| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
207,800 |
190,821 |
$7.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102,970 |
93,589 |
$4.60M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42,105 |
40,758 |
$1.72M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13,075 |
12,630 |
$1.52M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16,423 |
15,831 |
$1.27M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,632 |
11,470 |
$897K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,648 |
10,802 |
$800K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,211 |
13,778 |
$754K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,873 |
5,392 |
$489K |
| J0475 |
Injection, baclofen, 10 mg |
876 |
852 |
$484K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,195 |
6,089 |
$470K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,619 |
4,470 |
$349K |
| 71046 |
Radiologic examination, chest; 2 views |
22,885 |
21,971 |
$318K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,645 |
3,580 |
$307K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,751 |
2,599 |
$290K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,739 |
2,631 |
$239K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,586 |
3,450 |
$231K |
| 96127 |
|
6,533 |
5,034 |
$221K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,377 |
1,348 |
$189K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,102 |
1,352 |
$188K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
11,063 |
4,258 |
$183K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,998 |
3,919 |
$172K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,021 |
1,982 |
$149K |
| 88142 |
|
6,081 |
5,969 |
$140K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,981 |
13,304 |
$136K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,302 |
8,108 |
$130K |
| 90461 |
|
16,242 |
15,786 |
$130K |
| 90686 |
|
25,880 |
25,357 |
$129K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,638 |
1,546 |
$117K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
217 |
194 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,277 |
4,036 |
$111K |
| 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) |
9,222 |
8,515 |
$109K |
| 36415 |
Collection of venous blood by venipuncture |
40,937 |
37,433 |
$106K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
2,358 |
2,328 |
$97K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
6,358 |
2,687 |
$97K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,824 |
2,715 |
$93K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
5,574 |
2,162 |
$89K |
| 11721 |
|
6,363 |
6,145 |
$86K |
| 73630 |
|
5,528 |
5,004 |
$84K |
| 88307 |
|
758 |
708 |
$83K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
2,908 |
2,684 |
$75K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,965 |
1,925 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,835 |
7,505 |
$71K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,378 |
8,659 |
$67K |
| 92567 |
|
3,829 |
3,724 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,480 |
2,040 |
$62K |
| 80053 |
Comprehensive metabolic panel |
5,498 |
4,697 |
$59K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,250 |
4,681 |
$58K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,767 |
784 |
$56K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,948 |
1,191 |
$52K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
998 |
976 |
$50K |
| 71045 |
Radiologic examination, chest; single view |
7,911 |
7,246 |
$48K |
| 99460 |
|
755 |
711 |
$45K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
209 |
189 |
$44K |
| 20610 |
|
839 |
798 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
765 |
678 |
$37K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
207 |
194 |
$37K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
346 |
333 |
$35K |
| 73610 |
|
2,232 |
2,067 |
$33K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
184 |
180 |
$33K |
| 80061 |
Lipid panel |
2,250 |
2,195 |
$31K |
| 87081 |
|
3,796 |
3,734 |
$29K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
479 |
413 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
238 |
231 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
302 |
238 |
$23K |
| 95117 |
|
1,693 |
1,073 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
356 |
344 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
441 |
437 |
$20K |
| 90480 |
|
789 |
689 |
$20K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
540 |
362 |
$19K |
| 0071A |
|
478 |
475 |
$19K |
| 73560 |
|
1,308 |
1,004 |
$19K |
| 95811 |
|
127 |
120 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
376 |
361 |
$18K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
368 |
359 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
943 |
913 |
$17K |
| 95990 |
|
564 |
544 |
$16K |
| 0072A |
|
391 |
388 |
$16K |
| 80050 |
General health panel |
375 |
365 |
$15K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
117 |
108 |
$15K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
276 |
274 |
$15K |
| 73110 |
|
861 |
791 |
$14K |
| 90961 |
|
412 |
392 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
160 |
154 |
$13K |
| 95251 |
|
249 |
233 |
$13K |
| 73030 |
|
804 |
744 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,709 |
1,660 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
203 |
196 |
$11K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
716 |
703 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
191 |
178 |
$10K |
| 84439 |
|
1,135 |
1,103 |
$10K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
130 |
129 |
$9K |
| 96367 |
|
356 |
206 |
$9K |
| 0001A |
|
258 |
256 |
$9K |
| 90670 |
|
5,822 |
5,692 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,512 |
1,248 |
$9K |
| 74019 |
|
594 |
561 |
$9K |
| 0002A |
|
232 |
232 |
$9K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
37 |
37 |
$9K |
| 3074F |
|
70,275 |
65,001 |
$8K |
| 90656 |
|
2,021 |
1,986 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
222 |
220 |
$8K |
| 73130 |
|
546 |
488 |
$8K |
| 62323 |
|
50 |
49 |
$7K |
| 90651 |
|
344 |
333 |
$7K |
| 0012A |
|
197 |
196 |
$7K |
| 74018 |
|
431 |
408 |
$7K |
| 88141 |
|
280 |
273 |
$6K |
| 83655 |
|
362 |
358 |
$6K |
| 86140 |
|
926 |
904 |
$6K |
| 99215 |
Prolong outpt/office vis |
121 |
109 |
$6K |
| 0011A |
|
200 |
199 |
$6K |
| 76830 |
Ultrasound, transvaginal |
103 |
101 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
385 |
380 |
$5K |
| 72100 |
|
299 |
290 |
$5K |
| 3078F |
|
32,010 |
29,467 |
$5K |
| 95024 |
|
124 |
121 |
$5K |
| 87581 |
|
112 |
107 |
$5K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
17 |
12 |
$5K |
| 31231 |
|
66 |
63 |
$5K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
80 |
60 |
$4K |
| 91321 |
|
154 |
152 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
95 |
65 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
97 |
42 |
$4K |
| 20553 |
|
106 |
101 |
$4K |
| 87631 |
|
51 |
48 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
51 |
$4K |
| 92015 |
Determination of refractive state |
275 |
259 |
$4K |
| 73562 |
|
218 |
194 |
$4K |
| 83735 |
|
527 |
396 |
$3K |
| 96161 |
|
488 |
474 |
$3K |
| 92551 |
|
244 |
240 |
$3K |
| 54150 |
|
36 |
36 |
$3K |
| 99462 |
|
106 |
92 |
$3K |
| 90619 |
|
143 |
141 |
$3K |
| 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 |
44 |
43 |
$3K |
| 90734 |
|
168 |
156 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
483 |
452 |
$3K |
| 92134 |
|
176 |
164 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
29 |
25 |
$3K |
| 87807 |
|
191 |
185 |
$3K |
| 73502 |
|
167 |
158 |
$3K |
| 95991 |
|
68 |
68 |
$3K |
| 0054A |
|
73 |
73 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
64 |
63 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
63 |
62 |
$3K |
| 88304 |
|
98 |
90 |
$3K |
| 93000 |
|
145 |
140 |
$3K |
| 94060 |
|
78 |
70 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
151 |
150 |
$3K |
| 73140 |
|
189 |
171 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
50 |
49 |
$2K |
| 85651 |
|
525 |
511 |
$2K |
| V2020 |
Frames, purchases |
93 |
92 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
39 |
$2K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
12 |
12 |
$2K |
| 85018 |
|
694 |
685 |
$2K |
| 99381 |
|
36 |
36 |
$2K |
| 62370 |
|
29 |
29 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
97 |
50 |
$2K |
| 31575 |
|
25 |
24 |
$2K |
| 90677 |
|
572 |
568 |
$2K |
| 0124A |
|
56 |
54 |
$2K |
| 99152 |
|
137 |
128 |
$1K |
| 99188 |
|
98 |
97 |
$1K |
| 11102 |
|
25 |
25 |
$1K |
| 80069 |
|
151 |
135 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$1K |
| 90685 |
|
684 |
668 |
$1K |
| 94010 |
|
64 |
62 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
72 |
$1K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
48 |
42 |
$1K |
| 85027 |
|
130 |
128 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
59 |
36 |
$1K |
| 76801 |
|
12 |
12 |
$999.96 |
| 85652 |
|
288 |
286 |
$981.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
256 |
217 |
$933.86 |
| 3079F |
|
2,495 |
2,366 |
$900.00 |
| 0064A |
|
25 |
25 |
$852.80 |
| 90633 |
|
759 |
737 |
$782.32 |
| 90710 |
|
38 |
38 |
$769.55 |
| 97162 |
|
13 |
12 |
$745.78 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
136 |
126 |
$744.74 |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$738.40 |
| 99307 |
|
36 |
29 |
$721.89 |
| 86738 |
|
49 |
46 |
$687.13 |
| 76536 |
|
13 |
12 |
$610.83 |
| 92250 |
|
108 |
86 |
$606.75 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$599.54 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$590.57 |
| 82728 |
|
40 |
37 |
$576.14 |
| 90717 |
|
15 |
15 |
$535.90 |
| 0004A |
|
14 |
14 |
$528.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
43 |
41 |
$515.51 |
| 69210 |
|
12 |
12 |
$472.86 |
| 90715 |
|
43 |
40 |
$426.39 |
| 90698 |
|
2,055 |
2,014 |
$366.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
39 |
39 |
$362.01 |
| 0081A |
|
14 |
14 |
$323.20 |
| 87510 |
|
12 |
12 |
$322.42 |
| 87480 |
|
12 |
12 |
$322.42 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
12 |
$319.54 |
| 87660 |
|
12 |
12 |
$316.33 |
| 90697 |
|
349 |
346 |
$304.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
336 |
264 |
$272.82 |
| 82570 |
|
55 |
52 |
$261.18 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$256.88 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$250.98 |
| 0154A |
|
12 |
12 |
$242.40 |
| 81001 |
|
50 |
50 |
$225.08 |
| 83550 |
|
26 |
24 |
$211.79 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$209.36 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
12 |
12 |
$203.15 |
| 80076 |
|
24 |
24 |
$188.65 |
| 83540 |
|
26 |
24 |
$181.62 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
13 |
$160.17 |
| 82565 |
|
24 |
24 |
$132.96 |
| 80047 |
|
12 |
12 |
$131.91 |
| 93296 |
|
12 |
12 |
$125.87 |
| 86431 |
|
15 |
15 |
$111.03 |
| 90744 |
|
510 |
502 |
$109.58 |
| 90680 |
|
3,040 |
2,979 |
$93.00 |
| 81003 |
|
31 |
25 |
$89.56 |
| 84156 |
|
14 |
13 |
$63.95 |
| V2756 |
Eye glass case |
67 |
66 |
$60.48 |
| 90648 |
|
12 |
12 |
$55.52 |
| 99310 |
Prolong nursin fac eval 15m |
17 |
15 |
$52.36 |
| 82043 |
|
15 |
14 |
$49.48 |
| 85014 |
|
12 |
12 |
$36.93 |
| 3044F |
|
44 |
41 |
$20.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
29 |
28 |
$9.46 |
| 0502F |
|
5,090 |
4,069 |
$0.01 |
| 99024 |
|
764 |
668 |
$0.00 |
| 91307 |
|
1,109 |
1,093 |
$0.00 |
| 3075F |
|
117 |
112 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
137 |
133 |
$0.00 |
| 91301 |
|
389 |
387 |
$0.00 |
| 91305 |
|
155 |
155 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 90716 |
|
41 |
40 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
18 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 91300 |
|
716 |
667 |
$0.00 |
| 91312 |
|
40 |
38 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 91308 |
|
105 |
103 |
$0.00 |
| 90700 |
|
27 |
26 |
$0.00 |
| 90662 |
|
33 |
32 |
$0.00 |
| 99177 |
|
19 |
19 |
$0.00 |