| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105,455 |
99,402 |
$8.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,195 |
50,419 |
$5.55M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
42,395 |
41,507 |
$5.09M |
| 99233 |
Prolong inpt eval add15 m |
31,242 |
12,777 |
$2.82M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31,534 |
12,531 |
$1.97M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
11,377 |
11,136 |
$1.78M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,109 |
8,062 |
$1.34M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,381 |
11,352 |
$1.30M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15,149 |
14,831 |
$1.28M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,944 |
16,358 |
$1.18M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
330 |
330 |
$984K |
| 99223 |
Prolong inpt eval add15 m |
6,336 |
5,688 |
$850K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,790 |
9,757 |
$747K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,570 |
10,455 |
$712K |
| 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 |
5,312 |
5,302 |
$660K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,026 |
7,960 |
$594K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
68,630 |
46,151 |
$526K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,772 |
8,292 |
$483K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,606 |
4,599 |
$476K |
| 99215 |
Prolong outpt/office vis |
2,986 |
2,924 |
$475K |
| 76818 |
|
7,856 |
4,362 |
$459K |
| 88307 |
|
4,249 |
4,238 |
$434K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,265 |
5,223 |
$415K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,987 |
3,627 |
$404K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,799 |
4,795 |
$376K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,627 |
7,202 |
$376K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
688 |
687 |
$375K |
| 99460 |
|
3,080 |
3,065 |
$316K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,210 |
7,954 |
$265K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
2,660 |
2,583 |
$258K |
| 59025 |
Fetal non-stress test |
7,199 |
6,487 |
$247K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
5,117 |
4,411 |
$233K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,759 |
2,719 |
$233K |
| 93298 |
|
5,479 |
5,472 |
$232K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,638 |
6,269 |
$229K |
| 93970 |
|
7,181 |
6,688 |
$227K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,321 |
1,275 |
$212K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,066 |
2,062 |
$200K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,391 |
3,875 |
$182K |
| 71046 |
Radiologic examination, chest; 2 views |
16,437 |
16,238 |
$182K |
| 99205 |
Prolong outpt/office vis |
847 |
846 |
$166K |
| 71045 |
Radiologic examination, chest; single view |
19,834 |
13,563 |
$159K |
| 88342 |
|
3,391 |
3,343 |
$153K |
| 99442 |
|
2,100 |
1,945 |
$153K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,745 |
3,242 |
$141K |
| 93975 |
|
2,303 |
2,272 |
$136K |
| 76830 |
Ultrasound, transvaginal |
2,787 |
2,744 |
$128K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,112 |
1,097 |
$125K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,397 |
2,534 |
$117K |
| 76801 |
|
2,116 |
2,062 |
$112K |
| 93000 |
|
6,546 |
6,399 |
$103K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
851 |
848 |
$103K |
| 76813 |
|
1,525 |
1,524 |
$98K |
| 76825 |
|
444 |
423 |
$96K |
| 76820 |
|
3,208 |
1,889 |
$93K |
| 93297 |
|
2,924 |
2,920 |
$83K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,173 |
2,172 |
$80K |
| 36415 |
Collection of venous blood by venipuncture |
34,602 |
33,709 |
$77K |
| 90791 |
Psychiatric diagnostic evaluation |
561 |
554 |
$74K |
| 92551 |
|
6,456 |
6,438 |
$71K |
| 93458 |
|
239 |
233 |
$69K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,174 |
2,171 |
$64K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
400 |
201 |
$62K |
| 88341 |
|
551 |
538 |
$62K |
| 93320 |
|
2,032 |
1,969 |
$56K |
| 93976 |
|
1,228 |
710 |
$55K |
| 95811 |
|
66 |
65 |
$50K |
| 95806 |
|
706 |
700 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
432 |
432 |
$46K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
321 |
123 |
$46K |
| 86077 |
|
930 |
853 |
$46K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
376 |
373 |
$44K |
| 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) |
3,745 |
3,615 |
$42K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
95 |
41 |
$41K |
| 99464 |
|
528 |
528 |
$41K |
| 93325 |
|
3,376 |
3,125 |
$40K |
| 73562 |
|
2,637 |
1,918 |
$39K |
| 77014 |
|
796 |
112 |
$35K |
| 73630 |
|
1,973 |
1,692 |
$33K |
| 93304 |
|
248 |
220 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,265 |
2,223 |
$32K |
| 31575 |
|
418 |
413 |
$32K |
| 99243 |
|
249 |
248 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,663 |
1,627 |
$30K |
| 77427 |
|
150 |
79 |
$28K |
| 99462 |
|
610 |
541 |
$26K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
230 |
230 |
$25K |
| 88304 |
|
1,751 |
1,742 |
$25K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
539 |
532 |
$24K |
| 93295 |
|
777 |
777 |
$24K |
| 76827 |
|
329 |
315 |
$22K |
| 99173 |
|
5,276 |
5,254 |
$22K |
| 76821 |
|
263 |
258 |
$21K |
| 93296 |
|
1,600 |
1,597 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
768 |
237 |
$21K |
| 93971 |
|
948 |
916 |
$20K |
| 52000 |
|
81 |
81 |
$20K |
| 83020 |
|
973 |
959 |
$20K |
| 99221 |
|
243 |
232 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
269 |
268 |
$18K |
| 20610 |
|
259 |
256 |
$17K |
| 88141 |
|
677 |
677 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
264 |
262 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
371 |
354 |
$16K |
| 90686 |
|
2,298 |
2,296 |
$15K |
| 95813 |
|
186 |
178 |
$15K |
| 93016 |
|
721 |
714 |
$15K |
| 88112 |
|
484 |
467 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$13K |
| 99385 |
|
106 |
106 |
$13K |
| 72100 |
|
624 |
624 |
$12K |
| 76536 |
|
330 |
327 |
$11K |
| 76770 |
|
305 |
304 |
$11K |
| 31231 |
|
130 |
129 |
$11K |
| 86255 |
|
527 |
504 |
$11K |
| 95951 |
|
31 |
27 |
$11K |
| 99443 |
|
136 |
127 |
$10K |
| 93018 |
|
731 |
725 |
$10K |
| 94010 |
|
333 |
331 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,097 |
1,092 |
$10K |
| 51798 |
|
560 |
547 |
$9K |
| 73030 |
|
683 |
632 |
$9K |
| 73610 |
|
565 |
517 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
172 |
171 |
$8K |
| 93923 |
|
424 |
421 |
$7K |
| 73564 |
|
336 |
309 |
$7K |
| 92557 |
|
251 |
249 |
$7K |
| 75574 |
|
66 |
65 |
$7K |
| 76641 |
|
179 |
121 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
89 |
89 |
$7K |
| 93294 |
|
555 |
552 |
$7K |
| 74183 |
|
73 |
73 |
$7K |
| 93321 |
|
315 |
276 |
$7K |
| 84166 |
|
351 |
336 |
$6K |
| 92570 |
|
239 |
237 |
$6K |
| 93922 |
|
477 |
472 |
$5K |
| 99253 |
|
43 |
42 |
$5K |
| 73502 |
|
303 |
299 |
$5K |
| 99441 |
|
137 |
124 |
$5K |
| 88360 |
|
45 |
43 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
26 |
26 |
$4K |
| 99459 |
|
195 |
195 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
176 |
174 |
$4K |
| 86334 |
|
235 |
227 |
$4K |
| 99195 |
|
30 |
30 |
$4K |
| 72082 |
|
107 |
107 |
$4K |
| 99381 |
|
57 |
56 |
$3K |
| 72197 |
|
28 |
28 |
$3K |
| 82962 |
|
1,580 |
1,504 |
$3K |
| 94727 |
|
246 |
244 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
202 |
201 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$3K |
| 97802 |
|
40 |
40 |
$3K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
94 |
94 |
$3K |
| 93356 |
|
191 |
190 |
$2K |
| 74018 |
|
318 |
252 |
$2K |
| 99051 |
|
959 |
944 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
31 |
30 |
$2K |
| 99152 |
|
138 |
138 |
$2K |
| 94729 |
|
251 |
249 |
$2K |
| 77263 |
|
12 |
12 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
45 |
44 |
$2K |
| 93880 |
|
64 |
64 |
$2K |
| 84165 |
|
111 |
108 |
$2K |
| 90682 |
|
30 |
30 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
30 |
25 |
$2K |
| 97803 |
|
34 |
34 |
$2K |
| 77080 |
|
204 |
203 |
$2K |
| 93350 |
|
26 |
26 |
$1K |
| 76377 |
|
109 |
108 |
$1K |
| 93308 |
|
13 |
12 |
$1K |
| 77300 |
|
14 |
13 |
$1K |
| 82948 |
|
275 |
247 |
$1K |
| 96111 |
|
12 |
12 |
$1K |
| 90656 |
|
301 |
301 |
$1K |
| 90461 |
|
31 |
29 |
$1K |
| 73560 |
|
90 |
70 |
$1K |
| 81003 |
|
637 |
621 |
$1K |
| 73130 |
|
74 |
61 |
$989.51 |
| 93280 |
|
55 |
53 |
$978.88 |
| 20611 |
|
14 |
12 |
$909.70 |
| 76506 |
|
25 |
25 |
$895.18 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
162 |
158 |
$838.21 |
| 93244 |
|
63 |
61 |
$735.06 |
| 88311 |
|
54 |
54 |
$720.18 |
| 94060 |
|
69 |
69 |
$694.55 |
| 76775 |
|
12 |
12 |
$556.48 |
| 96127 |
|
223 |
223 |
$555.77 |
| 86631 |
|
43 |
43 |
$524.14 |
| 99422 |
|
21 |
19 |
$505.92 |
| 51741 |
|
41 |
41 |
$505.21 |
| 74022 |
|
27 |
26 |
$478.98 |
| 81002 |
|
162 |
115 |
$474.91 |
| 76642 |
|
13 |
13 |
$469.11 |
| 99201 |
|
12 |
12 |
$432.52 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$428.98 |
| 72052 |
|
12 |
12 |
$421.81 |
| 72170 |
|
45 |
40 |
$350.51 |
| 99407 |
|
14 |
13 |
$344.56 |
| 81001 |
|
112 |
111 |
$339.42 |
| V5008 |
Hearing screening |
14 |
14 |
$336.00 |
| 88174 |
|
13 |
13 |
$304.44 |
| 99188 |
|
12 |
12 |
$297.44 |
| 86256 |
|
13 |
12 |
$254.80 |
| 99406 |
|
14 |
13 |
$223.20 |
| 86335 |
|
15 |
15 |
$213.60 |
| 88300 |
|
55 |
55 |
$210.91 |
| 93242 |
|
29 |
29 |
$205.56 |
| 85018 |
|
84 |
84 |
$178.92 |
| 77072 |
|
13 |
13 |
$140.25 |
| 99367 |
|
14 |
14 |
$132.86 |
| 73110 |
|
14 |
13 |
$123.21 |
| 76376 |
|
14 |
14 |
$113.85 |
| 94375 |
|
41 |
39 |
$64.24 |
| 88720 |
|
25 |
25 |
$54.88 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$37.98 |
| 94760 |
|
122 |
116 |
$30.85 |
| 81025 |
|
14 |
14 |
$19.22 |
| 96161 |
|
45 |
45 |
$4.77 |
| 36416 |
|
118 |
115 |
$3.00 |
| 90672 |
|
193 |
193 |
$0.03 |
| 0502F |
|
2,269 |
1,794 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 94150 |
|
25 |
24 |
$0.00 |
| 99024 |
|
709 |
659 |
$0.00 |
| 0501F |
|
776 |
552 |
$0.00 |
| 90677 |
|
45 |
45 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 90660 |
|
89 |
89 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 36000 |
|
13 |
12 |
$0.00 |