| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
71,980 |
66,133 |
$9.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84,111 |
78,680 |
$8.02M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28,060 |
27,729 |
$4.07M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
39,193 |
38,979 |
$3.53M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20,086 |
19,781 |
$2.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,804 |
32,233 |
$2.12M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13,135 |
12,773 |
$2.06M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
36,147 |
35,994 |
$1.68M |
| 99205 |
Prolong outpt/office vis |
5,910 |
5,786 |
$1.12M |
| Z4306 |
|
20,498 |
19,679 |
$1.02M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,589 |
2,358 |
$700K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
5,747 |
5,088 |
$691K |
| 99233 |
Prolong inpt eval add15 m |
8,940 |
3,262 |
$604K |
| 95720 |
|
1,752 |
934 |
$458K |
| Z4305 |
|
4,585 |
4,154 |
$451K |
| 93325 |
|
8,586 |
8,162 |
$450K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
3,097 |
3,044 |
$430K |
| 76825 |
|
1,601 |
1,527 |
$395K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,885 |
2,947 |
$349K |
| 95951 |
|
1,242 |
573 |
$347K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
42,416 |
41,466 |
$319K |
| 95718 |
|
1,763 |
1,243 |
$309K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,644 |
4,569 |
$307K |
| 71045 |
Radiologic examination, chest; single view |
19,583 |
12,710 |
$277K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
628 |
618 |
$275K |
| 76770 |
|
5,352 |
5,284 |
$253K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,944 |
3,889 |
$225K |
| 31579 |
|
1,097 |
1,082 |
$221K |
| 71046 |
Radiologic examination, chest; 2 views |
9,615 |
9,396 |
$198K |
| 93000 |
|
5,092 |
5,004 |
$192K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
699 |
674 |
$185K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
456 |
450 |
$183K |
| 95819 |
|
3,254 |
3,227 |
$179K |
| 93320 |
|
3,100 |
3,046 |
$173K |
| 97810 |
|
6,670 |
3,950 |
$168K |
| 97811 |
|
6,429 |
3,846 |
$164K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,308 |
2,252 |
$159K |
| 74018 |
|
9,839 |
8,553 |
$158K |
| 99223 |
Prolong inpt eval add15 m |
1,144 |
1,126 |
$150K |
| 99417 |
Prolong home eval add 15m |
2,981 |
2,921 |
$148K |
| 92134 |
|
5,925 |
5,717 |
$146K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
982 |
892 |
$145K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,372 |
3,251 |
$118K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
705 |
603 |
$112K |
| 76827 |
|
1,586 |
1,518 |
$111K |
| 93304 |
|
909 |
832 |
$101K |
| Z4303 |
|
3,165 |
2,954 |
$94K |
| 99221 |
|
1,428 |
1,382 |
$90K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
297 |
293 |
$85K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
304 |
165 |
$83K |
| 76813 |
|
898 |
885 |
$81K |
| 17110 |
|
864 |
852 |
$79K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
461 |
431 |
$78K |
| 31575 |
|
730 |
715 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,677 |
1,524 |
$69K |
| Z4304 |
|
1,289 |
1,223 |
$69K |
| 95816 |
|
1,063 |
1,052 |
$59K |
| Z4300 |
|
777 |
682 |
$55K |
| 93321 |
|
1,151 |
1,068 |
$52K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
324 |
183 |
$51K |
| 73610 |
|
2,872 |
2,666 |
$50K |
| 92060 |
|
1,853 |
1,815 |
$48K |
| 99222 |
Initial hospital care, per day, moderate complexity |
409 |
400 |
$47K |
| 72170 |
|
3,642 |
3,577 |
$46K |
| 69210 |
|
881 |
841 |
$46K |
| 73080 |
|
2,135 |
1,972 |
$45K |
| 73090 |
|
2,681 |
2,384 |
$45K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
487 |
485 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
587 |
563 |
$38K |
| 93224 |
|
245 |
244 |
$36K |
| 44970 |
|
101 |
101 |
$35K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
349 |
231 |
$35K |
| 73630 |
|
1,803 |
1,516 |
$34K |
| 99241 |
|
723 |
721 |
$34K |
| 76820 |
|
550 |
516 |
$31K |
| 73100 |
|
2,162 |
1,932 |
$31K |
| 99242 |
|
462 |
460 |
$30K |
| 92504 |
|
1,154 |
1,128 |
$30K |
| 99367 |
|
572 |
556 |
$29K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
90 |
88 |
$29K |
| 72082 |
|
1,567 |
1,525 |
$27K |
| 99243 |
|
307 |
306 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
140 |
138 |
$24K |
| 92015 |
Determination of refractive state |
1,486 |
1,473 |
$24K |
| 31231 |
|
199 |
196 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
101 |
101 |
$23K |
| 78812 |
|
67 |
66 |
$22K |
| 73110 |
|
971 |
900 |
$20K |
| 73590 |
|
1,061 |
919 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
308 |
306 |
$20K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
202 |
197 |
$19K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
214 |
210 |
$16K |
| 29450 |
|
147 |
65 |
$15K |
| 92083 |
|
439 |
424 |
$15K |
| 93975 |
|
169 |
168 |
$15K |
| 93880 |
|
409 |
407 |
$15K |
| 73070 |
|
664 |
615 |
$14K |
| S0265 |
Genetic counseling, under physician supervision, each 15 minutes |
146 |
145 |
$14K |
| 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 |
520 |
431 |
$14K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
142 |
127 |
$13K |
| 73140 |
|
1,317 |
1,249 |
$13K |
| 96450 |
|
65 |
49 |
$13K |
| 54640 |
|
20 |
14 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
117 |
114 |
$11K |
| Z4315 |
|
119 |
119 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
242 |
138 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
119 |
116 |
$9K |
| 76801 |
|
50 |
50 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
215 |
178 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
147 |
146 |
$7K |
| 77073 |
|
305 |
284 |
$7K |
| 90686 |
|
150 |
150 |
$7K |
| 77072 |
|
495 |
492 |
$7K |
| 99080 |
|
110 |
80 |
$7K |
| 64615 |
|
52 |
52 |
$7K |
| Z4310 |
|
788 |
764 |
$7K |
| 72081 |
|
440 |
430 |
$6K |
| 36512 |
|
16 |
12 |
$6K |
| 11750 |
|
83 |
71 |
$6K |
| 76536 |
|
163 |
159 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
466 |
464 |
$6K |
| 64483 |
|
36 |
24 |
$6K |
| 54161 |
|
25 |
25 |
$5K |
| 92226 |
|
139 |
74 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
680 |
310 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
58 |
38 |
$5K |
| 78816 |
|
12 |
12 |
$4K |
| 73130 |
|
200 |
174 |
$4K |
| 71250 |
|
51 |
51 |
$4K |
| 77080 |
|
327 |
320 |
$4K |
| 51600 |
|
12 |
12 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
67 |
65 |
$3K |
| 92133 |
|
157 |
156 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
115 |
112 |
$3K |
| 51798 |
|
51 |
50 |
$3K |
| 74183 |
|
31 |
19 |
$3K |
| 95812 |
|
55 |
55 |
$3K |
| 92025 |
|
102 |
100 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$3K |
| 74420 |
|
122 |
115 |
$3K |
| 76885 |
|
53 |
52 |
$3K |
| 72197 |
|
28 |
17 |
$3K |
| 92551 |
|
87 |
87 |
$3K |
| 74019 |
|
220 |
211 |
$2K |
| 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) |
87 |
86 |
$2K |
| 77014 |
|
64 |
12 |
$2K |
| 73552 |
|
189 |
156 |
$2K |
| 90656 |
|
52 |
51 |
$2K |
| 76870 |
|
39 |
39 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
209 |
207 |
$2K |
| 73562 |
|
108 |
97 |
$2K |
| 97026 |
|
89 |
60 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$2K |
| 20930 |
|
12 |
12 |
$2K |
| 97813 |
|
42 |
27 |
$2K |
| 97814 |
|
42 |
27 |
$2K |
| 99255 |
|
12 |
12 |
$2K |
| 76506 |
|
40 |
37 |
$2K |
| 92201 |
|
29 |
12 |
$2K |
| 92225 |
|
23 |
12 |
$2K |
| 93886 |
|
25 |
25 |
$1K |
| 92557 |
|
39 |
39 |
$1K |
| 52000 |
|
26 |
26 |
$1K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
14 |
14 |
$1K |
| 74455 |
|
62 |
62 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
44 |
40 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$1K |
| 99173 |
|
100 |
100 |
$1K |
| 96402 |
|
27 |
24 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$944.63 |
| 99201 |
|
42 |
39 |
$874.37 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
15 |
14 |
$825.95 |
| 99451 |
|
12 |
12 |
$780.60 |
| 76882 |
|
15 |
15 |
$780.29 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
15 |
12 |
$717.15 |
| 59025 |
Fetal non-stress test |
41 |
12 |
$633.47 |
| 74230 |
|
12 |
12 |
$597.05 |
| 73560 |
|
31 |
27 |
$584.50 |
| 73564 |
|
70 |
64 |
$560.88 |
| 92250 |
|
16 |
16 |
$497.87 |
| Z4313 |
|
16 |
16 |
$456.16 |
| 92081 |
|
14 |
14 |
$432.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
26 |
$332.64 |
| 73000 |
|
15 |
15 |
$253.86 |
| 76514 |
|
29 |
29 |
$196.41 |
| 81002 |
|
49 |
49 |
$171.73 |
| 72190 |
|
26 |
26 |
$171.11 |
| 51741 |
|
13 |
12 |
$168.98 |
| 81003 |
|
15 |
13 |
$85.26 |
| 11900 |
|
14 |
14 |
$0.00 |