017 |
56,599 |
$115K |
| 93308 |
|
4,069 |
3,135 |
$114K |
| 00920 |
|
874 |
853 |
$114K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
8,025 |
7,155 |
$112K |
| 76775 |
|
6,941 |
6,262 |
$109K |
| 90461 |
|
5,516 |
5,011 |
$108K |
| 71250 |
|
5,705 |
4,636 |
$108K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
7,996 |
6,400 |
$105K |
| 70496 |
|
2,008 |
1,628 |
$102K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,024 |
949 |
$96K |
| 90670 |
|
2,406 |
2,293 |
$96K |
| 87040 |
|
32,416 |
20,007 |
$93K |
| 97802 |
|
1,588 |
1,517 |
$90K |
| 85390 |
|
6,722 |
2,451 |
$86K |
| 54150 |
|
1,456 |
1,328 |
$86K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,508 |
1,418 |
$84K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
998 |
852 |
$84K |
| 0099U |
|
1,272 |
1,103 |
$82K |
| 86922 |
|
4,143 |
2,398 |
$81K |
| 31231 |
|
982 |
792 |
$78K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,880 |
1,944 |
$76K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
10,232 |
8,456 |
$76K |
| 99221 |
|
1,145 |
1,095 |
$73K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,736 |
1,450 |
$72K |
| 70498 |
|
2,597 |
2,123 |
$65K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,367 |
1,257 |
$63K |
| 87497 |
|
6,798 |
4,342 |
$62K |
| 93970 |
|
3,827 |
2,728 |
$60K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
544 |
516 |
$60K |
| 93325 |
|
22,298 |
17,911 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,479 |
2,212 |
$58K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12,413 |
11,641 |
$58K |
| 84443 |
Thyroid stimulating hormone (TSH) |
22,530 |
19,658 |
$57K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,630 |
975 |
$56K |
| 99253 |
|
886 |
778 |
$56K |
| 85384 |
|
32,881 |
9,854 |
$55K |
| 81025 |
|
23,723 |
20,879 |
$55K |
| 81001 |
|
73,860 |
60,313 |
$55K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
562 |
504 |
$55K |
| 84145 |
|
21,595 |
11,276 |
$54K |
| 70491 |
|
1,704 |
1,403 |
$53K |
| 93976 |
|
2,498 |
2,278 |
$52K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,215 |
2,029 |
$52K |
| 80197 |
|
20,846 |
6,343 |
$52K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
32,104 |
27,547 |
$52K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,071 |
893 |
$52K |
| 80202 |
|
18,256 |
7,638 |
$52K |
| 85610 |
|
83,741 |
34,632 |
$51K |
| 76818 |
|
794 |
647 |
$51K |
| 0097U |
|
493 |
465 |
$51K |
| 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 |
5,160 |
4,698 |
$51K |
| 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) |
4,925 |
4,486 |
$47K |
| 95951 |
|
498 |
222 |
$44K |
| 82784 |
|
8,554 |
6,745 |
$43K |
| 86833 |
|
942 |
793 |
$43K |
| 82728 |
|
21,113 |
17,776 |
$43K |
| 78816 |
