| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71,738 |
66,906 |
$4.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,529 |
61,881 |
$3.06M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20,447 |
20,214 |
$1.74M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13,847 |
13,728 |
$761K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16,011 |
6,673 |
$582K |
| 99215 |
Prolong outpt/office vis |
5,517 |
4,992 |
$464K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,609 |
5,694 |
$425K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,791 |
8,695 |
$409K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,285 |
4,279 |
$394K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,484 |
4,478 |
$375K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
754 |
380 |
$352K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,811 |
5,794 |
$351K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
1,004 |
345 |
$328K |
| 99471 |
|
423 |
408 |
$290K |
| 99205 |
Prolong outpt/office vis |
2,761 |
2,675 |
$286K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,716 |
2,708 |
$240K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,964 |
885 |
$231K |
| 99221 |
|
4,429 |
3,986 |
$204K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,484 |
1,480 |
$185K |
| 99233 |
Prolong inpt eval add15 m |
3,131 |
1,820 |
$155K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,432 |
1,425 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,540 |
1,540 |
$128K |
| 99223 |
Prolong inpt eval add15 m |
1,364 |
1,279 |
$124K |
| 93458 |
|
944 |
932 |
$121K |
| 20610 |
|
4,479 |
4,131 |
$120K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,526 |
2,731 |
$118K |
| 90378 |
|
176 |
165 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,353 |
4,199 |
$109K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,720 |
1,694 |
$107K |
| 99254 |
|
1,064 |
1,024 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,101 |
1,101 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,046 |
1,044 |
$85K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,169 |
1,167 |
$76K |
| 93000 |
|
9,977 |
9,819 |
$74K |
| 93351 |
|
1,235 |
1,233 |
$71K |
| 95816 |
|
2,301 |
2,248 |
$69K |
| 95886 |
|
1,491 |
1,490 |
$68K |
| 99253 |
|
1,055 |
989 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
892 |
878 |
$62K |
| 99217 |
|
1,711 |
1,690 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,847 |
5,792 |
$60K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
533 |
530 |
$57K |
| J2785 |
Injection, regadenoson, 0.1 mg |
432 |
428 |
$53K |
| 99218 |
|
1,219 |
1,196 |
$53K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
458 |
453 |
$50K |
| 77427 |
|
559 |
239 |
$50K |
| 73630 |
|
3,245 |
2,846 |
$49K |
| 99219 |
|
785 |
779 |
$49K |
| 99475 |
|
97 |
93 |
$48K |
| 73564 |
|
2,339 |
2,261 |
$46K |
| 73610 |
|
2,441 |
2,183 |
$38K |
| 99443 |
|
790 |
757 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
997 |
996 |
$37K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
771 |
479 |
$36K |
| 77014 |
|
1,662 |
157 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,363 |
3,954 |
$35K |
| 90686 |
|
2,290 |
2,281 |
$34K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
3,150 |
3,080 |
$33K |
| 0002A |
|
862 |
862 |
$31K |
| 99442 |
|
1,001 |
972 |
$30K |
| 0001A |
|
945 |
944 |
$30K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
716 |
698 |
$30K |
| 94060 |
|
2,885 |
2,875 |
$28K |
| 64615 |
|
401 |
399 |
$28K |
| 94726 |
|
2,975 |
2,962 |
$28K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
274 |
274 |
$28K |
| 73030 |
|
1,918 |
1,843 |
$27K |
| 93015 |
|
1,028 |
1,023 |
$27K |
| 52000 |
|
208 |
208 |
$26K |
| 94729 |
|
2,993 |
2,983 |
$25K |
| 93320 |
|
2,059 |
2,039 |
$23K |
| 43235 |
|
398 |
396 |
$23K |
| 73502 |
|
1,172 |
1,140 |
$22K |
| 90715 |
|
683 |
673 |
$20K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,966 |
3,846 |
$20K |
| 93016 |
|
1,804 |
1,790 |
$19K |
| 95819 |
|
544 |
539 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
344 |
330 |
$17K |
| 73562 |
|
873 |
835 |
$16K |
| 99476 |
|
60 |
28 |
$15K |
| 93018 |
|
1,981 |
1,968 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
913 |
909 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,947 |
1,888 |
$13K |
| 73110 |
|
691 |
625 |
$12K |
| 93308 |
|
520 |
481 |
$11K |
| 97597 |
|
647 |
425 |
$11K |
| 93272 |
|
840 |
840 |
$11K |
| 95811 |
|
168 |
168 |
$11K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
238 |
237 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
441 |
424 |
$10K |
| 95782 |
|
145 |
145 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
801 |
788 |
$10K |
| 90688 |
|
668 |
667 |
$10K |
| 95909 |
|
216 |
215 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
186 |
183 |
$9K |
| 99495 |
|
92 |
91 |
$9K |
| 99441 |
|
517 |
510 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
381 |
380 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,704 |
1,253 |
$9K |
| 25600 |
|
43 |
43 |
$8K |
| 99152 |
|
1,192 |
1,128 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
421 |
414 |
$7K |
| J0475 |
Injection, baclofen, 10 mg |
12 |
12 |
$7K |
| 93325 |
|
2,171 |
2,139 |
$6K |
| 90651 |
|
53 |
53 |
$6K |
| 81003 |
|
3,660 |
3,614 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
117 |
115 |
$6K |
| 99457 |
|
212 |
212 |
$6K |
| 73100 |
|
294 |
225 |
$6K |
| 47562 |
|
15 |
15 |
$6K |
| 93312 |
|
102 |
102 |
$6K |
| 77334 |
|
71 |
50 |
$5K |
| 51798 |
|
987 |
982 |
$5K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
237 |
150 |
$5K |
| 76770 |
|
235 |
232 |
$5K |
| 99406 |
|
662 |
655 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
119 |
26 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
106 |
105 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
64 |
64 |
$4K |
| 88307 |
|
69 |
69 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
632 |
628 |
$4K |
| 93356 |
|
528 |
528 |
$4K |
| 73070 |
|
242 |
217 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
181 |
177 |
$4K |
| 88342 |
|
125 |
125 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
861 |
845 |
$3K |
| 93227 |
|
262 |
262 |
$3K |
| 90656 |
|
167 |
167 |
$3K |
| 29405 |
|
104 |
79 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
71 |
71 |
$3K |
| 81025 |
|
470 |
466 |
$3K |
| 93793 |
|
1,896 |
818 |
$3K |
| 81002 |
|
1,201 |
1,187 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
101 |
97 |
$3K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
280 |
276 |
$3K |
| 70496 |
|
51 |
49 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
67 |
67 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
144 |
144 |
$3K |
| 90756 |
|
113 |
109 |
$2K |
| 93296 |
|
219 |
219 |
$2K |
| 0012A |
|
64 |
64 |
$2K |
| 72141 |
|
56 |
56 |
$2K |
| 0124A |
|
71 |
71 |
$2K |
| 76642 |
|
99 |
89 |
$2K |
| 76801 |
|
73 |
67 |
$2K |
| 99255 |
|
18 |
17 |
$2K |
| 74174 |
|
30 |
26 |
$2K |
| 77300 |
|
43 |
37 |
$2K |
| 74019 |
|
272 |
264 |
$2K |
| 76536 |
|
114 |
113 |
$2K |
| 0011A |
|
67 |
67 |
$2K |
| 90632 |
|
26 |
26 |
$2K |
| 73130 |
|
304 |
288 |
$2K |
| 70498 |
|
33 |
31 |
$2K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
53 |
53 |
$2K |
| 90746 |
|
28 |
28 |
$2K |
| 94618 |
|
122 |
118 |
$2K |
| 74018 |
|
300 |
236 |
$2K |
| 73600 |
|
100 |
88 |
$2K |
| 76830 |
Ultrasound, transvaginal |
77 |
74 |
$2K |
| 90677 |
|
13 |
13 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,067 |
1,000 |
$1K |
| 73221 |
|
36 |
35 |
$1K |
| 95251 |
|
93 |
93 |
$1K |
| 76882 |
|
72 |
69 |
$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) |
509 |
458 |
$1K |
| 93971 |
|
111 |
104 |
$1K |
| 76881 |
|
49 |
49 |
$1K |
| 73590 |
|
158 |
143 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
39 |
39 |
$1K |
| 93970 |
|
63 |
62 |
$1K |
| 43450 |
|
65 |
65 |
$1K |
| 99252 |
|
28 |
28 |
$1K |
| 71250 |
|
38 |
37 |
$1K |
| 93975 |
|
34 |
34 |
$1K |
| 77066 |
Tomosynthesis, mammo |
38 |
38 |
$1K |
| 95717 |
|
22 |
21 |
$1K |
| 72110 |
|
124 |
121 |
$1K |
| 62370 |
|
40 |
40 |
$1K |
| 71271 |
|
28 |
28 |
$906.64 |
| 77263 |
|
13 |
13 |
$895.05 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
12 |
12 |
$851.16 |
| 72158 |
|
12 |
12 |
$823.08 |
| 72100 |
|
119 |
117 |
$821.95 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
36 |
35 |
$812.88 |
| 0003A |
|
24 |
24 |
$794.85 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
41 |
41 |
$794.58 |
| 73090 |
|
77 |
66 |
$754.51 |
| 93298 |
|
12 |
12 |
$726.35 |
| 73560 |
|
75 |
69 |
$682.17 |
| 93294 |
|
45 |
45 |
$669.58 |
| 74022 |
|
73 |
70 |
$661.71 |
| 20550 |
|
29 |
28 |
$639.68 |
| 72040 |
|
93 |
88 |
$607.15 |
| 70491 |
|
14 |
14 |
$578.48 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
14 |
$577.48 |
| 93228 |
|
43 |
43 |
$577.23 |
| 73080 |
|
91 |
89 |
$576.21 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
12 |
$570.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
41 |
$554.92 |
| 76870 |
|
26 |
25 |
$492.96 |
| 93224 |
|
13 |
13 |
$460.35 |
| 73140 |
|
110 |
100 |
$451.56 |
| 90694 |
|
65 |
65 |
$403.18 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
15 |
$361.05 |
| 93976 |
|
17 |
16 |
$357.90 |
| 95806 |
|
12 |
12 |
$333.62 |
| 88304 |
|
48 |
48 |
$330.83 |
| 73552 |
|
52 |
46 |
$328.26 |
| 96127 |
|
112 |
112 |
$323.82 |
| 99224 |
|
47 |
39 |
$306.42 |
| 70486 |
|
12 |
12 |
$305.44 |
| 72170 |
|
55 |
55 |
$284.39 |
| 76506 |
|
14 |
12 |
$274.40 |
| 76857 |
|
16 |
16 |
$235.20 |
| 73522 |
|
14 |
13 |
$193.03 |
| 74420 |
|
13 |
12 |
$184.08 |
| 72072 |
|
27 |
27 |
$175.54 |
| 88302 |
|
28 |
28 |
$149.19 |
| 71101 |
|
18 |
18 |
$145.62 |
| 94010 |
|
30 |
30 |
$137.75 |
| 73060 |
|
27 |
26 |
$132.30 |
| 73660 |
|
13 |
12 |
$120.48 |
| G0008 |
Administration of influenza virus vaccine |
386 |
381 |
$96.43 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
12 |
12 |
$89.68 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$83.95 |
| 93321 |
|
15 |
15 |
$54.16 |
| 99225 |
|
13 |
13 |
$37.51 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$29.70 |
| 1159F |
|
2,155 |
1,961 |
$9.48 |
| 3008F |
|
4,573 |
4,262 |
$8.37 |
| 3079F |
|
18,453 |
17,642 |
$6.52 |
| 3075F |
|
11,270 |
10,918 |
$6.47 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$5.28 |
| 3078F |
|
32,352 |
29,955 |
$3.37 |
| 3074F |
|
36,405 |
33,744 |
$3.27 |
| 3077F |
|
9,273 |
8,778 |
$0.29 |
| 3080F |
|
6,219 |
5,990 |
$0.15 |
| 1220F |
|
250 |
243 |
$0.02 |
| G9007 |
Coordinated care fee, scheduled team conference |
35 |
29 |
$0.02 |
| 98966 |
|
48 |
47 |
$0.02 |
| 2000F |
|
1,847 |
1,680 |
$0.01 |
| 3052F |
|
32 |
32 |
$0.01 |
| 2028F |
|
134 |
134 |
$0.01 |
| 3044F |
|
828 |
804 |
$0.00 |
| 1036F |
|
1,195 |
1,087 |
$0.00 |
| 1034F |
|
378 |
344 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
191 |
186 |
$0.00 |
| 1111F |
|
249 |
235 |
$0.00 |
| 91301 |
|
54 |
54 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
41 |
39 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
57 |
56 |
$0.00 |
| 91300 |
|
1,084 |
968 |
$0.00 |
| 3046F |
|
73 |
72 |
$0.00 |
| 3051F |
|
159 |
155 |
$0.00 |
| 90653 |
|
19 |
19 |
$0.00 |