| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61,805 |
54,220 |
$2.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,020 |
41,892 |
$1.25M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,107 |
1,907 |
$362K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30,823 |
25,551 |
$204K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,910 |
3,540 |
$198K |
| 99215 |
Prolong outpt/office vis |
3,425 |
2,465 |
$168K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
365 |
323 |
$78K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,561 |
1,414 |
$72K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,238 |
2,024 |
$66K |
| 93000 |
|
5,904 |
5,200 |
$63K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,908 |
1,713 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
908 |
835 |
$53K |
| 71046 |
Radiologic examination, chest; 2 views |
4,946 |
4,552 |
$43K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
610 |
547 |
$28K |
| 20610 |
|
611 |
412 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
826 |
752 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,806 |
616 |
$24K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
836 |
749 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,453 |
1,327 |
$20K |
| 99000 |
|
4,063 |
3,380 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
257 |
228 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,780 |
2,207 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
498 |
452 |
$12K |
| 73630 |
|
821 |
639 |
$12K |
| 90961 |
|
293 |
281 |
$10K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
37 |
37 |
$9K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
65 |
41 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
333 |
302 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
265 |
81 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
103 |
99 |
$6K |
| 93016 |
|
362 |
318 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
150 |
132 |
$5K |
| 99152 |
|
158 |
148 |
$4K |
| 11721 |
|
339 |
315 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
436 |
411 |
$4K |
| 98942 |
|
162 |
38 |
$4K |
| 93018 |
|
362 |
318 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
40 |
40 |
$3K |
| 90686 |
|
219 |
209 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
76 |
64 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
27 |
24 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
37 |
13 |
$2K |
| 99385 |
|
44 |
41 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
61 |
53 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
73 |
62 |
$2K |
| 73030 |
|
143 |
125 |
$2K |
| 93350 |
|
55 |
51 |
$2K |
| 0240U |
|
81 |
78 |
$2K |
| 72100 |
|
105 |
97 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
475 |
381 |
$2K |
| 73564 |
|
52 |
43 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
28 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 90962 |
|
40 |
38 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
37 |
$1K |
| 74018 |
|
108 |
102 |
$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) |
656 |
552 |
$1K |
| 73562 |
|
86 |
69 |
$1K |
| 95718 |
|
13 |
12 |
$1K |
| 73610 |
|
73 |
63 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
249 |
178 |
$1K |
| 59025 |
Fetal non-stress test |
26 |
16 |
$877.39 |
| 82947 |
|
357 |
326 |
$876.88 |
| 81025 |
|
107 |
100 |
$814.05 |
| 99442 |
|
64 |
41 |
$767.36 |
| 81003 |
|
542 |
495 |
$739.90 |
| G0127 |
Trimming of dystrophic nails, any number |
161 |
145 |
$723.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
298 |
247 |
$718.09 |
| 72110 |
|
18 |
17 |
$711.37 |
| 93308 |
|
31 |
31 |
$542.24 |
| 73110 |
|
41 |
37 |
$499.56 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
14 |
$402.94 |
| 94010 |
|
33 |
26 |
$394.16 |
| 99443 |
|
16 |
13 |
$384.78 |
| 95251 |
|
49 |
47 |
$382.57 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$361.66 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
59 |
56 |
$271.29 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$251.40 |
| 73130 |
|
13 |
12 |
$250.40 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
29 |
24 |
$196.01 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
12 |
$167.79 |
| 90670 |
|
52 |
47 |
$161.91 |
| 96161 |
|
40 |
25 |
$126.70 |
| 93321 |
|
25 |
25 |
$113.14 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
14 |
12 |
$84.74 |
| 90647 |
|
16 |
14 |
$62.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
42 |
$55.00 |
| 93325 |
|
25 |
25 |
$53.94 |
| 90648 |
|
19 |
16 |
$53.65 |
| 90723 |
|
15 |
13 |
$45.90 |
| 90681 |
|
16 |
13 |
$43.72 |
| 90685 |
|
13 |
12 |
$41.27 |
| 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) |
58 |
52 |
$30.41 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
18 |
14 |
$16.60 |
| 94760 |
|
63 |
61 |
$13.96 |
| 3045F |
|
15 |
13 |
$10.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
3,132 |
2,457 |
$0.16 |
| 3079F |
|
58 |
55 |
$0.01 |
| 3080F |
|
45 |
42 |
$0.00 |
| 3075F |
|
27 |
26 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| 0502F |
|
1,256 |
846 |
$0.00 |