| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93,003 |
84,682 |
$3.33M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,632 |
90,812 |
$2.73M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28,729 |
26,859 |
$599K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,756 |
8,856 |
$562K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,476 |
10,892 |
$454K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,896 |
6,736 |
$409K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18,197 |
17,168 |
$381K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15,362 |
14,274 |
$380K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,182 |
5,318 |
$252K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,028 |
4,753 |
$244K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,597 |
2,393 |
$232K |
| 92015 |
Determination of refractive state |
21,632 |
20,349 |
$199K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,375 |
4,032 |
$194K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,284 |
3,201 |
$193K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,398 |
5,077 |
$183K |
| 71046 |
Radiologic examination, chest; 2 views |
13,743 |
12,709 |
$172K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30,051 |
24,082 |
$168K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,880 |
3,650 |
$153K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,113 |
4,697 |
$147K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,004 |
3,602 |
$119K |
| 98940 |
|
9,158 |
5,321 |
$113K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,706 |
1,814 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,456 |
1,375 |
$97K |
| 92341 |
|
3,631 |
3,357 |
$97K |
| 64483 |
|
797 |
749 |
$95K |
| 71045 |
Radiologic examination, chest; single view |
19,416 |
15,969 |
$93K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,342 |
2,410 |
$78K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,502 |
2,306 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,057 |
1,035 |
$62K |
| 90686 |
|
7,676 |
7,460 |
$55K |
| 95886 |
|
826 |
781 |
$55K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
601 |
321 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,233 |
2,916 |
$49K |
| 99215 |
Prolong outpt/office vis |
1,162 |
957 |
$48K |
| J2357 |
Injection, omalizumab, 5 mg |
78 |
63 |
$47K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
241 |
227 |
$40K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
937 |
475 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,126 |
1,063 |
$35K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,326 |
708 |
$34K |
| 92133 |
|
1,290 |
1,232 |
$34K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
397 |
358 |
$33K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,442 |
562 |
$31K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,473 |
1,353 |
$30K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
569 |
348 |
$28K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
331 |
300 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
732 |
702 |
$27K |
| 90670 |
|
5,446 |
5,286 |
$24K |
| 73630 |
|
1,422 |
1,241 |
$23K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
490 |
156 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
747 |
707 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
470 |
333 |
$20K |
| 90723 |
|
3,419 |
3,328 |
$20K |
| 90647 |
|
3,246 |
3,145 |
$19K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
55 |
53 |
$19K |
| 92134 |
|
1,252 |
1,098 |
$17K |
| 98927 |
|
717 |
680 |
$16K |
| 11721 |
|
1,140 |
1,097 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
291 |
259 |
$13K |
| 90677 |
|
809 |
785 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
749 |
697 |
$11K |
| 00731 |
|
188 |
181 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
186 |
181 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
231 |
202 |
$9K |
| 90961 |
|
133 |
129 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
99 |
95 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
407 |
316 |
$8K |
| 99242 |
|
204 |
187 |
$8K |
| 17110 |
|
438 |
392 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
234 |
203 |
$7K |
| 93298 |
|
474 |
433 |
$7K |
| 73562 |
|
427 |
365 |
$7K |
| 0002A |
|
219 |
130 |
$7K |
| 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 |
519 |
470 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
188 |
169 |
$7K |
| 0001A |
|
238 |
153 |
$7K |
| 99219 |
|
197 |
182 |
$7K |
| 0071A |
|
173 |
99 |
$6K |
| 20610 |
|
148 |
138 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
157 |
141 |
$6K |
| 94729 |
|
237 |
208 |
$6K |
| 95910 |
|
72 |
71 |
$6K |
| 95115 |
|
1,873 |
1,113 |
$6K |
| 90656 |
|
366 |
366 |
$6K |
| 90633 |
|
1,097 |
1,074 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
66 |
55 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,997 |
1,395 |
$5K |
| 94726 |
|
201 |
174 |
$5K |
| 74018 |
|
504 |
428 |
$5K |
| 92202 |
|
1,042 |
916 |
$5K |
| 72100 |
|
266 |
244 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
150 |
131 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
94 |
92 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
340 |
331 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
149 |
137 |
$4K |
| 90710 |
|
718 |
698 |
$4K |
| 94060 |
|
117 |
106 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
468 |
438 |
$4K |
| 96367 |
|
118 |
63 |
$4K |
| 91321 |
|
27 |
27 |
$4K |
| 59025 |
Fetal non-stress test |
126 |
73 |
$4K |
| 95811 |
|
43 |
37 |
$4K |
| 80305 |
|
472 |
299 |
$4K |
| 0072A |
|
90 |
89 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$3K |
| 96137 |
|
37 |
24 |
$3K |
| 92310 |
|
14 |
13 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
297 |
277 |
$3K |
| 93016 |
|
227 |
211 |
$3K |
| 76830 |
Ultrasound, transvaginal |
99 |
95 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
67 |
65 |
$3K |
| 90681 |
|
471 |
457 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
57 |
53 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
90 |
48 |
$3K |
| 94010 |
|
79 |
72 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
55 |
53 |
$3K |
| 92226 |
|
355 |
236 |
$2K |
| 90651 |
|
481 |
471 |
$2K |
| 99243 |
|
39 |
39 |
$2K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
367 |
326 |
$2K |
| 93018 |
|
227 |
211 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
98 |
90 |
$2K |
| 73030 |
|
152 |
123 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
191 |
186 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
24 |
24 |
$2K |
| 80053 |
Comprehensive metabolic panel |
230 |
192 |
$2K |
| 96127 |
|
694 |
638 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
47 |
36 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
40 |
28 |
$2K |
| 0004A |
|
44 |
44 |
$2K |
| 87486 |
|
55 |
53 |
$2K |
| 87581 |
|
55 |
53 |
$2K |
| 36591 |
|
241 |
124 |
$2K |
| 99460 |
|
16 |
12 |
$2K |
| 76881 |
|
24 |
24 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$1K |
| 88342 |
|
48 |
48 |
$1K |
| 90734 |
|
369 |
359 |
$1K |
| 92557 |
|
41 |
39 |
$1K |
| 96136 |
|
52 |
36 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
237 |
170 |
$1K |
| 96132 |
|
15 |
12 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
29 |
28 |
$1K |
| 90671 |
|
73 |
72 |
$1K |
| 90480 |
|
28 |
28 |
$1K |
| 3008F |
|
364 |
305 |
$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) |
493 |
468 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
25 |
$1K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
14 |
14 |
$964.69 |
| 80061 |
Lipid panel |
93 |
91 |
$964.66 |
| 88307 |
|
15 |
12 |
$902.90 |
| 95908 |
|
13 |
13 |
$898.00 |
| 97162 |
|
14 |
14 |
$828.05 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
25 |
$823.63 |
| 87634 |
|
13 |
13 |
$785.15 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
26 |
25 |
$775.68 |
| 99152 |
|
30 |
26 |
$740.59 |
| 31231 |
|
14 |
12 |
$730.93 |
| 36415 |
Collection of venous blood by venipuncture |
15,716 |
13,411 |
$705.25 |
| 93295 |
|
26 |
25 |
$667.91 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$652.10 |
| 80050 |
General health panel |
12 |
12 |
$617.28 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$574.89 |
| 99443 |
|
46 |
37 |
$558.54 |
| 99173 |
|
28 |
28 |
$532.00 |
| 80076 |
|
60 |
54 |
$528.36 |
| 95819 |
|
16 |
15 |
$510.02 |
| 87210 |
|
92 |
90 |
$504.66 |
| 93793 |
|
123 |
87 |
$500.10 |
| 92225 |
|
30 |
24 |
$474.88 |
| 73110 |
|
27 |
25 |
$433.06 |
| 81001 |
|
154 |
143 |
$429.54 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
12 |
$413.59 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
18 |
12 |
$406.53 |
| 85027 |
|
58 |
53 |
$391.59 |
| 73610 |
|
28 |
26 |
$386.60 |
| 93296 |
|
26 |
25 |
$374.12 |
| 73130 |
|
17 |
13 |
$373.25 |
| 84478 |
|
60 |
54 |
$364.60 |
| 51798 |
|
37 |
36 |
$321.69 |
| 88304 |
|
41 |
37 |
$313.82 |
| 95012 |
|
30 |
24 |
$298.23 |
| 90715 |
|
125 |
121 |
$287.97 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$270.20 |
| 20611 |
|
14 |
12 |
$256.61 |
| 88312 |
|
14 |
13 |
$246.83 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
326 |
302 |
$227.50 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
12 |
$226.82 |
| 93000 |
|
13 |
12 |
$217.33 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
40 |
38 |
$216.66 |
| 81003 |
|
88 |
75 |
$191.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
381 |
203 |
$186.81 |
| 96160 |
|
90 |
83 |
$172.97 |
| 97035 |
|
20 |
12 |
$157.88 |
| 92552 |
|
13 |
12 |
$153.20 |
| 76937 |
|
16 |
12 |
$150.81 |
| 93294 |
|
13 |
12 |
$140.73 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
53 |
$117.58 |
| 83986 |
|
26 |
25 |
$115.63 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
29 |
26 |
$101.99 |
| J1756 |
Injection, iron sucrose, 1 mg |
32 |
12 |
$94.95 |
| 88313 |
|
13 |
12 |
$92.62 |
| 90696 |
|
77 |
77 |
$89.37 |
| 90620 |
|
14 |
14 |
$46.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,202 |
2,099 |
$39.65 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
18 |
$22.83 |
| 93325 |
|
15 |
12 |
$17.45 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,576 |
1,446 |
$10.31 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
7,547 |
5,574 |
$0.14 |
| 99172 |
|
76 |
76 |
$0.00 |
| 98960 |
|
31 |
29 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
21 |
$0.00 |