| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
381,704 |
338,131 |
$21.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215,476 |
191,816 |
$9.05M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
106,486 |
95,938 |
$6.68M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
139,864 |
50,355 |
$5.23M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
91,918 |
84,098 |
$3.60M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
40,372 |
35,802 |
$3.55M |
| 99215 |
Prolong outpt/office vis |
33,975 |
29,879 |
$2.85M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23,346 |
21,045 |
$2.01M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30,065 |
27,176 |
$1.70M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37,371 |
31,375 |
$1.69M |
| 99233 |
Prolong inpt eval add15 m |
31,091 |
12,075 |
$1.63M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
13,091 |
5,670 |
$1.51M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
31,996 |
28,628 |
$1.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24,627 |
22,990 |
$1.38M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24,150 |
21,718 |
$1.37M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26,195 |
21,725 |
$1.23M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16,740 |
13,672 |
$1.10M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
29,422 |
24,029 |
$1.04M |
| 71045 |
Radiologic examination, chest; single view |
183,596 |
105,942 |
$1.00M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
191,957 |
135,275 |
$921K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
6,046 |
5,483 |
$852K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
11,134 |
10,079 |
$796K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
3,919 |
3,388 |
$743K |
| 70450 |
Computed tomography, head or brain; without contrast material |
28,811 |
24,579 |
$718K |
| 99223 |
Prolong inpt eval add15 m |
7,047 |
6,103 |
$633K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,949 |
3,680 |
$599K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,594 |
9,804 |
$588K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14,116 |
12,129 |
$574K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
21,711 |
10,438 |
$573K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
7,593 |
1,729 |
$571K |
| G9012 |
Other specified case management service not elsewhere classified |
2,342 |
2,210 |
$525K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,835 |
19,924 |
$523K |
| 99205 |
Prolong outpt/office vis |
4,047 |
3,679 |
$517K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
1,922 |
419 |
$491K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13,282 |
11,294 |
$473K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
8,540 |
7,631 |
$472K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20,858 |
9,258 |
$472K |
| 95720 |
|
3,654 |
1,882 |
$453K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,552 |
5,833 |
$451K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,074 |
9,729 |
$399K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14,267 |
13,379 |
$393K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
5,487 |
1,276 |
$387K |
| 99460 |
|
7,257 |
6,140 |
$380K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,079 |
4,095 |
$379K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,373 |
3,411 |
$377K |
| 92015 |
Determination of refractive state |
31,514 |
25,865 |
$373K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
3,079 |
2,420 |
$369K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
5,954 |
5,069 |
$366K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,833 |
417 |
$360K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,731 |
5,271 |
$358K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
4,194 |
3,767 |
$292K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
8,503 |
7,502 |
$285K |
| 71046 |
Radiologic examination, chest; 2 views |
40,768 |
36,235 |
$285K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
6,454 |
5,872 |
$277K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,585 |
3,808 |
$267K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,285 |
9,461 |
$267K |
| 74018 |
|
45,051 |
25,608 |
$263K |
| 76770 |
|
9,076 |
8,327 |
$239K |
| 93970 |
|
11,925 |
9,928 |
$238K |
| 88307 |
|
3,497 |
2,927 |
$233K |
| 70498 |
|
4,401 |
3,888 |
$229K |
| 95951 |
|
1,236 |
652 |
$218K |
| 01922 |
|
1,965 |
1,270 |
$213K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
8,927 |
4,171 |
$207K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,688 |
3,282 |
$193K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,144 |
5,487 |
$190K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
570 |
253 |
$190K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
9,842 |
8,855 |
$189K |
| 97803 |
|
5,343 |
4,743 |
$176K |
| 92134 |
|
11,788 |
9,936 |
$174K |
| 71250 |
|
5,895 |
5,222 |
$171K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,182 |
3,968 |
$171K |
| 20610 |
|
4,743 |
3,912 |
$166K |
| 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) |
21,271 |
19,875 |
$160K |
| 74183 |
|
2,283 |
2,080 |
$149K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
3,035 |
2,745 |
$140K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
2,042 |
1,843 |
$139K |
| 64483 |
|
863 |
678 |
$137K |
| 92567 |
|
11,042 |
10,204 |
$134K |
| 93975 |
|
3,019 |
2,621 |
$133K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
4,134 |
3,617 |
$129K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,652 |
2,343 |
$128K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
824 |
707 |
$125K |
| 73630 |
|
15,792 |
11,801 |
$125K |
| 99462 |
|
5,445 |
4,160 |
$120K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,972 |
2,660 |
$120K |
| 64615 |
|
1,725 |
1,521 |
$120K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,191 |
4,875 |
$115K |
| 93971 |
|
8,790 |
7,745 |
$115K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,590 |
4,842 |
$113K |
| 99221 |
|
2,308 |
2,042 |
$113K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,106 |
1,952 |
$112K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
486 |
438 |
$108K |
| 92060 |
|
3,585 |
2,827 |
$104K |
| 99417 |
Prolong home eval add 15m |
1,537 |
1,321 |
$98K |
| 99349 |
|
4,137 |
2,809 |
$94K |
| 64642 |
|
1,307 |
1,162 |
$93K |
| 93320 |
|
5,496 |
4,662 |
$92K |
| 00731 |
|
1,829 |
1,140 |
$90K |
| 90961 |
|
1,431 |
1,290 |
$90K |
| 73030 |
|
11,126 |
8,931 |
$89K |
| 92579 |
|
2,366 |
2,223 |
$87K |
| 76830 |
Ultrasound, transvaginal |
2,860 |
2,593 |
$86K |
| 73610 |
|
10,455 |
8,590 |
$85K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
957 |
842 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,375 |
6,528 |
$83K |
| 90945 |
|
1,786 |
526 |
$81K |
| 93295 |
|
4,310 |
3,861 |
$79K |
| 76642 |
|
3,554 |
2,807 |
$78K |
| 99217 |
|
2,066 |
1,869 |
$76K |
| 31575 |
|
1,487 |
1,332 |
$75K |
| 90791 |
Psychiatric diagnostic evaluation |
621 |
557 |
$74K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,594 |
1,415 |
$73K |
| 54161 |
|
647 |
558 |
$71K |
| 92587 |
|
4,141 |
3,809 |
$69K |
| 95886 |
|
1,034 |
910 |
$69K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
432 |
380 |
$68K |
| 31231 |
|
1,042 |
939 |
$68K |
| 76801 |
|
1,596 |
1,441 |
$68K |
| 90966 |
|
1,093 |
938 |
$65K |
| 73560 |
|
8,102 |
5,855 |
$63K |
| 73564 |
|
5,921 |
4,769 |
$60K |
| 77066 |
Tomosynthesis, mammo |
1,656 |
1,518 |
$60K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,176 |
1,861 |
$60K |
| 73502 |
|
6,529 |
5,641 |
$59K |
| 92551 |
|
5,818 |
5,455 |
$56K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
713 |
644 |
$55K |
| 54150 |
|
905 |
699 |
$54K |
| 90870 |
|
752 |
285 |
$53K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,057 |
976 |
$52K |
| 43762 |
|
546 |
507 |
$51K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
26 |
24 |
$51K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,840 |
1,392 |
$50K |
| 64643 |
|
872 |
778 |
$49K |
| 17110 |
|
613 |
544 |
$49K |
| 92133 |
|
3,890 |
3,052 |
$49K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
383 |
329 |
$48K |
| 88342 |
|
2,359 |
1,938 |
$47K |
| 43235 |
|
653 |
566 |
$46K |
| 72100 |
|
4,719 |
4,259 |
$45K |
| 70496 |
|
949 |
836 |
$44K |
| 76775 |
|
2,040 |
1,832 |
$44K |
| 93458 |
|
256 |
234 |
$43K |
