| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195,126 |
151,051 |
$7.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111,224 |
84,685 |
$3.77M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
30,727 |
27,029 |
$1.20M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54,647 |
21,188 |
$1.03M |
| 99233 |
Prolong inpt eval add15 m |
16,014 |
7,671 |
$413K |
| 99223 |
Prolong inpt eval add15 m |
7,591 |
6,557 |
$392K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14,253 |
13,001 |
$375K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,127 |
3,541 |
$338K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,127 |
2,756 |
$322K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
91,974 |
77,670 |
$311K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12,710 |
9,468 |
$277K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
3,099 |
2,412 |
$189K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,349 |
2,143 |
$185K |
| 59025 |
Fetal non-stress test |
3,202 |
1,332 |
$185K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,909 |
2,904 |
$181K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,915 |
5,562 |
$179K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,257 |
2,968 |
$168K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,483 |
4,752 |
$164K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,524 |
1,141 |
$157K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,807 |
1,648 |
$150K |
| 76801 |
|
3,230 |
2,771 |
$127K |
| 00731 |
|
1,715 |
1,614 |
$118K |
| 93000 |
|
14,861 |
12,643 |
$118K |
| 00813 |
|
1,340 |
1,276 |
$110K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,180 |
3,562 |
$104K |
| 00811 |
|
1,625 |
1,526 |
$100K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,661 |
2,049 |
$91K |
| 99215 |
Prolong outpt/office vis |
1,716 |
1,189 |
$87K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
757 |
622 |
$76K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,332 |
1,713 |
$68K |
| 99243 |
|
1,195 |
809 |
$64K |
| 76813 |
|
2,076 |
1,886 |
$60K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,465 |
1,153 |
$50K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,379 |
1,278 |
$50K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,356 |
1,215 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,213 |
8,272 |
$44K |
| 36415 |
Collection of venous blood by venipuncture |
23,074 |
19,174 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
340 |
300 |
$38K |
| 99442 |
|
1,567 |
1,237 |
$38K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
381 |
204 |
$36K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,405 |
762 |
$36K |
| 20553 |
|
1,493 |
1,214 |
$33K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
614 |
502 |
$31K |
| 95800 |
|
311 |
291 |
$31K |
| 99205 |
Prolong outpt/office vis |
275 |
250 |
$28K |
| 99254 |
|
300 |
279 |
$27K |
| 99245 |
|
253 |
163 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,246 |
1,099 |
$24K |
| 93970 |
|
2,003 |
1,747 |
$23K |
| 99443 |
|
644 |
523 |
$20K |
| 99242 |
|
320 |
272 |
$16K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,482 |
473 |
$16K |
| 93971 |
|
1,866 |
1,601 |
$15K |
| 90686 |
|
1,448 |
1,220 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
304 |
287 |
$14K |
| 99310 |
Prolong nursin fac eval 15m |
261 |
202 |
$14K |
| 00812 |
|
203 |
198 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
427 |
327 |
$13K |
| 88307 |
|
220 |
204 |
$13K |
| 94010 |
|
1,073 |
610 |
$12K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
168 |
146 |
$12K |
| 64483 |
|
99 |
86 |
$12K |
| 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) |
5,635 |
4,544 |
$11K |
| 01961 |
|
67 |
61 |
$11K |
| 93294 |
|
1,332 |
1,206 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,930 |
1,533 |
$10K |
| 76820 |
|
657 |
260 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
102 |
84 |
$9K |
| 84181 |
|
1,584 |
1,317 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
628 |
431 |
$9K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
69 |
66 |
$8K |
| 88342 |
|
419 |
376 |
$8K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,167 |
487 |
$8K |
| 27096 |
|
53 |
51 |
$7K |
| 36416 |
|
4,778 |
3,153 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
48 |
$6K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
68 |
66 |
$5K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
42 |
41 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
218 |
200 |
$5K |
| 99255 |
|
41 |
40 |
$5K |
| 64615 |
|
271 |
204 |
$5K |
| 90961 |
|
61 |
59 |
$5K |
| 85060 |
|
529 |
473 |
$5K |
| 99253 |
|
104 |
71 |
$5K |
| 99307 |
|
497 |
421 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
246 |
$4K |
| 99241 |
|
124 |
120 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
560 |
294 |
$4K |
| 93018 |
|
762 |
703 |
$4K |
| 99220 |
|
91 |
67 |
$4K |
| 95886 |
|
76 |
58 |
$4K |
| 93272 |
|
334 |
302 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 93016 |
|
353 |
336 |
$3K |
| 95251 |
|
319 |
261 |
$3K |
| 62323 |
|
32 |
27 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
61 |
38 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
118 |
53 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
89 |
89 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
373 |
316 |
$2K |
| 97813 |
|
174 |
139 |
$2K |
| 99217 |
|
190 |
97 |
$2K |
| 46600 |
|
68 |
57 |
$2K |
| 93298 |
|
120 |
106 |
$2K |
| 82962 |
|
1,487 |
1,271 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
13 |
$2K |
| 95816 |
|
92 |
90 |
$2K |
| 81025 |
|
296 |
249 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
20 |
14 |
$2K |
| 97814 |
|
163 |
133 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
538 |
398 |
$2K |
| 88341 |
|
36 |
28 |
$1K |
| 76825 |
|
31 |
28 |
$1K |
| 84165 |
|
704 |
532 |
$1K |
| 99305 |
|
15 |
13 |
$1K |
| 97810 |
|
142 |
102 |
$1K |
| 94060 |
|
168 |
160 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
15 |
12 |
$974.97 |
| 64484 |
|
12 |
12 |
$916.23 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
92 |
87 |
$911.08 |
| 77427 |
|
28 |
12 |
$863.76 |
| 81002 |
|
473 |
400 |
$840.76 |
| 91200 |
|
67 |
58 |
$818.00 |
| 97811 |
|
100 |
78 |
$787.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
497 |
459 |
$763.19 |
| 95250 |
|
14 |
14 |
$707.49 |
| 94729 |
|
202 |
195 |
$702.90 |
| 20552 |
|
45 |
27 |
$691.63 |
| 99459 |
|
75 |
70 |
$685.90 |
| 93227 |
|
59 |
54 |
$674.52 |
| 76377 |
|
32 |
32 |
$581.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
33 |
$556.85 |
| 99219 |
|
13 |
13 |
$511.60 |
| 76827 |
|
31 |
28 |
$500.54 |
| 99221 |
|
13 |
12 |
$481.23 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
78 |
73 |
$465.12 |
| 94664 |
|
81 |
78 |
$441.60 |
| 92551 |
|
71 |
70 |
$441.32 |
| 94726 |
|
79 |
77 |
$437.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49 |
40 |
$423.65 |
| 93296 |
|
57 |
43 |
$392.74 |
| 88141 |
|
30 |
28 |
$315.70 |
| 88112 |
|
14 |
13 |
$290.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$274.80 |
| 99441 |
|
73 |
55 |
$250.50 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
14 |
$247.39 |
| 90656 |
|
12 |
12 |
$223.50 |
| 94750 |
|
47 |
43 |
$222.09 |
| 20610 |
|
13 |
12 |
$216.05 |
| 94618 |
|
14 |
12 |
$172.08 |
| 99350 |
Prolong home eval add 15m |
14 |
13 |
$167.14 |
| 99304 |
|
28 |
26 |
$150.60 |
| 80500 |
|
31 |
26 |
$137.88 |
| 88304 |
|
24 |
24 |
$133.39 |
| 93880 |
|
22 |
14 |
$108.60 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
61 |
55 |
$107.44 |
| 86334 |
|
25 |
16 |
$96.03 |
| 99406 |
|
13 |
12 |
$75.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$41.91 |
| 82947 |
|
13 |
12 |
$41.76 |
| 81003 |
|
578 |
429 |
$39.60 |
| 93325 |
|
16 |
16 |
$37.12 |
| G0008 |
Administration of influenza virus vaccine |
163 |
148 |
$10.00 |
| 82948 |
|
16 |
12 |
$3.02 |
| 0502F |
|
2,979 |
2,415 |
$0.00 |
| 97803 |
|
1,944 |
1,910 |
$0.00 |
| 86665 |
|
72 |
25 |
$0.00 |
| 86618 |
|
217 |
125 |
$0.00 |
| 82570 |
|
17 |
12 |
$0.00 |
| 80061 |
Lipid panel |
252 |
170 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
275 |
273 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
302 |
130 |
$0.00 |
| 86696 |
|
72 |
30 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
39 |
16 |
$0.00 |
| 90662 |
|
14 |
12 |
$0.00 |
| 97802 |
|
483 |
473 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
460 |
310 |
$0.00 |
| 85652 |
|
80 |
52 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
320 |
204 |
$0.00 |
| 86664 |
|
37 |
24 |
$0.00 |
| 86140 |
|
29 |
18 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
30 |
25 |
$0.00 |
| 86803 |
|
85 |
41 |
$0.00 |
| 82607 |
|
23 |
12 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
94 |
46 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
39 |
16 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
14 |
14 |
$0.00 |
| 86695 |
|
143 |
43 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
234 |
232 |
$0.00 |
| 87340 |
|
37 |
14 |
$0.00 |
| 86780 |
|
74 |
32 |
$0.00 |
| 86617 |
|
30 |
15 |
$0.00 |