| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157,689 |
128,202 |
$5.31M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
34,019 |
29,332 |
$3.00M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
37,302 |
32,873 |
$2.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,447 |
42,603 |
$1.48M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39,799 |
14,886 |
$1.28M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
19,142 |
15,268 |
$973K |
| 99233 |
Prolong inpt eval add15 m |
20,126 |
7,322 |
$864K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
6,807 |
3,207 |
$736K |
| 70496 |
|
9,018 |
6,920 |
$682K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
18,638 |
13,911 |
$670K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13,345 |
10,367 |
$469K |
| 70498 |
|
9,111 |
6,972 |
$421K |
| 71045 |
Radiologic examination, chest; single view |
88,108 |
47,148 |
$419K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,434 |
8,365 |
$362K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
9,486 |
7,366 |
$293K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,929 |
3,071 |
$293K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,076 |
5,211 |
$272K |
| 70450 |
Computed tomography, head or brain; without contrast material |
11,068 |
8,866 |
$268K |
| 99223 |
Prolong inpt eval add15 m |
3,641 |
2,978 |
$258K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,820 |
3,386 |
$247K |
| 59025 |
Fetal non-stress test |
9,556 |
7,031 |
$234K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,212 |
3,271 |
$217K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,266 |
5,152 |
$195K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,364 |
2,795 |
$187K |
| 54150 |
|
1,432 |
1,239 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,385 |
2,305 |
$167K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
31,048 |
22,316 |
$143K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,460 |
3,127 |
$142K |
| 99215 |
Prolong outpt/office vis |
3,437 |
2,685 |
$138K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,375 |
1,339 |
$110K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,149 |
2,676 |
$99K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,049 |
1,500 |
$83K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
67 |
50 |
$79K |
| 99220 |
|
927 |
757 |
$74K |
| 99442 |
|
4,258 |
3,665 |
$73K |
| 70486 |
|
1,931 |
1,520 |
$60K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,484 |
3,175 |
$59K |
| 71046 |
Radiologic examination, chest; 2 views |
9,404 |
8,195 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,199 |
1,060 |
$56K |
| 59410 |
|
61 |
54 |
$50K |
| 76821 |
|
1,569 |
906 |
$49K |
| 59510 |
|
33 |
25 |
$48K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,764 |
1,380 |
$46K |
| 76825 |
|
677 |
505 |
$38K |
| 76820 |
|
1,591 |
912 |
$34K |
| 99381 |
|
639 |
457 |
$34K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
948 |
790 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,593 |
2,281 |
$34K |
| 73590 |
|
5,942 |
4,179 |
$31K |
| 73610 |
|
4,405 |
3,169 |
$25K |
| 76801 |
|
641 |
556 |
$24K |
| 76830 |
Ultrasound, transvaginal |
989 |
866 |
$23K |
| 73130 |
|
4,106 |
2,857 |
$23K |
| 99441 |
|
2,796 |
2,384 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
362 |
279 |
$19K |
| 73630 |
|
3,652 |
2,558 |
$19K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
374 |
320 |
$18K |
| 74018 |
|
3,677 |
2,560 |
$18K |
| 76818 |
|
424 |
322 |
$18K |
| 99217 |
|
604 |
495 |
$17K |
| 73552 |
|
3,005 |
2,205 |
$17K |
| 76642 |
|
930 |
524 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
650 |
574 |
$15K |
| 59515 |
|
18 |
12 |
$13K |
| 72170 |
|
2,289 |
1,752 |
$12K |
| 11721 |
|
1,662 |
1,217 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
598 |
525 |
$11K |
| 76827 |
|
500 |
367 |
$11K |
| 99225 |
|
510 |
140 |
$11K |
| 73562 |
|
2,003 |
1,433 |
$11K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
266 |
221 |
$10K |
| 73560 |
|
1,627 |
1,136 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
114 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,194 |
798 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
297 |
249 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
91 |
87 |
$7K |
| 73030 |
|
1,271 |
917 |
$7K |
| 77066 |
Tomosynthesis, mammo |
278 |
183 |
$7K |
| 99152 |
|
734 |
420 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
80 |
69 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
156 |
134 |
$5K |
| 71250 |
|
250 |
209 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
158 |
133 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,048 |
668 |
$5K |
| 97597 |
|
366 |
236 |
$5K |
| 73110 |
|
845 |
598 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
300 |
254 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
99 |
79 |
$4K |
| 99205 |
Prolong outpt/office vis |
70 |
54 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
76 |
66 |
$4K |
| 76770 |
|
294 |
230 |
$4K |
| 11056 |
|
804 |
528 |
$4K |
| 72128 |
|
132 |
91 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
346 |
234 |
$4K |
| 72131 |
|
137 |
95 |
$4K |
| 99221 |
|
80 |
65 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
398 |
213 |
$4K |
| 73090 |
|
681 |
497 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,263 |
1,487 |
$3K |
| 11720 |
|
646 |
520 |
$3K |
| 72141 |
|
62 |
51 |
$3K |
| 99183 |
|
122 |
13 |
$2K |
| 99241 |
|
61 |
55 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
162 |
88 |
$2K |
| 99401 |
|
207 |
178 |
$2K |
| 99243 |
|
31 |
29 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
35 |
27 |
$2K |
| 81003 |
|
1,633 |
1,212 |
$2K |
| 73070 |
|
390 |
282 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
74 |
66 |
$2K |
| 99242 |
|
26 |
26 |
$2K |
| 74178 |
|
44 |
28 |
$2K |
| 99173 |
|
433 |
421 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
88 |
83 |
$2K |
| 76536 |
|
111 |
95 |
$1K |
| 93308 |
|
106 |
92 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
50 |
24 |
$1K |
| 99226 |
|
24 |
14 |
$1K |
| 73060 |
|
271 |
193 |
$1K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
45 |
38 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
32 |
28 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
14 |
$915.03 |
| 93016 |
|
87 |
69 |
$822.23 |
| 3008F |
|
82,695 |
70,755 |
$810.16 |
| 85004 |
|
413 |
259 |
$769.89 |
| 77062 |
|
58 |
41 |
$762.39 |
| 81025 |
|
155 |
111 |
$747.14 |
| 94726 |
|
139 |
121 |
$737.15 |
| 93018 |
|
83 |
69 |
$667.31 |
| 93971 |
|
48 |
42 |
$639.64 |
| 52000 |
|
19 |
12 |
$609.43 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 |
125 |
98 |
$608.32 |
| 93321 |
|
130 |
114 |
$594.70 |
| 93976 |
|
16 |
14 |
$589.20 |
| 71271 |
|
30 |
24 |
$514.89 |
| 93307 |
|
22 |
19 |
$508.20 |
| 72190 |
|
73 |
65 |
$506.59 |
| 73502 |
|
78 |
64 |
$444.33 |
| 73700 |
|
16 |
12 |
$423.99 |
| 99406 |
|
73 |
66 |
$408.81 |
| 3079F |
|
22,780 |
20,208 |
$400.04 |
| 77065 |
Tomosynthesis, mammo |
16 |
14 |
$374.40 |
| 94729 |
|
78 |
72 |
$328.82 |
| 3074F |
|
41,774 |
37,027 |
$260.06 |
| 87430 |
|
28 |
17 |
$260.01 |
| 51702 |
|
13 |
12 |
$247.92 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
46 |
25 |
$239.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
28 |
$234.40 |
| 99307 |
|
44 |
30 |
$219.16 |
| 99153 |
Mod sedat endo service >5yrs |
87 |
49 |
$210.43 |
| 90686 |
|
12 |
12 |
$200.85 |
| 99417 |
Prolong home eval add 15m |
19 |
12 |
$200.00 |
| 85014 |
|
100 |
58 |
$197.53 |
| 72100 |
|
30 |
26 |
$194.62 |
| 93970 |
|
15 |
12 |
$190.65 |
| 3078F |
|
35,526 |
31,613 |
$180.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$154.04 |
| 93325 |
|
13 |
12 |
$152.78 |
| 3075F |
|
6,392 |
5,736 |
$150.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
20 |
15 |
$145.00 |
| 77080 |
|
92 |
78 |
$142.73 |
| 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) |
13 |
12 |
$122.78 |
| 77001 |
|
16 |
12 |
$105.63 |
| 3077F |
|
13,470 |
11,896 |
$90.02 |
| 0500F |
|
181 |
166 |
$80.00 |
| 93922 |
|
24 |
17 |
$76.73 |
| 11719 |
|
80 |
72 |
$76.37 |
| 73080 |
|
14 |
12 |
$72.24 |
| G0127 |
Trimming of dystrophic nails, any number |
15 |
13 |
$27.78 |
| 82962 |
|
17 |
12 |
$19.90 |
| 0502F |
|
28,234 |
22,915 |
$10.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
16 |
13 |
$3.86 |
| 1159F |
|
73,752 |
60,978 |
$0.16 |
| 1160F |
|
51,471 |
42,818 |
$0.12 |
| 1036F |
|
43,458 |
37,050 |
$0.08 |
| 1034F |
|
13,751 |
11,854 |
$0.06 |
| 1126F |
|
8,264 |
7,013 |
$0.02 |
| 1170F |
|
4,249 |
3,589 |
$0.02 |
| 3044F |
|
12,461 |
10,635 |
$0.02 |
| 1124F |
|
8,815 |
7,436 |
$0.02 |
| 4010F |
|
3,837 |
3,343 |
$0.00 |
| 1111F |
|
4,657 |
3,888 |
$0.00 |
| 1101F |
|
4,662 |
3,901 |
$0.00 |
| 3061F |
|
476 |
417 |
$0.00 |
| 1125F |
|
390 |
342 |
$0.00 |
| 0503F |
|
822 |
780 |
$0.00 |
| 3080F |
|
3,602 |
3,203 |
$0.00 |
| 0501F |
|
905 |
821 |
$0.00 |
| 99000 |
|
191 |
116 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
75 |
64 |
$0.00 |
| 3046F |
|
80 |
64 |
$0.00 |