| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
45,760 |
12,116 |
$1.52M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,877 |
27,290 |
$737K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25,267 |
8,178 |
$563K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
21,888 |
20,605 |
$551K |
| 99223 |
Prolong inpt eval add15 m |
8,776 |
7,423 |
$477K |
| 88350 |
|
5,324 |
4,598 |
$454K |
| 88348 |
|
3,876 |
3,687 |
$331K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,779 |
6,653 |
$270K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,417 |
14,271 |
$240K |
| 88313 |
|
6,106 |
5,807 |
$233K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,845 |
1,843 |
$214K |
| 99215 |
Prolong outpt/office vis |
7,149 |
6,707 |
$199K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,510 |
5,206 |
$180K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
108,325 |
49,586 |
$173K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
72,999 |
30,798 |
$153K |
| 88346 |
|
5,578 |
4,947 |
$150K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,369 |
3,138 |
$124K |
| 88342 |
|
6,544 |
6,017 |
$119K |
| 88307 |
|
3,381 |
3,082 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,782 |
3,737 |
$95K |
| 86923 |
|
2,604 |
1,784 |
$95K |
| 83735 |
|
35,654 |
8,726 |
$86K |
| 80053 |
Comprehensive metabolic panel |
32,278 |
15,238 |
$86K |
| 83880 |
|
11,031 |
8,035 |
$86K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,909 |
3,036 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,292 |
3,255 |
$78K |
| 88341 |
|
4,023 |
3,643 |
$76K |
| 99205 |
Prolong outpt/office vis |
2,092 |
2,068 |
$74K |
| 85027 |
|
39,347 |
12,631 |
$74K |
| 84484 |
|
14,828 |
11,297 |
$66K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,427 |
7,549 |
$64K |
| 87040 |
|
14,614 |
9,345 |
$58K |
| 80197 |
|
12,093 |
3,208 |
$56K |
| 88189 |
|
1,690 |
1,570 |
$55K |
| 88108 |
|
4,456 |
3,823 |
$54K |
| 80076 |
|
28,794 |
16,703 |
$54K |
| 83605 |
|
18,910 |
11,022 |
$53K |
| 82330 |
|
6,820 |
1,677 |
$52K |
| 93970 |
|
2,227 |
2,175 |
$49K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
747 |
262 |
$43K |
| 93000 |
|
4,800 |
4,707 |
$43K |
| 20610 |
|
1,713 |
1,577 |
$42K |
| 90961 |
|
451 |
447 |
$42K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
352 |
258 |
$41K |
| 84100 |
|
21,630 |
5,887 |
$40K |
| 85730 |
|
20,898 |
11,800 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,196 |
3,474 |
$33K |
| J0897 |
Injection, denosumab, 1 mg |
66 |
64 |
$33K |
| 99221 |
|
1,240 |
1,176 |
$31K |
| 84165 |
|
8,488 |
7,986 |
$31K |
| 86850 |
|
10,153 |
6,994 |
$29K |
| 85060 |
|
2,311 |
2,196 |
$28K |
| 86334 |
|
7,143 |
6,699 |
$28K |
| 85610 |
|
20,482 |
10,341 |
$28K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,325 |
3,121 |
$27K |
| 82962 |
|
6,297 |
1,620 |
$25K |
| 99255 |
|
266 |
253 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
3,531 |
3,241 |
$23K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
796 |
779 |
$22K |
| 87077 |
|
8,545 |
6,315 |
$22K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,827 |
1,056 |
$21K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,626 |
1,085 |
$19K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,380 |
5,595 |
$19K |
| 83690 |
|
16,425 |
14,036 |
$19K |
| 87081 |
|
7,697 |
5,931 |
$18K |
| 88360 |
|
870 |
838 |
$17K |
| 81001 |
|
19,693 |
16,478 |
$17K |
| 88312 |
|
1,151 |
1,080 |
$17K |
| 88304 |
|
1,954 |
1,922 |
$17K |
| 87088 |
|
5,841 |
4,935 |
$16K |
| 80202 |
|
5,548 |
2,288 |
$16K |
| 86480 |
|
1,054 |
934 |
$16K |
| 93320 |
|
1,121 |
1,100 |
$15K |
| 80502 |
|
569 |
518 |
$15K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,649 |
1,386 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,153 |
1,098 |
$14K |
| 86901 |
|
9,916 |
6,873 |
$14K |
| 87070 |
|
5,893 |
3,865 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
642 |
642 |
$13K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,523 |
3,200 |
$13K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
1,307 |
1,239 |
$12K |
| 89060 |
|
2,335 |
1,904 |
$12K |
| 80061 |
Lipid panel |
3,773 |
3,411 |
$12K |
| 83615 |
|
4,593 |
2,243 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,072 |
1,834 |
$11K |
| 85520 |
|
2,679 |
811 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,245 |
2,045 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
176 |
78 |
$10K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,182 |
820 |
$10K |
| 89051 |
|
2,574 |
1,673 |
$9K |
| 86900 |
|
10,075 |
6,862 |
$9K |
| 82728 |
|
3,697 |
2,962 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,144 |
1,951 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
333 |
333 |
$9K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
71 |
36 |
$9K |
| 87186 |
|
4,367 |
3,420 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,336 |
4,872 |
$9K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
268 |
266 |
$8K |
| 99310 |
Prolong nursin fac eval 15m |
435 |
263 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
213 |
183 |
$8K |
| 85379 |
|
4,671 |
3,299 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
530 |
520 |
$7K |
| 99443 |
|
83 |
81 |
$7K |
| 87340 |
|
3,700 |
3,391 |
$7K |
| 84166 |
|
2,194 |
2,098 |
$7K |
| 85576 |
|
598 |
271 |
$7K |
| 86335 |
|
1,806 |
1,726 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
176 |
174 |
$7K |
| 88309 |
|
145 |
144 |
$6K |
| 83550 |
|
4,185 |
4,005 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
338 |
337 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
132 |
130 |
$6K |
| 87205 |
|
3,826 |
2,637 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
714 |
700 |
$6K |
| 86235 |
|
364 |
320 |
$6K |
| 86803 |
|
1,857 |
1,666 |
$6K |
| 99306 |
Prolong nursin fac eval 15m |
193 |
176 |
$6K |
| 80074 |
|
812 |
739 |
$5K |
| 90662 |
|
667 |
667 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
643 |
643 |
$5K |
| 83540 |
|
4,535 |
4,054 |
$5K |
| 99254 |
|
75 |
74 |
$5K |
| 88381 |
|
266 |
255 |
$5K |
| 84703 |
|
6,034 |
5,655 |
$5K |
| 87102 |
|
1,633 |
1,161 |
$5K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
13 |
$5K |
| 83883 |
|
800 |
640 |
$5K |
| 83970 |
|
652 |
543 |
$5K |
| 86077 |
|
266 |
214 |
$5K |
| 86704 |
|
1,769 |
1,596 |
$5K |
| 87075 |
|
944 |
771 |
$5K |
| 85384 |
|
1,074 |
464 |
$5K |
| 82378 |
|
1,505 |
1,218 |
$5K |
| 99497 |
|
375 |
333 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
688 |
536 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,433 |
2,318 |
$5K |
| 87015 |
|
2,256 |
1,457 |
