| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
52,009 |
51,356 |
$3.18M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28,433 |
27,996 |
$2.61M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
38,713 |
38,285 |
$1.38M |
| 99233 |
Prolong inpt eval add15 m |
22,959 |
9,700 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,310 |
38,304 |
$849K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,418 |
21,684 |
$816K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,171 |
5,515 |
$478K |
| 99223 |
Prolong inpt eval add15 m |
5,191 |
5,103 |
$453K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
55,413 |
45,955 |
$383K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,877 |
4,605 |
$378K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,860 |
6,747 |
$339K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,412 |
5,899 |
$292K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,712 |
4,466 |
$279K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,157 |
947 |
$235K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,516 |
9,457 |
$220K |
| 71045 |
Radiologic examination, chest; single view |
35,899 |
30,173 |
$203K |
| 71046 |
Radiologic examination, chest; 2 views |
24,093 |
23,595 |
$192K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,469 |
3,328 |
$166K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,552 |
2,370 |
$156K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,744 |
16,578 |
$142K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,380 |
5,101 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,959 |
2,912 |
$122K |
| 88307 |
|
1,722 |
1,632 |
$109K |
| 99460 |
|
1,298 |
1,292 |
$84K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,925 |
3,866 |
$83K |
| 99255 |
|
678 |
663 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,181 |
2,174 |
$72K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
152 |
151 |
$70K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,022 |
1,940 |
$69K |
| 76830 |
Ultrasound, transvaginal |
1,687 |
1,641 |
$60K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,405 |
1,389 |
$58K |
| 93308 |
|
2,903 |
2,852 |
$56K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,285 |
1,177 |
$47K |
| 99462 |
|
1,301 |
1,238 |
$41K |
| 73630 |
|
5,246 |
4,971 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
822 |
801 |
$38K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
383 |
383 |
$38K |
| 99464 |
|
555 |
552 |
$37K |
| 73562 |
|
3,103 |
2,953 |
$34K |
| 73030 |
|
3,855 |
3,566 |
$33K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
780 |
777 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
852 |
763 |
$27K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
718 |
545 |
$26K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,025 |
342 |
$26K |
| 59425 |
|
1,479 |
1,262 |
$26K |
| 76642 |
|
757 |
694 |
$24K |
| 77066 |
Tomosynthesis, mammo |
519 |
500 |
$23K |
| 73610 |
|
3,324 |
3,199 |
$23K |
| 73130 |
|
2,976 |
2,838 |
$21K |
| 77065 |
Tomosynthesis, mammo |
328 |
317 |
$21K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
252 |
227 |
$21K |
| 20610 |
|
888 |
835 |
$21K |
| J3490 |
Unclassified drugs |
105 |
105 |
$17K |
| 72100 |
|
1,123 |
1,102 |
$16K |
| 76000 |
|
2,249 |
2,199 |
$15K |
| 99205 |
Prolong outpt/office vis |
147 |
147 |
$15K |
| 88304 |
|
1,008 |
960 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
239 |
235 |
$14K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
107 |
107 |
$13K |
| 20611 |
|
269 |
238 |
$12K |
| 99254 |
|
170 |
166 |
$12K |
| 59025 |
Fetal non-stress test |
1,131 |
899 |
$11K |
| 99253 |
|
184 |
182 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
534 |
521 |
$11K |
| 99215 |
Prolong outpt/office vis |
178 |
171 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
50 |
49 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
351 |
350 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
241 |
225 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
222 |
221 |
$7K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$7K |
