| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70,771 |
68,251 |
$4.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87,393 |
83,571 |
$4.42M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15,040 |
14,279 |
$1.65M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
12,510 |
11,342 |
$1.16M |
| 93325 |
|
20,072 |
17,162 |
$1.11M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,424 |
11,694 |
$1.09M |
| 99215 |
Prolong outpt/office vis |
11,092 |
10,583 |
$1.07M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,737 |
10,492 |
$1.01M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,438 |
10,178 |
$963K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
3,153 |
725 |
$932K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14,457 |
14,076 |
$909K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
35,104 |
29,552 |
$668K |
| 71045 |
Radiologic examination, chest; single view |
36,634 |
18,468 |
$638K |
| 93320 |
|
13,511 |
11,945 |
$587K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
5,733 |
1,511 |
$578K |
| 99233 |
Prolong inpt eval add15 m |
7,182 |
3,045 |
$552K |
| 71046 |
Radiologic examination, chest; 2 views |
18,849 |
18,139 |
$391K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,045 |
1,993 |
$371K |
| 74018 |
|
23,024 |
16,905 |
$321K |
| 76770 |
|
7,471 |
7,311 |
$314K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,094 |
3,059 |
$297K |
| 99205 |
Prolong outpt/office vis |
2,296 |
2,236 |
$285K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,319 |
2,729 |
$273K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,302 |
2,063 |
$259K |
| V2020 |
Frames, purchases |
4,548 |
4,442 |
$207K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
745 |
723 |
$201K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
548 |
146 |
$190K |
| 90686 |
|
13,088 |
12,926 |
$185K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,739 |
4,615 |
$172K |
| 92015 |
Determination of refractive state |
12,492 |
12,024 |
$159K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,462 |
1,438 |
$150K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,293 |
363 |
$136K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
909 |
330 |
$135K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,144 |
3,963 |
$124K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,010 |
977 |
$122K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,210 |
1,183 |
$121K |
| 95251 |
|
3,165 |
3,080 |
$121K |
| 93227 |
|
1,975 |
1,886 |
$116K |
| 90670 |
|
7,214 |
7,107 |
$111K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,164 |
4,062 |
$96K |
| 99460 |
|
757 |
737 |
$85K |
| 92060 |
|
2,323 |
2,228 |
$84K |
| 99310 |
Prolong nursin fac eval 15m |
1,134 |
749 |
$82K |
| 90648 |
|
5,547 |
5,464 |
$82K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
568 |
564 |
$81K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,722 |
1,683 |
$77K |
| 94375 |
|
2,791 |
2,696 |
$63K |
| 74019 |
|
3,528 |
3,408 |
$62K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,450 |
6,268 |
$60K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,910 |
1,899 |
$60K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
611 |
607 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,103 |
2,057 |
$55K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
753 |
720 |
$54K |
| 90723 |
|
3,381 |
3,329 |
$49K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
679 |
651 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
797 |
771 |
$48K |
| 93304 |
|
971 |
812 |
$48K |
| 95782 |
|
501 |
495 |
$44K |
| 93321 |
|
2,620 |
2,162 |
$41K |
| 99457 |
|
1,162 |
1,132 |
$39K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
117 |
114 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,428 |
2,377 |
$37K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
591 |
586 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
842 |
791 |
$34K |
| 73590 |
|
2,957 |
2,581 |
$30K |
| 99222 |
Initial hospital care, per day, moderate complexity |
302 |
288 |
$29K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
211 |
197 |
$27K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
402 |
315 |
$26K |
| 90680 |
|
1,764 |
1,724 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
227 |
226 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
483 |
474 |
$18K |
| 85018 |
|
6,353 |
6,229 |
$16K |
| 73552 |
|
1,050 |
903 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
128 |
118 |
$16K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
455 |
452 |
$16K |
| 94680 |
|
166 |
161 |
$15K |
| 0071A |
|
401 |
401 |
$15K |
| 17110 |
|
334 |
319 |
$15K |
| 92551 |
|
1,000 |
978 |
$14K |
| 43762 |
|
114 |
112 |
$14K |
| 73090 |
|
1,491 |
1,355 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
253 |
249 |
$14K |
| 95720 |
|
86 |
46 |
$14K |
| 92002 |
|
391 |
379 |
$13K |
| 0072A |
|
332 |
332 |
$13K |
| 90633 |
|
828 |
819 |
$12K |
| 95812 |
|
192 |
187 |
$12K |
| 95819 |
|
408 |
401 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,362 |
2,313 |
$10K |
| 73521 |
|
529 |
510 |
$10K |
| 0002A |
|
253 |
253 |
$10K |
| 99462 |
|
169 |
151 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
633 |
614 |
$9K |
| 94060 |
|
330 |
323 |
$9K |
| 76377 |
|
211 |
171 |
$9K |
| 95012 |
|
1,054 |
1,035 |
$9K |
| 25600 |
|
60 |
54 |
$8K |
| 72082 |
|
528 |
509 |
$8K |
| J7354 |
Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) |
12 |
12 |
$8K |
| 95813 |
|
109 |
105 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
192 |
185 |
$8K |
| 93308 |
|
174 |
130 |
$8K |
| 0111A |
|
204 |
204 |
$8K |
| 0001A |
|
195 |
193 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
254 |
161 |
$7K |
| 73610 |
|
562 |
523 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
418 |
409 |
$7K |
| 73630 |
|
475 |
430 |
$6K |
| 90651 |
|
412 |
407 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
212 |
178 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
104 |
100 |
$5K |
| 93975 |
|
54 |
51 |
$5K |
| 96112 |
|
62 |
59 |
$5K |
| 99243 |
|
82 |
75 |
$5K |
| 0054A |
|
111 |
111 |
$4K |
| 76506 |
|
118 |
93 |
$4K |
| V2756 |
Eye glass case |
3,382 |
3,312 |
$4K |
| 51798 |
|
529 |
506 |
$4K |
| 92201 |
|
119 |
81 |
$4K |
| 96450 |
|
157 |
143 |
$4K |
| 94621 |
|
84 |
71 |
$4K |
| 0112A |
|
97 |
97 |
$4K |
| 73100 |
|
403 |
374 |
$3K |
| 0074A |
|
93 |
93 |
$3K |
| 99221 |
|
65 |
63 |
$3K |
| 0124A |
|
82 |
82 |
$3K |
| 99217 |
|
52 |
52 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
285 |
282 |
$3K |
| 96127 |
|
53 |
53 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
59 |
57 |
$2K |
| 99454 |
|
46 |
45 |
$2K |
| 99417 |
Prolong home eval add 15m |
453 |
304 |
$2K |
| 74230 |
|
96 |
96 |
$2K |
| 99356 |
|
44 |
40 |
$2K |
| 99418 |
Prolong nursin fac eval 15m |
88 |
70 |
$2K |
| 77072 |
|
191 |
187 |
$2K |
| 90734 |
|
124 |
123 |
$2K |
| 43760 |
|
101 |
98 |
$2K |
| 73140 |
|
193 |
180 |
$2K |
| 0004A |
|
48 |
48 |
$2K |
| 42830 |
|
13 |
13 |
$2K |
| 92133 |
|
81 |
77 |
$2K |
| 73070 |
|
207 |
193 |
$2K |
| 90681 |
|
99 |
99 |
$1K |
| 31231 |
|
70 |
67 |
$1K |
| 95816 |
|
55 |
55 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
49 |
49 |
$1K |
| 29450 |
|
60 |
27 |
$1K |
| 80061 |
Lipid panel |
82 |
82 |
$1K |
| 73562 |
|
80 |
78 |
$1K |
| 99173 |
|
502 |
494 |
$1K |
| 72081 |
|
79 |
76 |
$1K |
| 90715 |
|
64 |
64 |
$987.51 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
20 |
20 |
$914.49 |
| 99242 |
|
13 |
13 |
$772.92 |
| 93888 |
|
21 |
13 |
$764.59 |
| 92552 |
|
59 |
55 |
$764.38 |
| 99188 |
|
35 |
34 |
$698.03 |
| 90710 |
|
52 |
52 |
$652.36 |
| 90696 |
|
52 |
52 |
$652.36 |
| 0154A |
|
18 |
18 |
$602.51 |
| 72170 |
|
75 |
74 |
$598.31 |
| 0052A |
|
15 |
15 |
$570.73 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
15 |
15 |
$561.60 |
| 99091 |
|
28 |
28 |
$558.00 |
| 76536 |
|
14 |
14 |
$492.23 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
12 |
12 |
$467.08 |
| 29065 |
|
12 |
12 |
$392.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$367.43 |
| 93018 |
|
13 |
12 |
$334.08 |
| 94150 |
|
258 |
252 |
$318.76 |
| 90620 |
|
17 |
17 |
$317.87 |
| 90656 |
|
23 |
23 |
$267.55 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$246.16 |
| 94728 |
|
28 |
25 |
$244.29 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
57 |
53 |
$225.18 |
| 92025 |
|
28 |
24 |
$224.60 |
| 73130 |
|
13 |
12 |
$210.05 |
| 81025 |
|
29 |
28 |
$206.38 |
| 77001 |
|
14 |
13 |
$206.16 |
| 76937 |
|
13 |
12 |
$167.29 |
| 90685 |
|
14 |
14 |
$141.93 |
| 73080 |
|
12 |
12 |
$140.30 |
| 99000 |
|
1,568 |
1,535 |
$128.70 |
| 81003 |
|
55 |
51 |
$80.43 |
| 36416 |
|
4,149 |
4,079 |
$44.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
43 |
$38.78 |
| 90691 |
|
12 |
12 |
$0.12 |
| 90378 |
|
52 |
52 |
$0.10 |
| 91312 |
|
34 |
30 |
$0.00 |
| 91300 |
|
98 |
98 |
$0.00 |
| 91311 |
|
103 |
101 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
63 |
$0.00 |
| 91307 |
|
373 |
351 |
$0.00 |
| 91305 |
|
78 |
75 |
$0.00 |
| 90717 |
|
31 |
31 |
$0.00 |