|
949 |
766 |
$42K |
| 85520 |
|
21,539 |
4,921 |
$42K |
| 94060 |
|
3,980 |
3,694 |
$42K |
| 82248 |
|
92,645 |
43,047 |
$42K |
| 85730 |
|
41,263 |
19,522 |
$41K |
| 73564 |
|
7,946 |
6,503 |
$40K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22,238 |
20,532 |
$40K |
| 01961 |
|
188 |
181 |
$39K |
| 82375 |
|
28,957 |
12,104 |
$39K |
| 31575 |
|
907 |
798 |
$37K |
| 87186 |
|
16,619 |
13,452 |
$37K |
| 88108 |
|
2,587 |
2,171 |
$36K |
| 87070 |
|
17,099 |
12,860 |
$36K |
| 83970 |
|
4,804 |
4,218 |
$36K |
| 93321 |
|
13,923 |
11,128 |
$36K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
56 |
26 |
$34K |
| 84132 |
|
41,025 |
10,692 |
$34K |
| 85576 |
|
11,474 |
4,602 |
$33K |
| 93320 |
|
5,297 |
4,641 |
$33K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
901 |
688 |
$33K |
| 99464 |
|
722 |
658 |
$33K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
3,496 |
2,825 |
$33K |
| 87077 |
|
24,969 |
19,951 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,179 |
6,687 |
$32K |
| 73610 |
|
7,473 |
6,625 |
$32K |
| 73110 |
|
6,909 |
6,134 |
$32K |
| 87486 |
|
3,306 |
2,851 |
$32K |
| 87799 |
|
3,537 |
2,536 |
$31K |
| 87507 |
|
1,786 |
1,518 |
$30K |
| 95819 |
|
102 |
98 |
$30K |
| 86803 |
|
10,225 |
9,353 |
$30K |
| 73130 |
|
6,992 |
5,642 |
$29K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,714 |
1,559 |
$29K |
| 84702 |
|
11,391 |
9,568 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,115 |
4,874 |
$28K |
| 86900 |
|
68,851 |
46,880 |
$28K |
| 96112 |
|
218 |
197 |
$28K |
| 73630 |
|
8,164 |
6,732 |
$28K |
| 76830 |
Ultrasound, transvaginal |
1,223 |
1,135 |
$27K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,953 |
848 |
$27K |
| 82607 |
|
12,136 |
11,129 |
$27K |
| 85045 |
|
17,412 |
11,364 |
$27K |
| 73030 |
|
7,189 |
6,037 |
$27K |
| 80076 |
|
19,186 |
9,907 |
$27K |
| 01922 |
|
317 |
309 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,046 |
1,324 |
$25K |
| 83690 |
|
37,087 |
29,881 |
$25K |
| 90791 |
Psychiatric diagnostic evaluation |
232 |
222 |
$25K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
968 |
776 |
$24K |
| 99245 |
|
234 |
169 |
$24K |
| 76642 |
|
1,271 |
983 |
$24K |
| 76813 |
|
364 |
339 |
$23K |
| 84134 |
|
9,383 |
5,329 |
$23K |
| 80061 |
Lipid panel |
14,152 |
12,839 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,335 |
2,544 |
$22K |
| 87081 |
|
17,425 |
16,402 |
$22K |
| 82140 |
|
9,126 |
4,602 |
$21K |
| 92134 |
|
2,419 |
1,887 |
$21K |
| 93971 |
|
2,154 |
1,826 |
$21K |
| 84295 |
|
33,410 |
9,277 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,211 |
3,019 |
$21K |
| 93295 |
|
1,181 |
1,050 |
$21K |
| 73560 |
|
6,203 |
4,822 |
$20K |
| 92552 |
|
849 |
836 |
$20K |
| 86901 |
|
69,470 |
46,919 |
$19K |
| 80074 |
|
3,154 |
2,934 |
$19K |
| 95117 |
|
2,036 |
1,311 |
$19K |
| 78264 |
|
1,008 |
908 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
366 |
290 |
$18K |
| 88342 |
|
1,771 |
1,550 |
$17K |
| 70480 |
|
516 |
480 |
$17K |
| 81003 |
|
18,547 |
16,796 |
$17K |
| 80047 |
|
6,419 |
5,114 |
$17K |
| 82746 |
|
8,706 |
8,000 |
$17K |
| 86317 |
|
4,657 |
4,193 |
$17K |
| 73590 |
|
4,492 |
3,744 |
$15K |
| 82247 |
|
15,151 |
5,642 |
$15K |
| 72082 |
|
1,540 |
1,517 |
$15K |
| 70487 |
|
1,173 |
961 |
$15K |
| 93000 |
|
2,587 |
2,280 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,147 |
1,049 |
$15K |
| 99460 |
|
319 |
290 |
$15K |
| 76506 |
|
714 |
533 |
$15K |
| 94010 |
|
2,892 |
2,525 |
$15K |
| 93227 |
|
699 |
673 |
$14K |
| 59515 |
|
12 |
12 |
$14K |
| 85014 |
|
28,700 |
9,152 |
$14K |
| 82533 |
|
4,715 |
3,528 |
$14K |
| 70486 |
|
635 |
576 |
$14K |
| 83050 |
|
29,017 |
12,126 |
$14K |
| 99255 |
|
109 |
105 |
$14K |
| 80069 |
|
10,589 |
5,152 |
$14K |
| 76820 |
|
1,289 |
999 |
$14K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
194 |
179 |
$13K |
| 86905 |
|
1,547 |
1,172 |
$13K |
| 82962 |
|
17,789 |
5,493 |
$13K |
| 83550 |
|
15,067 |
13,732 |
$13K |
| 87340 |
|
11,453 |
10,314 |
$13K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
195 |
143 |
$13K |
| 85347 |
|
12,291 |
5,437 |
$12K |
| 99219 |
|
108 |
108 |
$12K |
| 17311 |
|
79 |
62 |
$12K |
| 92083 |
|
765 |
561 |
$12K |
| 85652 |
|
22,500 |
18,643 |
$12K |
| 70543 |
|
272 |
224 |
$12K |
| 86880 |
|
7,923 |
7,280 |
$12K |
| 83540 |
|
15,705 |
14,232 |
$12K |
| 85379 |
|
9,811 |
6,450 |
$12K |
| 83615 |
|
19,295 |
9,415 |
$12K |
| 73090 |
|
2,863 |
2,556 |
$11K |
| 82570 |
|
14,135 |
11,729 |
$11K |
| 99310 |
Prolong nursin fac eval 15m |
460 |
342 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$11K |
| 84439 |
|
12,868 |
11,277 |
$11K |
| 99254 |
|
97 |
89 |
$11K |
| 82077 |
|
5,265 |
4,106 |
$11K |
| 87150 |
|
727 |
606 |
$11K |
| 93272 |
|
622 |
607 |
$10K |
| 87529 |
|
1,242 |
1,098 |
$10K |
| 74240 |
|
489 |
463 |
$10K |
| 94726 |
|
1,197 |
1,074 |
$10K |
| 41010 |
|
159 |
139 |
$10K |
| 82550 |
|
11,930 |
8,218 |
$10K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
262 |
215 |
$10K |
| 90633 |
|
344 |
331 |
$10K |
| 73502 |
|
2,416 |
2,078 |
$10K |
| 0151U |
|
192 |
155 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,061 |
645 |
$10K |
| 29075 |
|
234 |
222 |
$10K |
| 86762 |
|
4,343 |
4,011 |
$9K |
| 83020 |
|
3,842 |
3,329 |
$9K |
| 87102 |
|
5,422 |
4,561 |
$9K |
| 92201 |
|
1,279 |
542 |
$9K |
| 87116 |
|
3,692 |
3,018 |
$9K |
| 86160 |
|
2,465 |
2,085 |
$9K |
| 73070 |
|
2,053 |
1,840 |
$9K |
| 99152 |
|
2,481 |
1,997 |
$9K |
