| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,217 |
59,808 |
$3.83M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,593 |
57,099 |
$3.18M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33,717 |
13,599 |
$1.03M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,608 |
9,426 |
$988K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,512 |
5,937 |
$407K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
1,232 |
1,217 |
$305K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,876 |
5,597 |
$283K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,320 |
4,302 |
$280K |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,579 |
9,522 |
$257K |
| 99215 |
Prolong outpt/office vis |
4,147 |
3,505 |
$250K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,535 |
3,460 |
$233K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,234 |
2,561 |
$219K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
871 |
867 |
$173K |
| 99223 |
Prolong inpt eval add15 m |
1,599 |
1,528 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,979 |
1,976 |
$145K |
| 71045 |
Radiologic examination, chest; single view |
36,642 |
23,882 |
$143K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,868 |
2,757 |
$113K |
| 71046 |
Radiologic examination, chest; 2 views |
20,464 |
18,764 |
$110K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
460 |
458 |
$104K |
| 99233 |
Prolong inpt eval add15 m |
2,208 |
781 |
$90K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
710 |
672 |
$89K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,075 |
1,957 |
$83K |
| 90723 |
|
2,480 |
2,474 |
$72K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
601 |
201 |
$66K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,519 |
1,434 |
$66K |
| 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 |
866 |
768 |
$61K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,944 |
1,662 |
$58K |
| 99205 |
Prolong outpt/office vis |
539 |
532 |
$57K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,937 |
1,072 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,197 |
2,172 |
$55K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
808 |
785 |
$53K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,250 |
2,936 |
$53K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,036 |
988 |
$51K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,843 |
1,721 |
$50K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
743 |
730 |
$47K |
| 92557 |
|
1,774 |
1,741 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,460 |
1,222 |
$45K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
614 |
591 |
$43K |
| 99468 |
|
53 |
53 |
$43K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
600 |
594 |
$40K |
| 90837 |
Psychotherapy, 53 minutes with patient |
367 |
234 |
$39K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
434 |
432 |
$38K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
896 |
866 |
$38K |
| 76820 |
|
2,087 |
1,043 |
$37K |
| 99222 |
Initial hospital care, per day, moderate complexity |
551 |
522 |
$37K |
| 20610 |
|
1,182 |
1,113 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
499 |
498 |
$34K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
777 |
685 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
877 |
826 |
$32K |
| 77427 |
|
330 |
147 |
$31K |
| 90961 |
|
367 |
353 |
$31K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
54 |
53 |
$30K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
596 |
567 |
$30K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
225 |
212 |
$28K |
| 90686 |
|
4,611 |
4,591 |
$26K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
143 |
132 |
$26K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
883 |
844 |
$25K |
| 99255 |
|
218 |
169 |
$23K |
| 92567 |
|
2,472 |
2,411 |
$23K |
| 62323 |
|
243 |
214 |
$22K |
| 99460 |
|
302 |
300 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
625 |
614 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
873 |
866 |
$21K |
| 77014 |
|
851 |
116 |
$20K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
54 |
25 |
$20K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
478 |
449 |
$18K |
| 71250 |
|
695 |
653 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,328 |
1,000 |
$18K |
| 76642 |
|
910 |
823 |
$18K |
| 76775 |
|
1,274 |
1,218 |
$18K |
| 90670 |
|
3,279 |
3,272 |
$17K |
| 73630 |
|
2,466 |
2,285 |
$16K |
| 95117 |
|
1,783 |
660 |
$16K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
174 |
170 |
$16K |
| 74018 |
|
3,324 |
2,916 |
$16K |
| 99152 |
|
1,154 |
1,002 |
$15K |
| 99464 |
|
247 |
245 |
$15K |
| 72141 |
|
300 |
297 |
$14K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
688 |
297 |
$14K |
| 90647 |
|
2,282 |
2,275 |
$13K |
| 94726 |
|
1,912 |
1,843 |
$12K |
| 90680 |
|
1,962 |
1,959 |
$11K |
| 73562 |
|
1,668 |
1,494 |
$11K |
| 73610 |
|
1,720 |
1,639 |
$11K |
| 73030 |
|
2,133 |
1,963 |
$10K |
| 31575 |
|
232 |
222 |
$10K |
| 99220 |
|
125 |
118 |
$10K |
| 94729 |
|
2,006 |
1,936 |
$10K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
81 |
39 |
$10K |
| 94618 |
|
397 |
385 |
$9K |
| 00126 |
|
120 |
119 |
$9K |
| 64615 |
|
172 |
166 |
$8K |
| 73130 |
|
1,318 |
1,181 |
$8K |
| 93971 |
|
698 |
644 |
$8K |
| 01961 |
|
77 |
76 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
142 |
133 |
$7K |
| 90677 |
|
832 |
831 |
$6K |
| 43251 |
|
46 |
45 |
$6K |
| 17110 |
|
105 |
103 |
$6K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
297 |
284 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
40 |
38 |
$5K |
| 77066 |
Tomosynthesis, mammo |
165 |
157 |
$5K |
| 69210 |
|
271 |
261 |
$5K |
| 72110 |
|
542 |
519 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
171 |
141 |
$5K |
| 90656 |
|
605 |
605 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
85 |
$4K |
| 73110 |
|
732 |
693 |
$4K |
| 94750 |
|
677 |
643 |
$4K |
| 99406 |
|
447 |
418 |
$4K |
| 11102 |
|
72 |
72 |
$4K |
| 77065 |
Tomosynthesis, mammo |
179 |
165 |
$4K |
| 73221 |
|
85 |
82 |
$4K |
| 70486 |
|
120 |
112 |
$4K |
| 19083 |
|
12 |
12 |
$4K |
| 77334 |
|
72 |
58 |
$4K |
| 77263 |
|
49 |
49 |
$4K |
| 73502 |
|
683 |
621 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
24 |
$3K |
| 93970 |
|
188 |
175 |
$3K |
| 73100 |
|
554 |
441 |
$3K |
| 90633 |
|
563 |
562 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
116 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
110 |
106 |
$3K |
| 77300 |
|
57 |
53 |
$3K |
| 92558 |
|
105 |
102 |
$3K |
| 45388 |
|
41 |
41 |
$3K |
| 54150 |
|
13 |
13 |
$2K |
| 94200 |
|
814 |
783 |
$2K |
| 64493 |
|
12 |
12 |
$2K |
| 92511 |
|
25 |
24 |
$2K |
| 76830 |
Ultrasound, transvaginal |
65 |
64 |
$2K |
| 76770 |
|
167 |
150 |
$2K |
| 94060 |
|
267 |
264 |
$2K |
| 95886 |
|
42 |
40 |
$2K |
| 73564 |
|
175 |
149 |
$2K |
| 94010 |
|
388 |
370 |
$2K |
| 76536 |
|
84 |
84 |
$2K |
| 99462 |
|
47 |
40 |
$2K |
| 00731 |
|
25 |
25 |
$1K |
| 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 |
95 |
80 |
$1K |
| 90672 |
|
224 |
223 |
$1K |
| 93295 |
|
55 |
54 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
36 |
36 |
$1K |
| 77290 |
|
26 |
26 |
$1K |
| 72170 |
|
211 |
191 |
$1K |
| 73080 |
|
185 |
176 |
$1K |
| 94681 |
|
140 |
137 |
$1K |
| 64494 |
|
12 |
12 |
$1K |
| 77470 |
|
13 |
13 |
$934.27 |
| 99221 |
|
28 |
27 |
$930.30 |
| 17000 |
|
43 |
43 |
$920.78 |
| 72100 |
|
165 |
153 |
$870.81 |
| 92201 |
|
68 |
39 |
$830.51 |
| 90962 |
|
14 |
13 |
$821.57 |
| 72131 |
|
25 |
25 |
$801.25 |
| 76604 |
|
89 |
61 |
$795.98 |
| 94780 |
|
25 |
25 |
$784.57 |
| 70496 |
|
14 |
12 |
$761.95 |
| 70498 |
|
14 |
12 |
$746.47 |
| 99219 |
|
13 |
13 |
$727.27 |
| 90734 |
|
105 |
105 |
$619.32 |
| G9920 |
Screening performed and negative |
12 |
12 |
$600.00 |
| 76821 |
|
26 |
12 |
$595.52 |
| 76506 |
|
20 |
16 |
$553.40 |
| 93294 |
|
62 |
55 |
$525.23 |
| 43270 |
|
14 |
14 |
$497.23 |
| 70491 |
|
12 |
12 |
$486.77 |
| 90671 |
|
61 |
61 |
$476.13 |
| 73090 |
|
79 |
70 |
$473.93 |
| 99217 |
|
13 |
12 |
$458.53 |
| 00811 |
|
14 |
12 |
$422.93 |
| 74022 |
|
50 |
46 |
$421.11 |
| 77012 |
|
12 |
12 |
$419.60 |
| 95816 |
|
13 |
13 |
$412.99 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$314.07 |
| 90381 |
|
38 |
38 |
$290.92 |
| 90700 |
|
13 |
13 |
$290.40 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
16 |
12 |
$286.16 |
| 72040 |
|
53 |
50 |
$284.13 |
| 73590 |
|
45 |
42 |
$262.24 |
| 72128 |
|
12 |
12 |
$247.85 |
| 72050 |
|
38 |
38 |
$243.26 |
| 90715 |
|
14 |
14 |
$242.00 |
| 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) |
136 |
132 |
$241.42 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
71 |
64 |
$207.21 |
| 77080 |
|
25 |
25 |
$185.61 |
| 73560 |
|
29 |
26 |
$164.19 |
| 90651 |
|
26 |
26 |
$139.10 |
| 76000 |
|
16 |
16 |
$117.82 |
| 76937 |
|
37 |
24 |
$106.07 |
| 90380 |
|
13 |
13 |
$104.91 |
| 99442 |
|
41 |
35 |
$85.12 |
| 73070 |
|
14 |
13 |
$69.86 |
| 90660 |
|
12 |
12 |
$64.20 |
| 73565 |
|
20 |
13 |
$60.23 |
| 73140 |
|
15 |
14 |
$57.21 |
| 3078F |
|
89 |
75 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
63 |
45 |
$0.00 |
| 3077F |
|
21 |
12 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
63 |
62 |
$0.00 |
| 3074F |
|
277 |
258 |
$0.00 |
| 3079F |
|
46 |
36 |
$0.00 |