| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148,427 |
123,506 |
$5.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65,392 |
58,923 |
$3.07M |
| 99233 |
Prolong inpt eval add15 m |
45,208 |
17,230 |
$2.06M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
51,329 |
18,676 |
$1.62M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,101 |
1,993 |
$1.23M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
10,055 |
3,804 |
$1.10M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16,574 |
15,233 |
$835K |
| 99223 |
Prolong inpt eval add15 m |
7,803 |
6,693 |
$642K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31,578 |
11,144 |
$613K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
11,450 |
10,544 |
$464K |
| 99205 |
Prolong outpt/office vis |
3,606 |
3,405 |
$419K |
| 99215 |
Prolong outpt/office vis |
5,353 |
4,821 |
$364K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,609 |
6,952 |
$341K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,439 |
5,029 |
$336K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,993 |
5,715 |
$324K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,733 |
3,470 |
$284K |
| 59514 |
|
518 |
418 |
$253K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,838 |
8,543 |
$240K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,763 |
8,757 |
$211K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,482 |
4,121 |
$206K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,190 |
1,106 |
$192K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,687 |
5,129 |
$177K |
| 59430 |
|
1,844 |
1,774 |
$171K |
| 71045 |
Radiologic examination, chest; single view |
37,845 |
27,787 |
$149K |
| 93976 |
|
3,771 |
3,142 |
$147K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,648 |
371 |
$144K |
| 93356 |
|
6,518 |
5,844 |
$131K |
| 71046 |
Radiologic examination, chest; 2 views |
19,262 |
18,245 |
$130K |
| 99220 |
|
1,636 |
1,496 |
$126K |
| 99221 |
|
2,590 |
2,214 |
$120K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,181 |
2,068 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,043 |
1,853 |
$116K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,430 |
1,272 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,694 |
1,635 |
$113K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,889 |
1,744 |
$110K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,130 |
2,998 |
$107K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,495 |
975 |
$105K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,011 |
2,650 |
$102K |
| 76801 |
|
3,279 |
2,943 |
$101K |
| 99460 |
|
2,395 |
2,136 |
$97K |
| 88307 |
|
1,959 |
1,868 |
$96K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
732 |
644 |
$88K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,183 |
1,055 |
$86K |
| 59025 |
Fetal non-stress test |
8,041 |
3,664 |
$85K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
894 |
254 |
$82K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,572 |
1,294 |
$75K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,346 |
1,231 |
$69K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,988 |
2,570 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,335 |
1,217 |
$68K |
| 90961 |
|
1,710 |
1,578 |
$62K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
900 |
854 |
$60K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
3,296 |
1,517 |
$53K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
258 |
230 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
700 |
683 |
$48K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,797 |
7,459 |
$35K |
| 31575 |
|
786 |
695 |
$35K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,298 |
1,041 |
$34K |
| 95951 |
|
168 |
138 |
$34K |
| 43644 |
|
48 |
37 |
$33K |
| 70496 |
|
361 |
336 |
$29K |
| 99462 |
|
988 |
734 |
$22K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
417 |
350 |
$22K |
| 70498 |
|
278 |
248 |
$21K |
| 88342 |
|
1,101 |
1,015 |
$20K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,115 |
2,367 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
926 |
583 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
755 |
721 |
$19K |
| 99310 |
Prolong nursin fac eval 15m |
1,433 |
1,186 |
$19K |
| 76536 |
|
1,123 |
1,011 |
$19K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
65 |
65 |
$19K |
| 99385 |
|
360 |
278 |
$19K |
| 96131 |
|
260 |
217 |
$18K |
| 93970 |
|
427 |
378 |
$18K |
| 77014 |
|
523 |
77 |
$17K |
| 90962 |
|
565 |
518 |
$17K |
| 74018 |
|
3,389 |
2,321 |
$16K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
591 |
491 |
$16K |
| 36512 |
|
529 |
418 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,217 |
1,073 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
168 |
157 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
597 |
493 |
$15K |
| 43235 |
|
131 |
118 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
399 |
376 |
$14K |
| 43281 |
|
15 |
13 |
$14K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
74 |
66 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
222 |
192 |
$13K |
| 76830 |
Ultrasound, transvaginal |
523 |
496 |
$13K |
| 73630 |
|
1,837 |
1,724 |
$12K |
| 76857 |
|
618 |
601 |
$11K |
| 71250 |
|
270 |
257 |
$11K |
| 93971 |
|
354 |
325 |
$10K |
| 70491 |
|
155 |
149 |
$10K |
| 76942 |
|
335 |
280 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
126 |
$10K |
| 96130 |
|
283 |
229 |
$10K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
32 |
14 |
$10K |
| 92083 |
|
996 |
928 |
$9K |
| 93298 |
|
753 |
718 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
542 |
464 |
$9K |
| 93325 |
|
723 |
618 |
$8K |
| 72082 |
|
537 |
509 |
$8K |
| 93320 |
|
406 |
349 |
$8K |
| 99468 |
|
16 |
12 |
$8K |
| 73610 |
|
1,106 |
1,036 |
$7K |
| 94729 |
|
844 |
764 |
$7K |
| 90836 |
|
318 |
265 |
$7K |
| 96139 |
|
98 |
83 |
$7K |
| 93312 |
|
118 |
95 |
$7K |
| 90674 |
|
275 |
256 |
$7K |
| 73030 |
|
1,185 |
1,129 |
$7K |
| 74019 |
|
874 |
815 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
100 |
95 |
$7K |
| 94060 |
|
541 |
512 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
169 |
100 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
271 |
176 |
$5K |
| 77427 |
|
66 |
28 |
$5K |
| 88173 |
|
160 |
147 |
$5K |
| 88313 |
|
351 |
311 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
174 |
161 |
$5K |
| 82139 |
|
352 |
243 |
$5K |
| 11012 |
|
23 |
12 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
466 |
364 |
$5K |
| 11900 |
|
186 |
171 |
$5K |
| 54150 |
|
39 |
38 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
395 |
377 |
$5K |
| 93295 |
|
178 |
168 |
$5K |
| 73564 |
|
569 |
542 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
218 |
86 |
$4K |
| 99219 |
|
80 |
72 |
$4K |
| 81025 |
|
1,081 |
868 |
$4K |
| 92134 |
|
968 |
851 |
$4K |
| 76770 |
|
173 |
162 |
$4K |
| 92133 |
|
1,011 |
906 |
$4K |
| 73562 |
|
595 |
573 |
$4K |
| 94010 |
|
694 |
619 |
$4K |
| 99051 |
|
478 |
441 |
$4K |
| 73130 |
|
474 |
434 |
$3K |
| 96113 |
|
13 |
12 |
$3K |
| 72100 |
|
460 |
443 |
$3K |
| 90863 |
|
235 |
162 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
30 |
29 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
806 |
544 |
$3K |
| 70544 |
|
44 |
36 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
55 |
52 |
$3K |
| 90686 |
|
168 |
152 |
$3K |
| 96101 |
|
14 |
12 |
$2K |
| 76820 |
|
119 |
61 |
$2K |
| 88341 |
|
44 |
43 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
43 |
40 |
$2K |
| 94726 |
|
274 |
259 |
$2K |
| 93018 |
|
295 |
278 |
$2K |
| 93350 |
|
56 |
51 |
$2K |