| 85018 |
|
10,208 |
8,129 |
$9K |
| 88304 |
|
667 |
613 |
$9K |
| 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) |
271 |
209 |
$9K |
| 80320 |
|
3,200 |
2,730 |
$9K |
| 87075 |
|
3,009 |
2,520 |
$8K |
| 73140 |
|
2,265 |
2,117 |
$8K |
| 82977 |
|
10,873 |
4,427 |
$8K |
| 86870 |
|
3,057 |
2,492 |
$8K |
| J0475 |
Injection, baclofen, 10 mg |
16 |
12 |
$8K |
| 54300 |
|
15 |
13 |
$8K |
| 93296 |
|
2,419 |
2,089 |
$8K |
| 73100 |
|
1,506 |
1,393 |
$7K |
| 82565 |
|
11,614 |
7,785 |
$7K |
| 91200 |
|
365 |
311 |
$7K |
| 73552 |
|
1,833 |
1,489 |
$7K |
| 99292 |
|
164 |
57 |
$7K |
| 17110 |
|
192 |
171 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
170 |
149 |
$7K |
| 87483 |
|
177 |
158 |
$7K |
| 87581 |
|
3,305 |
2,845 |
$7K |
| 99051 |
|
1,927 |
1,835 |
$7K |
| 87205 |
|
16,394 |
11,749 |
$7K |
| 93798 |
|
1,017 |
206 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,679 |
941 |
$7K |
| 80051 |
|
5,037 |
2,390 |
$7K |
| 95816 |
|
96 |
89 |
$7K |
| 20611 |
|
211 |
174 |
$6K |
| 72170 |
|
1,790 |
1,542 |
$6K |
| 20610 |
|
262 |
225 |
$6K |
| 88142 |
|
2,218 |
2,074 |
$6K |
| 82105 |
|
1,840 |
1,574 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,908 |
1,521 |
$6K |
| 82136 |
|
1,106 |
525 |
$6K |
| 95718 |
|
62 |
52 |
$6K |
| 11102 |
|
151 |
132 |
$6K |
| 88312 |
|
469 |
399 |
$6K |
| 00731 |
|
71 |
70 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
820 |
714 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,506 |
1,321 |
$6K |
| 87154 |
|
151 |
138 |
$6K |
| 87103 |
|
2,029 |
1,457 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,910 |
1,522 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
114 |
107 |
$5K |
| 62322 |
|
103 |
96 |
$5K |
| 83010 |
|
3,479 |
2,258 |
$5K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
39 |
38 |
$5K |
| 0002A |
|
134 |
126 |
$5K |
| 86359 |
|
3,552 |
2,976 |
$5K |
| 0001A |
|
185 |
168 |
$5K |
| 94729 |
|
2,050 |
1,824 |
$5K |
| 83930 |
|
5,691 |
3,559 |
$5K |
| 0072A |
|
200 |
135 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
73 |
$5K |
| 86355 |
|
2,512 |
2,083 |
$5K |
| 0353U |
|
127 |
106 |
$5K |
| 82378 |
|
1,668 |
1,211 |
$5K |
| 77066 |
Tomosynthesis, mammo |
173 |
161 |
$5K |
| 69210 |
|
393 |
363 |
$4K |
| 84156 |
|
9,421 |
7,499 |
$4K |
| 99188 |
|
678 |
664 |
$4K |
| 84550 |
|
8,869 |
5,565 |
$4K |
| 00126 |
|
63 |
63 |
$4K |
| 84703 |
|
5,101 |
4,610 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
396 |
337 |
$4K |
| 82150 |
|
5,017 |
3,511 |
$4K |
| 87541 |
|
953 |
746 |
$4K |
| 96113 |
|
61 |
53 |
$4K |
| 58340 |
|
37 |
37 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,095 |
984 |
$4K |
| 75574 |
|
88 |
77 |
$4K |
| 90870 |
|
114 |
49 |
$4K |
| 82310 |
|
5,275 |
2,326 |
$4K |
| 86360 |
|
1,824 |
1,534 |
$4K |
| 88189 |
|
78 |
68 |
$4K |
| 77080 |
|
698 |
639 |
$4K |
| 80195 |
|
1,821 |
757 |
$4K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
74 |
36 |
$4K |
| 87640 |
|
940 |
741 |
$4K |
| 86920 |
|
1,103 |
661 |
$4K |
| 74183 |
|
66 |
51 |
$4K |
| 93923 |
|
111 |
80 |
$4K |
| 84300 |
|
6,111 |
4,438 |
$3K |
| 90961 |
|
148 |
115 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,490 |
1,352 |
$3K |
| 83935 |
|
3,198 |
2,248 |
$3K |
| 87106 |
|
2,122 |
1,539 |
$3K |
| 78306 |
|
222 |
197 |
$3K |
| 87641 |
|
657 |
572 |
$3K |
| 80164 |
|
1,314 |
963 |
$3K |
| 77072 |
|
602 |
588 |
$3K |
| 87632 |
|
313 |
249 |
$3K |
| 74230 |
|
251 |
223 |
$3K |
| 84520 |
|
6,908 |
3,748 |
$3K |
| 87184 |
|
3,600 |
3,183 |
$3K |
| 95115 |
|
346 |
206 |
$3K |
| 92015 |
Determination of refractive state |
291 |
279 |
$3K |
| 86704 |
|
2,060 |
1,854 |
$3K |
| 99441 |
|
90 |
84 |
$3K |
| 54163 |
|
12 |
12 |
$3K |
| 99220 |
|
31 |
25 |
$3K |
| 84480 |
|
1,948 |
1,713 |
$3K |
| 93294 |
|
283 |
229 |
$3K |
| 72131 |
|
135 |
113 |
$3K |
| 0071A |
|
132 |
94 |
$3K |
| 0012A |
|
378 |
309 |
$3K |
| 82945 |
|
3,918 |
2,924 |
$3K |
| 87400 |
|
1,403 |
1,276 |
$3K |
| 76937 |
|
518 |
393 |
$3K |
| 93356 |
|
592 |
480 |
$3K |
| 00811 |
|
58 |
51 |
$3K |
| 82010 |
|
3,598 |
2,298 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
87 |
82 |
$3K |
| 83001 |
|
912 |
844 |
$3K |
| 73521 |
|
360 |
359 |
$3K |
| 99383 |
|
27 |
24 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
154 |
150 |
$2K |
| 84153 |
|
831 |
742 |
$2K |
| 84146 |
|
599 |
564 |
$2K |
| 86431 |
|
1,227 |
1,155 |
$2K |
| 90678 |
|
16 |
12 |
$2K |
| 73600 |
|
459 |
423 |
$2K |
| 99201 |
|
45 |
42 |
$2K |
| 87210 |
|
3,515 |
3,160 |
$2K |
| 86356 |
|
224 |
211 |
$2K |
| 90672 |
|
190 |
177 |
$2K |
| 84478 |
|
2,405 |
1,312 |
$2K |
| 0298T |
|
61 |
56 |
$2K |
| 86376 |
|
948 |
864 |
$2K |
| 77014 |
|
73 |
39 |
$2K |
| 84403 |
|
357 |
335 |
$2K |
| 88173 |
|
31 |
24 |
$2K |
| 92250 |
|
235 |
165 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,027 |
886 |
$2K |
| 84157 |
|
4,163 |
3,084 |
$2K |
| 82270 |
|
1,778 |
1,590 |
$2K |
| 80305 |
|
310 |
301 |
$2K |
| 87206 |
|
3,656 |
3,015 |
$2K |
| 72100 |
|
349 |
324 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
42 |
29 |
$2K |
| 85613 |
|
1,031 |
967 |
$2K |
| 99443 |
|
95 |
73 |
$2K |
| 76825 |
|
28 |
25 |
$2K |
| 85246 |
|
225 |
201 |
$2K |
| 80170 |
|
499 |
347 |
$2K |
| 83002 |
|
565 |
527 |
$2K |
| 88311 |
|
798 |
677 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$2K |
| 76536 |
|
88 |
85 |
$1K |
| 93886 |
|
52 |
38 |
$1K |
| 95885 |
|
30 |
27 |
$1K |
| 51798 |
|
1,041 |
895 |
$1K |
| 80179 |
