| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114,500 |
101,478 |
$9.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145,082 |
127,797 |
$7.84M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34,617 |
30,763 |
$4.22M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
7,208 |
2,817 |
$2.64M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31,205 |
27,963 |
$2.64M |
| 99233 |
Prolong inpt eval add15 m |
23,602 |
7,569 |
$1.77M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
14,972 |
13,158 |
$1.71M |
| 99215 |
Prolong outpt/office vis |
16,600 |
14,082 |
$1.71M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28,127 |
10,396 |
$1.54M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,023 |
14,365 |
$1.50M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
10,734 |
9,634 |
$1.12M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,811 |
10,151 |
$1.10M |
| 93304 |
|
22,029 |
18,204 |
$1.08M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
7,389 |
6,334 |
$1.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,305 |
10,417 |
$967K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
7,524 |
6,650 |
$887K |
| 93325 |
|
51,122 |
42,454 |
$862K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,822 |
2,399 |
$858K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
4,345 |
3,786 |
$845K |
| 71045 |
Radiologic examination, chest; single view |
92,217 |
54,913 |
$793K |
| 99243 |
|
7,362 |
6,497 |
$767K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24,726 |
10,472 |
$759K |
| 95812 |
|
12,960 |
11,550 |
$730K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12,234 |
10,827 |
$699K |
| 92060 |
|
14,778 |
12,614 |
$654K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48,402 |
37,187 |
$621K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14,535 |
12,536 |
$607K |
| 93320 |
|
16,102 |
14,095 |
$606K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,105 |
15,176 |
$594K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,259 |
4,860 |
$587K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
41,778 |
28,183 |
$548K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,899 |
1,685 |
$512K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35,967 |
21,941 |
$482K |
| 71046 |
Radiologic examination, chest; 2 views |
43,038 |
38,678 |
$472K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,848 |
2,708 |
$460K |
| 54360 |
|
727 |
595 |
$414K |
| 93321 |
|
30,031 |
24,785 |
$399K |
| 99205 |
Prolong outpt/office vis |
3,089 |
2,451 |
$392K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,667 |
3,265 |
$392K |
| 54161 |
|
2,918 |
2,542 |
$391K |
| 76770 |
|
10,356 |
9,596 |
$362K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
7,197 |
3,471 |
$323K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
13,753 |
5,415 |
$298K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
3,918 |
3,632 |
$296K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
34,123 |
26,720 |
$286K |
| 74018 |
|
28,465 |
22,807 |
$253K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,519 |
2,194 |
$250K |
| 74019 |
|
19,661 |
17,122 |
$226K |
| 31622 |
|
2,088 |
1,463 |
$214K |
| 54300 |
|
338 |
294 |
$203K |
| 99223 |
Prolong inpt eval add15 m |
1,274 |
1,142 |
$203K |
| 94010 |
|
10,917 |
10,117 |
$198K |
| 92015 |
Determination of refractive state |
6,020 |
5,216 |
$194K |
| 95782 |
|
1,435 |
1,333 |
$188K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,724 |
2,176 |
$185K |
| 93000 |
|
8,514 |
7,324 |
$156K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,173 |
1,322 |
$150K |
| 96127 |
|
27,783 |
20,240 |
$144K |
| 92551 |
|
14,935 |
11,403 |
$140K |
| 74230 |
|
5,534 |
5,211 |
$140K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,210 |
2,699 |
$133K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,462 |
3,978 |
$131K |
| 99381 |
|
1,614 |
1,294 |
$130K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,525 |
1,285 |
$129K |
| 76506 |
|
3,770 |
2,966 |
$116K |
| 99219 |
|
1,097 |
1,028 |
$116K |
| 83037 |
|
13,460 |
10,692 |
$107K |
| 96112 |
|
914 |
702 |
$98K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,869 |
845 |
$97K |
| 42830 |
|
671 |
556 |
$93K |
| 43762 |
|
1,067 |
914 |
$91K |
| 96160 |
|
16,175 |
13,711 |
$86K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
710 |
553 |
$83K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
741 |
627 |
$78K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
495 |
458 |
$69K |
| 31231 |
|
377 |
364 |
$69K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,320 |
1,076 |
$67K |
| 83655 |
|
6,356 |
4,697 |
$66K |
| 76376 |
|
7,203 |
6,332 |
$63K |
| 31526 |
|
749 |
559 |
$63K |
| 99177 |
|
9,970 |
7,392 |
$62K |
| 96161 |
|
11,394 |
8,392 |
$58K |
| 31615 |
|
377 |
320 |
$57K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
3,683 |
1,952 |
$56K |
| 01922 |
|
412 |
335 |
$54K |
| 99217 |
|
829 |
748 |
$51K |
| 72170 |
|
6,413 |
5,698 |
$51K |
| 90474 |
|
5,825 |
4,499 |
$51K |
| 95117 |
|
3,648 |
1,956 |
$47K |
| 93308 |
|
1,262 |
1,083 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
718 |
667 |
$44K |
| 95951 |
|
155 |
54 |
$42K |
| 73130 |
|
4,642 |
4,091 |
$41K |
| 70486 |
|
818 |
703 |
$40K |
| 99221 |
|
519 |
458 |
$39K |
| 31571 |
|
191 |
144 |
$39K |
| 99236 |
Prolong inpt eval add15 m |
206 |
181 |
$37K |
| 73090 |
|
4,653 |
3,971 |
$37K |
| 96401 |
|
574 |
423 |
$37K |
| 72082 |
|
2,541 |
2,325 |
$37K |
| 73630 |
|
4,069 |
3,526 |
$35K |
| S9441 |
Asthma education, non-physician provider, per session |
574 |
497 |
$34K |
| 99242 |
|
388 |
335 |
$33K |
| 96111 |
|
454 |
309 |
$33K |
| 31575 |
|
378 |
338 |
$32K |
| 73110 |
|
3,699 |
3,224 |
$31K |
| 92504 |
|
1,994 |
1,739 |
$30K |
| 73610 |
|
3,445 |
2,923 |
$30K |
| 69210 |
|
818 |
648 |
$29K |
| 99245 |
|
158 |
140 |
$28K |
| 73590 |
|
3,461 |
2,966 |
$28K |
| 73070 |
|
3,652 |
3,150 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
313 |
276 |
$28K |
| 99254 |
|
237 |
190 |
$27K |
| 99218 |
|
394 |
361 |
$26K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
288 |
268 |
$25K |
| 14040 |
|
43 |
38 |
$24K |
| 93531 |
|
64 |
47 |
$23K |
| 99476 |
|
70 |
26 |
$22K |
| 81003 |
|
11,679 |
9,706 |
$20K |
| 82962 |
|
8,247 |
6,363 |
$20K |
| 93227 |
|
717 |
641 |
$20K |
| 99235 |
|
129 |
119 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
192 |
170 |
$19K |
| 96116 |
|
350 |
275 |
$19K |
| 73560 |
|
2,206 |
1,894 |
$18K |
| 96118 |
|
119 |
87 |
$17K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
80 |
28 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
765 |
631 |
$16K |
| 92250 |
|
551 |
347 |
$15K |
| 96132 |
|
198 |
166 |
$14K |
| 95720 |
|
122 |
51 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
841 |
703 |
$14K |
| 96133 |
|
130 |
114 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,062 |
733 |
$12K |
| 70360 |
|
1,328 |
1,291 |
$12K |
| 76857 |
|
522 |
482 |
$12K |
| 73552 |
|
1,214 |
1,010 |
$11K |
| 92083 |
|
230 |
169 |
$11K |
| 96139 |
|
142 |
114 |
$10K |
| 99417 |
Prolong home eval add 15m |
414 |
260 |
$10K |
| 85018 |
|
4,984 |
3,604 |
$10K |
| 95813 |
|
125 |
113 |
$10K |
| 94060 |
|
165 |
141 |
$10K |
| 93784 |
|
139 |
131 |
$10K |
| 74022 |
|
547 |
287 |
$9K |
| 99358 |
Prolong nursin fac eval 15m |
138 |
108 |
$9K |
| 99234 |
|
67 |
66 |
$8K |
| 99383 |
|
91 |
62 |
$8K |
| 92133 |
|
235 |
172 |
$8K |
| 77072 |
|
808 |
759 |
$8K |
| 80061 |
Lipid panel |
734 |
469 |
$7K |
| 54640 |
|
36 |
13 |
$7K |
| 51728 |
|
61 |
57 |
$6K |
| 99253 |
|
82 |
66 |
$6K |
| 93976 |
|
120 |
103 |
$5K |
| 99418 |
Prolong nursin fac eval 15m |
397 |
129 |
$5K |
| 51798 |
|
416 |
339 |
$5K |
| 90670 |
|
12,492 |
9,691 |
$4K |
| 96119 |
|
118 |
86 |
$4K |
| 70491 |
|
54 |
49 |
$4K |
| 96152 |
|
233 |
185 |
$4K |
| 01920 |
|
52 |
26 |
$4K |
| 77076 |
|
117 |
103 |
$4K |
| 90651 |
|
3,101 |
2,345 |
$4K |
| 31541 |
|
12 |
12 |
$4K |
| 70480 |
|
62 |
61 |
$4K |
| 81025 |
|
686 |
513 |
$3K |
| 54162 |
|
19 |
15 |
$3K |
| 30901 |
|
31 |
29 |
$3K |
| 75809 |
|
125 |
107 |
$3K |
| 30802 |
|
43 |
31 |
$3K |
| 96138 |
|
167 |
140 |
$3K |
| 77075 |
|
107 |
101 |
$3K |
| 75561 |
|
30 |
25 |
$3K |
| 51797 |
|
61 |
57 |
$3K |
| 90671 |
|
30 |
28 |
$3K |
| 93018 |
|
132 |
121 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
75 |
62 |
$3K |
| 90686 |
|
11,819 |
9,306 |
$3K |
| 41115 |
|
13 |
12 |
$3K |
| 92511 |
|
17 |
16 |
$3K |
| 93975 |
|
30 |
29 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
26 |
$2K |
| 73060 |
|
275 |
235 |
$2K |
| 54163 |
|
16 |
16 |
$2K |
| 95012 |
|
268 |
233 |
$2K |
| 93567 |
|
32 |
27 |
$2K |
| 77073 |
|
161 |
156 |
$2K |
| 72141 |
|
31 |
25 |
$2K |
| 51784 |
|
61 |
57 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
44 |
35 |
$2K |
| 00731 |
|
20 |
16 |
$2K |
| 00126 |
|
13 |
13 |
$2K |
| 93298 |
|
62 |
52 |
$1K |
| 99201 |
|
58 |
54 |
$1K |
| 93296 |
|
58 |
53 |
$1K |
| 74241 |
|
39 |
37 |
$1K |
| 99354 |
|
14 |
13 |
$1K |
| 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 |
49 |
39 |
$1K |
| 93294 |
|
44 |
40 |
$1K |
| 90723 |
|
10,196 |
7,988 |
$1K |
| 74240 |
|
26 |
24 |
$1K |
| 81002 |
|
413 |
289 |
$906.39 |
| 90473 |
|
227 |
170 |
$897.78 |
| 99442 |
|
24 |
15 |
$895.38 |
| 93280 |
|
15 |
14 |
$864.46 |
| G0008 |
Administration of influenza virus vaccine |
81 |
73 |
$854.45 |
| 90734 |
|
1,494 |
1,116 |
$720.17 |
| 90680 |
|
7,252 |
5,685 |
$720.16 |
| 93244 |
|
29 |
27 |
$706.55 |
| 92567 |
|
66 |
53 |
$668.10 |
| 97168 |
|
13 |
13 |
$653.17 |
| 73030 |
|
61 |
56 |
$629.57 |
| 76000 |
|
63 |
53 |
$592.95 |
| 90658 |
|
1,698 |
1,394 |
$528.44 |
| 90647 |
|
9,939 |
7,795 |
$519.40 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
20 |
12 |
$487.61 |
| 90633 |
|
4,821 |
3,834 |
$478.10 |
| 76870 |
|
16 |
13 |
$434.83 |
| 92587 |
|
14 |
13 |
$365.87 |
| 92285 |
|
17 |
12 |
$343.11 |
| 93272 |
|
15 |
14 |
$328.36 |
| 90710 |
|
880 |
726 |
$323.64 |
| 70220 |
|
25 |
25 |
$309.80 |
| 76536 |
|
12 |
12 |
$307.46 |
| 3008F |
|
7,864 |
6,729 |
$300.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
40 |
39 |
$285.06 |
| 90707 |
|
2,040 |
1,615 |
$270.06 |
| 84443 |
Thyroid stimulating hormone (TSH) |
62 |
58 |
$267.08 |
| 96136 |
|
16 |
15 |
$253.74 |
| 80053 |
Comprehensive metabolic panel |
97 |
93 |
$246.05 |
| 98966 |
|
16 |
16 |
$238.50 |
| 82610 |
|
44 |
41 |
$234.87 |
| 90696 |
|
825 |
685 |
$215.82 |
| 90661 |
|
65 |
46 |
$192.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
71 |
68 |
$179.80 |
| 80069 |
|
46 |
43 |
$169.16 |
| 90674 |
|
1,504 |
1,134 |
$154.97 |
| 75565 |
|
12 |
12 |
$134.04 |
| 84439 |
|
48 |
46 |
$127.28 |
| 76010 |
|
12 |
12 |
$114.04 |
| 90716 |
|
1,869 |
1,508 |
$110.06 |
| 82570 |
|
32 |
30 |
$64.40 |
| 98960 |
|
237 |
215 |
$55.32 |
| 82977 |
|
16 |
14 |
$50.80 |
| 90688 |
|
430 |
384 |
$41.70 |
| 82043 |
|
15 |
15 |
$38.51 |
| 85027 |
|
12 |
12 |
$25.29 |
| 99072 |
|
11,646 |
9,610 |
$14.70 |
| 90461 |
|
153 |
62 |
$13.00 |
| 36416 |
|
12 |
12 |
$6.58 |
| 90620 |
|
77 |
62 |
$0.02 |
| 90700 |
|
975 |
789 |
$0.01 |
| 99024 |
|
12,122 |
7,414 |
$0.00 |
| 3074F |
|
2,329 |
2,276 |
$0.00 |
| 90657 |
|
1,038 |
853 |
$0.00 |
| 90634 |
|
280 |
186 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 99070 |
|
24 |
13 |
$0.00 |
| 3078F |
|
2,137 |
2,090 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,101 |
874 |
$0.00 |
| 90685 |
|
469 |
402 |
$0.00 |
| 90715 |
|
108 |
80 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| 99499 |
|
19 |
14 |
$0.00 |
| 90649 |
|
49 |
29 |
$0.00 |