| 99443 |
|
136 |
107 |
$2K |
| 99386 |
|
24 |
24 |
$2K |
| 10022 |
|
32 |
25 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
147 |
86 |
$2K |
| 11100 |
|
42 |
36 |
$2K |
| 99490 |
Ccm add 20min |
399 |
393 |
$2K |
| 93458 |
|
15 |
12 |
$2K |
| 93923 |
|
42 |
38 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
74 |
72 |
$2K |
| 70486 |
|
25 |
25 |
$1K |
| 93454 |
|
16 |
12 |
$1K |
| 20552 |
|
115 |
93 |
$1K |
| 29425 |
|
25 |
25 |
$1K |
| 77334 |
|
18 |
13 |
$1K |
| 69210 |
|
115 |
84 |
$1K |
| 52000 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
932 |
380 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
81 |
42 |
$1K |
| 96112 |
|
13 |
12 |
$1K |
| 38222 |
|
15 |
14 |
$1K |
| 57454 |
|
13 |
13 |
$1K |
| 93297 |
|
116 |
115 |
$1K |
| 94618 |
|
216 |
202 |
$1K |
| 96138 |
|
96 |
83 |
$1K |
| 96137 |
|
22 |
13 |
$1K |
| 85097 |
|
30 |
24 |
$1K |
| 83020 |
|
306 |
249 |
$1K |
| 76818 |
|
38 |
24 |
$1K |
| 92020 |
|
177 |
156 |
$1K |
| 77066 |
Tomosynthesis, mammo |
30 |
29 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$973.68 |
| 73560 |
|
167 |
156 |
$936.80 |
| 99442 |
|
86 |
70 |
$905.22 |
| 93296 |
|
285 |
254 |
$881.68 |
| 76642 |
|
39 |
36 |
$837.70 |
| 20610 |
|
41 |
39 |
$824.86 |
| 17110 |
|
18 |
16 |
$822.03 |
| 76813 |
|
26 |
26 |
$815.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
72 |
$739.53 |
| 90746 |
|
15 |
12 |
$716.32 |
| 86580 |
|
146 |
137 |
$701.78 |
| 73110 |
|
106 |
89 |
$700.64 |
| 81003 |
|
845 |
598 |
$622.97 |
| 76512 |
|
46 |
39 |
$619.14 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
65 |
56 |
$613.01 |
| 90715 |
|
23 |
17 |
$578.56 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
14 |
$557.44 |
| 46600 |
|
13 |
13 |
$529.69 |
| 93321 |
|
86 |
77 |
$528.96 |
| 99401 |
|
33 |
28 |
$512.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
49 |
$511.01 |
| 72040 |
|
67 |
65 |
$505.58 |
| 77073 |
|
51 |
40 |
$480.61 |
| 95886 |
|
13 |
12 |
$438.14 |
| 99152 |
|
350 |
245 |
$428.64 |
| 73590 |
|
69 |
60 |
$416.61 |
| 85018 |
|
428 |
328 |
$409.77 |
| 77300 |
|
14 |
13 |
$409.00 |
| 88141 |
|
30 |
29 |
$402.00 |
| 92250 |
|
41 |
34 |
$393.34 |
| 72190 |
|
40 |
38 |
$358.40 |
| 73502 |
|
42 |
39 |
$326.20 |
| 73080 |
|
42 |
39 |
$321.47 |
| 90966 |
|
33 |
24 |
$310.00 |
| 96136 |
|
22 |
13 |
$267.89 |
| 88304 |
|
12 |
12 |
$258.74 |
| 99173 |
|
274 |
215 |
$245.37 |
| 93000 |
|
30 |
28 |
$243.41 |
| 88302 |
|
13 |
12 |
$238.98 |
| 72081 |
|
26 |
26 |
$237.60 |
| 77080 |
|
12 |
12 |
$221.49 |
| 87210 |
|
113 |
91 |
$207.09 |
| 76937 |
|
47 |
36 |
$205.26 |
| 99441 |
|
37 |
28 |
$191.05 |
| 73090 |
|
29 |
24 |
$173.46 |
| 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 |
133 |
121 |
$173.25 |
| 92060 |
|
29 |
26 |
$144.10 |
| 93284 |
|
13 |
12 |
$136.06 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
14 |
$129.93 |
| 90688 |
|
13 |
12 |
$113.52 |
| 99358 |
Prolong nursin fac eval 15m |
18 |
12 |
$91.12 |
| 76514 |
|
51 |
46 |
$68.04 |
| 96160 |
|
92 |
63 |
$60.61 |
| 90970 |
|
40 |
12 |
$59.95 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
25 |
$43.86 |
| 99316 |
|
21 |
12 |
$41.97 |
| 99153 |
Mod sedat endo service >5yrs |
207 |
151 |
$37.45 |
| 90785 |
|
15 |
12 |
$29.19 |
| 88311 |
|
17 |
12 |
$28.26 |
| 11721 |
|
15 |
14 |
$20.64 |
| 93042 |
|
20 |
13 |
$11.00 |
| 3078F |
|
58 |
47 |
$0.07 |
| 3074F |
|
39 |
33 |
$0.04 |
| 0399T |
|
298 |
252 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
66 |
48 |
$0.00 |
| 90636 |
|
26 |
13 |
$0.00 |
| 3008F |
|
17 |
14 |
$0.00 |
| 96127 |
|
73 |
59 |
$0.00 |
| 4010F |
|
36 |
27 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
48 |
$0.00 |
| 92504 |
|
15 |
14 |
$0.00 |
| 99354 |
|
13 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
72 |
52 |
$0.00 |