| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125,500 |
113,189 |
$6.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102,842 |
94,645 |
$4.68M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39,811 |
15,212 |
$1.04M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
3,023 |
788 |
$1.00M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
6,032 |
1,530 |
$677K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34,229 |
32,228 |
$457K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,899 |
5,528 |
$386K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,151 |
9,138 |
$298K |
| 99233 |
Prolong inpt eval add15 m |
7,483 |
3,363 |
$268K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,550 |
1,406 |
$252K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,246 |
2,124 |
$200K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,363 |
3,936 |
$199K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,523 |
3,406 |
$198K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,492 |
5,195 |
$187K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,334 |
2,732 |
$185K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,252 |
1,799 |
$171K |
| 99460 |
|
2,262 |
2,213 |
$170K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,049 |
7,194 |
$168K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30,958 |
26,749 |
$167K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,818 |
1,683 |
$147K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,597 |
9,047 |
$138K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,358 |
2,335 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,411 |
1,164 |
$118K |
| 71045 |
Radiologic examination, chest; single view |
20,964 |
17,395 |
$99K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,261 |
2,106 |
$98K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,640 |
2,544 |
$90K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,513 |
1,400 |
$90K |
| 71046 |
Radiologic examination, chest; 2 views |
11,019 |
10,369 |
$83K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,512 |
1,254 |
$80K |
| 93000 |
|
8,095 |
7,526 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,753 |
1,573 |
$73K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
656 |
192 |
$68K |
| 99223 |
Prolong inpt eval add15 m |
874 |
817 |
$65K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
954 |
672 |
$62K |
| 93307 |
|
1,982 |
1,867 |
$59K |
| 76820 |
|
656 |
463 |
$52K |
| 20610 |
|
1,440 |
1,231 |
$50K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
743 |
659 |
$49K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,486 |
1,309 |
$49K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,365 |
1,193 |
$47K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
143 |
24 |
$46K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
319 |
284 |
$42K |
| 36902 |
|
1,342 |
1,267 |
$40K |
| 99468 |
|
60 |
57 |
$40K |
| 90832 |
Psychotherapy, 30 minutes with patient |
727 |
219 |
$37K |
| 99462 |
|
1,023 |
847 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
450 |
366 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
397 |
386 |
$35K |
| 99215 |
Prolong outpt/office vis |
944 |
797 |
$34K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
559 |
433 |
$31K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
815 |
757 |
$28K |
| 87428 |
|
595 |
536 |
$27K |
| 93970 |
|
498 |
476 |
$25K |
| 73630 |
|
1,391 |
1,184 |
$24K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
320 |
190 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,269 |
1,193 |
$24K |
| 93296 |
|
2,046 |
1,979 |
$23K |
| 99243 |
|
234 |
221 |
$22K |
| 93923 |
|
657 |
626 |
$21K |
| 93295 |
|
848 |
809 |
$19K |
| 51798 |
|
3,035 |
2,769 |
$19K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
34 |
27 |
$19K |
| 73562 |
|
1,219 |
1,095 |
$19K |
| 73610 |
|
1,013 |
887 |
$19K |
| 20611 |
|
356 |
277 |
$19K |
| 54150 |
|
189 |
187 |
$18K |
| 74018 |
|
3,018 |
2,380 |
$17K |
| 76770 |
|
834 |
790 |
$17K |
| 94060 |
|
842 |
757 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,107 |
538 |
$13K |
| 94729 |
|
834 |
757 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
507 |
459 |
$13K |
| 81025 |
|
1,909 |
1,677 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
763 |
686 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
235 |
217 |
$12K |
| 0002A |
|
400 |
380 |
$12K |
| 99478 |
|
113 |
30 |
$12K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
177 |
158 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
233 |
231 |
$11K |
| 81002 |
|
3,734 |
3,501 |
$10K |
| 95816 |
|
332 |
315 |
$9K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
62 |
56 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
770 |
749 |
$9K |
| 99383 |
|
77 |
76 |
$9K |
| 81003 |
|
7,167 |
6,142 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
326 |
302 |
$8K |
| 94727 |
|
599 |
530 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
251 |
221 |
$7K |
| 99221 |
|
217 |
204 |
$7K |
| 0001A |
|
356 |
347 |
$7K |
| 97597 |
|
388 |
262 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
664 |
529 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
201 |
185 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
356 |
298 |
$6K |
| 93880 |
|
152 |
150 |
$6K |
| 43249 |
|
79 |
76 |
$6K |
| 99242 |
|
74 |
73 |
$6K |
| 87400 |
|
458 |
444 |
$6K |
| 99217 |
|
97 |
94 |
$6K |
| 99219 |
|
44 |
43 |
$5K |
| 99152 |
|
2,082 |
1,817 |
$5K |
| 99384 |
|
31 |
31 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
311 |
283 |
$4K |
| 73502 |
|
213 |
205 |
$4K |
| 93294 |
|
351 |
344 |
$4K |
| 99253 |
|
38 |
38 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
42 |
$4K |
| 36558 |
|
45 |
41 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26 |
26 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
821 |
648 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
96 |
69 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
39 |
38 |
$3K |
| 87807 |
|
234 |
228 |
$3K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
64 |
56 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
158 |
135 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
99 |
95 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
967 |
908 |
$3K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
13 |
12 |
$3K |
| 76536 |
|
136 |
133 |
$3K |
| 76775 |
|
166 |
158 |
$3K |
| 93016 |
|
216 |
184 |
$3K |
| 36907 |
|
164 |
157 |
$3K |
| 76825 |
|
28 |
27 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
69 |
67 |
$2K |
| 76506 |
|
79 |
69 |
$2K |
| 52000 |
|
27 |
26 |
$2K |
| 36589 |
|
55 |
49 |
$2K |
| 0071A |
|
65 |
56 |
$2K |
| 0072A |
|
53 |
52 |
$2K |
| 73221 |
|
59 |
49 |
$2K |
| 71250 |
|
94 |
80 |
$2K |
| 00731 |
|
64 |
60 |
$2K |
| 93018 |
|
214 |
183 |
$2K |
| 82962 |
|
1,325 |
1,142 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
53 |
52 |
$2K |
| 73560 |
|
209 |
184 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
52 |
51 |
$2K |
| 20550 |
|
33 |
15 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 01961 |
|
16 |
13 |
$1K |
| 51725 |
|
32 |
30 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
26 |
22 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
376 |
333 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
52 |
51 |
$1K |
| 73030 |
|
172 |
156 |
$1K |
| 93297 |
|
153 |
146 |
$1K |
| 90461 |
|
168 |
147 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
223 |
211 |
$1K |
| 99201 |
|
41 |
38 |
$945.80 |
| 77001 |
|
189 |
160 |
$831.32 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
19 |
$678.74 |
| 90686 |
|
194 |
166 |
$664.73 |
| 36905 |
|
33 |
26 |
$638.08 |
| 99218 |
|
12 |
12 |
$570.91 |
| 93971 |
|
41 |
39 |
$544.83 |
| 93976 |
|
13 |
12 |
$532.67 |
| 20605 |
|
17 |
14 |
$530.25 |
| 90648 |
|
434 |
423 |
$502.96 |
| 85018 |
|
427 |
196 |
$499.92 |
| 94726 |
|
26 |
26 |
$496.89 |
| 72100 |
|
89 |
82 |
$486.47 |
| 73130 |
|
39 |
36 |
$486.27 |
| 90756 |
|
47 |
29 |
$483.68 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
104 |
90 |
$434.13 |
| 76937 |
|
191 |
159 |
$423.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
37 |
$421.79 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$418.97 |
| 73110 |
|
18 |
12 |
$405.30 |
| 74019 |
|
64 |
52 |
$393.57 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$359.52 |
| 90670 |
|
603 |
563 |
$345.69 |
| 73501 |
|
29 |
26 |
$301.46 |
| 96127 |
|
61 |
61 |
$299.56 |
| 36415 |
Collection of venous blood by venipuncture |
4,055 |
3,694 |
$288.52 |
| 90723 |
|
330 |
308 |
$279.36 |
| 76942 |
|
14 |
14 |
$261.57 |
| 96160 |
|
60 |
60 |
$255.96 |
| 87809 |
|
16 |
16 |
$217.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
28 |
$216.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
433 |
383 |
$190.54 |
| 94250 |
|
67 |
63 |
$177.12 |
| 93922 |
|
12 |
12 |
$154.98 |
| 91065 |
|
19 |
12 |
$146.35 |
| 85013 |
|
33 |
33 |
$108.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
81 |
74 |
$100.05 |
| 99406 |
|
14 |
14 |
$85.14 |
| 86308 |
|
13 |
13 |
$76.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
37 |
$74.58 |
| 93356 |
|
22 |
17 |
$72.23 |
| 96161 |
|
20 |
14 |
$50.93 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
24 |
24 |
$47.61 |
| 81000 |
|
14 |
13 |
$38.11 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
375 |
266 |
$37.80 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,094 |
4,375 |
$8.30 |
| 2010F |
|
5,369 |
4,835 |
$8.30 |
| 1036F |
|
1,414 |
1,257 |
$8.30 |
| A9150 |
Non-prescription drugs |
199 |
195 |
$6.90 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
67 |
62 |
$2.89 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
56 |
50 |
$2.03 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
310 |
264 |
$1.92 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
12 |
12 |
$0.12 |
| 3725F |
|
686 |
617 |
$0.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
186 |
161 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,033 |
984 |
$0.00 |
| 0502F |
|
134 |
83 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
22 |
22 |
$0.00 |
| 99442 |
|
41 |
26 |
$0.00 |
| 90633 |
|
18 |
18 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
163 |
37 |
$0.00 |
| 1090F |
|
39 |
39 |
$0.00 |
| 99401 |
|
29 |
29 |
$0.00 |
| 1100F |
|
13 |
12 |
$0.00 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
890 |
469 |
$0.00 |
| 99024 |
|
716 |
593 |
$0.00 |
| 99443 |
|
98 |
95 |
$0.00 |
| 90694 |
|
64 |
54 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
118 |
91 |
$0.00 |
| 7025F |
|
16 |
15 |
$0.00 |
| 3048F |
|
38 |
38 |
$0.00 |
| 99441 |
|
53 |
25 |
$0.00 |
| 90647 |
|
59 |
47 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
34 |
30 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90680 |
|
56 |
55 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |