| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105,906 |
98,595 |
$5.93M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
53,855 |
51,085 |
$5.87M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
59,527 |
56,985 |
$4.91M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25,501 |
23,932 |
$2.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,068 |
53,618 |
$2.25M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
97,373 |
72,359 |
$1.42M |
| D7140 |
Extraction, erupted tooth or exposed root |
21,806 |
4,394 |
$1.22M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34,463 |
12,133 |
$1.17M |
| 99233 |
Prolong inpt eval add15 m |
21,645 |
7,995 |
$1.15M |
| 71045 |
Radiologic examination, chest; single view |
83,610 |
61,136 |
$1.07M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
31,861 |
18,819 |
$955K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12,685 |
11,993 |
$801K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,002 |
3,620 |
$772K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,384 |
13,780 |
$756K |
| 70450 |
Computed tomography, head or brain; without contrast material |
25,687 |
23,203 |
$746K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16,618 |
15,479 |
$721K |
| D7240 |
Removal of impacted tooth - completely bony |
3,621 |
1,222 |
$656K |
| 71046 |
Radiologic examination, chest; 2 views |
36,483 |
34,506 |
$470K |
| D9222 |
|
5,651 |
5,212 |
$417K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
4,380 |
4,208 |
$388K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,533 |
8,799 |
$371K |
| 76818 |
|
7,338 |
5,369 |
$369K |
| 88307 |
|
5,186 |
4,327 |
$369K |
| 99215 |
Prolong outpt/office vis |
5,865 |
5,295 |
$344K |
| 93975 |
|
4,979 |
4,586 |
$313K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,660 |
2,967 |
$285K |
| 99223 |
Prolong inpt eval add15 m |
2,841 |
2,582 |
$241K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
9,225 |
8,794 |
$200K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,975 |
1,909 |
$169K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,472 |
627 |
$167K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,764 |
1,277 |
$153K |
| 74018 |
|
17,174 |
13,164 |
$150K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,568 |
2,328 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,534 |
2,207 |
$147K |
| 95806 |
|
1,354 |
1,322 |
$129K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,369 |
3,252 |
$124K |
| D7230 |
|
815 |
372 |
$121K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,609 |
3,559 |
$119K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,773 |
2,554 |
$116K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
207 |
152 |
$113K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,213 |
4,120 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,281 |
2,213 |
$107K |
| 93970 |
|
3,769 |
3,147 |
$105K |
| 95720 |
|
731 |
297 |
$102K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,518 |
3,329 |
$93K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,606 |
2,227 |
$86K |
| 59025 |
Fetal non-stress test |
1,766 |
1,186 |
$86K |
| 88342 |
|
2,833 |
2,241 |
$85K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,412 |
2,699 |
$78K |
| D0330 |
Panoramic radiographic image |
2,356 |
2,262 |
$73K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,247 |
2,104 |
$72K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,006 |
1,942 |
$61K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,034 |
2,759 |
$60K |
| 93971 |
|
3,911 |
3,593 |
$58K |
| 71250 |
|
1,475 |
1,395 |
$58K |
| 92083 |
|
2,280 |
1,882 |
$53K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,750 |
1,670 |
$48K |
| 76830 |
Ultrasound, transvaginal |
1,485 |
1,426 |
$47K |
| 99222 |
Initial hospital care, per day, moderate complexity |
648 |
598 |
$45K |
| 92134 |
|
2,725 |
2,183 |
$43K |
| 93976 |
|
1,274 |
1,197 |
$40K |
| 95951 |
|
368 |
107 |
$39K |
| 93227 |
|
739 |
722 |
$38K |
| 76820 |
|
1,480 |
985 |
$37K |
| 92015 |
Determination of refractive state |
6,719 |
4,281 |
$36K |
| 93922 |
|
1,449 |
1,344 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,406 |
1,353 |
$34K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
732 |
692 |
$33K |
| 88141 |
|
1,435 |
1,371 |
$32K |
| D7220 |
|
283 |
128 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,017 |
734 |
$28K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
369 |
334 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
287 |
273 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
246 |
$26K |
| 88189 |
|
335 |
302 |
$26K |
| 90966 |
|
872 |
817 |
$26K |
| 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) |
6,344 |
5,819 |
$24K |
| 72100 |
|
2,705 |
2,561 |
$24K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
643 |
440 |
$23K |
| 85390 |
|
2,474 |
957 |
$22K |
| 88341 |
|
952 |
311 |
$21K |
| 88108 |
|
889 |
713 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
753 |
423 |
$19K |
| 73630 |
|
2,768 |
2,417 |
$19K |
| 93321 |
|
1,833 |
1,670 |
$18K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
222 |
211 |
$18K |
| 94375 |
|
1,489 |
1,364 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
233 |
213 |
$18K |
| 95886 |
|
603 |
556 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,175 |
1,110 |
$17K |
| 73610 |
|
2,512 |
2,231 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
177 |
176 |
$17K |
| 73030 |
|
2,466 |
2,208 |
$17K |
| 93350 |
|
181 |
176 |
$16K |
| 76801 |
|
332 |
312 |
$16K |
| 99205 |
Prolong outpt/office vis |
179 |
168 |
$16K |
| 90961 |
|
488 |
468 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
302 |
288 |
$15K |
| 95251 |
|
701 |
633 |
$15K |
| 73562 |
|
2,143 |
1,757 |
$15K |
| 64615 |
|
170 |
165 |
$15K |
| 84165 |
|
2,012 |
1,839 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
156 |
$15K |
| 92250 |
|
893 |
616 |
$15K |
| 73130 |
|
2,000 |
1,615 |
$14K |
| 85060 |
|
954 |
836 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
983 |
850 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
341 |
325 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
172 |
161 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
355 |
319 |
$12K |
| 94729 |
|
2,271 |
2,122 |
$12K |
| 74183 |
|
144 |
133 |
$11K |
| 70496 |
|
181 |
169 |
$11K |
| 70498 |
|
171 |
159 |
$11K |
| 76536 |
|
423 |
403 |
$10K |
| 70486 |
|
201 |
192 |
$9K |
| 83020 |
|
901 |
814 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
494 |
458 |
$9K |
| 94726 |
|
1,495 |
1,416 |
$9K |
| 92133 |
|
578 |
451 |
$9K |
| 93325 |
|
205 |
190 |
$8K |
| 73560 |
|
1,330 |
1,123 |
$8K |
| 99443 |
|
313 |
262 |
$8K |
| 93880 |
|
335 |
307 |
$8K |
| 93295 |
|
266 |
259 |
$8K |
| 72132 |
|
165 |
153 |
$8K |
| 72129 |
|
161 |
149 |
$7K |
| 72040 |
|
851 |
792 |
$7K |
| 88304 |
|
718 |
613 |
$6K |
| 76775 |
|
328 |
313 |
$6K |
| 73502 |
|
624 |
583 |
$6K |
| 31575 |
|
119 |
116 |
$6K |
| 88173 |
|
106 |
76 |
$6K |
| 76770 |
|
271 |
254 |
$6K |
| 88360 |
|
116 |
73 |
$5K |
| 96127 |
|
727 |
573 |
$5K |
| 76641 |
|
146 |
129 |
$5K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
105 |
26 |
$5K |
| 64721 |
|
16 |
14 |
$5K |
| 74230 |
|
267 |
245 |
$5K |
| 95874 |
|
455 |
271 |
$5K |
| 99441 |
|
337 |
327 |
$5K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
29 |
25 |
$4K |
| 76376 |
|
521 |
482 |
$4K |
| 93018 |
|
205 |
201 |
$4K |
| 99152 |
|
1,095 |
961 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
26 |
26 |
$4K |
| 76642 |
|
111 |
98 |
$4K |
| 95718 |
|
47 |
38 |
$4K |
| 93925 |
|
195 |
183 |
$4K |
| 94060 |
|
240 |
232 |
$3K |
| 88112 |
|
63 |
57 |
$3K |
| 62370 |
|
39 |
38 |
$3K |
| 99460 |
|
33 |
33 |
$3K |
| 92020 |
|
204 |
155 |
$3K |
| 99442 |
|
138 |
133 |
$3K |
| 99447 |
|
634 |
517 |
$3K |
| 73110 |
|
408 |
366 |
$3K |
| 99221 |
|
92 |
87 |
$3K |
| 62369 |
|
133 |
131 |
$3K |
| 77080 |
|
384 |
365 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,431 |
1,227 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
42 |
37 |
$3K |
| D1110 |
Prophylaxis - adult |
64 |
64 |
$3K |
| 88312 |
|
104 |
71 |
$2K |
| 88291 |
|
152 |
136 |
$2K |
| 49083 |
|
21 |
12 |
$2K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
391 |
325 |
$2K |
| 76519 |
|
107 |
82 |
$2K |
| 80053 |
Comprehensive metabolic panel |
430 |
349 |
$2K |
| 73590 |
|
274 |
229 |
$2K |
| 97597 |
|
139 |
77 |
$2K |
| 93308 |
|
55 |
41 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
447 |
366 |
$1K |
| 93926 |
|
93 |
79 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
17 |
12 |
$1K |
| 88311 |
|
157 |
122 |
$1K |
| 94618 |
|
77 |
68 |
$1K |
| 78816 |
|
13 |
13 |
$1K |
| 99335 |
|
45 |
30 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
27 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$1K |
| 93750 |
|
59 |
53 |
$989.94 |
| 64488 |
|
16 |
14 |
$932.39 |
| 92136 |
|
31 |
29 |
$930.02 |
| 0002A |
|
32 |
31 |
$894.00 |
| 71271 |
|
17 |
16 |
$878.73 |
| 73552 |
|
85 |
80 |
$871.32 |
| D0120 |
Periodic oral evaluation - established patient |
54 |
50 |
$820.55 |
| 76937 |
|
95 |
81 |
$783.27 |
| 99417 |
Prolong home eval add 15m |
80 |
68 |
$683.94 |
| 36512 |
|
12 |
12 |
$641.22 |
| 72170 |
|
109 |
101 |
$629.93 |
| 64643 |
|
26 |
24 |
$615.00 |
| 88188 |
|
13 |
13 |
$613.91 |
| 0001A |
|
17 |
17 |
$596.00 |
| 92235 |
|
18 |
15 |
$570.49 |
| 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 |
77 |
71 |
$566.24 |
| 93016 |
|
27 |
25 |
$546.60 |
| 94010 |
|
48 |
31 |
$545.04 |
| 92504 |
|
92 |
88 |
$506.27 |
| 90734 |
|
33 |
32 |
$465.14 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$455.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
78 |
78 |
$452.01 |
| 93294 |
|
27 |
27 |
$414.38 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$406.79 |
| 88302 |
|
55 |
49 |
$404.13 |
| 93356 |
|
86 |
86 |
$388.17 |
| 76857 |
|
25 |
25 |
$385.55 |
| 77001 |
|
39 |
38 |
$375.84 |
| 76776 |
|
19 |
14 |
$330.98 |
| 31231 |
|
14 |
14 |
$324.82 |
| 92025 |
|
50 |
38 |
$318.48 |
| 20553 |
|
26 |
24 |
$271.51 |
| 78264 |
|
12 |
12 |
$254.26 |
| 88313 |
|
47 |
14 |
$247.79 |
| 20610 |
|
26 |
24 |
$244.88 |
| 93352 |
|
14 |
13 |
$238.29 |
| 85018 |
|
104 |
102 |
$235.29 |
| 70355 |
|
27 |
26 |
$228.12 |
| 93248 |
|
25 |
25 |
$224.49 |
| 74220 |
|
14 |
13 |
$192.75 |
| 90686 |
|
41 |
41 |
$183.23 |
| 99421 |
|
65 |
64 |
$178.46 |
| 90785 |
|
339 |
316 |
$166.39 |
| D1999 |
|
15 |
15 |
$150.00 |
| 74021 |
|
13 |
12 |
$136.58 |
| 74019 |
|
12 |
12 |
$124.27 |
| 99446 |
|
15 |
14 |
$89.33 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
12 |
12 |
$81.60 |
| 73140 |
|
12 |
12 |
$70.23 |
| 99173 |
|
35 |
34 |
$67.65 |
| 81003 |
|
16 |
16 |
$36.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
27 |
$0.00 |
| 36416 |
|
17 |
13 |
$0.00 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
708 |
672 |
$0.00 |
| 91300 |
|
94 |
83 |
$0.00 |