| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154,832 |
133,775 |
$11.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,600 |
88,018 |
$6.00M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
20,735 |
18,127 |
$1.65M |
| 99233 |
Prolong inpt eval add15 m |
25,216 |
10,352 |
$1.19M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16,226 |
14,586 |
$1.12M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,775 |
8,847 |
$1.09M |
| 59426 |
|
10,392 |
6,770 |
$965K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
2,746 |
1,273 |
$916K |
| 99223 |
Prolong inpt eval add15 m |
9,950 |
8,580 |
$904K |
| 59425 |
|
8,024 |
6,276 |
$652K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,672 |
6,775 |
$569K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15,652 |
13,798 |
$441K |
| 71046 |
Radiologic examination, chest; 2 views |
31,446 |
28,399 |
$440K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
11,564 |
6,561 |
$398K |
| 99215 |
Prolong outpt/office vis |
3,833 |
3,282 |
$314K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,919 |
3,683 |
$304K |
| 71045 |
Radiologic examination, chest; single view |
41,471 |
34,995 |
$268K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
2,189 |
1,624 |
$265K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,854 |
6,817 |
$245K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,230 |
3,651 |
$241K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
540 |
116 |
$238K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,792 |
3,522 |
$235K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,624 |
7,987 |
$232K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,999 |
1,800 |
$227K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
6,482 |
5,793 |
$214K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,138 |
3,660 |
$214K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,230 |
517 |
$213K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,044 |
2,634 |
$207K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,298 |
5,841 |
$197K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,231 |
1,139 |
$175K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,459 |
12,156 |
$166K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29,635 |
24,005 |
$163K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,694 |
5,181 |
$155K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,810 |
2,485 |
$153K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,096 |
1,896 |
$139K |
| 95886 |
|
1,106 |
944 |
$138K |
| 99460 |
|
1,917 |
1,695 |
$127K |
| 64615 |
|
1,000 |
777 |
$113K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,819 |
1,660 |
$110K |
| 74018 |
|
7,001 |
6,007 |
$95K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
615 |
547 |
$92K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,434 |
2,262 |
$92K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,446 |
1,299 |
$82K |
| 76830 |
Ultrasound, transvaginal |
1,574 |
1,414 |
$81K |
| 54150 |
|
532 |
454 |
$76K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,840 |
4,411 |
$75K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,880 |
1,670 |
$73K |
| 99462 |
|
1,906 |
1,468 |
$71K |
| 36415 |
Collection of venous blood by venipuncture |
11,218 |
9,657 |
$62K |
| 20610 |
|
1,673 |
1,373 |
$62K |
| 95117 |
|
6,090 |
4,397 |
$57K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,239 |
1,028 |
$51K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,553 |
1,365 |
$49K |
| 59025 |
Fetal non-stress test |
1,259 |
796 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,190 |
1,055 |
$43K |
| 99222 |
Initial hospital care, per day, moderate complexity |
873 |
744 |
$42K |
| 62323 |
|
589 |
536 |
$39K |
| 73630 |
|
2,952 |
2,529 |
$39K |
| 73610 |
|
2,394 |
2,054 |
$39K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
308 |
252 |
$36K |
| 99205 |
Prolong outpt/office vis |
640 |
570 |
$34K |
| 70498 |
|
485 |
417 |
$32K |
| 99307 |
|
7,481 |
6,684 |
$31K |
| 70496 |
|
396 |
331 |
$29K |
| 81003 |
|
15,103 |
11,592 |
$29K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
428 |
374 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
700 |
675 |
$28K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
336 |
306 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
740 |
634 |
$27K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
250 |
63 |
$25K |
| 90473 |
|
1,937 |
1,848 |
$25K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
74 |
36 |
$24K |
| 95819 |
|
125 |
86 |
$24K |
| 93000 |
|
2,721 |
2,471 |
$22K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
203 |
181 |
$22K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,355 |
2,884 |
$22K |
| 73030 |
|
1,681 |
1,436 |
$22K |
| 73110 |
|
1,017 |
874 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,384 |
763 |
$21K |
| 72100 |
|
1,084 |
1,002 |
$20K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
164 |
37 |
$20K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
140 |
129 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,046 |
2,893 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
420 |
280 |
$19K |
| 99152 |
|
812 |
678 |
$17K |
| 73562 |
|
1,122 |
915 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
188 |
100 |
$15K |
| 99220 |
|
354 |
332 |
$15K |
| 76536 |
|
218 |
204 |
$14K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
388 |
368 |
$14K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
356 |
324 |
$14K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
414 |
321 |
$14K |
| 90961 |
|
415 |
398 |
$14K |
| 73130 |
|
1,088 |
889 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,030 |
803 |
$13K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
54 |
26 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,084 |
987 |
$10K |
| 72141 |
|
88 |
83 |
$10K |
| 95251 |
|
385 |
318 |
$10K |
| 90962 |
|
171 |
171 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
146 |
45 |
$9K |
| 52000 |
|
59 |
50 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,280 |
1,092 |
$9K |
| 71250 |
|
233 |
209 |
$8K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
238 |
38 |
$8K |
| 99306 |
Prolong nursin fac eval 15m |
344 |
307 |
$8K |
| 92567 |
|
1,089 |
985 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
138 |
87 |
$8K |
| 97165 |
|
203 |
185 |
$7K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,784 |
1,578 |
$7K |
| 99464 |
|
144 |
114 |
$7K |
| 93016 |
|
605 |
563 |
$7K |
| 73502 |
|
463 |
396 |
$7K |
| 94729 |
|
309 |
277 |
$7K |
| 87807 |
|
530 |
467 |
$7K |
| 94060 |
|
570 |
513 |
$7K |
| 94010 |
|
298 |
283 |
$6K |
| 94726 |
|
281 |
251 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
130 |
113 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
660 |
493 |
$5K |
| 51798 |
|
1,163 |
1,011 |
$5K |
| 76770 |
|
90 |
77 |
$5K |
| 92557 |
|
276 |
245 |
$5K |
| 73564 |
|
440 |
307 |
$5K |
| 93018 |
|
605 |
563 |
$5K |
| 90688 |
|
1,393 |
1,295 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
118 |
107 |
$4K |
| 72040 |
|
299 |
278 |
$4K |
| 90686 |
|
3,752 |
3,403 |
$4K |
| 90670 |
|
2,682 |
2,516 |
$4K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
91 |
36 |
$4K |
| 81001 |
|
1,343 |
1,161 |
$4K |
| 95913 |
|
13 |
13 |
$4K |
| 93296 |
|
454 |
411 |
$4K |
| 93458 |
|
20 |
13 |
$3K |
| 81025 |
|
438 |
368 |
$3K |
| 70486 |
|
107 |
94 |
$3K |
| 97161 |
|
122 |
115 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
69 |
51 |
$3K |
| 83655 |
|
280 |
270 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
253 |
231 |
$3K |
| 95874 |
|
217 |
170 |
$3K |
| 99140 |
|
224 |
192 |
$3K |
| 77080 |
|
189 |
176 |
$3K |
| 99305 |
|
117 |
97 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
14 |
12 |
$2K |
| 93971 |
|
136 |
125 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
490 |
402 |
$2K |
| 59514 |
|
15 |
12 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
57 |
52 |
$2K |
| 99201 |
|
60 |
50 |
$2K |
| 01961 |
|
14 |
13 |
$2K |
| 99221 |
|
65 |
60 |
$2K |
| 87510 |
|
102 |
94 |
$2K |
| 87480 |
|
102 |
94 |
$2K |
| 87660 |
|
102 |
94 |
$2K |
| 20553 |
|
54 |
36 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
53 |
25 |
$2K |
| 62321 |
|
13 |
13 |
$2K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
13 |
13 |
$1K |
| 99334 |
|
100 |
80 |
$1K |
| 97597 |
|
58 |
42 |
$1K |
| 36416 |
|
414 |
396 |
$1K |
| 36556 |
|
12 |
12 |
$1K |
| 82330 |
|
106 |
98 |
$1K |
| 76937 |
|
195 |
171 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
158 |
96 |
$1K |
| 00731 |
|
345 |
169 |
$1K |
| 99292 |
|
28 |
25 |
$1K |
| 99304 |
|
124 |
118 |
$1K |
| 80053 |
Comprehensive metabolic panel |
159 |
114 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
218 |
204 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
292 |
282 |
$1K |
| 90677 |
|
821 |
794 |
$1K |
| 90698 |
|
2,338 |
2,219 |
$1K |
| 73080 |
|
97 |
83 |
$1K |
| 97760 |
|
69 |
62 |
$975.21 |
| 90656 |
|
377 |
374 |
$966.06 |
| 97802 |
|
51 |
40 |
$929.68 |
| 00811 |
|
51 |
29 |
$917.08 |
| 93295 |
|
47 |
38 |
$871.15 |
| 99385 |
|
37 |
36 |
$858.20 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
145 |
135 |
$818.87 |
| 99336 |
|
18 |
17 |
$775.84 |
| 82565 |
|
157 |
146 |
$758.69 |
| 73140 |
|
44 |
37 |
$699.13 |
| 73560 |
|
34 |
24 |
$681.72 |
| 85018 |
|
300 |
291 |
$659.91 |
| 99381 |
|
14 |
12 |
$642.27 |
| 64616 |
|
31 |
26 |
$613.78 |
| 90680 |
|
1,246 |
1,186 |
$603.75 |
| 11102 |
|
12 |
12 |
$559.80 |
| 97804 |
|
24 |
24 |
$477.40 |
| 76857 |
|
213 |
195 |
$463.86 |
| 85651 |
|
110 |
91 |
$452.62 |
| 95816 |
|
17 |
13 |
$451.99 |
| 82374 |
|
97 |
89 |
$437.84 |
| 84295 |
|
97 |
89 |
$431.56 |
| 84132 |
|
97 |
89 |
$427.07 |
| 99335 |
|
37 |
36 |
$418.35 |
| 82435 |
|
97 |
89 |
$412.71 |
| 73590 |
|
39 |
27 |
$402.39 |
| 84520 |
|
109 |
101 |
$397.85 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
20 |
12 |
$375.00 |
| 82947 |
|
96 |
89 |
$344.74 |
| 92579 |
|
13 |
12 |
$337.70 |
| 69210 |
|
13 |
13 |
$333.78 |
| 87210 |
|
60 |
56 |
$325.80 |
| 80051 |
|
169 |
86 |
$308.44 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
194 |
175 |
$306.93 |
| 73090 |
|
19 |
14 |
$299.73 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
50 |
37 |
$279.40 |
| 90685 |
|
170 |
156 |
$276.13 |
| 80061 |
Lipid panel |
28 |
14 |
$237.83 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
148 |
127 |
$233.92 |
| 92553 |
|
15 |
14 |
$232.32 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
77 |
70 |
$216.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
36 |
$193.64 |
| 99217 |
|
165 |
154 |
$177.86 |
| 59430 |
|
167 |
153 |
$176.24 |
| 90716 |
|
160 |
151 |
$130.51 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
18 |
14 |
$124.27 |
| 90744 |
|
1,245 |
1,180 |
$123.88 |
| 99442 |
|
16 |
13 |
$95.76 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
22 |
14 |
$89.21 |
| 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 |
12 |
12 |
$80.09 |
| 90715 |
|
278 |
267 |
$70.64 |
| 90633 |
|
610 |
582 |
$36.29 |
| 99441 |
|
16 |
13 |
$34.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
111 |
89 |
$15.74 |
| 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) |
237 |
208 |
$9.36 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
134 |
117 |
$8.40 |
| 90707 |
|
133 |
125 |
$7.78 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
79 |
70 |
$6.09 |
| 97162 |
|
33 |
31 |
$0.00 |
| 74022 |
|
29 |
24 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
125 |
115 |
$0.00 |
| 97035 |
|
48 |
24 |
$0.00 |
| 90651 |
|
112 |
112 |
$0.00 |
| 6030F |
|
104 |
63 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
27 |
27 |
$0.00 |
| 3341F |
|
13 |
13 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
133 |
122 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
20 |
14 |
$0.00 |
| 71101 |
|
13 |
12 |
$0.00 |
| 7025F |
|
27 |
26 |
$0.00 |
| 91307 |
|
18 |
13 |
$0.00 |
| 90620 |
|
51 |
48 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
270 |
267 |
$0.00 |
| 90734 |
|
132 |
132 |
$0.00 |
| 90681 |
|
868 |
816 |
$0.00 |
| 76642 |
|
12 |
12 |
$0.00 |
| 90700 |
|
30 |
29 |
$0.00 |
| 00840 |
|
68 |
41 |
$0.00 |
| 00812 |
|
64 |
27 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
53 |
25 |
$0.00 |
| 90662 |
|
13 |
12 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
14 |
12 |
$0.00 |
| 76942 |
|
17 |
14 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |
| 90710 |
|
40 |
39 |
$0.00 |
| 00851 |
|
35 |
15 |
$0.00 |