| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205,011 |
180,127 |
$14.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
267,940 |
239,892 |
$14.10M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
45,035 |
41,454 |
$6.45M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
50,874 |
46,975 |
$5.04M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
109,287 |
25,464 |
$4.58M |
| 99233 |
Prolong inpt eval add15 m |
27,704 |
8,687 |
$1.48M |
| 99223 |
Prolong inpt eval add15 m |
11,281 |
9,552 |
$1.20M |
| 99215 |
Prolong outpt/office vis |
15,266 |
13,744 |
$1.17M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
9,081 |
2,562 |
$1.16M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
1,533 |
983 |
$1.15M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22,364 |
20,779 |
$1.11M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,660 |
9,807 |
$1.05M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14,522 |
13,495 |
$1.03M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14,612 |
13,605 |
$833K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,186 |
11,690 |
$805K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,891 |
10,285 |
$799K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
10,769 |
9,879 |
$672K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13,888 |
13,145 |
$625K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,609 |
9,652 |
$619K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,358 |
6,010 |
$591K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,865 |
9,957 |
$518K |
| 70450 |
Computed tomography, head or brain; without contrast material |
20,377 |
17,606 |
$503K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,637 |
2,996 |
$497K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
10,029 |
9,496 |
$481K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,696 |
11,624 |
$481K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
82,022 |
66,030 |
$477K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29,132 |
28,110 |
$470K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,352 |
7,069 |
$468K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,199 |
8,717 |
$435K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
7,776 |
7,371 |
$412K |
| 71045 |
Radiologic examination, chest; single view |
72,224 |
40,753 |
$411K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,746 |
5,280 |
$402K |
| 99205 |
Prolong outpt/office vis |
3,687 |
3,372 |
$386K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,004 |
1,696 |
$328K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,281 |
6,741 |
$326K |
| 92015 |
Determination of refractive state |
23,796 |
22,421 |
$298K |
| 64615 |
|
3,961 |
3,839 |
$295K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18,810 |
10,468 |
$287K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,228 |
3,942 |
$277K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,701 |
641 |
$270K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,587 |
3,245 |
$266K |
| 71046 |
Radiologic examination, chest; 2 views |
33,549 |
30,883 |
$265K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
11,542 |
4,288 |
$245K |
| 90791 |
Psychiatric diagnostic evaluation |
2,178 |
2,049 |
$233K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,403 |
4,037 |
$228K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
11,237 |
10,723 |
$217K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,766 |
1,414 |
$209K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
685 |
162 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,073 |
2,947 |
$195K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
197 |
138 |
$184K |
| 99221 |
|
3,720 |
2,895 |
$171K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
5,896 |
5,412 |
$167K |
| 90870 |
|
1,404 |
600 |
$146K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,692 |
2,451 |
$146K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,944 |
2,734 |
$141K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,882 |
1,730 |
$133K |
| 76830 |
Ultrasound, transvaginal |
2,853 |
2,596 |
$125K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
2,893 |
2,525 |
$124K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,709 |
2,464 |
$117K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,560 |
3,272 |
$116K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,210 |
2,099 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,518 |
6,059 |
$112K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,419 |
1,910 |
$111K |
| 95720 |
|
724 |
427 |
$107K |
| 76642 |
|
1,984 |
1,883 |
$106K |
| 76801 |
|
2,299 |
2,084 |
$99K |
| 99220 |
|
796 |
706 |
$95K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,124 |
1,060 |
$94K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,189 |
2,960 |
$91K |
| X5622 |
|
2,796 |
2,547 |
$91K |
| 93304 |
|
3,029 |
2,384 |
$86K |
| 76770 |
|
2,121 |
1,977 |
$83K |
| 99188 |
|
4,067 |
3,927 |
$75K |
| 73630 |
|
9,896 |
8,315 |
$75K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
879 |
840 |
$74K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,287 |
2,126 |
$72K |
| 99254 |
|
612 |
526 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,273 |
1,244 |
$69K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
494 |
418 |
$69K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,101 |
1,083 |
$68K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
854 |
799 |
$66K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
745 |
711 |
$65K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,195 |
1,650 |
$64K |
| 73562 |
|
6,854 |
5,694 |
$62K |
| D0140 |
Limited oral evaluation - problem focused |
1,512 |
1,470 |
$61K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
490 |
450 |
$61K |
| 0002A |
|
2,088 |
2,038 |
$61K |
| 62323 |
|
659 |
613 |
$60K |
| 36415 |
Collection of venous blood by venipuncture |
11,502 |
10,345 |
$59K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,124 |
1,637 |
$59K |
| 0001A |
|
2,357 |
2,271 |
$52K |
| 93971 |
|
2,140 |
2,001 |
$51K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,625 |
6,430 |
$50K |
| 98940 |
|
2,213 |
1,233 |
$50K |
| 99217 |
|
1,153 |
1,057 |
$48K |
| 99460 |
|
820 |
777 |
$48K |
| 20610 |
|
1,514 |
1,323 |
$43K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
148 |
106 |
$43K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,195 |
1,114 |
$43K |
| 95886 |
|
588 |
382 |
$43K |
| 74018 |
|
7,335 |
4,879 |
$43K |
| 73610 |
|
5,482 |
4,893 |
$42K |
| 59025 |
Fetal non-stress test |
2,581 |
1,444 |
$42K |
| 90961 |
|
965 |
926 |
$42K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,022 |
965 |
$42K |
| 92134 |
|
2,600 |
2,159 |
$40K |
| 80053 |
Comprehensive metabolic panel |
4,389 |
3,804 |
$39K |
| 93325 |
|
14,872 |
11,981 |
$39K |
| D7240 |
Removal of impacted tooth - completely bony |
115 |
45 |
$38K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
850 |
773 |
$38K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
828 |
798 |
$37K |
| 76536 |
|
880 |
786 |
$37K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
373 |
352 |
$36K |
| 73030 |
|
4,165 |
3,657 |
$36K |
| 76820 |
|
1,816 |
714 |
$35K |
| 93320 |
|
2,873 |
2,505 |
$34K |
| 17110 |
|
825 |
754 |
$34K |
| 49083 |
|
253 |
171 |
$33K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
234 |
213 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,083 |
3,569 |
$32K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
295 |
283 |
$30K |
| 71250 |
|
876 |
816 |
$29K |
| 93321 |
|
5,880 |
4,784 |
$28K |
| 99310 |
Prolong nursin fac eval 15m |
324 |
266 |
$28K |
| 73110 |
|
3,448 |
2,877 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
796 |
767 |
$27K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
276 |
271 |
$26K |
| 95811 |
|
251 |
229 |
$26K |
| 73130 |
|
3,352 |
2,724 |
$26K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
590 |
290 |
$25K |
| 90686 |
|
15,344 |
14,729 |
$24K |
| 93975 |
|
724 |
680 |
$23K |
| 99348 |
|
646 |
456 |
$23K |
| 80061 |
Lipid panel |
2,118 |
1,997 |
$23K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
218 |
52 |
$23K |
| 92567 |
|
1,918 |
1,832 |
$22K |
| 73502 |
|
1,997 |
1,834 |
$22K |
| 92551 |
|
2,862 |
2,740 |
$21K |
| 00731 |
|
176 |
153 |
$21K |
| 74019 |
|
2,272 |
2,032 |
$21K |
| 93298 |
|
865 |
763 |
$21K |
| 11721 |
|
2,062 |
1,618 |
$20K |
| 93970 |
|
707 |
652 |
$20K |
| Q3014 |
Telehealth originating site facility fee |
954 |
903 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
353 |
262 |
$20K |
| 90670 |
|
4,947 |
4,631 |
$19K |
| 90461 |
|
2,624 |
2,425 |
$18K |
| 72100 |
|
1,531 |
1,432 |
$18K |
| 99349 |
|
230 |
165 |
$18K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
99 |
26 |
$17K |
| 99253 |
|
187 |
163 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
867 |
603 |
$16K |
| 92587 |
|
1,591 |
984 |
$15K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
162 |
42 |
$15K |
| 99177 |
|
1,973 |
1,909 |
$14K |
| 98928 |
|
236 |
175 |
$13K |
| 99462 |
|
409 |
321 |
$13K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
152 |
36 |
$13K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
441 |
173 |
$13K |
| 97803 |
|
314 |
298 |
$13K |
| 77066 |
Tomosynthesis, mammo |
108 |
101 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,750 |
1,504 |
$12K |
| 73140 |
|
1,722 |
1,480 |
$12K |
| 00790 |
|
50 |
27 |
$12K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
616 |
299 |
$12K |
| 88342 |
|
293 |
249 |
$11K |
| 70486 |
|
409 |
387 |
$11K |
| 20611 |
|
167 |
149 |
$11K |
| 72110 |
|
392 |
360 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,298 |
1,224 |
$10K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
425 |
418 |
$10K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
64 |
64 |
$10K |
| 92060 |
|
256 |
187 |
$10K |
| D9239 |
|
74 |
73 |
$10K |
| 77080 |
|
1,134 |
988 |
$10K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
132 |
58 |
$9K |
| 97802 |
|
157 |
149 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
320 |
308 |
$9K |
| 99225 |
|
182 |
123 |
$9K |
| 99219 |
|
90 |
86 |
$9K |
| 96139 |
|
49 |
42 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
295 |
261 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
92 |
87 |
$8K |
| 99417 |
Prolong home eval add 15m |
242 |
222 |
$8K |
| 93294 |
|
460 |
452 |
$8K |
| 99335 |
|
196 |
137 |
$8K |
| 99442 |
|
533 |
338 |
$8K |
| 01922 |
|
42 |
36 |
$8K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
101 |
96 |
$7K |
| 73080 |
|
1,266 |
1,098 |
$7K |
| 90474 |
|
606 |
582 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
370 |
160 |
$7K |
| 92133 |
|
401 |
261 |
$7K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
220 |
167 |
$7K |
| 72141 |
|
158 |
146 |
$6K |
| 76825 |
|
45 |
37 |
$6K |
| 96133 |
|
42 |
41 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
178 |
173 |
$6K |
| 90671 |
|
1,385 |
1,313 |
$6K |
| 90962 |
|
233 |
228 |
$6K |
| 64643 |
|
70 |
70 |
$6K |
| 99443 |
|
199 |
156 |
$6K |
| 90480 |
|
258 |
253 |
$5K |
| 77065 |
Tomosynthesis, mammo |
43 |
40 |
$5K |
| 94729 |
|
794 |
763 |
$5K |
| 72131 |
|
149 |
135 |
$5K |
| 70498 |
|
54 |
52 |
$5K |
| 64642 |
|
58 |
58 |
$5K |
| 96116 |
|
65 |
63 |
$5K |
| 0004A |
|
68 |
50 |
$5K |
| 90656 |
|
1,608 |
1,599 |
$5K |
| 94010 |
|
741 |
712 |
$5K |
| 36620 |
|
190 |
160 |
$4K |
| 91320 |
|
66 |
64 |
$4K |
| 88341 |
|
76 |
52 |
$4K |
| 98929 |
|
55 |
38 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
15 |
15 |
$4K |
| 96167 |
|
79 |
65 |
$4K |
| 0031A |
|
134 |
129 |
$4K |
| 86780 |
|
282 |
278 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
147 |
146 |
$4K |
| 76827 |
|
114 |
82 |
$4K |
| 90785 |
|
362 |
209 |
$4K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
114 |
110 |
$4K |
| 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) |
71 |
57 |
$4K |
| 73590 |
|
666 |
569 |
$3K |
| 96138 |
|
109 |
101 |
$3K |
| 0240U |
|
27 |
27 |
$3K |
| 72040 |
|
263 |
251 |
$3K |
| 96132 |
|
30 |
29 |
$3K |
| 92136 |
|
166 |
116 |
$3K |
| 72170 |
|
393 |
370 |
$3K |
| 00104 |
|
37 |
25 |
$3K |
| D1206 |
Topical application of fluoride varnish |
115 |
114 |
$3K |
| 99152 |
|
434 |
354 |
$3K |
| 0124A |
|
91 |
83 |
$3K |
| 73090 |
|
502 |
424 |
$3K |
| 64644 |
|
28 |
28 |
$3K |
| 90717 |
|
28 |
26 |
$3K |
| 93226 |
|
54 |
54 |
$2K |
| 00840 |
|
13 |
13 |
$2K |
| 92310 |
|
66 |
66 |
$2K |
| 93299 |
|
12 |
12 |
$2K |
| 84165 |
|
190 |
181 |
$2K |
| 70496 |
|
26 |
26 |
$2K |
| 43762 |
|
12 |
12 |
$2K |
| 97597 |
|
51 |
38 |
$2K |
| 92588 |
|
111 |
99 |
$2K |
| 71101 |
|
210 |
197 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
12 |
$2K |
| 90691 |
|
70 |
70 |
$2K |
| 85027 |
|
384 |
343 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
57 |
54 |
$2K |
| D9243 |
|
16 |
13 |
$2K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
26 |
26 |
$2K |
| 72082 |
|
49 |
47 |
$2K |
| 93248 |
|
97 |
97 |
$2K |
| 76813 |
|
38 |
37 |
$2K |
| 99383 |
|
48 |
46 |
$2K |
| 97810 |
|
145 |
55 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
28 |
23 |
$2K |
| 0054A |
|
47 |
42 |
$2K |
| D0330 |
Panoramic radiographic image |
30 |
27 |
$1K |
| 99441 |
|
197 |
125 |
$1K |
| 36556 |
|
38 |
25 |
$1K |
| 92504 |
|
173 |
168 |
$1K |
| 99429 |
|
28 |
28 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
12 |
12 |
$1K |
| 27096 |
|
13 |
13 |
$1K |
| 72128 |
|
33 |
32 |
$1K |
| 99173 |
|
834 |
794 |
$1K |
| 77072 |
|
89 |
87 |
$1K |
| 70491 |
|
27 |
27 |
$1K |
| 92083 |
|
42 |
26 |
$1K |
| 81001 |
|
495 |
464 |
$1K |
| 43235 |
|
24 |
24 |
$1K |
| 0072A |
|
80 |
80 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
18 |
18 |
$1K |
| 0071A |
|
73 |
73 |
$1K |
| 73221 |
|
40 |
37 |
$1K |
| V5266 |
Battery for use in hearing device |
133 |
123 |
$1K |
| 64450 |
|
38 |
24 |
$1K |
| 73560 |
|
204 |
166 |
$1K |
| 74183 |
|
12 |
12 |
$1K |
| 99384 |
|
35 |
30 |
$979.14 |
| 93018 |
|
98 |
92 |
$940.71 |
| 88108 |
|
46 |
41 |
$939.21 |
| 88141 |
|
46 |
44 |
$900.33 |
| 64405 |
|
20 |
13 |
$883.81 |
| 90651 |
|
1,043 |
977 |
$874.75 |
| 99336 |
|
16 |
12 |
$864.57 |
| 93016 |
|
51 |
50 |
$859.35 |
| 99382 |
|
38 |
37 |
$850.86 |
| 93308 |
|
43 |
36 |
$785.59 |
| 95800 |
|
12 |
12 |
$727.00 |
| 96156 |
|
14 |
12 |
$718.72 |
| 81003 |
|
311 |
235 |
$712.61 |
| 77073 |
|
40 |
38 |
$696.51 |
| 73000 |
|
30 |
27 |
$696.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
52 |
$647.93 |
| 95782 |
|
12 |
12 |
$641.38 |
| 92557 |
|
31 |
31 |
$631.26 |
| 94726 |
|
67 |
66 |
$616.55 |
| 76882 |
|
33 |
25 |
$612.35 |
| 76870 |
|
25 |
24 |
$611.36 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
118 |
116 |
$600.18 |
| G0008 |
Administration of influenza virus vaccine |
53 |
52 |
$593.23 |
| 74230 |
|
32 |
29 |
$579.94 |
| 73552 |
|
88 |
81 |
$568.55 |
| 88304 |
|
26 |
24 |
$565.61 |
| 99381 |
|
14 |
14 |
$553.38 |
| 92555 |
|
30 |
29 |
$546.87 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
26 |
26 |
$523.38 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
314 |
289 |
$520.23 |
| 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) |
272 |
256 |
$508.70 |
| 93042 |
|
108 |
102 |
$506.98 |
| 71271 |
|
15 |
15 |
$494.54 |
| 94060 |
|
140 |
138 |
$475.15 |
| 73700 |
|
13 |
12 |
$449.33 |
| 99347 |
|
17 |
12 |
$432.18 |
| 96127 |
|
134 |
133 |
$427.88 |
| 72050 |
|
14 |
12 |
$422.41 |
| 90710 |
|
694 |
631 |
$411.96 |
| 96367 |
|
26 |
24 |
$406.90 |
| 74022 |
|
41 |
27 |
$385.63 |
| 99307 |
|
13 |
13 |
$380.84 |
| 90698 |
|
4,474 |
4,148 |
$371.77 |
| 99411 |
|
80 |
80 |
$347.49 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
15 |
15 |
$330.20 |
| 76937 |
|
38 |
37 |
$311.16 |
| 92201 |
|
20 |
12 |
$251.18 |
| 85060 |
|
18 |
13 |
$248.17 |
| 99403 |
|
16 |
16 |
$243.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
383 |
366 |
$231.22 |
| 86334 |
|
16 |
15 |
$217.62 |
| 90473 |
|
14 |
13 |
$214.76 |
| 96118 |
|
28 |
28 |
$200.13 |
| 95873 |
|
13 |
12 |
$180.95 |
| 85018 |
|
71 |
63 |
$168.83 |
| 84460 |
|
42 |
38 |
$160.49 |
| 77081 |
|
19 |
12 |
$160.35 |
| 90685 |
|
1,071 |
989 |
$154.42 |
| 62370 |
|
12 |
12 |
$144.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
76 |
56 |
$131.41 |
| 73564 |
|
16 |
14 |
$130.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
12 |
$123.53 |
| 90734 |
|
762 |
682 |
$119.78 |
| 90715 |
|
457 |
430 |
$111.96 |
| 90696 |
|
598 |
548 |
$102.41 |
| 80076 |
|
14 |
12 |
$100.98 |
| 85610 |
|
66 |
36 |
$100.50 |
| 72070 |
|
12 |
12 |
$97.92 |
| 96119 |
|
41 |
41 |
$94.91 |
| 90680 |
|
2,593 |
2,359 |
$84.42 |
| 98968 |
|
29 |
22 |
$69.16 |
| 90633 |
|
2,279 |
2,144 |
$68.12 |
| 36416 |
|
83 |
51 |
$67.11 |
| 86140 |
|
12 |
12 |
$53.94 |
| 90744 |
|
1,683 |
1,528 |
$52.80 |
| 85652 |
|
13 |
13 |
$43.22 |
| 81002 |
|
14 |
14 |
$32.55 |
| 99401 |
|
12 |
12 |
$16.69 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$1.40 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
8,932 |
7,920 |
$0.02 |
| 90707 |
|
595 |
546 |
$0.00 |
| 90672 |
|
54 |
54 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
76 |
70 |
$0.00 |
| 91300 |
|
4,502 |
3,799 |
$0.00 |
| 90621 |
|
75 |
74 |
$0.00 |
| 91312 |
|
52 |
52 |
$0.00 |
| 11100 |
|
43 |
42 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
56 |
56 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 99024 |
|
2,854 |
1,203 |
$0.00 |
| 90697 |
|
628 |
602 |
$0.00 |
| 91307 |
|
256 |
253 |
$0.00 |
| 90716 |
|
652 |
602 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
184 |
175 |
$0.00 |
| A9270 |
Non-covered item or service |
14 |
13 |
$0.00 |
| 90688 |
|
84 |
82 |
$0.00 |
| 91303 |
|
117 |
114 |
$0.00 |
| 90619 |
|
143 |
142 |
$0.00 |
| 91305 |
|
80 |
73 |
$0.00 |