$4K |
| 82550 |
|
3,402 |
2,130 |
$4K |
| 93325 |
|
1,402 |
1,360 |
$4K |
| 99442 |
|
90 |
90 |
$4K |
| 80047 |
|
1,355 |
519 |
$4K |
| 82784 |
|
1,086 |
985 |
$4K |
| 99217 |
|
151 |
148 |
$4K |
| 82803 |
|
508 |
120 |
$4K |
| 59025 |
Fetal non-stress test |
154 |
66 |
$3K |
| 74178 |
|
67 |
66 |
$3K |
| 51798 |
|
491 |
483 |
$3K |
| 84134 |
|
822 |
434 |
$3K |
| 87400 |
|
1,112 |
1,101 |
$3K |
| 87536 |
|
240 |
211 |
$3K |
| 82570 |
|
1,800 |
1,435 |
$3K |
| 86360 |
|
437 |
393 |
$3K |
| 86359 |
|
497 |
416 |
$3K |
| 87486 |
|
334 |
281 |
$3K |
| 73030 |
|
463 |
396 |
$3K |
| 93351 |
|
25 |
24 |
$3K |
| 87581 |
|
313 |
269 |
$2K |
| 83010 |
|
701 |
523 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
331 |
259 |
$2K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
31 |
29 |
$2K |
| 86039 |
|
943 |
840 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
529 |
165 |
$2K |
| 77080 |
|
300 |
300 |
$2K |
| 82607 |
|
680 |
671 |
$2K |
| 87116 |
|
653 |
469 |
$2K |
| 86706 |
|
820 |
698 |
$2K |
| 73562 |
|
439 |
328 |
$2K |
| 82533 |
|
563 |
437 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$2K |
| 73564 |
|
348 |
254 |
$2K |
| 83935 |
|
1,232 |
789 |
$2K |
| 84439 |
|
1,163 |
861 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
999 |
906 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
54 |
54 |
$2K |
| 88311 |
|
1,420 |
1,389 |
$2K |
| 77066 |
Tomosynthesis, mammo |
55 |
51 |
$2K |
| 85390 |
|
56 |
12 |
$2K |
| 92557 |
|
104 |
103 |
$1K |
| 85007 |
|
2,353 |
1,103 |
$1K |
| 86225 |
|
505 |
438 |
$1K |
| 88300 |
|
582 |
567 |
$1K |
| 82150 |
|
689 |
454 |
$1K |
| 84300 |
|
838 |
611 |
$1K |
| 88331 |
|
149 |
143 |
$1K |
| 84550 |
|
1,423 |
955 |
$1K |
| 86256 |
|
208 |
178 |
$1K |
| 72141 |
|
54 |
54 |
$1K |
| 73130 |
|
367 |
269 |
$1K |
| 86592 |
|
1,144 |
1,124 |
$1K |
| 71270 |
|
27 |
26 |
$1K |
| 73221 |
|
82 |
75 |
$1K |
| 93016 |
|
86 |
85 |
$1K |
| 82105 |
|
269 |
240 |
$1K |
| 99307 |
|
98 |
74 |
$997.96 |
| 86300 |
|
290 |
259 |
$951.22 |
| 77065 |
Tomosynthesis, mammo |
27 |
26 |
$944.81 |
| 93971 |
|
152 |
149 |
$933.74 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
106 |
106 |
$921.64 |
| 86644 |
|
179 |
164 |
$890.97 |
| 88377 |
|
90 |
81 |
$888.33 |
| 99220 |
|
14 |
12 |
$885.98 |
| 88185 |
|
13 |
12 |
$875.74 |
| 99152 |
|
97 |
92 |
$861.10 |
| 84156 |
|
733 |
640 |
$853.28 |
| 73110 |
|
265 |
205 |
$844.12 |
| 93290 |
|
66 |
66 |
$799.25 |
| 73502 |
|
199 |
193 |
$797.20 |
| 99304 |
|
33 |
17 |
$795.97 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
118 |
74 |
$765.16 |
| 31575 |
|
66 |
62 |
$763.89 |
| 82274 |
|
127 |
116 |
$755.42 |
| 82140 |
|
157 |
102 |
$747.48 |
| 92550 |
|
103 |
102 |
$696.72 |
| 85347 |
|
98 |
52 |
$668.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
92 |
58 |
$665.47 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, 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; 5-10 minutes of medical discussion |
52 |
50 |
$612.75 |
| 87206 |
|
386 |
274 |
$612.45 |
| 85046 |
|
691 |
442 |
$597.30 |
| 93280 |
|
33 |
33 |
$595.82 |
| 20550 |
|
93 |
78 |
$595.49 |
| 80320 |
|
1,160 |
1,048 |
$576.60 |
| 86780 |
|
287 |
284 |
$571.68 |
| 93018 |
|
86 |
85 |
$570.27 |
| 86645 |
|
134 |
117 |
$555.37 |
| 64483 |
|
26 |
26 |
$541.80 |
