| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
398,828 |
375,892 |
$20.38M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
315,841 |
307,574 |
$18.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
320,229 |
302,794 |
$10.75M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
123,938 |
121,119 |
$9.21M |
| 99215 |
Prolong outpt/office vis |
55,052 |
52,149 |
$4.38M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
132,885 |
46,099 |
$3.68M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
94,950 |
91,847 |
$2.98M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
24,345 |
23,367 |
$2.88M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
69,252 |
67,404 |
$2.77M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
66,353 |
63,736 |
$2.56M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34,697 |
33,666 |
$1.82M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
22,336 |
11,920 |
$1.80M |
| 99233 |
Prolong inpt eval add15 m |
37,243 |
15,633 |
$1.65M |
| 99243 |
|
20,914 |
19,830 |
$1.65M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
50,515 |
49,301 |
$1.54M |
| 70450 |
Computed tomography, head or brain; without contrast material |
84,097 |
79,945 |
$1.48M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18,826 |
18,196 |
$1.42M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,921 |
11,693 |
$1.35M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,142 |
11,601 |
$1.34M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
23,333 |
22,691 |
$1.21M |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
7,023 |
6,643 |
$1.05M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
65,097 |
26,140 |
$1.02M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
11,250 |
10,804 |
$1.02M |
| 77387 |
|
11,207 |
6,375 |
$964K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
23,514 |
22,443 |
$939K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
36,760 |
35,028 |
$935K |
| 59025 |
Fetal non-stress test |
21,308 |
16,419 |
$932K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
256,491 |
220,033 |
$915K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
7,769 |
7,538 |
$903K |
| 71045 |
Radiologic examination, chest; single view |
209,584 |
160,936 |
$838K |
| 71046 |
Radiologic examination, chest; 2 views |
164,171 |
159,750 |
$835K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,939 |
6,876 |
$790K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
6,631 |
6,406 |
$784K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
32,371 |
31,911 |
$776K |
| 99245 |
|
5,250 |
5,013 |
$767K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
7,237 |
1,486 |
$753K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
1,529 |
841 |
$728K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28,264 |
27,407 |
$711K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32,546 |
29,983 |
$621K |
| 95720 |
|
6,591 |
3,695 |
$592K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14,529 |
14,205 |
$562K |
| 92015 |
Determination of refractive state |
14,535 |
14,198 |
$561K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
26,293 |
25,827 |
$556K |
| 93976 |
|
16,605 |
16,018 |
$537K |
| 88307 |
|
10,739 |
10,201 |
$529K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
5,196 |
1,245 |
$522K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16,455 |
14,226 |
$516K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
29,570 |
29,184 |
$507K |
| 31231 |
|
6,654 |
6,330 |
$499K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,929 |
7,712 |
$498K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
12,971 |
12,225 |
$488K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
34,040 |
32,859 |
$487K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18,759 |
17,120 |
$482K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
11,681 |
11,370 |
$463K |
| 95951 |
|
3,917 |
2,029 |
$439K |
| 00731 |
|
5,517 |
5,272 |
$417K |
| 76801 |
|
8,211 |
7,824 |
$406K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
17,038 |
16,573 |
$405K |
| 99254 |
|
4,499 |
4,315 |
$404K |
| 92250 |
|
11,964 |
11,386 |
$391K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
11,572 |
11,233 |
$381K |
| 99460 |
|
6,857 |
6,766 |
$340K |
| 71250 |
|
17,002 |
16,581 |
$335K |
| 70496 |
|
9,115 |
8,794 |
$330K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,002 |
222 |
$321K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
9,200 |
8,946 |
$309K |
| 70498 |
|
8,506 |
8,212 |
$305K |
| 92060 |
|
10,855 |
10,575 |
$300K |
| 76770 |
|
17,174 |
16,724 |
$297K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,333 |
5,196 |
$278K |
| 92083 |
|
8,511 |
8,159 |
$268K |
| 31575 |
|
5,607 |
5,293 |
$254K |
| 20610 |
|
8,311 |
7,318 |
$250K |
| 76830 |
Ultrasound, transvaginal |
13,061 |
12,700 |
$249K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,638 |
2,584 |
$243K |
| 99223 |
Prolong inpt eval add15 m |
2,700 |
2,574 |
$240K |
| 99255 |
|
2,038 |
1,931 |
$230K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
6,328 |
5,963 |
$225K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,083 |
3,842 |
$225K |
| 88189 |
|
5,310 |
4,879 |
$221K |
| 74183 |
|
5,028 |
4,897 |
$220K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,663 |
1,647 |
$204K |
| 76642 |
|
10,531 |
9,930 |
$201K |
| 76641 |
|
7,030 |
6,648 |
$194K |
| 00811 |
|
2,683 |
2,586 |
$192K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
610 |
145 |
$189K |
| 88342 |
|
8,849 |
8,351 |
$186K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
4,299 |
4,205 |
$185K |
| 99443 |
|
4,028 |
3,846 |
$184K |
| 99205 |
Prolong outpt/office vis |
1,830 |
1,766 |
$177K |
| 88112 |
|
6,475 |
6,185 |
$173K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
5,065 |
4,790 |
$172K |
| 31579 |
|
1,830 |
1,716 |
$159K |
| 00813 |
|
1,785 |
1,738 |
$156K |
| 85060 |
|
14,874 |
14,152 |
$149K |
| 93320 |
|
12,931 |
12,197 |
$145K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,153 |
4,029 |
$143K |
| 00812 |
|
1,700 |
1,671 |
$138K |
| 76825 |
|
2,671 |
2,587 |
$127K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
757 |
752 |
$126K |
| 99253 |
|
2,019 |
1,920 |
$124K |
| 99225 |
|
4,241 |
2,929 |
$123K |
| 95886 |
|
3,714 |
3,575 |
$122K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
3,569 |
3,488 |
$122K |
| V2799 |
Vision item or service, miscellaneous |
454 |
391 |
$121K |
| 73630 |
|
29,958 |
25,155 |
$120K |
| 74018 |
|
29,535 |
25,026 |
$120K |
| 93970 |
|
8,508 |
8,032 |
$118K |
| 99220 |
|
1,766 |
1,687 |
$117K |
| 01961 |
|
534 |
516 |
$113K |
| 93971 |
|
12,163 |
11,787 |
$112K |
| 93308 |
|
10,935 |
10,242 |
$111K |
| 99152 |
|
9,114 |
8,529 |
$111K |
| 93295 |
|
5,916 |
5,742 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,555 |
2,478 |
$107K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,385 |
3,221 |
$103K |
| 99442 |
|
3,342 |
3,213 |
$103K |
| 99242 |
|
1,722 |
1,639 |
$97K |
| 77066 |
Tomosynthesis, mammo |
4,157 |
4,053 |
$97K |
| 88173 |
|
1,970 |
1,879 |
$96K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,529 |
4,332 |
$96K |
| 88188 |
|
2,921 |
2,635 |
$94K |
| 71271 |
|
404 |
391 |
$93K |
| 73564 |
|
17,577 |
12,572 |
$92K |
| 73610 |
|
21,175 |
19,268 |
$91K |
| 99053 |
|
13,050 |
12,878 |
$89K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,091 |
2,021 |
$85K |
| 77080 |
|
3,312 |
3,262 |
$84K |
| 01922 |
|
607 |
562 |
$83K |
| 73030 |
|
20,277 |
17,995 |
$82K |
| 86334 |
|
13,955 |
13,490 |
$81K |
| 88304 |
|
12,738 |
12,305 |
$80K |
| 99217 |
|
2,812 |
2,602 |
$79K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,738 |
1,215 |
$77K |
| 69210 |
|
4,583 |
4,293 |
$76K |
| 76942 |
|
4,321 |
4,042 |
$75K |
| 00142 |
|
1,103 |
940 |
$74K |
| 93000 |
|
8,772 |
8,383 |
$74K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
10,356 |
8,684 |
$73K |
| 72100 |
|
13,705 |
13,447 |
$71K |
| 92134 |
|
4,411 |
4,117 |
$70K |
| 95812 |
|
2,238 |
2,159 |
$69K |
| 17311 |
|
402 |
356 |
$68K |
| 93296 |
|
7,083 |
6,977 |
$68K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,518 |
3,428 |
$67K |
| 73560 |
|
16,883 |
13,098 |
$66K |
| 93325 |
|
31,019 |
28,585 |
$63K |
| 95718 |
|
1,165 |
1,012 |
$63K |
| J0178 |
Injection, aflibercept, 1 mg |
60 |
53 |
$63K |
| 20611 |
|
1,438 |
1,196 |
$61K |
| 99462 |
|
2,323 |
2,027 |
$61K |
| 90791 |
Psychiatric diagnostic evaluation |
212 |
134 |
$61K |
| 93298 |
|
3,646 |
3,544 |
$60K |
| 76536 |
|
4,752 |
4,654 |
$60K |
| 84165 |
|
21,245 |
20,573 |
$60K |
| 92133 |
|
3,257 |
3,142 |
$59K |
| 99221 |
|
1,441 |
1,350 |
$59K |
| 76820 |
|
3,839 |
2,856 |
$59K |
| 72141 |
|
1,458 |
1,423 |
$54K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
1,008 |
985 |
$53K |
| 88341 |
|
1,624 |
1,443 |
$50K |
| 77427 |
|
830 |
370 |
$50K |
| 90870 |
|
1,562 |
865 |
$50K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
701 |
634 |
$49K |
| 73502 |
|
10,183 |
9,947 |
$48K |
| 95911 |
|
747 |
734 |
$48K |
| 01966 |
|
488 |
465 |
$48K |
| 95813 |
|
1,506 |
1,436 |
$47K |
| 73130 |
|
10,805 |
9,175 |
$47K |
| 95782 |
|
618 |
606 |
$47K |
| 90837 |
Psychotherapy, 53 minutes with patient |
775 |
397 |
$45K |
| 76827 |
|
2,650 |
2,567 |
$44K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
403 |
379 |
$43K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,681 |
1,281 |
$41K |
| 95715 |
|
109 |
55 |
$40K |
| 76813 |
|
1,286 |
1,246 |
$40K |
| 77062 |
|
2,302 |
2,241 |
$39K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
639 |
624 |
$38K |
| 64488 |
|
828 |
798 |
$38K |
| 85390 |
|
19,094 |
13,814 |
$38K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,112 |
1,088 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
599 |
593 |
$36K |
| 11102 |
|
1,077 |
1,036 |
$36K |
| 88311 |
|
5,171 |
4,630 |
$35K |
| 88141 |
|
2,918 |
2,878 |
$35K |
| 95957 |
|
995 |
542 |
$35K |
| 73700 |
|
1,423 |
1,300 |
$34K |
| 93975 |
|
786 |
736 |
$32K |
| 99464 |
|
545 |
541 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,749 |
1,706 |
$32K |
| 99219 |
|
598 |
571 |
$31K |
| 73221 |
|
934 |
909 |
$31K |
| 59426 |
|
42 |
41 |
$30K |
| 86077 |
|
1,402 |
1,337 |
$30K |
| 31237 |
|
163 |
149 |
$30K |
| 92504 |
|
2,399 |
2,284 |
$29K |
| 93321 |
|
9,418 |
8,833 |
$29K |
| 72156 |
|
503 |
490 |
$29K |
| 70486 |
|
1,015 |
980 |
$28K |
| 76998 |
|
724 |
706 |
$28K |
| 88360 |
|
740 |
691 |
$27K |
| 0359T |
|
46 |
29 |
$27K |
| 88313 |
|
1,966 |
1,846 |
$26K |
| 64615 |
|
722 |
706 |
$26K |
| 92082 |
|
802 |
774 |
$26K |
| 93227 |
|
1,931 |
1,874 |
$26K |
| 76857 |
|
2,383 |
2,335 |
$25K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
262 |
258 |
$24K |
| 73110 |
|
5,639 |
5,077 |
$24K |
| 73562 |
|
6,046 |
4,272 |
$23K |
| 64642 |
|
424 |
391 |
$23K |
| 88350 |
|
356 |
328 |
$23K |
| 91200 |
|
1,746 |
1,704 |
$23K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
159 |
80 |
$23K |
| 72158 |
|
425 |
412 |
$22K |
| 72040 |
|
4,212 |
4,107 |
$22K |
| 72197 |
|
453 |
436 |
$21K |
| 94010 |
|
5,524 |
5,392 |
$21K |
| 93018 |
|
3,168 |
3,085 |
$21K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
5,077 |
4,875 |
$20K |
| 92020 |
|
2,565 |
2,435 |
$20K |
| 88300 |
|
9,110 |
8,810 |
$20K |
| 90961 |
|
248 |
242 |
$20K |
| 99226 |
|
423 |
378 |
$20K |
| 99468 |
|
26 |
25 |
$19K |
| 72132 |
|
624 |
607 |
$19K |
| 72081 |
|
2,374 |
2,252 |
$18K |
| 01810 |
|
169 |
166 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,127 |
706 |
$18K |
| 96910 |
|
860 |
282 |
$17K |
| 94375 |
|
2,412 |
2,371 |
$17K |
| 72129 |
|
547 |
537 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
15 |
14 |
$16K |
| 84166 |
|
3,317 |
3,197 |
$16K |
| 73522 |
|
2,219 |
2,175 |
$16K |
| 95251 |
|
960 |
939 |
$16K |
| 85097 |
|
717 |
677 |
$15K |
| 93294 |
|
2,321 |
2,275 |
$15K |
| 95910 |
|
299 |
294 |
$15K |
| 92558 |
|
105 |
101 |
$15K |
| 77072 |
|
2,912 |
2,818 |
$15K |
| 83020 |
|
2,566 |
2,480 |
$14K |
| 95885 |
|
928 |
911 |
$14K |
| 99477 |
|
54 |
54 |
$14K |
| 94727 |
|
2,832 |
2,783 |
$14K |
| 64415 |
|
383 |
377 |
$14K |
| 86335 |
|
1,866 |
1,800 |
$13K |
| 72082 |
|
1,391 |
1,359 |
$13K |
| 51784 |
|
389 |
380 |
$13K |
| 73590 |
|
3,040 |
2,689 |
$13K |
| 95700 |
|
54 |
45 |
$12K |
| 94729 |
|
3,816 |
3,752 |
$12K |
| 20553 |
|
658 |
636 |
$12K |
| 95953 |
|
170 |
107 |
$12K |
| 88348 |
|
391 |
372 |
$12K |
| 36224 |
|
61 |
57 |
$12K |
| 76818 |
|
245 |
202 |
$12K |
| 17110 |
|
387 |
356 |
$12K |
| 72157 |
|
196 |
190 |
$11K |
| 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) |
3,125 |
3,071 |
$11K |
| 77065 |
Tomosynthesis, mammo |
507 |
500 |
$11K |
| 76882 |
|
1,090 |
957 |
$11K |
| 64450 |
|
515 |
456 |
$11K |
| 93299 |
|
421 |
341 |
$11K |
| 92201 |
|
759 |
631 |
$11K |
| 29848 |
|
42 |
39 |
$10K |
| 43276 |
|
61 |
40 |
$10K |
| 51725 |
|
276 |
263 |
$10K |
| 75574 |
|
210 |
207 |
$10K |
| 92557 |
|
510 |
492 |
$10K |
| 75561 |
|
158 |
151 |
$10K |
| 50200 |
|
40 |
39 |
$10K |
| 00732 |
|
95 |
89 |
$9K |
| 92567 |
|
936 |
896 |
$9K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
83 |
80 |
$9K |
| 64447 |
|
370 |
353 |
$9K |
| 77002 |
|
781 |
756 |
$9K |
| 93304 |
|
414 |
385 |
$9K |
| J7327 |
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose |
13 |
12 |
$9K |
| 99252 |
|
222 |
212 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
654 |
413 |
$8K |
| 54150 |
|
123 |
118 |
$8K |
| 78434 |
|
105 |
105 |
$8K |
| 20550 |
|
302 |
276 |
$8K |
| 76506 |
|
389 |
317 |
$7K |
| 93888 |
|
373 |
303 |
$7K |
| 99417 |
Prolong home eval add 15m |
104 |
76 |
$7K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
784 |
749 |
$7K |
| 00320 |
|
45 |
37 |
$7K |
| 84182 |
|
903 |
439 |
$6K |
| 96111 |
|
90 |
90 |
$6K |
| 43775 |
|
12 |
12 |
$6K |
| 93264 |
|
651 |
630 |
$6K |
| 90966 |
|
63 |
60 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
538 |
488 |
$6K |
| 94060 |
|
780 |
772 |
$6K |
| 70491 |
|
204 |
197 |
$6K |
| 72170 |
|
1,533 |
1,492 |
$6K |
| 54161 |
|
57 |
56 |
$6K |
| 92136 |
|
270 |
157 |
$6K |
| 51741 |
|
315 |
300 |
$6K |
| 11100 |
|
207 |
199 |
$6K |
| 99459 |
|
417 |
410 |
$6K |
| 88346 |
|
349 |
329 |
$6K |
| 73090 |
|
1,250 |
1,133 |
$5K |
| 27096 |
|
152 |
147 |
$5K |
| 94660 |
|
349 |
343 |
$5K |
| 93923 |
|
653 |
643 |
$5K |
| 64643 |
|
150 |
133 |
$5K |
| 88187 |
|
183 |
170 |
$5K |
| 92025 |
|
341 |
332 |
$5K |
| 78492 |
|
150 |
149 |
$5K |
| 95717 |
|
106 |
84 |
$5K |
| 99241 |
|
142 |
141 |
$4K |
| 99100 |
|
44 |
40 |
$4K |
| 88312 |
|
275 |
259 |
$4K |
| 92002 |
|
144 |
128 |
$4K |
| 46600 |
|
146 |
146 |
$4K |
| 93297 |
|
849 |
754 |
$4K |
| 92226 |
|
250 |
194 |
$4K |
| 73140 |
|
1,114 |
1,052 |
$4K |
| 76937 |
|
796 |
703 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
123 |
111 |
$4K |
| 95909 |
|
98 |
94 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
153 |
151 |
$4K |
| 99218 |
|
123 |
112 |
$4K |
| 43264 |
|
30 |
26 |
$4K |
| 78431 |
|
105 |
105 |
$4K |
| 01480 |
|
30 |
29 |
$4K |
| 0001A |
|
92 |
86 |
$3K |
| 73080 |
|
806 |
725 |
$3K |
| 70544 |
|
124 |
123 |
$3K |
| 74230 |
|
311 |
302 |
$3K |
| 00797 |
|
12 |
12 |
$3K |
| 99292 |
|
50 |
26 |
$3K |
| 29125 |
|
99 |
89 |
$3K |
| 20926 |
|
12 |
12 |
$3K |
| 14060 |
|
12 |
12 |
$3K |
| 96152 |
|
110 |
69 |
$3K |
| 92285 |
|
129 |
119 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
17 |
12 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
246 |
152 |
$3K |
| 01400 |
|
14 |
14 |
$2K |
| 92579 |
|
128 |
121 |
$2K |
| 92511 |
|
68 |
66 |
$2K |
| 67228 |
|
12 |
12 |
$2K |
| 73552 |
|
564 |
506 |
$2K |
| 93272 |
|
166 |
162 |
$2K |
| 77061 |
|
132 |
130 |
$2K |
| 98968 |
|
54 |
27 |
$2K |
| 88302 |
|
382 |
356 |
$2K |
| 91010 |
|
81 |
79 |
$2K |
| 94618 |
|
319 |
303 |
$2K |
| 95719 |
|
31 |
28 |
$2K |
| 77001 |
|
318 |
298 |
$2K |
| 0002A |
|
50 |
49 |
$2K |
| 01940 |
|
28 |
27 |
$2K |
| 96112 |
|
27 |
27 |
$2K |
| 93312 |
|
41 |
38 |
$2K |
| 36226 |
|
12 |
12 |
$2K |
| 73720 |
|
38 |
37 |
$2K |
| 98967 |
|
43 |
22 |
$2K |
| 72110 |
|
247 |
242 |
$2K |
| 99251 |
|
65 |
64 |
$2K |
| 72070 |
|
344 |
339 |
$2K |
| 94621 |
|
70 |
69 |
$2K |
| 0031A |
|
51 |
47 |
$2K |
| 88368 |
|
57 |
55 |
$2K |
| 00952 |
|
14 |
13 |
$2K |
| 74174 |
|
56 |
53 |
$2K |
| 52000 |
|
39 |
38 |
$2K |
| 42830 |
|
13 |
13 |
$2K |
| 73718 |
|
59 |
53 |
$2K |
| 11104 |
|
34 |
33 |
$1K |
| 43259 |
|
13 |
13 |
$1K |
| 01936 |
|
19 |
16 |
$1K |
| 01830 |
|
13 |
13 |
$1K |
| 93458 |
|
12 |
12 |
$1K |
| 76604 |
|
94 |
93 |
$1K |
| 93228 |
|
132 |
130 |
$1K |
| 72146 |
|
40 |
38 |
$1K |
| 76514 |
|
291 |
273 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
93 |
$1K |
| 36558 |
|
14 |
14 |
$1K |
| 78451 |
|
49 |
49 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
50 |
43 |
$1K |
| 01991 |
|
17 |
17 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
107 |
89 |
$1K |
| 91122 |
|
24 |
24 |
$1K |
| 76821 |
|
38 |
25 |
$1K |
| 88104 |
|
459 |
423 |
$976.44 |
| 93454 |
|
12 |
12 |
$975.16 |
| 00920 |
|
15 |
12 |
$953.85 |
| 20552 |
|
64 |
64 |
$914.16 |
| 90686 |
|
1,403 |
1,367 |
$913.44 |
| 59200 |
|
14 |
12 |
$898.04 |
| 75565 |
|
150 |
142 |
$856.57 |
| 77049 |
|
12 |
12 |
$854.04 |
| 77334 |
|
29 |
24 |
$850.08 |
| 58300 |
|
27 |
24 |
$846.30 |
| 78306 |
|
54 |
54 |
$837.76 |
| 92235 |
|
13 |
13 |
$835.00 |
| 73120 |
|
217 |
117 |
$789.71 |
| 70220 |
|
133 |
128 |
$785.89 |
| 93244 |
|
59 |
58 |
$782.60 |
| 99224 |
|
37 |
30 |
$769.32 |
| 77263 |
|
15 |
13 |
$759.76 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$747.60 |
| 76376 |
|
155 |
146 |
$742.56 |
| 29075 |
|
15 |
14 |
$675.60 |
| 62270 |
|
13 |
12 |
$673.51 |
| 62322 |
|
13 |
12 |
$669.36 |
| 17000 |
|
103 |
99 |
$663.06 |
| 51728 |
|
12 |
12 |
$653.73 |
| 77071 |
|
46 |
41 |
$646.56 |
| 99173 |
|
92 |
89 |
$644.48 |
| 81025 |
|
114 |
111 |
$624.16 |
| 58301 |
|
17 |
15 |
$623.47 |
| 00140 |
|
12 |
12 |
$611.24 |
| 91120 |
|
24 |
24 |
$589.20 |
| 99441 |
|
160 |
154 |
$588.64 |
| 0071A |
|
14 |
14 |
$560.00 |
| 88369 |
|
56 |
54 |
$558.70 |
| 88321 |
|
13 |
12 |
$528.11 |
| 0004A |
|
13 |
13 |
$520.00 |
| 93880 |
|
47 |
46 |
$506.80 |
| 77300 |
|
29 |
25 |
$495.45 |
| 51797 |
|
12 |
12 |
$491.40 |
| 95819 |
|
22 |
16 |
$473.62 |
| 72050 |
|
56 |
56 |
$444.92 |
| 36512 |
|
12 |
12 |
$439.68 |
| 99406 |
|
71 |
68 |
$434.42 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25 |
24 |
$432.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
85 |
79 |
$431.08 |
| 77073 |
|
50 |
50 |
$396.00 |
| T1016 |
Case management, each 15 minutes |
15 |
14 |
$390.00 |
| 86079 |
|
16 |
16 |
$383.63 |
| 51798 |
|
54 |
52 |
$378.91 |
| 70360 |
|
70 |
70 |
$358.40 |
| 95874 |
|
25 |
25 |
$327.38 |
| 74220 |
|
41 |
41 |
$323.76 |
| 36573 |
|
12 |
12 |
$322.74 |
| 88381 |
|
13 |
12 |
$298.17 |
| 76885 |
|
13 |
13 |
$280.93 |
| 77012 |
|
12 |
12 |
$271.52 |
| 92551 |
|
39 |
39 |
$253.11 |
| 11900 |
|
24 |
24 |
$244.48 |
| 81002 |
|
1,023 |
962 |
$241.56 |
| 73070 |
|
54 |
50 |
$235.94 |
| 92225 |
|
14 |
12 |
$232.74 |
| 90674 |
|
16 |
12 |
$225.04 |
| 73060 |
|
56 |
50 |
$217.96 |
| 74019 |
|
38 |
38 |
$217.77 |
| 76870 |
|
13 |
12 |
$209.66 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
13 |
13 |
$207.04 |
| 99358 |
Prolong nursin fac eval 15m |
58 |
58 |
$191.33 |
| 73100 |
|
40 |
36 |
$185.20 |
| 80305 |
|
27 |
26 |
$183.60 |
| 77089 |
|
25 |
25 |
$176.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
109 |
100 |
$164.75 |
| 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 |
12 |
12 |
$144.50 |
| 83655 |
|
12 |
12 |
$138.72 |
| 93926 |
|
16 |
16 |
$108.36 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
23 |
12 |
$105.28 |
| 93990 |
|
13 |
12 |
$91.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$86.67 |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
24 |
24 |
$78.90 |
| 77014 |
|
132 |
63 |
$75.36 |
| 74328 |
|
12 |
12 |
$74.62 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
14 |
$55.50 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
28 |
25 |
$54.42 |
| 93290 |
|
14 |
12 |
$40.60 |
| 85018 |
|
414 |
397 |
$37.96 |
| 76000 |
|
12 |
12 |
$34.02 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
224 |
219 |
$33.51 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
224 |
219 |
$20.09 |
| 87660 |
|
133 |
125 |
$19.15 |
| 17003 |
|
12 |
12 |
$17.44 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
51 |
37 |
$0.00 |
| 87480 |
|
136 |
128 |
$0.00 |
| 0482T |
|
181 |
179 |
$0.00 |
| 99451 |
|
104 |
104 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
446 |
439 |
$0.00 |
| 91307 |
|
16 |
16 |
$0.00 |
| 87625 |
|
20 |
20 |
$0.00 |
| 91303 |
|
51 |
47 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
47 |
42 |
$0.00 |
| 87510 |
|
134 |
126 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
459 |
312 |
$0.00 |
| 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) |
38 |
38 |
$0.00 |
| 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 |
13 |
13 |
$0.00 |
| 92700 |
|
15 |
13 |
$0.00 |
| 90723 |
|
28 |
28 |
$0.00 |
| 88142 |
|
68 |
61 |
$0.00 |
| 90685 |
|
81 |
81 |
$0.00 |
| 90461 |
|
483 |
469 |
$0.00 |
| 90648 |
|
129 |
125 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
27 |
$0.00 |
| 91300 |
|
213 |
201 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
49 |
43 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
601 |
587 |
$0.00 |
| 0298T |
|
26 |
24 |
$0.00 |
| 90670 |
|
114 |
111 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |