| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
223,287 |
193,394 |
$12.35M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
166,437 |
153,228 |
$9.73M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
97,404 |
87,890 |
$7.95M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129,461 |
118,068 |
$6.21M |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
40,240 |
3,785 |
$4.74M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
115,635 |
46,629 |
$3.07M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
9,903 |
9,066 |
$1.38M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
38,859 |
35,983 |
$1.33M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21,583 |
20,029 |
$1.24M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,384 |
9,706 |
$877K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
18,861 |
16,385 |
$714K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12,746 |
10,684 |
$650K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12,111 |
10,744 |
$646K |
| 99215 |
Prolong outpt/office vis |
8,196 |
6,403 |
$608K |
| 99223 |
Prolong inpt eval add15 m |
8,914 |
7,502 |
$553K |
| 99233 |
Prolong inpt eval add15 m |
15,916 |
7,507 |
$512K |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
4,663 |
546 |
$505K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41,579 |
38,775 |
$486K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
2,728 |
2,332 |
$472K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,767 |
2,722 |
$412K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,727 |
2,950 |
$341K |
| G9012 |
Other specified case management service not elsewhere classified |
1,606 |
1,504 |
$337K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19,883 |
18,483 |
$232K |
| 90791 |
Psychiatric diagnostic evaluation |
2,246 |
2,068 |
$218K |
| 99460 |
|
4,093 |
3,084 |
$217K |
| 90839 |
|
1,627 |
1,497 |
$179K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,704 |
2,844 |
$169K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,901 |
2,774 |
$164K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,067 |
3,594 |
$163K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
280 |
134 |
$137K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
858 |
282 |
$124K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,496 |
2,453 |
$123K |
| 97803 |
|
3,231 |
2,626 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,443 |
3,903 |
$118K |
| 71046 |
Radiologic examination, chest; 2 views |
11,703 |
11,061 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,533 |
1,463 |
$107K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,701 |
1,463 |
$103K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,152 |
620 |
$92K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,789 |
4,241 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,510 |
1,252 |
$90K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,282 |
1,013 |
$88K |
| 36415 |
Collection of venous blood by venipuncture |
48,745 |
43,327 |
$71K |
| 80305 |
|
6,466 |
3,680 |
$69K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,557 |
15,089 |
$64K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
437 |
407 |
$62K |
| 77066 |
Tomosynthesis, mammo |
1,856 |
1,686 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
775 |
744 |
$57K |
| 93298 |
|
4,580 |
4,202 |
$57K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,425 |
2,309 |
$55K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,611 |
1,461 |
$55K |
| 71045 |
Radiologic examination, chest; single view |
11,267 |
9,677 |
$54K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,887 |
8,788 |
$53K |
| 93000 |
|
5,448 |
5,118 |
$52K |
| 99221 |
|
921 |
858 |
$52K |
| 93297 |
|
4,936 |
4,596 |
$51K |
| 90686 |
|
4,267 |
4,012 |
$50K |
| 95816 |
|
485 |
422 |
$50K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
784 |
675 |
$48K |
| 76801 |
|
728 |
612 |
$46K |
| 90785 |
|
4,605 |
1,934 |
$45K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
479 |
448 |
$42K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,736 |
2,293 |
$40K |
| 00731 |
|
670 |
587 |
$37K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
777 |
305 |
$36K |
| 80053 |
Comprehensive metabolic panel |
7,242 |
6,444 |
$35K |
| 76830 |
Ultrasound, transvaginal |
392 |
354 |
$35K |
| 20610 |
|
1,344 |
950 |
$34K |
| 90832 |
Psychotherapy, 30 minutes with patient |
678 |
446 |
$34K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
574 |
501 |
$33K |
| 99205 |
Prolong outpt/office vis |
252 |
243 |
$32K |
| 99219 |
|
432 |
396 |
$31K |
| 76641 |
|
1,206 |
1,034 |
$31K |
| 93295 |
|
1,697 |
1,598 |
$29K |
| 80061 |
Lipid panel |
4,551 |
4,044 |
$29K |
| 93320 |
|
1,714 |
1,475 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
515 |
480 |
$27K |
| 99442 |
|
551 |
500 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,854 |
8,075 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,265 |
1,970 |
$22K |
| 99000 |
|
22,403 |
19,624 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
392 |
373 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
276 |
254 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,466 |
3,132 |
$19K |
| 93304 |
|
531 |
471 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
230 |
225 |
$19K |
| 90870 |
|
237 |
50 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
251 |
235 |
$18K |
| 95720 |
|
225 |
136 |
$18K |
| 99462 |
|
796 |
541 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
713 |
682 |
$17K |
| 99443 |
|
375 |
308 |
$17K |
| 94060 |
|
812 |
725 |
$16K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
209 |
204 |
$15K |
| 64615 |
|
136 |
131 |
$15K |
| 94618 |
|
802 |
723 |
$14K |
| 95886 |
|
198 |
188 |
$14K |
| 97156 |
|
120 |
75 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
685 |
660 |
$14K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
119 |
113 |
$13K |
| 93325 |
|
3,306 |
2,823 |
$13K |
| 87807 |
|
1,012 |
961 |
$12K |
| 81001 |
|
4,970 |
4,447 |
$12K |
| 90670 |
|
502 |
460 |
$12K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
585 |
557 |
$12K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
230 |
218 |
$11K |
| 99217 |
|
309 |
283 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
180 |
173 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
134 |
115 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
407 |
388 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
273 |
214 |
$9K |
| 59430 |
|
59 |
53 |
$8K |
| 81025 |
|
1,350 |
1,243 |
$8K |
| 70498 |
|
174 |
164 |
$8K |
| 93294 |
|
842 |
796 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
242 |
96 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
794 |
747 |
$7K |
| 70496 |
|
163 |
154 |
$7K |
| 74018 |
|
510 |
469 |
$7K |
| 71271 |
|
224 |
222 |
$7K |
| 81003 |
|
4,019 |
3,717 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
333 |
325 |
$7K |
| 99053 |
|
6,267 |
5,461 |
$7K |
| 95819 |
|
29 |
26 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
254 |
247 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,127 |
1,663 |
$6K |
| 99441 |
|
230 |
216 |
$6K |
| 97804 |
|
173 |
168 |
$6K |
| 93971 |
|
434 |
417 |
$6K |
| 76642 |
|
306 |
283 |
$6K |
| 97802 |
|
83 |
79 |
$6K |
| 99417 |
Prolong home eval add 15m |
238 |
93 |
$5K |
| 49083 |
|
71 |
41 |
$5K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
272 |
196 |
$5K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
833 |
781 |
$5K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
213 |
133 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
68 |
67 |
$5K |
| 93458 |
|
28 |
25 |
$5K |
| 94664 |
|
678 |
626 |
$4K |
| 93321 |
|
605 |
535 |
$4K |
| 76770 |
|
176 |
169 |
$4K |
| 81002 |
|
1,898 |
1,126 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,912 |
1,861 |
$3K |
| 77065 |
Tomosynthesis, mammo |
130 |
106 |
$3K |
| 90651 |
|
65 |
61 |
$3K |
| 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) |
461 |
438 |
$3K |
| 95718 |
|
53 |
37 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
75 |
71 |
$2K |
| 93248 |
|
267 |
255 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
83 |
81 |
$2K |
| 0002A |
|
66 |
65 |
$2K |
| 59025 |
Fetal non-stress test |
97 |
79 |
$2K |
| 90734 |
|
81 |
77 |
$2K |
| 90656 |
|
119 |
116 |
$2K |
| 51798 |
|
345 |
321 |
$2K |
| 99383 |
|
34 |
30 |
$2K |
| 99072 |
|
8,638 |
7,881 |
$2K |
| 80047 |
|
292 |
257 |
$2K |
| 71250 |
|
54 |
54 |
$2K |
| 94010 |
|
149 |
136 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
167 |
161 |
$2K |
| 73564 |
|
173 |
155 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
94 |
72 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
47 |
46 |
$2K |
| 95951 |
|
27 |
15 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 97597 |
|
146 |
100 |
$1K |
| 92552 |
|
56 |
48 |
$1K |
| 99307 |
|
203 |
95 |
$1K |
| 90633 |
|
108 |
108 |
$1K |
| 73030 |
|
193 |
182 |
$1K |
| 90698 |
|
112 |
99 |
$1K |
| 99386 |
|
17 |
17 |
$1K |
| 99253 |
|
50 |
39 |
$1K |
| 0012A |
|
44 |
44 |
$1K |
| 90710 |
|
41 |
39 |
$1K |
| 81015 |
|
601 |
547 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
135 |
123 |
$1K |
| 54150 |
|
17 |
13 |
$1K |
| 0001A |
|
71 |
71 |
$1K |
| 99234 |
|
17 |
13 |
$1K |
| 72100 |
|
144 |
139 |
$1K |
| 74230 |
|
75 |
69 |
$976.28 |
| 73565 |
|
41 |
39 |
$950.15 |
| 73560 |
|
51 |
40 |
$918.17 |
| 99464 |
|
20 |
13 |
$885.92 |
| 20553 |
|
29 |
26 |
$776.80 |
| G0008 |
Administration of influenza virus vaccine |
262 |
216 |
$762.82 |
| 99306 |
Prolong nursin fac eval 15m |
19 |
13 |
$755.44 |
| 73630 |
|
115 |
110 |
$689.51 |
| 90961 |
|
35 |
25 |
$689.36 |
| 82570 |
|
193 |
171 |
$648.92 |
| 82044 |
|
193 |
171 |
$640.64 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
140 |
123 |
$627.78 |
| 99173 |
|
276 |
252 |
$621.13 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$608.66 |
| 94726 |
|
82 |
78 |
$596.26 |
| 94729 |
|
110 |
102 |
$551.65 |
| 90744 |
|
43 |
38 |
$528.13 |
| 99254 |
|
15 |
12 |
$455.84 |
| 90715 |
|
13 |
13 |
$436.05 |
| 76942 |
|
28 |
26 |
$430.79 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
12 |
$357.24 |
| 90680 |
|
31 |
26 |
$345.39 |
| 98968 |
|
18 |
15 |
$328.66 |
| 87210 |
|
74 |
70 |
$307.41 |
| 99152 |
|
50 |
40 |
$292.31 |
| 93018 |
|
41 |
37 |
$285.94 |
| 76870 |
|
15 |
12 |
$271.44 |
| 73130 |
|
44 |
39 |
$250.99 |
| 77001 |
|
54 |
43 |
$242.14 |
| 93016 |
|
29 |
25 |
$227.09 |
| 99251 |
|
30 |
24 |
$199.85 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
64 |
55 |
$195.36 |
| 0298T |
|
34 |
28 |
$171.14 |
| 73502 |
|
16 |
15 |
$166.14 |
| 83735 |
|
84 |
66 |
$165.35 |
| 73610 |
|
29 |
27 |
$155.78 |
| 0011A |
|
16 |
16 |
$139.99 |
| 90685 |
|
16 |
14 |
$134.20 |
| 99406 |
|
3,270 |
2,551 |
$133.64 |
| 72114 |
|
14 |
14 |
$131.88 |
| 85018 |
|
61 |
57 |
$128.37 |
| 92551 |
|
12 |
12 |
$120.24 |
| 98966 |
|
18 |
18 |
$119.38 |
| 82951 |
|
13 |
12 |
$113.21 |
| G9678 |
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement |
290 |
284 |
$96.00 |
| 99305 |
|
21 |
13 |
$85.47 |
| 73110 |
|
13 |
12 |
$82.41 |
| 36416 |
|
351 |
328 |
$80.62 |
| 84484 |
|
15 |
14 |
$74.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
126 |
113 |
$72.99 |
| 86580 |
|
15 |
13 |
$63.13 |
| J3490 |
Unclassified drugs |
64 |
50 |
$59.46 |
| 90662 |
|
43 |
32 |
$57.18 |
| 99172 |
|
34 |
34 |
$50.50 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$49.86 |
| 86140 |
|
14 |
12 |
$37.87 |
| 99497 |
|
16 |
12 |
$31.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
186 |
180 |
$28.92 |
| 85652 |
|
14 |
12 |
$25.42 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
77 |
70 |
$4.31 |
| 99407 |
|
528 |
382 |
$2.47 |
| 99024 |
|
3,861 |
2,550 |
$1.68 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
197 |
139 |
$0.00 |
| 4255F |
|
24 |
15 |
$0.00 |
| 1036F |
|
158 |
87 |
$0.00 |
| 94760 |
|
19 |
16 |
$0.00 |
| 90875 |
|
27 |
16 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
4,769 |
2,879 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
325 |
315 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
179 |
132 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
442 |
320 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
83 |
66 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
14 |
12 |
$0.00 |