| 82565 |
|
555 |
440 |
$528.90 |
| 87106 |
|
298 |
202 |
$515.16 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$505.64 |
| 81002 |
|
514 |
462 |
$504.59 |
| 93355 |
|
15 |
15 |
$480.30 |
| 82947 |
|
514 |
295 |
$472.26 |
| 86880 |
|
267 |
260 |
$442.40 |
| 72197 |
|
13 |
13 |
$425.11 |
| 86922 |
|
15 |
12 |
$418.60 |
| 84132 |
|
564 |
360 |
$416.08 |
| 88291 |
|
27 |
26 |
$401.57 |
| 88368 |
|
25 |
25 |
$398.28 |
| 84702 |
|
458 |
398 |
$395.75 |
| 85396 |
|
41 |
26 |
$368.55 |
| 69210 |
|
67 |
65 |
$360.16 |
| 11721 |
|
46 |
46 |
$357.50 |
| 93922 |
|
26 |
26 |
$356.90 |
| 83930 |
|
211 |
127 |
$339.00 |
| 86301 |
|
58 |
53 |
$335.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
400 |
398 |
$334.54 |
| 82043 |
|
394 |
296 |
$328.37 |
| 87103 |
|
229 |
170 |
$325.94 |
| 76642 |
|
43 |
42 |
$320.75 |
| 86705 |
|
160 |
138 |
$311.99 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$306.21 |
| 85097 |
|
26 |
26 |
$305.27 |
| 85651 |
|
508 |
458 |
$301.75 |
| 82247 |
|
367 |
185 |
$280.41 |
| 73610 |
|
81 |
70 |
$269.29 |
| 90686 |
|
64 |
63 |
$257.93 |
| 73630 |
|
210 |
166 |
$239.21 |
| 72100 |
|
163 |
161 |
$231.91 |
| 87210 |
|
226 |
220 |
$222.86 |
| 82272 |
|
250 |
227 |
$220.65 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
133 |
126 |
$218.32 |
| 87149 |
|
25 |
25 |
$217.31 |
| 88344 |
|
13 |
12 |
$213.61 |
| 73560 |
|
171 |
143 |
$207.13 |
| G0008 |
Administration of influenza virus vaccine |
400 |
400 |
$206.03 |
| 87184 |
|
32 |
28 |
$201.69 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$200.91 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$197.40 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
97 |
97 |
$195.58 |
| 64484 |
|
13 |
12 |
$183.81 |
| 72110 |
|
92 |
92 |
$182.10 |
| 84157 |
|
164 |
114 |
$168.59 |
| 82248 |
|
273 |
193 |
$159.72 |
| 87517 |
|
18 |
12 |
$157.97 |
| 17110 |
|
30 |
30 |
$155.13 |
| 71250 |
|
13 |
13 |
$149.12 |
| 82945 |
|
16 |
13 |
$145.77 |
| 84436 |
|
147 |
125 |
$138.67 |
| 82977 |
|
320 |
256 |
$125.74 |
| 86778 |
|
26 |
25 |
$113.86 |
| 85014 |
|
273 |
152 |
$106.46 |
| 86777 |
|
48 |
38 |
$105.94 |
| 81025 |
|
227 |
226 |
$105.37 |
| 17000 |
|
13 |
13 |
$101.62 |
| 96367 |
|
35 |
26 |
$94.96 |
| 84540 |
|
127 |
96 |
$84.08 |
| 84295 |
|
301 |
118 |
$81.83 |
| 85301 |
|
24 |
13 |
$80.76 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
777 |
241 |
$75.95 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
17 |
12 |
$62.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
15 |
$50.05 |
| 72040 |
|
26 |
26 |
$48.24 |
| 93321 |
|
13 |
13 |
$46.84 |
| 93880 |
|
13 |
13 |
$46.38 |
| 73140 |
|
18 |
15 |
$43.06 |
| 84479 |
|
32 |
25 |
$40.69 |
| 86022 |
|
16 |
12 |
$29.15 |
| 11056 |
|
13 |
13 |
$25.07 |
| 84478 |
|
99 |
40 |
$19.68 |
| 84460 |
|
71 |
53 |
$17.74 |
| 84450 |
|
71 |
53 |
$17.36 |
| 87420 |
|
26 |
26 |
$14.28 |
| 82390 |
|
13 |
13 |
$13.95 |
| 81003 |
|
25 |
13 |
$8.79 |
| 20611 |
|
23 |
17 |
$3.24 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
13 |
$3.06 |
| 73565 |
|
71 |
71 |
$0.00 |
| 80305 |
|
29 |
28 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
12 |
12 |
$0.00 |
| 17003 |
|
12 |
12 |
$0.00 |
| 88173 |
|
27 |
25 |
$0.00 |
| 90656 |
|
64 |
64 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |