| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
264,230 |
230,342 |
$18.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288,496 |
255,177 |
$14.98M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
25,052 |
4,713 |
$9.63M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
27,845 |
5,318 |
$9.56M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69,326 |
59,885 |
$9.15M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
97,146 |
86,216 |
$8.97M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
67,742 |
59,511 |
$8.68M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
133,800 |
122,639 |
$7.91M |
| 99215 |
Prolong outpt/office vis |
66,612 |
55,016 |
$6.25M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
94,439 |
37,273 |
$4.50M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48,035 |
42,316 |
$4.00M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50,163 |
43,280 |
$3.82M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
18,169 |
10,056 |
$3.63M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
34,619 |
29,063 |
$3.62M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54,281 |
43,884 |
$3.53M |
| 99233 |
Prolong inpt eval add15 m |
39,973 |
12,797 |
$3.04M |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
3,778 |
2,849 |
$3.04M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35,410 |
30,627 |
$2.70M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
34,617 |
29,227 |
$2.52M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
20,627 |
4,193 |
$2.31M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
26,012 |
23,048 |
$2.29M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
38,369 |
32,469 |
$1.91M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
6,088 |
5,387 |
$1.78M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
10,865 |
10,222 |
$1.67M |
| 99205 |
Prolong outpt/office vis |
10,430 |
9,044 |
$1.61M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26,005 |
22,599 |
$1.59M |
| 71045 |
Radiologic examination, chest; single view |
195,684 |
111,344 |
$1.47M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70,879 |
61,815 |
$1.44M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
23,033 |
19,591 |
$1.44M |
| 93325 |
|
48,431 |
39,105 |
$1.41M |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
9,244 |
8,381 |
$1.39M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
176,140 |
141,709 |
$1.38M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
31,054 |
22,692 |
$1.37M |
| 95720 |
|
6,948 |
3,828 |
$1.29M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29,989 |
24,100 |
$1.20M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13,187 |
11,255 |
$1.13M |
| 99460 |
|
15,006 |
12,408 |
$1.12M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
5,289 |
4,780 |
$1.09M |
| 93320 |
|
32,106 |
26,523 |
$1.05M |
| 70450 |
Computed tomography, head or brain; without contrast material |
34,151 |
29,087 |
$996K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12,762 |
11,374 |
$960K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,918 |
7,275 |
$947K |
| 01922 |
|
3,808 |
3,426 |
$882K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
11,676 |
10,454 |
$837K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
6,397 |
1,591 |
$757K |
| 92015 |
Determination of refractive state |
33,148 |
29,312 |
$739K |
| 74018 |
|
85,307 |
54,471 |
$695K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
6,426 |
5,564 |
$645K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,989 |
7,215 |
$633K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
7,328 |
5,723 |
$628K |
| 88307 |
|
7,435 |
6,499 |
$626K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
8,655 |
3,232 |
$577K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,090 |
4,024 |
$567K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
3,579 |
3,413 |
$551K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54,579 |
46,558 |
$536K |
| 95951 |
|
2,446 |
1,039 |
$519K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
2,158 |
1,463 |
$510K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,909 |
15,762 |
$503K |
| 71046 |
Radiologic examination, chest; 2 views |
52,335 |
46,766 |
$481K |
| 99223 |
Prolong inpt eval add15 m |
3,889 |
3,150 |
$456K |
| 92060 |
|
9,823 |
8,612 |
$449K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,240 |
2,998 |
$403K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,180 |
1,904 |
$389K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13,081 |
11,321 |
$351K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
4,765 |
4,091 |
$337K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24,846 |
21,231 |
$336K |
| 95816 |
|
4,225 |
3,812 |
$330K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,449 |
2,890 |
$327K |
| 93304 |
|
3,386 |
2,921 |
$309K |
| 76820 |
|
10,583 |
7,722 |
$299K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
7,788 |
6,469 |
$285K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22,258 |
20,111 |
$278K |
| 49452 |
|
643 |
561 |
$278K |
| 95718 |
|
3,040 |
2,293 |
$272K |
| 14040 |
|
588 |
486 |
$270K |
| 95782 |
|
2,068 |
1,939 |
$270K |
| 93000 |
|
14,203 |
11,754 |
$265K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
180 |
154 |
$262K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
919 |
451 |
$259K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
8,023 |
4,172 |
$258K |
| 90791 |
Psychiatric diagnostic evaluation |
1,499 |
1,243 |
$227K |
| 76830 |
Ultrasound, transvaginal |
4,431 |
3,791 |
$225K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
5,375 |
4,547 |
$217K |
| 62370 |
|
3,092 |
2,670 |
$215K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,287 |
3,861 |
$215K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,471 |
2,111 |
$213K |
| 76770 |
|
6,278 |
5,606 |
$210K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,006 |
2,358 |
$205K |
| 59025 |
Fetal non-stress test |
6,521 |
4,524 |
$168K |
| 00731 |
|
2,215 |
1,936 |
$166K |
| 99468 |
|
228 |
149 |
$165K |
| 76506 |
|
5,175 |
4,101 |
$162K |
| 93975 |
|
2,206 |
1,657 |
$158K |
| 99245 |
|
822 |
787 |
$158K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,708 |
4,123 |
$155K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
3,129 |
2,783 |
$152K |
| 43762 |
|
1,300 |
1,133 |
$152K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,900 |
3,724 |
$152K |
| 88342 |
|
3,876 |
3,311 |
$147K |
| 41010 |
|
1,612 |
1,104 |
$145K |
| 96112 |
|
1,127 |
904 |
$139K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,411 |
3,031 |
$139K |
| 96130 |
|
1,709 |
1,433 |
$136K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,208 |
5,579 |
$136K |
| 99243 |
|
1,101 |
962 |
$130K |
| 31622 |
|
1,290 |
865 |
$126K |
| 88141 |
|
5,631 |
5,166 |
$122K |
| 99464 |
|
1,715 |
1,510 |
$119K |
| 64642 |
|
1,180 |
980 |
$118K |
| 95251 |
|
3,760 |
3,240 |
