| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
45,195 |
44,028 |
$2.92M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67,988 |
64,760 |
$2.52M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
45,604 |
20,324 |
$1.58M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
20,570 |
20,008 |
$1.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,243 |
37,514 |
$1.32M |
| 70450 |
Computed tomography, head or brain; without contrast material |
37,834 |
35,509 |
$1.32M |
| 99233 |
Prolong inpt eval add15 m |
22,363 |
9,645 |
$1.21M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16,018 |
15,591 |
$1.21M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31,795 |
30,753 |
$1.21M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27,906 |
26,806 |
$878K |
| 71045 |
Radiologic examination, chest; single view |
125,475 |
100,472 |
$795K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
19,484 |
18,696 |
$751K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,454 |
8,082 |
$685K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,241 |
3,218 |
$684K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
27,135 |
26,130 |
$679K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
11,227 |
3,236 |
$655K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
86,180 |
70,191 |
$577K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,363 |
6,271 |
$543K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12,884 |
12,608 |
$538K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,457 |
1,240 |
$409K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,178 |
7,057 |
$406K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
8,036 |
7,782 |
$369K |
| 71046 |
Radiologic examination, chest; 2 views |
44,580 |
43,362 |
$369K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,467 |
3,365 |
$333K |
| 31231 |
|
5,739 |
5,554 |
$329K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,723 |
4,614 |
$279K |
| 93970 |
|
8,649 |
8,259 |
$258K |
| 99215 |
Prolong outpt/office vis |
4,315 |
4,064 |
$256K |
| 59025 |
Fetal non-stress test |
11,257 |
7,965 |
$217K |
| 93000 |
|
13,690 |
13,156 |
$199K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
3,927 |
3,789 |
$198K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
6,167 |
6,015 |
$196K |
| 76830 |
Ultrasound, transvaginal |
5,881 |
5,755 |
$191K |
| 00731 |
|
1,904 |
1,755 |
$166K |
| 70355 |
|
6,831 |
6,708 |
$155K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,896 |
3,842 |
$152K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,962 |
1,944 |
$150K |
| 76801 |
|
1,705 |
1,680 |
$149K |
| 88342 |
|
5,068 |
4,911 |
$149K |
| 76813 |
|
1,454 |
1,435 |
$148K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
6,088 |
5,928 |
$148K |
| 71250 |
|
3,548 |
3,414 |
$146K |
| 88307 |
|
3,546 |
3,482 |
$143K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,022 |
1,978 |
$134K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,573 |
1,522 |
$123K |
| 76770 |
|
4,065 |
3,944 |
$120K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
507 |
407 |
$120K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,980 |
1,942 |
$119K |
| 95720 |
|
979 |
604 |
$116K |
| 31579 |
|
1,623 |
1,573 |
$115K |
| D7240 |
Removal of impacted tooth - completely bony |
686 |
257 |
$114K |
| 76642 |
|
4,055 |
3,567 |
$113K |
| 93975 |
|
1,559 |
1,523 |
$105K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,293 |
3,077 |
$95K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,411 |
1,272 |
$85K |
| 88189 |
|
993 |
878 |
$80K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,242 |
1,213 |
$75K |
| 76820 |
|
1,260 |
1,046 |
$70K |
| 73630 |
|
8,403 |
7,213 |
$63K |
| 99222 |
Initial hospital care, per day, moderate complexity |
743 |
715 |
$59K |
| 74018 |
|
9,301 |
7,736 |
$57K |
| 77066 |
Tomosynthesis, mammo |
1,420 |
1,398 |
$55K |
| 74183 |
|
575 |
554 |
$54K |
| 70486 |
|
1,056 |
1,031 |
$53K |
| 00811 |
|
707 |
659 |
$52K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,379 |
1,423 |
$52K |
| D9222 |
|
424 |
409 |
$49K |
| 73564 |
|
4,788 |
4,082 |
$48K |
| 76641 |
|
1,551 |
1,027 |
$48K |
| 76536 |
|
1,627 |
1,604 |
$46K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,617 |
1,613 |
$45K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
178 |
178 |
$45K |
| 94726 |
|
3,043 |
2,989 |
$41K |
| 94729 |
|
3,676 |
3,607 |
$41K |
| 73130 |
|
5,122 |
4,282 |
$39K |
| 73030 |
|
4,626 |
4,166 |
$39K |
| 99243 |
|
431 |
429 |
$39K |
| 93298 |
|
2,623 |
2,526 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,433 |
3,390 |
$38K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
29 |
28 |
$36K |
| 93971 |
|
1,667 |
1,623 |
$34K |
| 73610 |
|
4,094 |
3,704 |
$34K |
| 72110 |
|
2,194 |
2,153 |
$31K |
| 54150 |
|
270 |
267 |
$30K |
| 88377 |
|
490 |
457 |
$30K |
| 90686 |
|
4,052 |
4,042 |
$30K |
| 93295 |
|
911 |
892 |
$29K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
313 |
295 |
$29K |
| 88112 |
|
638 |
600 |
$26K |
| 95718 |
|
316 |
295 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
805 |
769 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
586 |
569 |
$24K |
| 88304 |
|
1,326 |
1,278 |
$24K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
573 |
459 |
$23K |
| 77065 |
Tomosynthesis, mammo |
748 |
731 |
$23K |
| 99254 |
|
385 |
376 |
$22K |
| 84165 |
|
2,567 |
2,412 |
$22K |
| 72100 |
|
2,106 |
1,969 |
$22K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,830 |
812 |
$22K |
| 90715 |
|
1,681 |
1,656 |
$21K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
26 |
26 |
$21K |
| 00813 |
|
228 |
213 |
$20K |
| 77062 |
|
676 |
665 |
$20K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
136 |
136 |
$20K |
| D7230 |
|
127 |
68 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
184 |
173 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,217 |
1,097 |
$17K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
40 |
40 |
$17K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
252 |
243 |
$15K |
| 0502F |
|
1,977 |
1,763 |
$15K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
182 |
177 |
$14K |
| 01916 |
|
102 |
98 |
$14K |
| 87210 |
|
2,009 |
1,815 |
$14K |
| S9083 |
Global fee urgent care centers |
108 |
108 |
$13K |
| 20610 |
|
926 |
621 |
$13K |
| 72050 |
|
902 |
886 |
$13K |
| 94060 |
|
1,403 |
1,375 |
$12K |
| 93016 |
|
705 |
687 |
$12K |
| 73590 |
|
1,436 |
1,186 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
328 |
323 |
$12K |
| 76882 |
|
631 |
497 |
$11K |
| 70496 |
|
158 |
152 |
$11K |
| 71271 |
|
318 |
301 |
$11K |
| 94010 |
|
1,460 |
1,434 |
$10K |
| 73562 |
|
1,201 |
918 |
$10K |
| 70498 |
|
139 |
134 |
$10K |
| 72131 |
|
221 |
213 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
161 |
109 |
$10K |
| 73502 |
|
1,208 |
1,154 |
$10K |
| 77080 |
|
1,308 |
1,297 |
$9K |
| 11900 |
|
225 |
221 |
$9K |
| 93018 |
|
683 |
665 |
$8K |
| 31575 |
|
121 |
117 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
78 |
70 |
$6K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
81 |
65 |
$6K |
| 78580 |
|
246 |
235 |
$6K |
| 73110 |
|
814 |
732 |
$6K |
| 99255 |
|
96 |
96 |
$6K |
| 90651 |
|
394 |
391 |
$6K |
| 99205 |
Prolong outpt/office vis |
71 |
69 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
570 |
566 |
$5K |
| 86334 |
|
569 |
523 |
$5K |
| 88173 |
|
97 |
97 |
$5K |
| 90670 |
|
192 |
191 |
$5K |
| 90732 |
|
164 |
164 |
$5K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
93 |
92 |
$5K |
| 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) |
800 |
780 |
$5K |
| 90746 |
|
636 |
636 |
$5K |
| 88313 |
|
202 |
188 |
$5K |
| 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 |
206 |
200 |
$4K |
| 76942 |
|
82 |
74 |
$4K |
| 72141 |
|
55 |
52 |
$4K |
| 72040 |
|
443 |
391 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
36 |
$4K |
| 92557 |
|
411 |
403 |
$4K |
| 83986 |
|
2,097 |
2,006 |
$4K |
| 86077 |
|
104 |
97 |
$4K |
| 69210 |
|
209 |
200 |
$3K |
| 88341 |
|
83 |
81 |
$3K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
94 |
93 |
$3K |
| 99459 |
|
244 |
234 |
$3K |
| 76881 |
|
45 |
36 |
$3K |
| 78306 |
|
99 |
97 |
$3K |
| 77014 |
|
160 |
50 |
$3K |
| 72170 |
|
499 |
474 |
$3K |
| 73560 |
|
433 |
334 |
$3K |
| 85060 |
|
223 |
215 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
48 |
48 |
$3K |
| 93308 |
|
224 |
200 |
$3K |
| 76775 |
|
117 |
117 |
$3K |
| 73080 |
|
395 |
381 |
$3K |
| 49083 |
|
52 |
41 |
$3K |
| 95117 |
|
336 |
209 |
$3K |
| 72070 |
|
257 |
249 |
$3K |
| 99242 |
|
45 |
45 |
$3K |
| 83020 |
|
203 |
201 |
$3K |
| 84166 |
|
246 |
239 |
$3K |
| J2785 |
Injection, regadenoson, 0.1 mg |
57 |
57 |
$3K |
| 88311 |
|
142 |
137 |
$3K |
| 77061 |
|
97 |
93 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$3K |
| 95951 |
|
79 |
42 |
$3K |
| 3008F |
|
8,097 |
7,716 |
$2K |
| 90682 |
|
192 |
192 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
28 |
27 |
$2K |
| 16025 |
|
36 |
26 |
$2K |
| 76818 |
|
40 |
31 |
$2K |
| 72128 |
|
52 |
51 |
$2K |
| 93294 |
|
174 |
173 |
$2K |
| 99448 |
|
60 |
59 |
$2K |
| 90656 |
|
230 |
230 |
$2K |
| 51798 |
|
167 |
157 |
$2K |
| 76376 |
|
357 |
347 |
$2K |
| D0330 |
Panoramic radiographic image |
56 |
56 |
$2K |
| 99304 |
|
59 |
59 |
$2K |
| 93015 |
|
26 |
24 |
$2K |
| 85390 |
|
156 |
147 |
$2K |
| 99152 |
|
235 |
222 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
34 |
$2K |
| 86255 |
|
96 |
93 |
$2K |
| 73090 |
|
219 |
197 |
$2K |
| 64483 |
|
17 |
15 |
$2K |
| 20611 |
|
47 |
36 |
$1K |
| 73552 |
|
231 |
197 |
$1K |
| 88300 |
|
411 |
401 |
$1K |
| 74178 |
|
30 |
24 |
$1K |
| 96160 |
|
390 |
377 |
$1K |
| 78264 |
|
39 |
38 |
$1K |
| 46600 |
|
64 |
64 |
$1K |
| 97803 |
|
52 |
41 |
$1K |
| 88312 |
|
28 |
27 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
65 |
65 |
$1K |
| 99305 |
|
25 |
24 |
$1K |
| 92567 |
|
228 |
221 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
13 |
12 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
20 |
13 |
$994.79 |
| 95024 |
|
13 |
12 |
$980.50 |
| 94375 |
|
24 |
24 |
$964.68 |
| 36415 |
Collection of venous blood by venipuncture |
238 |
235 |
$961.01 |
| 93296 |
|
62 |
62 |
$938.87 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
943 |
921 |
$933.09 |
| 99253 |
|
25 |
25 |
$916.01 |
| 99220 |
|
12 |
12 |
$862.99 |
| 3725F |
|
520 |
516 |
$851.40 |
| 92504 |
|
52 |
51 |
$829.36 |
| 88172 |
|
40 |
40 |
$771.40 |
| 99385 |
|
38 |
36 |
$757.76 |
| 70491 |
|
12 |
12 |
$754.05 |
| 70544 |
|
12 |
12 |
$712.69 |
| 99447 |
|
31 |
29 |
$681.98 |
| 90662 |
|
330 |
295 |
$681.57 |
| 86580 |
|
573 |
517 |
$674.83 |
| 3074F |
|
113 |
111 |
$653.90 |
| 51784 |
|
12 |
12 |
$626.43 |
| 88291 |
|
27 |
25 |
$617.66 |
| 72020 |
|
94 |
68 |
$593.21 |
| 99451 |
|
25 |
25 |
$593.20 |
| 93886 |
|
14 |
14 |
$562.62 |
| 70350 |
|
27 |
26 |
$560.73 |
| 74022 |
|
34 |
27 |
$511.28 |
| 71101 |
|
57 |
56 |
$481.29 |
| 76937 |
|
39 |
38 |
$462.83 |
| 73620 |
|
55 |
41 |
$364.45 |
| 93922 |
|
41 |
40 |
$359.82 |
| 81025 |
|
73 |
73 |
$339.66 |
| 71010 |
|
44 |
29 |
$307.50 |
| 70250 |
|
32 |
25 |
$289.12 |
| 3078F |
|
52 |
52 |
$283.50 |
| 93321 |
|
31 |
27 |
$241.12 |
| 73060 |
|
33 |
28 |
$221.41 |
| 94618 |
|
15 |
14 |
$219.44 |
| 91065 |
|
16 |
16 |
$218.04 |
| 89060 |
|
14 |
12 |
$213.96 |
| 90734 |
|
40 |
40 |
$203.52 |
| 46500 |
|
13 |
13 |
$199.48 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
12 |
$193.39 |
| 93325 |
|
59 |
57 |
$186.18 |
| 86701 |
|
12 |
12 |
$174.48 |
| 51705 |
|
16 |
12 |
$162.89 |
| 82962 |
|
96 |
96 |
$150.56 |
| 74420 |
|
13 |
12 |
$132.30 |
| 91010 |
|
15 |
15 |
$130.20 |
| 20550 |
|
14 |
13 |
$116.42 |
| 73521 |
|
12 |
12 |
$114.24 |
| 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 |
46 |
39 |
$101.25 |
| 90698 |
|
68 |
68 |
$91.00 |
| 95816 |
|
14 |
12 |
$82.80 |
| 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 |
22 |
19 |
$80.08 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$77.47 |
| 3079F |
|
13 |
13 |
$70.00 |
| 3077F |
|
16 |
16 |
$68.10 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$58.32 |
| 96127 |
|
57 |
45 |
$51.36 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
31 |
29 |
$36.17 |
| G9920 |
Screening performed and negative |
275 |
267 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
41 |
40 |
$0.00 |
| 90714 |
|
40 |
40 |
$0.00 |
| 90713 |
|
34 |
34 |
$0.00 |
| 90700 |
|
30 |
30 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 1220F |
|
1,280 |
1,177 |
$0.00 |
| 90677 |
|
253 |
253 |
$0.00 |
| 90744 |
|
109 |
109 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90673 |
|
12 |
12 |
$0.00 |
| 1123F |
|
31 |
28 |
$0.00 |