| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
30,047 |
29,784 |
$1.02M |
| 91320 |
|
10,249 |
10,244 |
$943K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,087 |
38,447 |
$719K |
| 90480 |
|
14,978 |
14,958 |
$492K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17,210 |
9,343 |
$460K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,208 |
3,182 |
$376K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,349 |
3,333 |
$245K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
10,327 |
10,040 |
$241K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,644 |
7,590 |
$237K |
| G0008 |
Administration of influenza virus vaccine |
49,284 |
49,257 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,365 |
12,806 |
$201K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
60,788 |
55,491 |
$193K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,496 |
4,436 |
$188K |
| 0002A |
|
4,673 |
4,673 |
$176K |
| 0001A |
|
4,841 |
4,841 |
$175K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,762 |
8,693 |
$159K |
| 71046 |
Radiologic examination, chest; 2 views |
14,047 |
11,551 |
$121K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,173 |
1,142 |
$121K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,146 |
16,368 |
$117K |
| 90662 |
|
5,399 |
5,398 |
$107K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,424 |
1,283 |
$98K |
| 90962 |
|
402 |
366 |
$90K |
| 71045 |
Radiologic examination, chest; single view |
26,622 |
22,862 |
$83K |
| 92015 |
Determination of refractive state |
26,183 |
26,031 |
$81K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,439 |
1,255 |
$80K |
| 0124A |
|
3,522 |
3,521 |
$79K |
| 0054A |
|
2,515 |
2,515 |
$64K |
| 0064A |
|
2,306 |
2,306 |
$63K |
| 0012A |
|
1,675 |
1,675 |
$62K |
| 0004A |
|
1,794 |
1,794 |
$61K |
| 97810 |
|
3,267 |
2,150 |
$59K |
| 0071A |
|
1,647 |
1,647 |
$57K |
| 0072A |
|
1,660 |
1,660 |
$56K |
| 0011A |
|
1,648 |
1,648 |
$55K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
506 |
506 |
$54K |
| 92134 |
|
2,525 |
2,482 |
$51K |
| 77080 |
|
2,241 |
1,224 |
$50K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
202 |
192 |
$42K |
| 99215 |
Prolong outpt/office vis |
474 |
446 |
$40K |
| 91322 |
|
372 |
372 |
$37K |
| J0178 |
Injection, aflibercept, 1 mg |
37 |
36 |
$35K |
| 90656 |
|
5,730 |
5,727 |
$35K |
| 90653 |
|
596 |
596 |
$31K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,106 |
5,054 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
419 |
348 |
$25K |
| 92002 |
|
1,934 |
1,934 |
$24K |
| 91319 |
|
649 |
648 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,162 |
1,042 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
252 |
251 |
$19K |
| 0031A |
|
504 |
504 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
544 |
294 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
575 |
570 |
$17K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
65 |
65 |
$16K |
| 0134A |
|
937 |
937 |
$16K |
| 92250 |
|
1,385 |
1,377 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,602 |
1,329 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
971 |
968 |
$12K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
45 |
26 |
$12K |
| 11721 |
|
164 |
164 |
$11K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
593 |
412 |
$11K |
| 92557 |
|
314 |
312 |
$11K |
| 0154A |
|
338 |
338 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,648 |
12,486 |
$10K |
| 91318 |
|
414 |
404 |
$10K |
| 0073A |
|
310 |
310 |
$10K |
| 92567 |
|
1,237 |
1,227 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
175 |
174 |
$9K |
| 90882 |
|
83 |
36 |
$8K |
| 70496 |
|
41 |
41 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,383 |
1,365 |
$7K |
| 86580 |
|
6,096 |
5,906 |
$7K |
| 76642 |
|
194 |
84 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
495 |
396 |
$6K |
| 0051A |
|
207 |
207 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
376 |
371 |
$6K |
| 0052A |
|
190 |
190 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
640 |
527 |
$6K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
570 |
264 |
$6K |
| 99441 |
|
829 |
777 |
$6K |
| 93296 |
|
98 |
98 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
281 |
281 |
$5K |
| 90686 |
|
31,627 |
31,608 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,621 |
1,602 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
892 |
881 |
$5K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
44 |
42 |
$5K |
| 94729 |
|
315 |
313 |
$5K |
| 70498 |
|
27 |
27 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
34 |
24 |
$5K |
| 99442 |
|
455 |
429 |
$4K |
| 73630 |
|
443 |
280 |
$4K |
| 72141 |
|
18 |
14 |
$4K |
| 93294 |
|
48 |
48 |
$4K |
| 0081A |
|
151 |
151 |
$4K |
| 99349 |
|
13 |
13 |
$4K |
| 0111A |
|
130 |
130 |
$3K |
| 0082A |
|
122 |
122 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
80 |
40 |
$3K |
| 0112A |
|
109 |
109 |
$3K |
| 97811 |
|
507 |
371 |
$3K |
| 76830 |
Ultrasound, transvaginal |
74 |
65 |
$3K |
| 92570 |
|
147 |
146 |
$3K |
| 0003A |
|
72 |
72 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
96 |
96 |
$3K |
| 70486 |
|
37 |
37 |
$3K |
| 98968 |
|
176 |
171 |
$3K |
| 91321 |
|
59 |
58 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
50 |
49 |
$2K |
| 73610 |
|
169 |
112 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
743 |
670 |
$2K |
| 92133 |
|
104 |
103 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
51 |
38 |
$2K |
| 90677 |
|
60 |
60 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
145 |
64 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
131 |
$2K |
| 94010 |
|
206 |
203 |
$2K |
| 91200 |
|
28 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 74018 |
|
448 |
309 |
$2K |
| 90694 |
|
1,662 |
1,661 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,176 |
1,170 |
$2K |
| J7999 |
Compounded drug, not otherwise classified |
102 |
102 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
25 |
13 |
$2K |
| 94726 |
|
39 |
39 |
$1K |
| 73560 |
|
72 |
55 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
54 |
50 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
63 |
62 |
$1K |
| 93320 |
|
26 |
25 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
231 |
230 |
$1K |
| 73110 |
|
55 |
38 |
$862.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$677.12 |
| 73130 |
|
36 |
25 |
$656.79 |
| 90682 |
|
3,255 |
3,255 |
$651.48 |
| 0013A |
|
18 |
18 |
$640.00 |
| 73030 |
|
30 |
26 |
$562.41 |
| 97535 |
Self-care/home management training, each 15 minutes |
68 |
55 |
$560.00 |
| 93325 |
|
30 |
29 |
$553.88 |
| 95117 |
|
366 |
222 |
$511.40 |
| 97161 |
|
24 |
24 |
$507.00 |
| 73080 |
|
19 |
12 |
$435.00 |
| 0083A |
|
55 |
55 |
$430.00 |
| 90785 |
|
242 |
201 |
$418.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,824 |
1,773 |
$373.08 |
| 99173 |
|
619 |
618 |
$372.00 |
| 70491 |
|
15 |
14 |
$352.45 |
| 92555 |
|
12 |
12 |
$321.00 |
| 92587 |
|
26 |
26 |
$308.00 |
| 90648 |
|
134 |
134 |
$252.42 |
| 92588 |
|
54 |
54 |
$240.00 |
| 88342 |
|
42 |
40 |
$233.03 |
| 90658 |
|
614 |
608 |
$213.55 |
| 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 |
1,718 |
1,672 |
$200.14 |
| 90633 |
|
12 |
12 |
$195.00 |
| 96112 |
|
40 |
39 |
$185.00 |
| 99310 |
Prolong nursin fac eval 15m |
97 |
93 |
$153.00 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$150.00 |
| 90661 |
|
52 |
52 |
$90.00 |
| 94760 |
|
516 |
498 |
$77.30 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$49.78 |
| 92551 |
|
12 |
12 |
$47.00 |
| 93976 |
|
36 |
27 |
$41.21 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$37.00 |
| 90670 |
|
73 |
73 |
$36.00 |
| 73620 |
|
18 |
14 |
$6.06 |
| G9920 |
Screening performed and negative |
1,242 |
1,183 |
$0.01 |
| 97813 |
|
263 |
209 |
$0.00 |
| 90691 |
|
37 |
37 |
$0.00 |
| 99307 |
|
183 |
164 |
$0.00 |
| 92579 |
|
14 |
14 |
$0.00 |
| 99201 |
|
61 |
60 |
$0.00 |
| 95800 |
|
66 |
66 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
38 |
36 |
$0.00 |
| 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 |
33 |
33 |
$0.00 |
| 1036F |
|
2,183 |
2,085 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 94660 |
|
127 |
126 |
$0.00 |
| 90674 |
|
697 |
697 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
201 |
165 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
45 |
42 |
$0.00 |
| 97814 |
|
244 |
195 |
$0.00 |
| 99443 |
|
143 |
135 |
$0.00 |
| 97026 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
37 |
37 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
65 |
36 |
$0.00 |
| 99024 |
|
21 |
13 |
$0.00 |