$115K |
| 93321 |
|
6,623 |
5,605 |
$115K |
| 92551 |
|
13,025 |
10,351 |
$112K |
| 99220 |
|
697 |
650 |
$110K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,497 |
2,206 |
$108K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,267 |
4,098 |
$107K |
| 95819 |
|
1,114 |
995 |
$102K |
| 64643 |
|
1,034 |
793 |
$102K |
| 72082 |
|
5,509 |
4,874 |
$98K |
| 0001A |
|
3,092 |
2,465 |
$95K |
| 00920 |
|
688 |
643 |
$93K |
| 0002A |
|
2,965 |
2,425 |
$93K |
| 74019 |
|
6,575 |
5,512 |
$93K |
| 54161 |
|
676 |
533 |
$91K |
| 94010 |
|
9,233 |
8,134 |
$91K |
| 92201 |
|
3,763 |
2,472 |
$90K |
| 76825 |
|
942 |
721 |
$89K |
| 96131 |
|
1,033 |
886 |
$89K |
| 93970 |
|
4,031 |
2,517 |
$87K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,603 |
1,276 |
$86K |
| 01961 |
|
224 |
197 |
$85K |
| 72132 |
|
2,112 |
1,740 |
$83K |
| 72129 |
|
2,100 |
1,728 |
$83K |
| 96133 |
|
330 |
279 |
$83K |
| 92567 |
|
5,274 |
4,537 |
$78K |
| 54150 |
|
539 |
424 |
$73K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
995 |
903 |
$72K |
| 99417 |
Prolong home eval add 15m |
1,863 |
1,471 |
$71K |
| 96137 |
|
1,306 |
1,113 |
$70K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
127 |
74 |
$70K |
| 72141 |
|
941 |
858 |
$69K |
| 99173 |
|
14,975 |
12,595 |
$68K |
| 99462 |
|
1,996 |
1,472 |
$65K |
| 96127 |
|
12,792 |
10,611 |
$61K |
| 99177 |
|
9,974 |
8,168 |
$60K |
| 99217 |
|
912 |
824 |
$60K |
| 95813 |
|
995 |
808 |
$60K |
| 73630 |
|
6,185 |
4,685 |
$58K |
| 92579 |
|
1,578 |
1,326 |
$56K |
| 72170 |
|
6,023 |
5,324 |
$56K |
| 99381 |
|
869 |
664 |
$55K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
888 |
814 |
$52K |
| 73610 |
|
5,124 |
4,181 |
$51K |
| 74230 |
|
1,929 |
1,723 |
$50K |
| 88304 |
|
3,512 |
3,154 |
$49K |
| 96136 |
|
1,480 |
1,250 |
$48K |
| 85390 |
|
5,488 |
4,762 |
$47K |
| D7140 |
Extraction, erupted tooth or exposed root |
843 |
207 |
$46K |
| 00126 |
|
533 |
470 |
$45K |
| 70498 |
|
817 |
709 |
$45K |
| 88112 |
|
2,044 |
1,730 |
$42K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,138 |
1,107 |
$38K |
| D1120 |
Prophylaxis - child |
1,243 |
1,204 |
$38K |
| 72146 |
|
515 |
472 |
$37K |
| 73590 |
|
4,742 |
3,624 |
$37K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
905 |
779 |
$36K |
| 76775 |
|
1,169 |
1,089 |
$36K |
| 00635 |
|
224 |
184 |
$36K |
| 90474 |
|
5,141 |
4,375 |
$35K |
| 92228 |
|
2,093 |
1,534 |
$35K |
| 77072 |
|
3,208 |
2,914 |
$35K |
| 93272 |
|
1,209 |
977 |
$35K |
| 59510 |
|
22 |
14 |
$34K |
| 73090 |
|
3,279 |
2,727 |
$33K |
| 99358 |
Prolong nursin fac eval 15m |
714 |
548 |
$32K |
| 95076 |
|
598 |
310 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
544 |
489 |
$31K |
| 76827 |
|
912 |
709 |
$31K |
| 93294 |
|
1,520 |
1,353 |
$30K |
| 99471 |
|
38 |
32 |
$30K |
| 92226 |
|
547 |
238 |
$29K |
| 96132 |
|
315 |
263 |
$28K |
| 90686 |
|
29,106 |
24,589 |
$28K |
| 93356 |
|
1,098 |
933 |
$27K |
| 59430 |
|
285 |
241 |
$26K |
| 93295 |
|
1,183 |
1,042 |
$26K |
| 96116 |
|
384 |
319 |
$26K |
| 96161 |
|
10,818 |
8,670 |
$26K |
| 31624 |
|
128 |
119 |
$26K |
| 70496 |
|
432 |
363 |
$24K |
| 76885 |
|
616 |
526 |
$24K |
| 96167 |
|
857 |
575 |
$23K |
| 90870 |
|
363 |
195 |
$22K |
| 42830 |
|
163 |
140 |
$22K |
| 71250 |
|
686 |
611 |
$20K |
| 81025 |
|
3,523 |
2,799 |
$20K |
| 76942 |
|
673 |
554 |
$20K |
| 73552 |
|
3,045 |
2,236 |
$20K |
| 47000 |
|
113 |
94 |
$20K |
| 73560 |
|
2,731 |
2,027 |
$20K |
| 99384 |
|