| 99152 |
|
358 |
343 |
$7K |
| 73560 |
|
992 |
914 |
$7K |
| 74018 |
|
1,054 |
938 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
140 |
135 |
$7K |
| 80502 |
|
133 |
132 |
$7K |
| 99401 |
|
414 |
407 |
$6K |
| 88342 |
|
190 |
184 |
$6K |
| 99243 |
|
79 |
79 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
119 |
105 |
$6K |
| 94060 |
|
532 |
530 |
$5K |
| 73590 |
|
957 |
897 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
160 |
152 |
$5K |
| 95812 |
|
122 |
108 |
$5K |
| 88341 |
|
92 |
84 |
$5K |
| 73110 |
|
702 |
666 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
254 |
241 |
$4K |
| 76770 |
|
117 |
113 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
84 |
84 |
$4K |
| 73502 |
|
342 |
316 |
$4K |
| 94618 |
|
233 |
230 |
$4K |
| 76604 |
|
247 |
245 |
$4K |
| 97802 |
|
256 |
256 |
$4K |
| 95813 |
|
42 |
40 |
$4K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
372 |
352 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
237 |
177 |
$4K |
| 71020 |
|
542 |
334 |
$4K |
| 93970 |
|
130 |
128 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
126 |
$3K |
| 99242 |
|
72 |
71 |
$3K |
| 81025 |
|
1,655 |
1,622 |
$3K |
| 94729 |
|
539 |
538 |
$3K |
| 91200 |
|
292 |
292 |
$3K |
| 85610 |
|
862 |
620 |
$3K |
| 71250 |
|
73 |
65 |
$3K |
| 52000 |
|
73 |
73 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
725 |
641 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
218 |
217 |
$3K |
| 76001 |
|
95 |
92 |
$3K |
| 76801 |
|
55 |
52 |
$3K |
| 92511 |
|
119 |
114 |
$3K |
| 96150 |
|
153 |
151 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
37 |
32 |
$3K |
| 76775 |
|
108 |
95 |
$2K |
| 90686 |
|
1,073 |
1,070 |
$2K |
| 72170 |
|
408 |
395 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
80 |
38 |
$2K |
| 97810 |
|
69 |
49 |
$2K |
| 73564 |
|
117 |
105 |
$2K |
| 11043 |
|
16 |
13 |
$2K |
| 31231 |
|
59 |
59 |
$2K |
| 71010 |
|
375 |
333 |
$2K |
| 97811 |
|
68 |
48 |
$2K |
| 92551 |
|
516 |
514 |
$2K |
| 81002 |
|
1,069 |
964 |
$2K |
| 64483 |
|
26 |
25 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,098 |
1,079 |
$1K |
| 11721 |
|
114 |
109 |
$1K |
| 96156 |
|
69 |
69 |
$1K |
| 93289 |
|
44 |
44 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
24 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
86 |
85 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
17 |
17 |
$958.48 |
| 51798 |
|
50 |
50 |
$902.63 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$886.16 |
| 64493 |
|
29 |
28 |
$863.63 |
| 59430 |
|
28 |
26 |
$852.80 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
39 |
39 |
$850.93 |
| 93227 |
|
42 |
42 |
$833.07 |
| 92557 |
|
37 |
36 |
$784.62 |
| 88312 |
|
32 |
32 |
$721.11 |
| 90715 |
|
63 |
61 |
$702.63 |
| 31575 |
|
30 |
28 |
$663.50 |
| 76813 |
|
12 |
12 |
$617.85 |
| 93971 |
|
39 |
38 |
$545.34 |
| 29705 |
|
21 |
19 |
$512.07 |
| 29075 |
|
13 |
13 |
$509.13 |
| 72040 |
|
41 |
38 |
$477.54 |
| 87210 |
|
382 |
377 |
$476.44 |
| 73120 |
|
30 |
26 |
$459.80 |
| 64494 |
|
29 |
28 |
$455.01 |
| 73552 |
|
49 |
46 |
$384.39 |
| 73090 |
|
57 |
52 |
$359.86 |
| 72110 |
|
18 |
14 |
$357.70 |
| 73700 |
|
13 |
13 |
$343.45 |
| 93018 |
|
28 |
27 |
$329.36 |
| 90670 |
|
128 |
127 |
$320.00 |
| 95822 |
|
15 |
13 |
$303.30 |
| 93925 |
|
13 |
12 |
$292.19 |
| 76942 |
|
17 |
13 |
$272.56 |
| 58301 |
|
12 |
12 |
$267.52 |
| 99201 |
|
26 |
26 |
$228.27 |
| 73060 |
|
27 |
25 |
$203.41 |
| 92550 |
|
12 |
12 |
$202.69 |
| 97026 |
|
21 |
14 |
$175.52 |
| 11056 |
|
14 |
14 |
$164.34 |
| 93922 |
|
15 |
12 |
$158.56 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$137.08 |
| 73080 |
|
15 |
15 |
$130.77 |
| 73070 |
|
16 |
13 |
$123.00 |
| 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) |
17 |
17 |
$90.42 |
| 90647 |
|
26 |
26 |
$90.00 |
| 93288 |
|
12 |
12 |
$83.10 |
| 73620 |
|
14 |
12 |
$46.86 |
| 99053 |
|
356 |
349 |
$15.00 |
| 81005 |
|
18 |
17 |
$10.70 |
| 90688 |
|
143 |
143 |
$1.28 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
98 |
97 |
$0.02 |
| 99442 |
|
31 |
31 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |