| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
74,083 |
72,706 |
$5.66M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
42,458 |
41,988 |
$4.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77,483 |
73,015 |
$2.79M |
| 99215 |
Prolong outpt/office vis |
43,921 |
37,357 |
$2.61M |
| 99233 |
Prolong inpt eval add15 m |
73,087 |
25,589 |
$2.59M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
43,115 |
36,537 |
$2.35M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
21,499 |
8,767 |
$2.29M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
36,159 |
35,556 |
$2.24M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
187,582 |
151,538 |
$1.98M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
10,537 |
8,889 |
$1.84M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
30,930 |
30,446 |
$1.77M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
24,253 |
23,604 |
$1.29M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
6,123 |
6,109 |
$1.16M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39,142 |
15,958 |
$1.11M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
11,379 |
11,101 |
$863K |
| 71045 |
Radiologic examination, chest; single view |
133,677 |
93,553 |
$859K |
| 70450 |
Computed tomography, head or brain; without contrast material |
26,620 |
25,178 |
$735K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,375 |
21,359 |
$502K |
| 99223 |
Prolong inpt eval add15 m |
7,929 |
7,669 |
$461K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
7,302 |
7,115 |
$439K |
| 88342 |
|
9,456 |
9,012 |
$376K |
| 92134 |
|
23,689 |
23,068 |
$350K |
| 88307 |
|
3,819 |
3,439 |
$306K |
| 95720 |
|
1,753 |
832 |
$279K |
| 71046 |
Radiologic examination, chest; 2 views |
31,320 |
30,544 |
$279K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
8,080 |
7,894 |
$267K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,113 |
4,074 |
$258K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
334 |
308 |
$227K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,337 |
8,280 |
$224K |
| 00142 |
|
3,390 |
3,314 |
$214K |
| 90961 |
|
1,374 |
1,373 |
$211K |
| 71250 |
|
7,070 |
6,837 |
$201K |
| 64615 |
|
1,370 |
1,369 |
$170K |
| 11043 |
|
1,139 |
673 |
$164K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,908 |
3,843 |
$146K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
892 |
890 |
$144K |
| 99205 |
Prolong outpt/office vis |
1,838 |
1,794 |
$140K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,435 |
1,393 |
$135K |
| 00731 |
|
1,359 |
1,328 |
$127K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
3,432 |
3,353 |
$113K |
| 74183 |
|
1,761 |
1,726 |
$110K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
921 |
917 |
$109K |
| 88313 |
|
2,386 |
1,977 |
$104K |
| 88341 |
|
2,305 |
1,922 |
$101K |
| Q3014 |
Telehealth originating site facility fee |
4,519 |
4,306 |
$97K |
| 88108 |
|
3,851 |
3,486 |
$96K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,495 |
4,403 |
$90K |
| 90962 |
|
734 |
734 |
$88K |
| 74174 |
|
1,224 |
1,194 |
$85K |
| 74018 |
|
13,805 |
11,642 |
$83K |
| 93308 |
|
3,074 |
2,965 |
$82K |
| 93970 |
|
2,298 |
2,219 |
$80K |
| 17311 |
|
232 |
228 |
$79K |
| 88312 |
|
2,138 |
1,963 |
$77K |
| 17999 |
|
87 |
70 |
$77K |
| 31579 |
|
546 |
542 |
$74K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,131 |
3,115 |
$74K |
| 88304 |
|
2,907 |
2,823 |
$74K |
| 99243 |
|
876 |
876 |
$73K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,415 |
1,819 |
$69K |
| 70498 |
|
1,053 |
1,038 |
$65K |
| 88173 |
|
1,689 |
1,634 |
$64K |
| 99245 |
|
405 |
404 |
$58K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
251 |
251 |
$55K |
| 31231 |
|
1,379 |
1,364 |
$53K |
| 88112 |
|
2,640 |
2,563 |
$52K |
| 31645 |
|
621 |
583 |
$51K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,507 |
2,379 |
$51K |
| 85097 |
|
1,122 |
1,082 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,286 |
2,166 |
$41K |
| 99152 |
|
1,189 |
1,160 |
$41K |
| 93350 |
|
863 |
859 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
881 |
873 |
$40K |
| 99222 |
Initial hospital care, per day, moderate complexity |
802 |
785 |
$40K |
| 78816 |
|
148 |
148 |
$37K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
112 |
112 |
$36K |
| 70496 |
|
565 |
556 |
$36K |
| 88188 |
|
609 |
550 |
$36K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
616 |
613 |
$34K |
| 94010 |
|
5,172 |
4,389 |
$34K |
| 93248 |
|
1,779 |
1,772 |
$33K |
| 93016 |
|
1,482 |
1,472 |
$33K |
| 93320 |
|
1,264 |
1,248 |
$32K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
142 |
142 |
$31K |
| 31624 |
|
341 |
304 |
$30K |
| 93321 |
|
2,527 |
2,451 |
$29K |
| 92133 |
|
2,055 |
2,047 |
$29K |
| 99255 |
|
302 |
285 |
$28K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,389 |
1,382 |
$28K |
| 00732 |
|
292 |
288 |
$27K |
| 88189 |
|
501 |
482 |
$27K |
| 93018 |
|
1,628 |
1,609 |
$27K |
| 88321 |
|
582 |
568 |
$26K |
| 72197 |
|
381 |
369 |
$25K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
632 |
312 |
$24K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
931 |
916 |
$24K |
| 90838 |
|
556 |
322 |
$24K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
326 |
212 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,195 |
1,156 |
$23K |
| 94618 |
|
1,349 |
1,327 |
$22K |
| 85060 |
|
1,552 |
1,461 |
$22K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
940 |
288 |
$22K |
| 92612 |
|
240 |
238 |
$22K |
| 92083 |
|
1,516 |
1,508 |
$22K |
| 99254 |
|
304 |
269 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,137 |
1,125 |
$20K |
| 17110 |
|
195 |
188 |
$20K |
| 00140 |
|
264 |
262 |
$20K |
| 74328 |
|
709 |
677 |
$19K |
| 92226 |
|
418 |
309 |
$18K |
| 92025 |
|
843 |
834 |
$18K |
| 94729 |
|
3,153 |
3,136 |
$18K |
| 92201 |
|
678 |
522 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
330 |
327 |
$17K |
| 75574 |
|
235 |
231 |
$17K |
| 92015 |
Determination of refractive state |
2,086 |
2,080 |
$16K |
| 00520 |
|
140 |
134 |
$15K |
| 93975 |
|
289 |
287 |
$15K |
| 88309 |
|
137 |
135 |
$14K |
| 43274 |
|
42 |
38 |
$14K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
604 |
595 |
$13K |
| 73030 |
|
1,936 |
1,767 |
$13K |
| 77014 |
|
470 |
181 |
$12K |
| 95811 |
|
34 |
33 |
$12K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
38 |
38 |
$12K |
| 91122 |
|
116 |
116 |
$12K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
88 |
88 |
$12K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
733 |
728 |
$11K |
| 77300 |
|
48 |
38 |
$11K |
| 70544 |
|
415 |
407 |
$10K |
| 88360 |
|
150 |
120 |
$10K |
| 95951 |
|
68 |
33 |
$10K |
| 94060 |
|
758 |
756 |
$10K |
| 77080 |
|
1,673 |
1,609 |
$10K |
| 73630 |
|
1,396 |
1,208 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
205 |
188 |
$9K |
| 31575 |
|
192 |
191 |
$9K |
| 88348 |
|
65 |
63 |
$9K |
| 99252 |
|
212 |
183 |
$9K |
| 77427 |
|
99 |
55 |
$9K |
| 88172 |
|
458 |
452 |
$9K |
| 76642 |
|
288 |
249 |
$8K |
| 00813 |
|
67 |
67 |
$8K |
| 99253 |
|
144 |
126 |
$7K |
| 93325 |
|
1,774 |
1,756 |
$7K |
| 92225 |
|
149 |
143 |
$7K |
| 92613 |
|
245 |
243 |
$7K |
| 77073 |
|
661 |
657 |
$7K |
| 93295 |
|
153 |
153 |
$7K |
| 00811 |
|
92 |
92 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
571 |
171 |
$6K |
| 17312 |
|
12 |
12 |
$6K |
| 92235 |
|
156 |
155 |
$6K |
| 99417 |
Prolong home eval add 15m |
133 |
110 |
$6K |
| 93000 |
|
333 |
328 |
$6K |
| 93971 |
|
486 |
479 |
$6K |
| 99221 |
|
279 |
250 |
$6K |
| 88350 |
|
113 |
38 |
$5K |
| 20611 |
|
122 |
113 |
$5K |
| 73610 |
|
697 |
633 |
$5K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
282 |
247 |
$5K |
| 73564 |
|
504 |
442 |
$5K |
| 72170 |
|
879 |
834 |
$5K |
| 73562 |
|
871 |
680 |
$5K |
| 88311 |
|
653 |
619 |
$4K |
| 93880 |
|
125 |
125 |
$4K |
| 72131 |
|
153 |
147 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
116 |
116 |
$4K |
| 93294 |
|
281 |
281 |
$4K |
| 70486 |
|
125 |
124 |
$4K |
| 92020 |
|
314 |
314 |
$4K |
| 92504 |
|
223 |
223 |
$4K |
| 93922 |
|
236 |
225 |
$4K |
| 67228 |
|
12 |
12 |
$4K |
| 76830 |
Ultrasound, transvaginal |
163 |
162 |
$3K |
| 73110 |
|
420 |
395 |
$3K |
| 72158 |
|
48 |
48 |
$3K |
| 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) |
1,036 |
821 |
$3K |
| 77001 |
|
263 |
247 |
$3K |
| 76770 |
|
121 |
119 |
$3K |
| 43244 |
|
12 |
12 |
$2K |
| 77066 |
Tomosynthesis, mammo |
63 |
62 |
$2K |
| 43264 |
|
26 |
25 |
$2K |
| 73700 |
|
59 |
57 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
38 |
38 |
$2K |
| 73502 |
|
260 |
259 |
$2K |
| 88323 |
|
40 |
40 |
$2K |
| 72157 |
|
28 |
26 |
$2K |
| 76937 |
|
184 |
180 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
40 |
$2K |
| 93990 |
|
14 |
13 |
$2K |
| 11721 |
|
196 |
196 |
$2K |
| 72100 |
|
189 |
188 |
$2K |
| 92202 |
|
180 |
180 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
44 |
42 |
$2K |
| 93923 |
|
38 |
37 |
$2K |
| 11900 |
|
58 |
56 |
$2K |
| 72128 |
|
55 |
52 |
$2K |
| 73130 |
|
226 |
196 |
$2K |
| 92136 |
|
109 |
109 |
$2K |
| 92002 |
|
64 |
64 |
$1K |
| 94726 |
|
172 |
172 |
$1K |
| 76519 |
|
76 |
75 |
$1K |
| 76514 |
|
414 |
410 |
$1K |
| 71010 |
|
269 |
125 |
$1K |
| 88314 |
|
53 |
50 |
$1K |
| 93976 |
|
58 |
57 |
$1K |
| 88346 |
|
39 |
39 |
$1K |
| 51741 |
|
58 |
54 |
$1K |
| 31628 |
|
12 |
12 |
$1K |
| 99451 |
|
42 |
42 |
$1K |
| 20610 |
|
34 |
28 |
$1K |
| 95938 |
|
25 |
24 |
$1K |
| 52287 |
|
12 |
12 |
$1K |
| 75561 |
|
12 |
12 |
$1K |
| 36620 |
|
45 |
38 |
$1K |
| 72132 |
|
12 |
12 |
$1K |
| 73560 |
|
161 |
140 |
$1K |
| 95886 |
|
14 |
14 |
$1K |
| 76942 |
|
65 |
64 |
$1K |
| 92273 |
|
12 |
12 |
$992.07 |
| 73590 |
|
138 |
120 |
$946.96 |
| 70543 |
|
13 |
13 |
$887.54 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
16 |
16 |
$859.16 |
| 00145 |
|
13 |
13 |
$854.70 |
| 11102 |
|
12 |
12 |
$849.84 |
| 52000 |
|
12 |
12 |
$805.08 |
| 78306 |
|
24 |
24 |
$775.10 |
| 95874 |
|
37 |
37 |
$752.12 |
| 91200 |
|
50 |
50 |
$725.59 |
| 92274 |
|
12 |
12 |
$716.35 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$677.27 |
| 99356 |
|
17 |
17 |
$670.27 |
| 70491 |
|
13 |
13 |
$646.81 |
| 74230 |
|
51 |
50 |
$589.22 |
| 90836 |
|
24 |
12 |
$564.75 |
| 71020 |
|
70 |
44 |
$549.30 |
| 88291 |
|
39 |
39 |
$505.17 |
| 92557 |
|
24 |
24 |
$496.29 |
| 76536 |
|
26 |
26 |
$439.67 |
| 20550 |
|
13 |
12 |
$430.87 |
| 73552 |
|
47 |
41 |
$422.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$420.01 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$407.58 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$393.08 |
| 91065 |
|
15 |
15 |
$376.11 |
| 78264 |
|
12 |
12 |
$354.45 |
| 73080 |
|
44 |
38 |
$338.82 |
| 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 |
26 |
25 |
$325.46 |
| 1123F |
|
952 |
859 |
$323.60 |
| 88365 |
|
14 |
14 |
$299.27 |
| 93925 |
|
18 |
18 |
$284.16 |
| 70355 |
|
32 |
32 |
$281.61 |
| 99217 |
|
14 |
14 |
$275.56 |
| 93926 |
|
28 |
25 |
$254.49 |
| 93280 |
|
13 |
13 |
$242.48 |
| 92550 |
|
25 |
25 |
$233.67 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$198.20 |
| 76000 |
|
14 |
13 |
$173.13 |
| 69210 |
|
12 |
12 |
$169.08 |
| 51784 |
|
12 |
12 |
$160.57 |
| 99443 |
|
14 |
14 |
$140.87 |
| 51797 |
|
12 |
12 |
$137.76 |
| 88300 |
|
24 |
24 |
$133.19 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
476 |
311 |
$82.47 |
| 80053 |
Comprehensive metabolic panel |
503 |
324 |
$35.94 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15 |
13 |
$15.13 |