| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
89,770 |
40,176 |
$6.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93,709 |
88,407 |
$6.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,584 |
67,377 |
$3.42M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
40,454 |
39,698 |
$2.98M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
5,235 |
4,587 |
$2.50M |
| 99223 |
Prolong inpt eval add15 m |
17,836 |
17,484 |
$2.30M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33,379 |
16,975 |
$1.63M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
10,979 |
4,475 |
$1.58M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16,863 |
15,791 |
$1.56M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16,311 |
16,045 |
$1.20M |
| 71045 |
Radiologic examination, chest; single view |
162,801 |
128,621 |
$1.14M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,510 |
17,088 |
$1.06M |
| 99215 |
Prolong outpt/office vis |
11,464 |
10,451 |
$872K |
| 59025 |
Fetal non-stress test |
26,664 |
18,592 |
$844K |
| 95951 |
|
3,169 |
1,293 |
$771K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,046 |
8,683 |
$761K |
| 95720 |
|
3,905 |
1,975 |
$634K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
9,444 |
9,231 |
$604K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
8,671 |
8,548 |
$593K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
11,028 |
10,763 |
$559K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,884 |
4,850 |
$502K |
| J2350 |
Injection, ocrelizumab, 1 mg |
27 |
25 |
$483K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,788 |
5,714 |
$366K |
| 71046 |
Radiologic examination, chest; 2 views |
35,312 |
34,628 |
$324K |
| 76801 |
|
3,833 |
3,718 |
$291K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,679 |
3,770 |
$253K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
9,585 |
9,378 |
$245K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,196 |
2,160 |
$229K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,086 |
3,404 |
$224K |
| 99220 |
|
2,005 |
1,930 |
$214K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,099 |
4,018 |
$211K |
| 99460 |
|
2,728 |
2,722 |
$208K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
4,689 |
4,604 |
$202K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,687 |
2,596 |
$183K |
| 76830 |
Ultrasound, transvaginal |
2,907 |
2,847 |
$178K |
| 74018 |
|
26,969 |
21,127 |
$177K |
| 93970 |
|
6,610 |
6,184 |
$175K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,772 |
1,738 |
$165K |
| 76820 |
|
4,467 |
3,858 |
$159K |
| 31231 |
|
1,094 |
1,077 |
$150K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29,392 |
24,465 |
$149K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,073 |
1,068 |
$144K |
| 64642 |
|
1,356 |
1,339 |
$143K |
| 64615 |
|
1,346 |
1,289 |
$140K |
| 74183 |
|
1,898 |
1,845 |
$135K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,263 |
1,258 |
$131K |
| 71250 |
|
3,746 |
3,606 |
$129K |
| 64643 |
|
1,066 |
1,059 |
$112K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,463 |
3,391 |
$110K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,395 |
1,370 |
$108K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,775 |
1,016 |
$107K |
| 93971 |
|
5,774 |
5,623 |
$104K |
| 49083 |
|
1,270 |
987 |
$100K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,263 |
4,176 |
$94K |
| 64400 |
|
863 |
747 |
$90K |
| 99255 |
|
555 |
518 |
$89K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,804 |
614 |
$88K |
| 95874 |
|
1,482 |
1,473 |
$86K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,695 |
2,605 |
$76K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,781 |
603 |
$76K |
| D8670 |
Periodic orthodontic treatment visit |
1,113 |
1,036 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,213 |
2,078 |
$71K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,435 |
2,403 |
$69K |
| 76506 |
|
1,816 |
1,580 |
$60K |
| 92526 |
|
689 |
522 |
$59K |
| 64405 |
|
1,151 |
900 |
$54K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
195 |
195 |
$54K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,013 |
959 |
$53K |
| 77014 |
|
1,784 |
594 |
$51K |
| 92083 |
|
986 |
932 |
$51K |
| 20610 |
|
1,016 |
607 |
$49K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,372 |
1,276 |
$48K |
| 94010 |
|
4,375 |
3,765 |
$46K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,761 |
961 |
$46K |
| 95718 |
|
415 |
359 |
$44K |
| 99152 |
|
4,662 |
4,420 |
$43K |
| 95938 |
|
1,088 |
1,038 |
$42K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
778 |
746 |
$41K |
| 73562 |
|
4,978 |
4,466 |
$41K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,885 |
1,869 |
$40K |
| 99221 |
|
622 |
605 |
$40K |
| 90686 |
|
8,620 |
7,546 |
$38K |
| 76775 |
|
1,603 |
1,553 |
$38K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
491 |
463 |
$35K |
| 96161 |
|
11,002 |
10,204 |
$35K |
| 64612 |
|
504 |
443 |
$34K |
| 93976 |
|
844 |
835 |
$33K |
| 99254 |
|
223 |
214 |
$33K |
| 95941 |
|
123 |
104 |
$32K |
| 99205 |
Prolong outpt/office vis |
272 |
270 |
$31K |
| 64646 |
|
317 |
312 |
$29K |
| 73630 |
|
3,893 |
3,581 |
$28K |
| 73030 |
|
3,505 |
3,290 |
$28K |
| 20553 |
|
1,252 |
977 |
$27K |
| 99177 |
|
932 |
918 |
$24K |
| 99497 |
|
593 |
363 |
$23K |
| 72100 |
|
2,219 |
2,182 |
$21K |
| 93308 |
|
1,197 |
1,169 |
$20K |
| 92133 |
|
723 |
686 |
$18K |
| 73130 |
|
2,121 |
1,993 |
$17K |
| 96156 |
|
185 |
179 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
394 |
388 |
$16K |
| 94729 |
|
1,848 |
1,802 |
$15K |
| 99356 |
|
311 |
220 |
$15K |
| 76818 |
|
158 |
113 |
$14K |
| 92250 |
|
283 |
251 |
$14K |
| 64616 |
|
347 |
284 |
$14K |
| 76821 |
|
226 |
175 |
$14K |
| 76813 |
|
128 |
128 |
$13K |
| 73610 |
|
1,644 |
1,566 |
$12K |
| 70250 |
|
1,415 |
1,169 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,582 |
1,553 |
$12K |
| 73590 |
|
1,661 |
1,449 |
$11K |
| 76642 |
|
360 |
323 |
$11K |
| 99217 |
|
239 |
234 |
$11K |
| 96132 |
|
97 |
96 |
$10K |
| 64483 |
|
43 |
37 |
$10K |
| 92522 |
|
111 |
105 |
$10K |
| 72040 |
|
1,012 |
1,000 |
$10K |
| 96139 |
|
82 |
81 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
202 |
189 |
$9K |
| 94618 |
|
633 |
601 |
$9K |
| 43264 |
|
52 |
42 |
$8K |
| 99442 |
|
319 |
306 |
$8K |
| 73502 |
|
974 |
948 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
39 |
38 |
$7K |
| 72170 |
|
1,006 |
981 |
$7K |
| 93000 |
|
596 |
578 |
$7K |
| J7999 |
Compounded drug, not otherwise classified |
117 |
102 |
$7K |
| 92524 |
|
81 |
78 |
$6K |
| 72197 |
|
82 |
82 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$6K |
| 97802 |
|
67 |
67 |
$6K |
| 62370 |
|
130 |
129 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
52 |
37 |
$6K |
| 96133 |
|
68 |
67 |
$6K |
| 95251 |
|
220 |
216 |
$5K |
| 81025 |
|
856 |
800 |
$5K |
| 99463 |
|
67 |
67 |
$5K |
| 96116 |
|
67 |
65 |
$5K |
| 77427 |
|
34 |
14 |
$5K |
| 93321 |
|
950 |
927 |
$5K |
| 73110 |
|
348 |
316 |
$5K |
| 96119 |
|
44 |
40 |
$5K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
58 |
58 |
$4K |
| 01961 |
|
17 |
17 |
$4K |
| 72082 |
|
350 |
339 |
$4K |
| 31575 |
|
44 |
42 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
348 |
291 |
$4K |
| 94726 |
|
416 |
406 |
$4K |
| 77300 |
|
30 |
28 |
$4K |
| 91010 |
|
64 |
62 |
$3K |
| 77080 |
|
518 |
509 |
$3K |
| 99292 |
|
42 |
40 |
$3K |
| 97803 |
|
70 |
58 |
$3K |
| 92540 |
|
43 |
43 |
$3K |
| 73700 |
|
80 |
77 |
$3K |
| 77334 |
|
24 |
15 |
$3K |
| D0367 |
|
12 |
12 |
$3K |
| 93975 |
|
69 |
67 |
$3K |
| 76536 |
|
115 |
114 |
$3K |
| 74220 |
|
137 |
130 |
$3K |
| 74019 |
|
232 |
227 |
$3K |
| 96150 |
|
60 |
53 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
118 |
111 |
$2K |
| 96138 |
|
82 |
81 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
19 |
12 |
$2K |
| 20611 |
|
36 |
24 |
$2K |
| 43235 |
|
26 |
25 |
$2K |
| 72110 |
|
67 |
65 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
24 |
$2K |
| 99253 |
|
27 |
26 |
$2K |
| 88720 |
|
447 |
371 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
235 |
191 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$2K |
| 76937 |
|
196 |
188 |
$2K |
| 73560 |
|
285 |
252 |
$2K |
| 99498 |
|
48 |
35 |
$2K |
| 90656 |
|
309 |
189 |
$2K |
| 96154 |
|
34 |
26 |
$2K |
| 96127 |
|
290 |
283 |
$2K |
| 76770 |
|
52 |
52 |
$2K |
| 99462 |
|
47 |
37 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
43 |
40 |
$1K |
| 90474 |
|
72 |
72 |
$1K |
| 96118 |
|
15 |
14 |
$1K |
| 64644 |
|
15 |
15 |
$1K |
| 72050 |
|
44 |
40 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$1K |
| 92557 |
|
40 |
40 |
$1K |
| 74022 |
|
67 |
66 |
$1K |
| 97161 |
|
14 |
14 |
$990.68 |
| 95822 |
|
16 |
15 |
$918.28 |
| 73090 |
|
113 |
101 |
$910.62 |
| 95813 |
|
12 |
12 |
$906.42 |
| 93298 |
|
79 |
79 |
$895.53 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
66 |
26 |
$877.52 |
| 76376 |
|
122 |
122 |
$843.71 |
| 95819 |
|
13 |
13 |
$759.97 |
| 99441 |
|
98 |
87 |
$707.93 |
| 85610 |
|
283 |
192 |
$656.15 |
| 82962 |
|
281 |
224 |
$612.39 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
28 |
$597.77 |
| 96380 |
|
37 |
37 |
$577.54 |
| 90480 |
|
29 |
26 |
$574.32 |
| 95816 |
|
13 |
12 |
$552.32 |
| 73600 |
|
26 |
25 |
$541.39 |
| 73564 |
|
13 |
12 |
$470.59 |
| 77001 |
|
41 |
40 |
$465.09 |
| D9430 |
|
16 |
15 |
$455.55 |
| 99459 |
|
17 |
17 |
$447.51 |
| 77012 |
|
13 |
12 |
$438.18 |
| 90670 |
|
5,984 |
5,711 |
$405.91 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
939 |
772 |
$396.46 |
| 73080 |
|
59 |
58 |
$395.36 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
30 |
27 |
$386.49 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
100 |
94 |
$385.51 |
| 94060 |
|
54 |
54 |
$377.43 |
| 76981 |
|
17 |
13 |
$353.05 |
| 72084 |
|
25 |
25 |
$333.45 |
| 71101 |
|
24 |
24 |
$303.41 |
| 96160 |
|
62 |
61 |
$297.77 |
| 73120 |
|
17 |
14 |
$297.41 |
| 92537 |
|
12 |
12 |
$294.46 |
| 90677 |
|
697 |
567 |
$270.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
209 |
178 |
$244.01 |
| 90723 |
|
3,974 |
3,742 |
$230.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$218.79 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
45 |
41 |
$196.45 |
| 99188 |
|
16 |
15 |
$192.56 |
| 73620 |
|
28 |
25 |
$174.51 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
272 |
223 |
$171.47 |
| 90680 |
|
4,231 |
3,966 |
$167.86 |
| 81003 |
|
77 |
73 |
$145.62 |
| 99443 |
|
15 |
13 |
$142.28 |
| 90648 |
|
6,020 |
5,642 |
$139.96 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
115 |
108 |
$106.57 |
| 73552 |
|
12 |
12 |
$105.86 |
| 92552 |
|
13 |
13 |
$102.63 |
| G0008 |
Administration of influenza virus vaccine |
76 |
73 |
$33.21 |
| 80305 |
|
235 |
152 |
$31.26 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
16 |
13 |
$0.12 |
| 90707 |
|
602 |
542 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
569 |
478 |
$0.00 |
| 90633 |
|
845 |
772 |
$0.00 |
| 90700 |
|
14 |
13 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,379 |
2,077 |
$0.00 |
| 99024 |
|
1,476 |
1,172 |
$0.00 |
| 90716 |
|
603 |
541 |
$0.00 |
| 90381 |
|
32 |
13 |
$0.00 |
| 2016F |
|
27 |
15 |
$0.00 |
| 90698 |
|
115 |
110 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
49 |
44 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |