| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86,532 |
67,617 |
$2.95M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
31,729 |
18,847 |
$2.24M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13,995 |
10,405 |
$1.50M |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15,795 |
11,826 |
$1.27M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
102,725 |
67,350 |
$865K |
| 96367 |
|
23,335 |
14,062 |
$767K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,714 |
19,248 |
$530K |
| 99215 |
Prolong outpt/office vis |
10,648 |
7,891 |
$523K |
| 77014 |
|
14,585 |
4,037 |
$505K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,219 |
834 |
$463K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,791 |
4,928 |
$366K |
| 77066 |
Tomosynthesis, mammo |
3,148 |
2,355 |
$225K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
80,086 |
54,914 |
$211K |
| J9271 |
Injection, pembrolizumab, 1 mg |
64 |
36 |
$204K |
| J0897 |
Injection, denosumab, 1 mg |
287 |
203 |
$201K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,879 |
9,276 |
$201K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,011 |
3,571 |
$187K |
| 80076 |
|
60,697 |
42,200 |
$172K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
376 |
270 |
$146K |
| 99223 |
Prolong inpt eval add15 m |
2,378 |
1,954 |
$144K |
| 36415 |
Collection of venous blood by venipuncture |
69,276 |
50,704 |
$140K |
| 96417 |
|
3,470 |
2,020 |
$129K |
| J2505 |
Injection, pegfilgrastim, 6 mg |
69 |
50 |
$120K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
2,985 |
1,796 |
$120K |
| 76642 |
|
2,377 |
1,677 |
$118K |
| 36561 |
|
313 |
232 |
$116K |
| G6015 |
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
678 |
140 |
$115K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,442 |
4,799 |
$102K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
18,562 |
13,817 |
$98K |
| 99233 |
Prolong inpt eval add15 m |
2,269 |
959 |
$89K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
962 |
664 |
$82K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,511 |
1,762 |
$82K |
| 77427 |
|
903 |
443 |
$64K |
| 88341 |
|
1,123 |
670 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
921 |
728 |
$58K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
245 |
175 |
$58K |
| 96415 |
|
2,625 |
1,544 |
$56K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
3,413 |
2,587 |
$53K |
| 77065 |
Tomosynthesis, mammo |
882 |
660 |
$50K |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
269 |
146 |
$48K |
| 70491 |
|
458 |
351 |
$39K |
| 88342 |
|
1,338 |
917 |
$36K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14,762 |
8,424 |
$35K |
| 77012 |
|
667 |
472 |
$30K |
| 82728 |
|
4,559 |
3,608 |
$24K |
| 77062 |
|
259 |
235 |
$22K |
| 96368 |
|
2,305 |
1,338 |
$22K |
| J9395 |
Injection, fulvestrant, 25 mg |
16 |
12 |
$19K |
| 96401 |
|
543 |
361 |
$18K |
| 99205 |
Prolong outpt/office vis |
253 |
221 |
$16K |
| J1454 |
Injection, fosnetupitant 235 mg and palonosetron 0.25 mg |
141 |
80 |
$16K |
| 99152 |
|
1,082 |
795 |
$16K |
| 83550 |
|
4,843 |
3,790 |
$15K |
| J0185 |
Injection, aprepitant, 1 mg |
117 |
59 |
$15K |
| 96402 |
|
674 |
506 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
169 |
151 |
$14K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
782 |
344 |
$14K |
| 82378 |
|
1,963 |
1,353 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
235 |
204 |
$12K |
| 77336 |
|
302 |
127 |
$12K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
856 |
666 |
$11K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
35 |
30 |
$11K |
| 83540 |
|
4,862 |
3,806 |
$11K |
| 77001 |
|
426 |
317 |
$11K |
| 31575 |
|
266 |
187 |
$11K |
| 77334 |
|
107 |
77 |
$11K |
| 76942 |
|
272 |
179 |
$8K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
178 |
105 |
$7K |
| 74160 |
|
93 |
69 |
$7K |
| 80053 |
Comprehensive metabolic panel |
3,108 |
1,880 |
$7K |
| 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) |
1,558 |
1,195 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
950 |
674 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
168 |
149 |
$6K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
782 |
628 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
110 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
504 |
437 |
$5K |
| 96416 |
|
30 |
25 |
$4K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,779 |
1,634 |
$4K |
| G6012 |
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev |
36 |
13 |
$4K |
| 90756 |
|
331 |
230 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
219 |
$4K |
| 76937 |
|
316 |
235 |
$3K |
| 77263 |
|
51 |
42 |
$3K |
| 32405 |
|
31 |
25 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
556 |
412 |
$3K |
| 86300 |
|
381 |
266 |
$2K |
| 96411 |
|
52 |
37 |
$2K |
| J9190 |
Injection, fluorouracil, 500 mg |
225 |
131 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
157 |
105 |
$2K |
| J9267 |
Injection, paclitaxel, 1 mg |
154 |
64 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
31 |
28 |
$2K |
| 96160 |
|
561 |
458 |
$2K |
| 83615 |
|
1,257 |
893 |
$2K |
| 82784 |
|
531 |
412 |
$2K |
| 82607 |
|
249 |
204 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
32 |
25 |
$1K |
| 31525 |
|
20 |
14 |
$1K |
| 77080 |
|
27 |
25 |
$997.83 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
33 |
26 |
$982.83 |
| 99221 |
|
29 |
25 |
$959.50 |
| 86152 |
|
18 |
15 |
$951.51 |
| 71250 |
|
28 |
24 |
$933.19 |
| 99224 |
|
100 |
29 |
$838.17 |
| 83883 |
|
269 |
228 |
$795.68 |
| 85610 |
|
356 |
287 |
$697.19 |
| 82565 |
|
218 |
165 |
$608.70 |
| 99253 |
|
16 |
12 |
$597.00 |
| J3490 |
Unclassified drugs |
831 |
515 |
$542.21 |
| 82270 |
|
79 |
70 |
$532.43 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
158 |
109 |
$531.02 |
| 88313 |
|
27 |
24 |
$460.96 |
| 82746 |
|
92 |
66 |
$421.79 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
736 |
593 |
$415.19 |
| 84153 |
|
88 |
65 |
$382.63 |
| 99358 |
Prolong nursin fac eval 15m |
15 |
13 |
$373.08 |
| 86304 |
|
31 |
25 |
$273.01 |
| A4550 |
Surgical trays |
3,959 |
2,902 |
$270.33 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
31 |
13 |
$216.56 |
| 36591 |
|
18 |
16 |
$203.79 |
| J9045 |
Injection, carboplatin, 50 mg |
15 |
12 |
$193.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
36 |
29 |
$185.69 |
| 99459 |
|
19 |
14 |
$185.60 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
590 |
483 |
$116.54 |
| 83735 |
|
57 |
41 |
$110.97 |
| 84550 |
|
72 |
67 |
$103.50 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
129 |
108 |
$98.32 |
| 82232 |
|
14 |
12 |
$42.53 |
| A4301 |
Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.) |
282 |
217 |
$0.00 |
| 96040 |
|
32 |
29 |
$0.00 |