| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95,224 |
86,683 |
$7.33M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29,395 |
27,871 |
$7.05M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
73,266 |
27,956 |
$6.49M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,715 |
14,037 |
$2.58M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,658 |
1,895 |
$1.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,022 |
23,772 |
$1.29M |
| 99233 |
Prolong inpt eval add15 m |
10,986 |
4,267 |
$1.28M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
63,323 |
51,812 |
$1.12M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,388 |
6,880 |
$1.02M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,459 |
7,752 |
$941K |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,315 |
9,081 |
$796K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,337 |
7,828 |
$794K |
| 71045 |
Radiologic examination, chest; single view |
50,846 |
36,238 |
$768K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,236 |
2,093 |
$522K |
| 99215 |
Prolong outpt/office vis |
4,201 |
3,603 |
$421K |
| 99223 |
Prolong inpt eval add15 m |
1,830 |
1,640 |
$395K |
| 99254 |
|
1,138 |
1,072 |
$355K |
| 99255 |
|
1,000 |
810 |
$329K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,633 |
3,421 |
$324K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,920 |
2,665 |
$310K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,779 |
1,637 |
$307K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,110 |
1,964 |
$300K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,388 |
2,608 |
$275K |
| 88307 |
|
1,195 |
1,076 |
$224K |
| 71046 |
Radiologic examination, chest; 2 views |
11,818 |
11,045 |
$205K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,817 |
1,736 |
$188K |
| 00731 |
|
625 |
582 |
$134K |
| 74018 |
|
8,450 |
7,041 |
$126K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
804 |
708 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
819 |
787 |
$120K |
| 99222 |
Initial hospital care, per day, moderate complexity |
824 |
755 |
$112K |
| 27096 |
|
265 |
254 |
$112K |
| 99152 |
|
2,094 |
1,876 |
$107K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,979 |
2,663 |
$106K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
574 |
529 |
$94K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
419 |
402 |
$91K |
| 70498 |
|
591 |
542 |
$86K |
| 70496 |
|
573 |
526 |
$86K |
| 92134 |
|
3,144 |
2,850 |
$74K |
| 99220 |
|
275 |
246 |
$74K |
| 71250 |
|
696 |
632 |
$70K |
| 00142 |
|
361 |
300 |
$60K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
899 |
472 |
$58K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
154 |
145 |
$56K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
718 |
705 |
$54K |
| 62370 |
|
664 |
644 |
$51K |
| 73630 |
|
2,888 |
2,596 |
$50K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
333 |
317 |
$49K |
| 90961 |
|
410 |
378 |
$49K |
| 99217 |
|
492 |
453 |
$46K |
| 95720 |
|
196 |
78 |
$46K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
482 |
439 |
$46K |
| D7140 |
Extraction, erupted tooth or exposed root |
316 |
38 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
616 |
584 |
$39K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
672 |
659 |
$36K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
631 |
605 |
$33K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
253 |
251 |
$31K |
| 92060 |
|
983 |
799 |
$31K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
181 |
135 |
$31K |
| 64615 |
|
225 |
215 |
$29K |
| 95115 |
|
2,572 |
1,532 |
$29K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
178 |
159 |
$29K |
| 73030 |
|
1,399 |
1,308 |
$28K |
| 76770 |
|
537 |
503 |
$28K |
| 92226 |
|
658 |
555 |
$26K |
| 85396 |
|
1,005 |
859 |
$25K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
247 |
236 |
$25K |
| 93308 |
|
575 |
521 |
$25K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
190 |
176 |
$24K |
| 72100 |
|
1,082 |
1,041 |
$22K |
| 95816 |
|
345 |
330 |
$22K |
| 93970 |
|
497 |
456 |
$20K |
| 74183 |
|
94 |
90 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
166 |
150 |
$19K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
184 |
172 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
221 |
191 |
$19K |
| 73560 |
|
1,078 |
970 |
$18K |
| 99292 |
|
113 |
36 |
$18K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
131 |
119 |
$18K |
| 95951 |
|
42 |
26 |
$17K |
| 73610 |
|
955 |
864 |
$17K |
| 90962 |
|
216 |
199 |
$17K |
| 77427 |
|
45 |
24 |
$17K |
| 90834 |
Psychotherapy, 45 minutes with patient |
542 |
387 |
$17K |
| 88112 |
|
361 |
299 |
$16K |
| 92504 |
|
603 |
557 |
$16K |
| 64642 |
|
120 |
112 |
$15K |
| 99218 |
|
98 |
92 |
$15K |
| D0170 |
|
184 |
166 |
$14K |
| 93298 |
|
562 |
538 |
$13K |
| 20611 |
|
170 |
160 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
505 |
403 |
$12K |
| 92083 |
|
383 |
308 |
$12K |
| 31575 |
|
108 |
101 |
$12K |
| 99245 |
|
32 |
29 |
$11K |
| 99221 |
|
79 |
76 |
$11K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$10K |
| 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) |
3,934 |
3,521 |
$10K |
| 77334 |
|
14 |
14 |
$10K |
| 85060 |
|
317 |
288 |
$10K |
| 74230 |
|
213 |
190 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
203 |
184 |
$9K |
| 95886 |
|
119 |
116 |
$9K |
| 84165 |
|
519 |
475 |
$9K |
| 93325 |
|
1,154 |
1,041 |
$9K |
| 88342 |
|
152 |
134 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$8K |
| 77300 |
|
26 |
25 |
$8K |
| 73562 |
|
467 |
433 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
40 |
40 |
$8K |
| 73501 |
|
474 |
447 |
$7K |
| 95012 |
|
345 |
193 |
$7K |
| 97597 |
|
239 |
176 |
$7K |
| 95251 |
|
261 |
234 |
$7K |
| 88304 |
|
242 |
226 |
$7K |
| 73564 |
|
285 |
251 |
$7K |
| 93922 |
|
163 |
158 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
50 |
48 |
$6K |
| 88312 |
|
169 |
165 |
$6K |
| 73130 |
|
293 |
264 |
$5K |
| 95957 |
|
40 |
38 |
$5K |
| 77263 |
|
13 |
13 |
$5K |
| 88311 |
|
341 |
305 |
$5K |
| 93016 |
|
162 |
153 |
$5K |
| 93272 |
|
107 |
106 |
$5K |
| 86255 |
|
336 |
256 |
$5K |
| 93295 |
|
142 |
135 |
$5K |
| 92201 |
|
131 |
113 |
$5K |
| 76818 |
|
32 |
24 |
$4K |
| 76642 |
|
81 |
75 |
$4K |
| 76813 |
|
31 |
28 |
$4K |
| 72040 |
|
143 |
137 |
$3K |
| 92015 |
Determination of refractive state |
989 |
751 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
36 |
$3K |
| 77290 |
|
12 |
12 |
$3K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
20 |
15 |
$3K |
| 94060 |
|
155 |
151 |
$3K |
| 93320 |
|
71 |
64 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
79 |
$3K |
| 92133 |
|
90 |
87 |
$3K |
| 96130 |
|
59 |
55 |
$3K |
| 96139 |
|
47 |
40 |
$3K |
| 99243 |
|
13 |
13 |
$3K |
| 93971 |
|
100 |
93 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
30 |
29 |
$3K |
| 88173 |
|
15 |
12 |
$2K |
| 20610 |
|
25 |
25 |
$2K |
| 51705 |
|
58 |
49 |
$2K |
| D0330 |
Panoramic radiographic image |
29 |
28 |
$2K |
| 69210 |
|
61 |
55 |
$2K |
| 93321 |
|
163 |
144 |
$2K |
| 96132 |
|
31 |
27 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
110 |
37 |
$2K |
| 73110 |
|
102 |
86 |
$1K |
| 72131 |
|
16 |
14 |
$1K |
| 77080 |
|
45 |
44 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
41 |
40 |
$1K |
| 70491 |
|
12 |
12 |
$1K |
| 72128 |
|
14 |
12 |
$1K |
| 96133 |
|
16 |
15 |
$1K |
| 99417 |
Prolong home eval add 15m |
27 |
14 |
$1K |
| 93227 |
|
27 |
27 |
$1K |
| 73590 |
|
53 |
49 |
$1K |
| 64643 |
|
16 |
14 |
$1K |
| 95819 |
|
13 |
13 |
$1K |
| 77012 |
|
12 |
12 |
$985.08 |
| 94010 |
|
77 |
75 |
$979.93 |
| 73552 |
|
68 |
58 |
$971.37 |
| 96131 |
|
13 |
13 |
$962.85 |
| 92020 |
|
42 |
39 |
$946.02 |
| 76942 |
|
12 |
12 |
$886.96 |
| 88141 |
|
15 |
15 |
$789.10 |
| 96138 |
|
45 |
40 |
$730.25 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$660.94 |
| 77066 |
Tomosynthesis, mammo |
14 |
12 |
$645.82 |
| 76937 |
|
33 |
29 |
$627.54 |
| 91200 |
|
35 |
32 |
$552.92 |
| 77001 |
|
19 |
19 |
$543.90 |
| 93294 |
|
13 |
13 |
$455.81 |
| 96137 |
|
12 |
12 |
$393.20 |
| 92202 |
|
20 |
17 |
$391.43 |
| 83020 |
|
268 |
207 |
$390.80 |
| 93297 |
|
44 |
41 |
$368.19 |
| 96136 |
|
13 |
13 |
$361.83 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
14 |
12 |
$327.75 |
| 73521 |
|
12 |
12 |
$299.51 |
| 95874 |
|
29 |
26 |
$256.50 |
| 99304 |
|
14 |
13 |
$185.33 |
| 93880 |
|
12 |
12 |
$176.12 |
| 99307 |
|
14 |
12 |
$170.21 |
| 94729 |
|
13 |
13 |
$158.39 |
| 96150 |
|
15 |
14 |
$147.62 |
| 95117 |
|
22 |
12 |
$137.80 |
| 95024 |
|
13 |
12 |
$92.23 |
| 99442 |
|
36 |
32 |
$62.24 |
| 99441 |
|
18 |
15 |
$60.36 |
| 11721 |
|
14 |
13 |
$52.57 |
| 84443 |
Thyroid stimulating hormone (TSH) |
42 |
37 |
$0.00 |
| 83789 |
|
45 |
38 |
$0.00 |
| 83498 |
|
42 |
34 |
$0.00 |
| 82261 |
|
38 |
31 |
$0.00 |
| 81479 |
Unlisted molecular pathology procedure |
14 |
14 |
$0.00 |
| 82776 |
|
56 |
46 |
$0.00 |
| 83516 |
|
37 |
34 |
$0.00 |