| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
22,305 |
15,607 |
$2.44M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,746 |
2,733 |
$2.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,578 |
29,060 |
$2.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,161 |
45,804 |
$2.04M |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,357 |
1,310 |
$541K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29,219 |
26,161 |
$529K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16,706 |
16,073 |
$482K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
841 |
801 |
$426K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,733 |
7,154 |
$422K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,823 |
5,641 |
$405K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,914 |
4,594 |
$377K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,730 |
10,809 |
$307K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,083 |
9,745 |
$301K |
| D1120 |
Prophylaxis - child |
6,044 |
6,019 |
$292K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,452 |
5,097 |
$290K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,490 |
3,312 |
$285K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,685 |
2,539 |
$276K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,188 |
4,830 |
$213K |
| 92015 |
Determination of refractive state |
18,784 |
17,704 |
$163K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,929 |
1,823 |
$136K |
| 71046 |
Radiologic examination, chest; 2 views |
13,469 |
12,738 |
$132K |
| 43235 |
|
490 |
468 |
$131K |
| 11721 |
|
6,885 |
6,781 |
$124K |
| 99215 |
Prolong outpt/office vis |
847 |
697 |
$114K |
| 59430 |
|
1,568 |
1,282 |
$105K |
| D9990 |
|
9,130 |
8,401 |
$103K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,788 |
3,740 |
$100K |
| D9430 |
|
3,961 |
3,881 |
$99K |
| 96158 |
|
1,565 |
1,087 |
$99K |
| D1206 |
Topical application of fluoride varnish |
4,948 |
4,826 |
$94K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,978 |
1,904 |
$91K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,990 |
4,260 |
$89K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
4,863 |
3,911 |
$88K |
| D0120 |
Periodic oral evaluation - established patient |
4,456 |
4,440 |
$82K |
| 96156 |
|
848 |
765 |
$82K |
| 76641 |
|
1,919 |
1,688 |
$75K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,166 |
935 |
$69K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
694 |
632 |
$69K |
| 20610 |
|
1,431 |
1,384 |
$66K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,368 |
3,182 |
$66K |
| D0220 |
Intraoral - periapical first radiographic image |
5,401 |
5,303 |
$64K |
| D1351 |
Sealant - per tooth |
1,675 |
422 |
$62K |
| 52000 |
|
585 |
565 |
$61K |
| 99223 |
Prolong inpt eval add15 m |
888 |
872 |
$58K |
| D0230 |
Intraoral - periapical each additional radiographic image |
15,442 |
7,915 |
$58K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,006 |
3,540 |
$56K |
| 71045 |
Radiologic examination, chest; single view |
6,960 |
6,443 |
$55K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,676 |
1,663 |
$51K |
| 77065 |
Tomosynthesis, mammo |
1,538 |
1,481 |
$51K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,896 |
1,817 |
$48K |
| 90834 |
Psychotherapy, 45 minutes with patient |
519 |
366 |
$47K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,339 |
1,206 |
$47K |
| 76857 |
|
1,806 |
1,742 |
$44K |
| 59514 |
|
50 |
50 |
$42K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
801 |
790 |
$41K |
| 92002 |
|
961 |
867 |
$41K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,286 |
1,283 |
$40K |
| 76830 |
Ultrasound, transvaginal |
1,645 |
1,577 |
$39K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
157 |
149 |
$38K |
| 77066 |
Tomosynthesis, mammo |
915 |
885 |
$38K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
737 |
566 |
$36K |
| D7140 |
Extraction, erupted tooth or exposed root |
697 |
471 |
$35K |
| D0274 |
Bitewings - four radiographic images |
1,529 |
1,525 |
$34K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
583 |
581 |
$33K |
| 51798 |
|
564 |
545 |
$32K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,502 |
1,465 |
$30K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
24 |
24 |
$29K |
| 11056 |
|
1,097 |
1,076 |
$27K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,185 |
589 |
$27K |
| 94060 |
|
1,073 |
1,039 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
323 |
286 |
$24K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,523 |
1,518 |
$22K |
| 93351 |
|
141 |
140 |
$22K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
58 |
58 |
$22K |
| 88304 |
|
923 |
857 |
$22K |
| 93227 |
|
732 |
723 |
$22K |
| D0272 |
Bitewings - two radiographic images |
1,728 |
1,722 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
597 |
593 |
$21K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
349 |
345 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
318 |
307 |
$19K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
349 |
339 |
$17K |
| 88342 |
|
317 |
296 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
118 |
88 |
$16K |
| 76770 |
|
640 |
630 |
$16K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
512 |
473 |
$15K |
| 96116 |
|
260 |
258 |
$15K |
| 64483 |
|
127 |
123 |
$15K |
| 93018 |
|
580 |
550 |
$14K |
| 94726 |
|
1,033 |
1,000 |
$14K |
| 92250 |
|
414 |
394 |
$13K |
| 73630 |
|
1,436 |
1,258 |
$13K |
| D0270 |
|
1,875 |
1,864 |
$12K |
| 76536 |
|
581 |
574 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
249 |
249 |
$11K |
| 96150 |
|
240 |
231 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
242 |
227 |
$10K |
| 11765 |
|
131 |
110 |
$10K |
| 94729 |
|
1,046 |
1,013 |
$10K |
| 76642 |
|
294 |
284 |
$10K |
| 11055 |
|
371 |
356 |
$9K |
| 73221 |
|
152 |
151 |
$9K |
| 11720 |
|
535 |
525 |
$9K |
| D4910 |
|
129 |
129 |
$9K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
130 |
122 |
$8K |
| 95886 |
|
102 |
102 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
198 |
160 |
$8K |
| 20553 |
|
141 |
135 |
$8K |
| 86580 |
|
1,360 |
1,268 |
$8K |
| 11100 |
|
143 |
140 |
$8K |
| 99443 |
|
296 |
294 |
$8K |
| 73564 |
|
1,239 |
1,200 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
51 |
51 |
$7K |
| 99442 |
|
349 |
343 |
$7K |
| 88307 |
|
65 |
58 |
$7K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
74 |
73 |
$7K |
| D1110 |
Prophylaxis - adult |
134 |
134 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
129 |
129 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
128 |
111 |
$6K |
| 96118 |
|
58 |
51 |
$6K |
| 92083 |
|
241 |
215 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
88 |
$6K |
| 92133 |
|
198 |
180 |
$5K |
| 96132 |
|
152 |
139 |
$5K |
| 73030 |
|
593 |
559 |
$5K |
| 73610 |
|
618 |
556 |
$5K |
| 17110 |
|
29 |
28 |
$4K |
| 72100 |
|
401 |
394 |
$4K |
| 93294 |
|
178 |
167 |
$3K |
| 71250 |
|
98 |
98 |
$3K |
| 96152 |
|
77 |
50 |
$3K |
| 73110 |
|
378 |
340 |
$3K |
| 99241 |
|
56 |
41 |
$3K |
| 99429 |
|
118 |
115 |
$3K |
| 93295 |
|
61 |
61 |
$3K |
| 73560 |
|
430 |
395 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
50 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
39 |
$2K |
| 93321 |
|
122 |
122 |
$2K |
| 71020 |
|
270 |
146 |
$2K |
| 73130 |
|
238 |
190 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
42 |
42 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
63 |
63 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
26 |
$1K |
| 93298 |
|
66 |
62 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$1K |
| 90688 |
|
74 |
74 |
$1K |
| 95909 |
|
13 |
13 |
$999.91 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
32 |
30 |
$930.00 |
| 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 |
135 |
110 |
$912.66 |
| 72141 |
|
24 |
24 |
$879.04 |
| 90686 |
|
45 |
45 |
$808.93 |
| 88341 |
|
12 |
12 |
$782.03 |
| 99201 |
|
25 |
25 |
$733.71 |
| 73502 |
|
91 |
91 |
$733.52 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
13 |
$725.39 |
| D1354 |
|
54 |
13 |
$698.10 |
| 11900 |
|
13 |
13 |
$615.57 |
| 96127 |
|
104 |
98 |
$545.18 |
| 99441 |
|
29 |
29 |
$473.35 |
| 93325 |
|
151 |
150 |
$452.07 |
| 73620 |
|
59 |
41 |
$366.74 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$316.81 |
| 93971 |
|
16 |
15 |
$200.24 |
| 94664 |
|
14 |
14 |
$196.64 |
| 90682 |
|
15 |
14 |
$189.01 |
| 74018 |
|
18 |
18 |
$167.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
19 |
$155.81 |
| 99078 |
|
15 |
12 |
$150.00 |
| D1310 |
|
1,262 |
1,257 |
$135.00 |
| 71010 |
|
15 |
14 |
$99.62 |
| 73562 |
|
12 |
12 |
$95.39 |
| 72020 |
|
13 |
13 |
$86.76 |
| D0603 |
|
724 |
720 |
$1.32 |
| 90716 |
|
19 |
12 |
$0.19 |
| D0602 |
|
24 |
24 |
$0.06 |
| 3078F |
|
261 |
257 |
$0.00 |
| 3077F |
|
17 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
62 |
62 |
$0.00 |
| 3074F |
|
43 |
43 |
$0.00 |