| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,128 |
22,511 |
$839K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,008 |
30,268 |
$791K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,471 |
5,058 |
$468K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,972 |
2,577 |
$416K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,946 |
2,828 |
$255K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
261 |
241 |
$198K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,079 |
2,914 |
$168K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,160 |
1,649 |
$167K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,693 |
2,545 |
$146K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
902 |
848 |
$122K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,946 |
1,843 |
$121K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
872 |
755 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,365 |
1,315 |
$108K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
838 |
811 |
$104K |
| 76642 |
|
1,591 |
1,464 |
$100K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,232 |
2,193 |
$86K |
| J2785 |
Injection, regadenoson, 0.1 mg |
523 |
501 |
$71K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,058 |
918 |
$59K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
577 |
547 |
$58K |
| 93015 |
|
819 |
763 |
$57K |
| 93224 |
|
496 |
481 |
$54K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,114 |
2,074 |
$53K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,752 |
682 |
$46K |
| 92134 |
|
2,270 |
2,063 |
$45K |
| 92015 |
Determination of refractive state |
3,377 |
3,145 |
$43K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
235 |
229 |
$41K |
| V2020 |
Frames, purchases |
1,693 |
1,619 |
$40K |
| 95024 |
|
336 |
322 |
$33K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
719 |
680 |
$31K |
| 90837 |
Psychotherapy, 53 minutes with patient |
242 |
163 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,262 |
1,192 |
$24K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,103 |
2,754 |
$19K |
| 95886 |
|
257 |
243 |
$19K |
| 99215 |
Prolong outpt/office vis |
463 |
417 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
743 |
725 |
$19K |
| 90961 |
|
386 |
343 |
$17K |
| 20610 |
|
432 |
396 |
$17K |
| 00731 |
|
270 |
262 |
$16K |
| 00811 |
|
315 |
302 |
$16K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
57 |
55 |
$15K |
| 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) |
1,197 |
1,117 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
220 |
209 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,633 |
1,510 |
$13K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
213 |
202 |
$12K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
59 |
57 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
113 |
106 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
337 |
320 |
$9K |
| 95117 |
|
596 |
196 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
329 |
304 |
$8K |
| 92567 |
|
569 |
541 |
$8K |
| 93227 |
|
331 |
319 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
262 |
244 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
61 |
59 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
50 |
49 |
$7K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
465 |
445 |
$7K |
| 93000 |
|
361 |
339 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
87 |
$6K |
| 92557 |
|
207 |
199 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
195 |
172 |
$6K |
| 76830 |
Ultrasound, transvaginal |
178 |
174 |
$6K |
| 91200 |
|
243 |
237 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
762 |
639 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
109 |
103 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
46 |
43 |
$3K |
| 93016 |
|
175 |
168 |
$3K |
| 00813 |
|
38 |
37 |
$3K |
| 99205 |
Prolong outpt/office vis |
37 |
33 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
66 |
41 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
28 |
25 |
$3K |
| 31231 |
|
38 |
37 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
269 |
243 |
$2K |
| 93018 |
|
196 |
187 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
27 |
$2K |
| G6001 |
Ultrasonic guidance for placement of radiation therapy fields |
98 |
13 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
82 |
78 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
53 |
25 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
60 |
56 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
811 |
765 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
63 |
39 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
27 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
29 |
$2K |
| 93296 |
|
123 |
122 |
$2K |
| 97161 |
|
25 |
25 |
$1K |
| 62323 |
|
25 |
25 |
$1K |
| 00126 |
|
17 |
15 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
40 |
39 |
$1K |
| 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) |
120 |
107 |
$990.39 |
| 90836 |
|
25 |
21 |
$974.28 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
12 |
12 |
$966.53 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$939.34 |
| 91065 |
|
57 |
52 |
$925.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
33 |
$813.94 |
| 17110 |
|
20 |
12 |
$739.52 |
| 77065 |
Tomosynthesis, mammo |
14 |
14 |
$647.22 |
| 76536 |
|
29 |
28 |
$639.94 |
| 73221 |
|
12 |
12 |
$618.98 |
| 71250 |
|
14 |
12 |
$529.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$527.05 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
51 |
50 |
$396.26 |
| 73562 |
|
45 |
40 |
$355.43 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
16 |
15 |
$330.89 |
| 99221 |
|
16 |
14 |
$324.80 |
| 99442 |
|
16 |
14 |
$309.33 |
| 76770 |
|
12 |
12 |
$284.29 |
| 93298 |
|
12 |
12 |
$256.32 |
| 99152 |
|
28 |
25 |
$242.68 |
| 93248 |
|
13 |
13 |
$239.56 |
| 80061 |
Lipid panel |
27 |
25 |
$220.33 |
| 90686 |
|
30 |
29 |
$215.02 |
| 90674 |
|
15 |
15 |
$210.02 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
47 |
15 |
$195.87 |
| 93294 |
|
25 |
25 |
$190.88 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$155.39 |
| 73630 |
|
15 |
14 |
$111.37 |
| 73030 |
|
15 |
15 |
$110.70 |
| 77080 |
|
38 |
37 |
$109.21 |
| 0298T |
|
13 |
13 |
$97.48 |
| 81002 |
|
14 |
13 |
$29.31 |
| 3342F |
|
12 |
12 |
$0.00 |