228 |
212 |
$20K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
240 |
212 |
$19K |
| 93227 |
|
717 |
596 |
$19K |
| 99221 |
|
326 |
264 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
769 |
699 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
663 |
614 |
$18K |
| 92002 |
|
419 |
255 |
$16K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
391 |
277 |
$16K |
| 76801 |
|
204 |
189 |
$16K |
| 93567 |
|
195 |
144 |
$15K |
| 90832 |
Psychotherapy, 30 minutes with patient |
707 |
217 |
$15K |
| 96121 |
|
258 |
219 |
$14K |
| 99219 |
|
128 |
107 |
$14K |
| 84165 |
|
3,156 |
2,832 |
$14K |
| 99310 |
Prolong nursin fac eval 15m |
440 |
303 |
$14K |
| 93308 |
|
472 |
345 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
571 |
546 |
$13K |
| 92133 |
|
748 |
653 |
$13K |
| 90670 |
|
16,473 |
13,860 |
$12K |
| 88108 |
|
800 |
623 |
$12K |
| 90677 |
|
3,085 |
2,186 |
$12K |
| 88341 |
|
197 |
151 |
$12K |
| 99476 |
|
58 |
24 |
$12K |
| 73562 |
|
1,354 |
914 |
$12K |
| 92083 |
|
589 |
543 |
$11K |
| 92587 |
|
376 |
316 |
$11K |
| 70486 |
|
260 |
224 |
$11K |
| 54300 |
|
12 |
12 |
$11K |
| 77073 |
|
724 |
626 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
508 |
462 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
536 |
416 |
$10K |
| 96156 |
|
324 |
230 |
$10K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
96 |
35 |
$10K |
| 76857 |
|
414 |
267 |
$10K |
| 73110 |
|
735 |
611 |
$10K |
| 0071A |
|
262 |
242 |
$10K |
| D1206 |
Topical application of fluoride varnish |
477 |
469 |
$10K |
| 90715 |
|
326 |
283 |
$10K |
| 99385 |
|
82 |
71 |
$9K |
| 99100 |
|
353 |
267 |
$9K |
| 70480 |
|
159 |
141 |
$9K |
| 85018 |
|
4,262 |
3,573 |
$9K |
| 88300 |
|
1,098 |
1,071 |
$9K |
| 0054A |
|
352 |
340 |
$9K |
| D0272 |
Bitewings - two radiographic images |
604 |
567 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
116 |
89 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,150 |
482 |
$9K |
| 96118 |
|
44 |
36 |
$8K |
| 99255 |
|
50 |
49 |
$8K |
| 72081 |
|
569 |
513 |
$8K |
| 73140 |
|
601 |
521 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,780 |
3,158 |
$8K |
| 99383 |
|
94 |
81 |
$8K |
| 31575 |
|
211 |
172 |
$8K |
| 92511 |
|
104 |
82 |
$8K |
| 31536 |
|
44 |
38 |
$8K |
| 73130 |
|
963 |
785 |
$8K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
506 |
395 |
$8K |
| 0072A |
|
195 |
189 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
574 |
483 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
253 |
104 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
648 |
606 |
$7K |
| 73030 |
|
1,289 |
1,010 |
$7K |
| 92250 |
|
284 |
238 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
461 |
169 |
$7K |
| 00140 |
|
25 |
25 |
$7K |
| 97165 |
|
92 |
68 |
$7K |
| 92555 |
|
362 |
299 |
$6K |
| 99242 |
|
84 |
79 |
$6K |
| 90480 |
|
436 |
311 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
410 |
324 |
$6K |
| 0503F |
|
1,669 |
1,406 |
$6K |
| 90651 |
|
1,936 |
1,708 |
$6K |
| 90461 |
|
13,945 |
11,079 |
$6K |
| 90656 |
|
3,772 |
2,568 |
$6K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
40 |
37 |
$6K |
| 40806 |
|
509 |
255 |
$5K |
| 73080 |
|
475 |
413 |
$5K |
| 69210 |
|
199 |
138 |
$5K |
| 76536 |
|
181 |
153 |
$5K |
| 77080 |
|
905 |
762 |
$5K |
| 73100 |
|
497 |
429 |
$5K |
| 88313 |
|
334 |
292 |
$5K |
| 73502 |
|
871 |
745 |
$5K |
| 90723 |
|
10,409 |
8,667 |
$5K |
| 90680 |
|
10,590 |
8,641 |
$5K |
| 17110 |
|
69 |
68 |
$5K |
| 96119 |
|
31 |
26 |
$5K |
| 96380 |
|
284 |
167 |
$5K |
| 96101 |
|
60 |
50 |
$5K |
| 95873 |
|
218 |
191 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
272 |
199 |
$5K |
| 17250 |
|
164 |
137 |
$5K |
| 94729 |
|
1,110 |
981 |
$5K |
| 73070 |
|
455 |
397 |
$4K |
| 51600 |
|
25 |
24 |
$4K |
| 01920 |
|
15 |
15 |
$4K |
| 00813 |
|
27 |
27 |
$4K |
| 90716 |
|
4,133 |
3,638 |
$4K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
67 |
64 |
$4K |
| 93971 |
|
337 |
288 |
$4K |
| 88188 |
|
116 |
96 |
$4K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
38 |
13 |
$4K |
| 0052A |
|
113 |
111 |
$4K |
| 64615 |
|
64 |
55 |
$4K |
| 96040 |
|
88 |
77 |
$4K |
| 86077 |
|
153 |
137 |
$4K |
| 99218 |
|
40 |
38 |
$4K |
| 88312 |
|
142 |
113 |
$4K |
| 92225 |
|
96 |
52 |
$3K |
| 99477 |
|
17 |
12 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
85 |
25 |
$3K |
| 72157 |
|
31 |
24 |
$3K |
| 0081A |
|
99 |
73 |
$3K |
| 90839 |
|
65 |
55 |
$3K |
| 92134 |
|
427 |
335 |
$3K |
| 93568 |
|
34 |
26 |
$3K |
| 90961 |
|
49 |
46 |
$3K |
| 76642 |
|
123 |
76 |
$3K |
| 0004A |
|
95 |
82 |
$3K |
| 81002 |
|
1,342 |
1,022 |
$3K |
| 0124A |
|
143 |
135 |
$3K |
| 83020 |
|
233 |
189 |
$3K |
| 88302 |
|
261 |
229 |
$3K |
| 94726 |
|
438 |
387 |
$3K |
| D1110 |
Prophylaxis - adult |
65 |
63 |
$3K |
| 88173 |
|
69 |
62 |
$3K |
| 99465 |
|
26 |
15 |
$3K |
| 93298 |
|
88 |
85 |
$3K |
| 76140 |
|
174 |
144 |
$3K |
| 76813 |
|
50 |
38 |
$2K |
| 0154A |
|
79 |
71 |
$2K |
| 99418 |
Prolong nursin fac eval 15m |
34 |
12 |
$2K |
| 96450 |
|
20 |
16 |
$2K |
| 80305 |
|
203 |
120 |
$2K |
| 90707 |
|
4,240 |
3,714 |
$2K |
| 0051A |
|
67 |
64 |
$2K |
| 95953 |
|
18 |
14 |
$2K |
| 74240 |
|
56 |
50 |
$2K |
| 00811 |
|
47 |
36 |
$2K |
| 92552 |
|
85 |
68 |
$2K |
| 90380 |
|
76 |
49 |
$2K |
| 95939 |
|
53 |
24 |
$2K |
| 99140 |
|
52 |
44 |
$2K |
| 0053A |
|
106 |
99 |
$2K |
| 74174 |
|
32 |
25 |
$2K |
| 51784 |
|
41 |
37 |
$2K |
| 52287 |
|
38 |
27 |
$2K |
| 70491 |
|
37 |
36 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
44 |
38 |
$2K |
| T2023 |
Targeted case management; per month |
122 |
93 |
$2K |
| V5363 |
Language screening |
82 |
65 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
62 |
$2K |
| 99152 |
|
278 |
194 |
$2K |
| 92227 |
|
394 |
375 |
$2K |
| 72156 |
|
12 |
12 |
$1K |
| 51726 |
|
25 |
24 |
$1K |
| 91200 |
|
180 |
136 |
$1K |
| 31526 |
|
15 |
14 |
$1K |
| 90734 |
|
627 |
507 |
$1K |
| 90648 |
|
15,057 |
12,618 |
$1K |
| 96111 |
|
14 |
12 |
$1K |
| 95991 |
|
53 |
45 |
$1K |
| 90633 |
|
5,676 |
4,843 |
$1K |
| 88720 |
|
518 |
443 |
$1K |
| 95937 |
|
101 |
54 |
$1K |
| 95938 |
|
76 |
39 |
$1K |
| 95117 |
|
88 |
52 |
$1K |
| 91122 |
|
13 |
12 |
$1K |
| 99349 |
|
38 |
26 |
$1K |
| 99224 |
|
39 |
37 |
$1K |
| 72100 |
|
188 |
158 |
$1K |
| 99252 |
|
17 |
16 |
$1K |
| 76981 |
|
45 |
36 |
$1K |
| 36620 |
|
19 |
13 |
$1K |
| 90698 |
|
679 |
447 |
$1K |
| J3490 |
Unclassified drugs |
1,380 |
1,187 |
$1K |
| 93016 |
|
125 |
109 |
$1K |
| 99451 |
|
24 |
24 |
$1K |
| 31231 |
|
12 |
12 |
$1K |
| 96158 |
|
72 |
53 |
$981.28 |
| D1351 |
Sealant - per tooth |
41 |
13 |
$969.83 |
| 75565 |
|
101 |
90 |
$908.84 |
| 80061 |
Lipid panel |
78 |
54 |
$906.78 |
| 97161 |
|
33 |
15 |
$892.94 |
| 76882 |
|
39 |
25 |
$887.85 |
| 73564 |
|
37 |
16 |
$877.42 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
12 |
12 |
$858.92 |
| 93225 |
|
30 |
26 |
$854.87 |
| 99442 |
|
21 |
13 |
$842.46 |
| 73060 |
|
155 |
118 |
$801.96 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
82 |
72 |
$799.13 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
12 |
$750.60 |
| 95885 |
|
43 |
39 |
$741.64 |
| 72040 |
|
108 |
93 |
$738.74 |
| 93018 |
|
129 |
109 |
$736.82 |
| 99459 |
|
42 |
29 |
$721.28 |
| 77066 |
Tomosynthesis, mammo |
25 |
13 |
$698.41 |
| J9035 |
Injection, bevacizumab, 10 mg |
144 |
105 |
$698.08 |
| 99251 |
|
16 |
13 |
$692.51 |
| 96113 |
|
32 |
28 |
$652.87 |
| 90937 |
|
43 |
28 |
$650.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
228 |
182 |
$631.16 |
| 36416 |
|
485 |
432 |
$616.70 |
| 73700 |
|
21 |
12 |
$616.32 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$615.72 |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
30 |
12 |
$595.15 |
| 90688 |
|
3,196 |
2,767 |
$585.21 |
| 87210 |
|
266 |
216 |
$551.73 |
| G0453 |
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) |
63 |
28 |
$543.21 |
| 76376 |
|
17 |
17 |
$541.34 |
| 84166 |
|
86 |
79 |
$539.89 |
| 90710 |
|
14 |
12 |
$500.00 |
| D9420 |
|
620 |
565 |
$496.34 |
| 94664 |
|
50 |
49 |
$491.04 |
| 0173A |
|
15 |
15 |
$490.83 |
| 76604 |
|
15 |
12 |
$453.61 |
| 88346 |
|
31 |
26 |
$424.06 |
| 88311 |
|
47 |
43 |
$416.76 |
| 77076 |
|
16 |
12 |
$414.48 |
| 11721 |
|
470 |
238 |
$408.04 |
| 74430 |
|
25 |
24 |
$390.85 |
| 0083A |
|
13 |
12 |
$359.60 |
| V5362 |
Speech screening |
22 |
20 |
$352.95 |
| 99318 |
|
14 |
13 |
$349.34 |
| 90696 |
|
340 |
309 |
$338.04 |
| 99441 |
|
15 |
13 |
$320.83 |
| 96152 |
|
19 |
12 |
$318.67 |
| 88321 |
|
13 |
12 |
$258.56 |
| G9678 |
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement |
53 |
53 |
$232.00 |
| 93922 |
|
37 |
25 |
$228.08 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$210.12 |
| 70250 |
|
15 |
15 |
$184.86 |
| 76937 |
|
28 |
24 |
$184.26 |
| 76776 |
|
20 |
14 |
$184.19 |
| 70355 |
|
22 |
18 |
$174.67 |
| 94618 |
|
15 |
12 |
$159.11 |
| 51798 |
|
73 |
58 |
$156.68 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
31 |
24 |
$156.39 |
| 96138 |
|
14 |
13 |
$155.54 |
| 96168 |
|
14 |
12 |
$148.61 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
76 |
65 |
$145.62 |
| 90744 |
|
419 |
268 |
$142.80 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
44 |
29 |
$116.82 |
| 72070 |
|
21 |
18 |
$105.39 |
| 96154 |
|
17 |
12 |
$102.58 |
| 90674 |
|
1,675 |
1,560 |
$84.83 |
| 90700 |
|
579 |
472 |
$65.67 |
| 11720 |
|
88 |
38 |
$54.07 |
| 92025 |
|
27 |
26 |
$53.68 |
| 90785 |
|
13 |
12 |
$50.40 |
| 0500F |
|
1,101 |
1,056 |
$50.01 |
| 90661 |
|
525 |
307 |
$47.26 |
| 81005 |
|
33 |
30 |
$42.11 |
| 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 |
13 |
$20.34 |
| 3074F |
|
1,546 |
1,309 |
$20.00 |
| 96160 |
|
295 |
277 |
$12.58 |
| D0350 |
|
12 |
12 |
$10.04 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
71 |
68 |
$6.84 |
| 99051 |
|
6,519 |
5,644 |
$6.50 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$3.72 |
| 90647 |
|
1,789 |
1,438 |
$0.00 |
| 0501F |
|
319 |
317 |
$0.00 |
| 90620 |
|
157 |
134 |
$0.00 |
| 3079F |
|
130 |
110 |
$0.00 |
| 90381 |
|
168 |
98 |
$0.00 |
| 99000 |
|
37 |
37 |
$0.00 |
| 3044F |
|
33 |
28 |
$0.00 |
| 91319 |
|
46 |
28 |
$0.00 |
| 0502F |
|
87,279 |
67,912 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
841 |
787 |
$0.00 |
| 3078F |
|
1,403 |
1,202 |
$0.00 |
| 90685 |
|
1,528 |
1,356 |
$0.00 |
| 91300 |
|
775 |
466 |
$0.00 |
| 99195 |
|
25 |
24 |
$0.00 |
| 91320 |
|
21 |
12 |
$0.00 |