| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,304 |
59,712 |
$7.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,292 |
50,880 |
$4.60M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28,240 |
28,016 |
$3.57M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
32,740 |
32,454 |
$2.31M |
| 99215 |
Prolong outpt/office vis |
11,159 |
10,998 |
$1.91M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,587 |
6,562 |
$1.08M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,776 |
5,712 |
$1.03M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,025 |
4,025 |
$698K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,714 |
4,700 |
$523K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
882 |
240 |
$471K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,190 |
3,051 |
$385K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,624 |
2,614 |
$381K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,926 |
4,868 |
$377K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,627 |
2,627 |
$311K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,882 |
7,269 |
$301K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,410 |
3,396 |
$290K |
| 88307 |
|
3,006 |
2,958 |
$277K |
| 92060 |
|
7,074 |
6,959 |
$254K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,038 |
3,014 |
$227K |
| 99205 |
Prolong outpt/office vis |
951 |
949 |
$220K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,409 |
2,398 |
$210K |
| 76818 |
|
3,308 |
2,053 |
$204K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
22,711 |
21,407 |
$200K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
664 |
663 |
$175K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,562 |
935 |
$173K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,725 |
3,579 |
$172K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,077 |
1,060 |
$154K |
| 71045 |
Radiologic examination, chest; single view |
14,294 |
9,923 |
$135K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,562 |
2,471 |
$131K |
| 99223 |
Prolong inpt eval add15 m |
587 |
582 |
$122K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
365 |
357 |
$122K |
| 71046 |
Radiologic examination, chest; 2 views |
11,122 |
10,878 |
$119K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
987 |
967 |
$108K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,442 |
1,421 |
$101K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
329 |
329 |
$98K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
163 |
59 |
$88K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
946 |
931 |
$84K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
389 |
389 |
$83K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
451 |
427 |
$82K |
| 99460 |
|
834 |
825 |
$82K |
| 95115 |
|
7,361 |
4,621 |
$81K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
881 |
871 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
601 |
601 |
$76K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,069 |
1,001 |
$65K |
| 99222 |
Initial hospital care, per day, moderate complexity |
419 |
415 |
$62K |
| 90791 |
Psychiatric diagnostic evaluation |
258 |
254 |
$59K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
396 |
106 |
$58K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
265 |
265 |
$54K |
| 74018 |
|
5,565 |
5,061 |
$49K |
| 76830 |
Ultrasound, transvaginal |
1,123 |
1,119 |
$47K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,052 |
1,052 |
$44K |
| 90837 |
Psychotherapy, 53 minutes with patient |
271 |
233 |
$43K |
| 76770 |
|
1,212 |
1,190 |
$43K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
117 |
117 |
$40K |
| 99233 |
Prolong inpt eval add15 m |
389 |
251 |
$40K |
| 54150 |
|
243 |
241 |
$39K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
469 |
451 |
$38K |
| 92134 |
|
1,481 |
1,431 |
$37K |
| 96130 |
|
238 |
238 |
$37K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,051 |
1,051 |
$36K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,291 |
1,249 |
$36K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
185 |
182 |
$35K |
| 73630 |
|
3,241 |
2,878 |
$35K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
216 |
40 |
$33K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
397 |
396 |
$30K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
110 |
110 |
$30K |
| 59025 |
Fetal non-stress test |
989 |
904 |
$29K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
844 |
802 |
$29K |
| 76820 |
|
1,215 |
697 |
$27K |
| 93320 |
|
1,068 |
1,000 |
$27K |
| 88304 |
|
1,445 |
1,440 |
$25K |
| 73610 |
|
2,461 |
2,295 |
$23K |
| 95117 |
|
1,691 |
1,064 |
$23K |
| 96139 |
|
91 |
90 |
$21K |
| 99417 |
Prolong home eval add 15m |
486 |
485 |
$21K |
| 90686 |
|
2,160 |
2,159 |
$21K |
| 99254 |
|
96 |
96 |
$21K |
| 99243 |
|
158 |
158 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
165 |
$20K |
| 90723 |
|
565 |
565 |
$20K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
60 |
49 |
$19K |
| 43775 |
|
26 |
26 |
$19K |
| 73110 |
|
1,991 |
1,798 |
$19K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
171 |
170 |
$17K |
| 95816 |
|
321 |
319 |
$17K |
| 95251 |
|
485 |
481 |
$17K |
| 00731 |
|
307 |
300 |
$16K |
| 99471 |
|
14 |
13 |
$15K |
| 76813 |
|
300 |
296 |
$15K |
| 73130 |
|
1,525 |
1,385 |
$14K |
| 86255 |
|
731 |
707 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
81 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
252 |
235 |
$12K |
| 92504 |
|
427 |
423 |
$12K |
| 76801 |
|
253 |
253 |
$12K |
| 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 |
471 |
453 |
$12K |
| 88141 |
|
471 |
470 |
$11K |
| 76642 |
|
333 |
331 |
$11K |
| 96131 |
|
48 |
48 |
$11K |
| 93325 |
|
2,174 |
2,024 |
$10K |
| 70498 |
|
103 |
101 |
$9K |
| 77072 |
|
952 |
946 |
$9K |
| 99245 |
|
29 |
29 |
$9K |
| 70496 |
|
94 |
93 |
$9K |
| 72100 |
|
764 |
757 |
$9K |
| 67311 |
|
14 |
14 |
$9K |
| 94010 |
|
1,019 |
1,014 |
$9K |
| 72082 |
|
518 |
495 |
$8K |
| 98940 |
|
305 |
164 |
$8K |
| 31575 |
|
65 |
65 |
$8K |
| 73030 |
|
799 |
748 |
$8K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
201 |
99 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
140 |
140 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
85 |
83 |
$7K |
| 17110 |
|
63 |
62 |
$7K |
| 92083 |
|
256 |
256 |
$7K |
| 90677 |
|
593 |
592 |
$7K |
| 95782 |
|
55 |
55 |
$7K |
| 74230 |
|
257 |
257 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
358 |
350 |
$6K |
| 94060 |
|
466 |
459 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
128 |
128 |
$6K |
| 73564 |
|
424 |
370 |
$6K |
| 92015 |
Determination of refractive state |
817 |
790 |
$6K |
| 90647 |
|
538 |
537 |
$6K |
| 73070 |
|
663 |
608 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
61 |
60 |
$5K |
| 76825 |
|
66 |
64 |
$5K |
| 54161 |
|
39 |
39 |
$5K |
| 76506 |
|
125 |
111 |
$5K |
| 90656 |
|
442 |
436 |
$5K |
| 73090 |
|
532 |
466 |
$5K |
| 90670 |
|
537 |
537 |
$5K |
| 93304 |
|
144 |
132 |
$5K |
| 88342 |
|
114 |
103 |
$5K |
| 93321 |
|
449 |
431 |
$4K |
| 93227 |
|
128 |
128 |
$4K |
| 01922 |
|
26 |
26 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
98 |
78 |
$4K |
| 73562 |
|
314 |
290 |
$4K |
| 83020 |
|
948 |
814 |
$4K |
| 96138 |
|
78 |
78 |
$4K |
| 73560 |
|
403 |
352 |
$3K |
| 93272 |
|
134 |
133 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
114 |
109 |
$3K |
| 86077 |
|
61 |
61 |
$3K |
| 73590 |
|
336 |
295 |
$3K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
25 |
25 |
$3K |
| 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 |
460 |
425 |
$3K |
| 72141 |
|
28 |
28 |
$3K |
| 72040 |
|
208 |
206 |
$2K |
| 95886 |
|
37 |
37 |
$2K |
| 76827 |
|
66 |
65 |
$2K |
| 95720 |
|
17 |
13 |
$2K |
| 87428 |
|
66 |
65 |
$2K |
| 94664 |
|
114 |
114 |
$2K |
| 71250 |
|
33 |
33 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18 |
18 |
$2K |
| 72170 |
|
153 |
151 |
$2K |
| 20611 |
|
14 |
14 |
$2K |
| 99220 |
|
13 |
13 |
$2K |
| 72131 |
|
27 |
27 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
39 |
$1K |
| 73140 |
|
194 |
183 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
13 |
13 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
169 |
168 |
$1K |
| 90681 |
|
111 |
111 |
$1K |
| 85060 |
|
43 |
38 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
37 |
37 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$1K |
| 00126 |
|
24 |
24 |
$1K |
| 73221 |
|
12 |
12 |
$992.44 |
| 70360 |
|
106 |
106 |
$968.30 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
26 |
$891.07 |
| 90633 |
|
83 |
83 |
$880.75 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
27 |
$862.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
39 |
$691.23 |
| 72128 |
|
13 |
13 |
$687.44 |
| 90734 |
|
59 |
59 |
$666.70 |
| 92133 |
|
33 |
32 |
$657.43 |
| 85390 |
|
15 |
14 |
$553.95 |
| 96136 |
|
12 |
12 |
$545.57 |
| 51741 |
|
12 |
12 |
$543.38 |
| 73501 |
|
57 |
57 |
$542.71 |
| 92201 |
|
20 |
14 |
$516.40 |
| 93308 |
|
14 |
14 |
$512.54 |
| 88302 |
|
39 |
39 |
$388.29 |
| 93298 |
|
12 |
12 |
$331.68 |
| 90381 |
|
12 |
12 |
$135.60 |
| 77080 |
|
12 |
12 |
$127.68 |
| 73000 |
|
13 |
13 |
$112.06 |
| 81479 |
Unlisted molecular pathology procedure |
69 |
62 |
$101.43 |