|
629 |
565 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
358 |
311 |
$1K |
| 83520 |
|
411 |
229 |
$1K |
| 42830 |
|
13 |
13 |
$1K |
| 95886 |
|
66 |
55 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
90 |
83 |
$1K |
| 99459 |
|
127 |
115 |
$1K |
| 73620 |
|
303 |
267 |
$1K |
| 86301 |
|
422 |
325 |
$1K |
| 86357 |
|
1,235 |
984 |
$1K |
| 0011A |
|
338 |
268 |
$1K |
| 90715 |
|
154 |
153 |
$1K |
| 85240 |
|
456 |
366 |
$1K |
| 99252 |
|
30 |
27 |
$1K |
| 84165 |
|
1,298 |
1,110 |
$1K |
| 31237 |
|
43 |
12 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
14 |
$1K |
| 83051 |
|
583 |
69 |
$1K |
| 92202 |
|
219 |
152 |
$1K |
| 73700 |
|
47 |
39 |
$1K |
| 83883 |
|
321 |
272 |
$1K |
| 01996 |
|
26 |
13 |
$925.84 |
| 43762 |
|
26 |
24 |
$917.78 |
| 86592 |
|
1,559 |
1,452 |
$902.61 |
| 82950 |
|
1,233 |
1,182 |
$839.48 |
| 87420 |
|
292 |
287 |
$829.08 |
| 90723 |
|
1,090 |
1,028 |
$820.20 |
| 84540 |
|
1,429 |
1,174 |
$819.98 |
| 88302 |
|
51 |
51 |
$814.51 |
| 64615 |
|
19 |
15 |
$799.96 |
| 92226 |
|
233 |
58 |
$758.92 |
| 76831 |
|
24 |
24 |
$753.10 |
| 80184 |
|
268 |
76 |
$733.77 |
| J9035 |
Injection, bevacizumab, 10 mg |
19 |
12 |
$732.00 |
| 99462 |
|
15 |
13 |
$726.66 |
| 99242 |
|
18 |
14 |
$718.53 |
| 90647 |
|
1,181 |
1,129 |
$710.70 |
| 85732 |
|
975 |
916 |
$707.07 |
| 74019 |
|
152 |
125 |
$700.38 |
| 86769 |
|
206 |
194 |
$699.38 |
| 89051 |
|
665 |
496 |
$667.80 |
| 88341 |
|
75 |
37 |
$659.19 |
| 93975 |
|
14 |
12 |
$642.59 |
| 80165 |
|
523 |
358 |
$638.14 |
| 76801 |
|
13 |
13 |
$632.52 |
| 73080 |
|
106 |
105 |
$631.16 |
| 86828 |
|
93 |
87 |
$624.00 |
| 92133 |
|
102 |
84 |
$617.28 |
| 82390 |
|
535 |
491 |
$604.96 |
| 73120 |
|
155 |
131 |
$595.62 |
| H0049 |
Alcohol and/or drug screening |
33 |
30 |
$587.52 |
| 86706 |
|
457 |
404 |
$545.82 |
| 73562 |
|
47 |
41 |
$535.05 |
| 59430 |
|
17 |
14 |
$523.75 |
| 99318 |
|
40 |
28 |
$522.31 |
| 84311 |
|
546 |
423 |
$515.11 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
17,073 |
11,256 |
$490.81 |
| 87045 |
|
106 |
93 |
$486.26 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
37 |
12 |
$485.10 |
| 81050 |
|
1,093 |
984 |
$484.61 |
| 93451 |
|
12 |
12 |
$477.95 |
| 95874 |
|
29 |
25 |
$477.71 |
| 99177 |
|
70 |
70 |
$475.20 |
| 74178 |
|
16 |
13 |
$468.00 |
| 83521 |
|
76 |
66 |
$462.67 |
| 62369 |
|
19 |
15 |
$461.92 |
| 77062 |
|
41 |
41 |
$460.05 |
| 95822 |
|
15 |
12 |
$459.23 |
| 82465 |
|
76 |
73 |
$439.60 |
| 84460 |
|
779 |
569 |
$432.18 |
| 88300 |
|
50 |
50 |
$420.21 |
| 82040 |
|
543 |
393 |
$418.51 |
| 86334 |
|
324 |
270 |
$415.63 |
| 77001 |
|
195 |
153 |
$411.25 |
| 11104 |
|
13 |
12 |
$392.13 |
| 87808 |
|
60 |
54 |
$381.99 |
| 80143 |
|
704 |
619 |
$368.43 |
| 99446 |
|
102 |
83 |
$364.82 |
| 70355 |
|
93 |
70 |
$344.72 |
| 93244 |
|
16 |
16 |
$323.11 |
| 95812 |
|
12 |
12 |
$310.24 |
| 72081 |
|
37 |
37 |
$305.70 |
| 70250 |
|
42 |
37 |
$290.98 |
| 84155 |
|
641 |
510 |
$288.32 |
| 85461 |
|
147 |
134 |
$279.31 |
| 84075 |
|
360 |
340 |
$269.47 |
| 84450 |
|
510 |
329 |
$260.91 |
| 88141 |
|
13 |
13 |
$249.90 |
| 83529 |
|
51 |
34 |
$249.66 |
| 86308 |
|
428 |
386 |
$240.84 |
| 76827 |
|
28 |
25 |
$232.54 |
| 90681 |
|
92 |
88 |
$231.00 |
| 76885 |
|
13 |
13 |
$229.43 |
| 85460 |
|
271 |
250 |
$228.35 |
| 99307 |
|
18 |
13 |
$226.01 |
| 86705 |
|
157 |
149 |
$213.99 |
| 77073 |
|
29 |
29 |
$213.28 |
| 90651 |
|
136 |
131 |
$208.44 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$206.00 |
| 90474 |
|
28 |
28 |
$202.30 |
| 82610 |
|
71 |
66 |
$202.20 |
| 87807 |
|
49 |
49 |
$201.51 |
| 73060 |
|
48 |
42 |
$169.65 |
| 82103 |
|
132 |
122 |
$167.33 |
| 87449 |
|
20 |
17 |
$164.68 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
20 |
19 |
$161.93 |
| 87905 |
|
30 |
29 |
$160.68 |
| 87071 |
|
127 |
94 |
$149.68 |
| 82340 |
|
69 |
52 |
$148.80 |
| 88313 |
|
14 |
12 |
$145.80 |
| 84133 |
|
446 |
357 |
$139.37 |
| 77002 |
|
13 |
13 |
$133.85 |
| 82438 |
|
145 |
134 |
$129.82 |
| 76870 |
|
14 |
14 |
$127.91 |
| 64642 |
|
12 |
12 |
$122.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
25 |
$117.64 |
| 73522 |
|
18 |
14 |
$116.80 |
| 90710 |
|
12 |
12 |
$113.29 |
| 86860 |
|
30 |
25 |
$110.67 |
| 93016 |
|
12 |
12 |
$104.84 |
| 87107 |
|
162 |
124 |
$103.23 |
| 73020 |
|
34 |
29 |
$99.92 |
| 82436 |
|
303 |
263 |
$92.50 |
| 80186 |
|
47 |
14 |
$86.72 |
| 87899 |
|
41 |
37 |
$85.83 |
| 82948 |
|
374 |
369 |
$76.81 |
| 72040 |
|
14 |
13 |
$75.46 |
| 99354 |
|
39 |
39 |
$71.86 |
| 83525 |
|
84 |
65 |
$66.12 |
| 85300 |
|
50 |
24 |
$65.39 |
| 90620 |
|
56 |
55 |
$59.97 |
| 82374 |
|
83 |
39 |
$55.68 |
| 86403 |
|
48 |
39 |
$54.63 |
| 85306 |
|
13 |
12 |
$53.06 |
| 93297 |
|
78 |
64 |
$51.84 |
| 36416 |
|
14 |
13 |
$48.00 |
| 73501 |
|
15 |
15 |
$46.78 |
| 87046 |
|
107 |
93 |
$46.12 |
| 86885 |
|
26 |
26 |
$39.86 |
| 95251 |
|
39 |
37 |
$38.85 |
| 86022 |
|
14 |
13 |
$33.45 |
| 84166 |
|
75 |
63 |
$30.94 |
| 76377 |
|
30 |
30 |
$30.37 |
| 82553 |
|
84 |
65 |
$28.88 |
| 90696 |
|
12 |
12 |
$21.00 |
| 83986 |
|
19 |
17 |
$19.33 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$13.14 |
| 87327 |
|
15 |
15 |
$12.88 |
| 86060 |
|
15 |
13 |
$8.83 |
| 81002 |
|
71 |
52 |
$7.10 |
| 91307 |
|
146 |
70 |
$0.01 |
| 90734 |
|
57 |
55 |
$0.00 |
| 91321 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
24 |
$0.00 |
| 90677 |
|
26 |
25 |
$0.00 |
| 96161 |
|
28 |
26 |
$0.00 |
| 82043 |
|
14 |
14 |
$0.00 |