| 95816 |
|
880 |
704 |
$43K |
| 64493 |
|
310 |
236 |
$42K |
| 93325 |
|
10,103 |
8,327 |
$42K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
430 |
402 |
$40K |
| 94010 |
|
6,494 |
5,748 |
$40K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,150 |
982 |
$40K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
841 |
790 |
$40K |
| 93000 |
|
4,329 |
3,860 |
$39K |
| 92083 |
|
2,631 |
2,089 |
$38K |
| 73562 |
|
4,488 |
3,545 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
606 |
562 |
$37K |
| 97597 |
|
1,603 |
911 |
$36K |
| 72110 |
|
2,014 |
1,766 |
$36K |
| 77080 |
|
2,468 |
2,201 |
$35K |
| 99234 |
|
423 |
369 |
$34K |
| 99384 |
|
519 |
448 |
$34K |
| 77427 |
|
309 |
164 |
$33K |
| 84165 |
|
4,712 |
3,994 |
$33K |
| 93272 |
|
2,100 |
1,921 |
$33K |
| 93297 |
|
2,770 |
2,435 |
$33K |
| 88108 |
|
2,350 |
1,938 |
$32K |
| 86334 |
|
3,475 |
3,007 |
$32K |
| 73130 |
|
3,780 |
2,705 |
$31K |
| 99152 |
|
3,384 |
2,974 |
$30K |
| 92557 |
|
1,168 |
1,061 |
$28K |
| 95251 |
|
1,047 |
975 |
$28K |
| 00811 |
|
534 |
337 |
$26K |
| 76536 |
|
1,392 |
1,277 |
$25K |
| 85060 |
|
1,668 |
1,465 |
$25K |
| 72040 |
|
2,678 |
2,403 |
$25K |
| 76827 |
|
968 |
755 |
$24K |
| 90686 |
|
2,006 |
1,873 |
$24K |
| 99220 |
|
327 |
273 |
$23K |
| 72082 |
|
1,606 |
1,461 |
$22K |
| 73110 |
|
2,297 |
1,832 |
$22K |
| 99350 |
Prolong home eval add 15m |
383 |
296 |
$21K |
| 70491 |
|
514 |
450 |
$21K |
| 71271 |
|
614 |
557 |
$20K |
| 69210 |
|
664 |
600 |
$20K |
| 74230 |
|
1,182 |
1,075 |
$20K |
| 59025 |
Fetal non-stress test |
795 |
579 |
$20K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
194 |
170 |
$20K |
| 87807 |
|
1,583 |
1,293 |
$20K |
| 11102 |
|
318 |
272 |
$19K |
| 76813 |
|
388 |
346 |
$19K |
| 72141 |
|
400 |
364 |
$18K |
| 77073 |
|
1,697 |
1,551 |
$18K |
| 93922 |
|
2,438 |
2,161 |
$18K |
| 76942 |
|
891 |
772 |
$18K |
| 95718 |
|
214 |
172 |
$18K |
| 77014 |
|
650 |
264 |
$18K |
| 99218 |
|
329 |
305 |
$17K |
| 97804 |
|
1,081 |
876 |
$17K |
| 77065 |
Tomosynthesis, mammo |
577 |
518 |
$17K |
| 88173 |
|
274 |
241 |
$16K |
| J0178 |
Injection, aflibercept, 1 mg |
18 |
12 |
$16K |
| 93304 |
|
406 |
306 |
$15K |
| 94729 |
|
2,656 |
2,338 |
$15K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
396 |
241 |
$15K |
| 73590 |
|
2,347 |
1,883 |
$14K |
| 88141 |
|
1,132 |
997 |
$14K |
| 88304 |
|
1,665 |
1,493 |
$14K |
| 99442 |
|
623 |
540 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
787 |
444 |
$14K |
| 97802 |
|
425 |
398 |
$14K |
| 59410 |
|
14 |
14 |
$14K |
| 76506 |
|
590 |
409 |
$14K |
| 72050 |
|
703 |
628 |
$14K |
| 94726 |
|
1,717 |
1,536 |
$13K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,684 |
1,429 |
$13K |
| 93294 |
|
1,072 |
993 |
$13K |
| 76820 |
|
607 |
426 |
$13K |
| 77062 |
|
340 |
308 |
$12K |
| 99306 |
Prolong nursin fac eval 15m |
226 |
203 |
$12K |
| 92586 |
|
718 |
650 |
$12K |
| 84166 |
|
1,118 |
969 |
$11K |
| 96111 |
|
111 |
102 |
$11K |
| 15004 |
|
82 |
51 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
5,903 |
5,202 |
$11K |
| 93880 |
|
534 |
455 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,218 |
1,092 |
$10K |
| 42830 |
|
90 |
82 |
$10K |
| 77002 |
|
648 |
586 |
$10K |
| 90937 |
|
292 |
181 |
$10K |
| 88312 |
|
476 |
381 |
$10K |
| 95819 |
|
166 |
131 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
743 |
659 |
$10K |
| 73552 |
|
1,327 |
1,104 |
$10K |
| 72170 |
|
1,302 |
1,217 |
$9K |
| 95913 |
|
70 |
66 |
$9K |
| 77001 |
|
994 |
838 |
$9K |
| 93016 |
|
727 |
672 |
$9K |
| 99468 |
|
27 |
17 |
$9K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,345 |
1,181 |
$8K |
| 76825 |
|
128 |
102 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,380 |
1,108 |
$8K |
| 92504 |
|
687 |
640 |
$8K |
| 54360 |
|
13 |
13 |
$8K |
| 99310 |
Prolong nursin fac eval 15m |
191 |
158 |
$8K |
| 11981 |
|
143 |
129 |
$7K |
| 73221 |
|
173 |
159 |
$7K |
| 0001A |
|
247 |
232 |
$7K |
| 92558 |
|
397 |
374 |
$7K |
| 17000 |
|
240 |
183 |
$7K |
| 88112 |
|
373 |
327 |
$7K |
| 99173 |
|
2,948 |
2,764 |
$7K |
| 54300 |
|
15 |
12 |
$7K |
| 93926 |
|
479 |
408 |
$7K |
| 86335 |
|
717 |
615 |
$7K |
| 95885 |
|
316 |
263 |
$7K |
| 73700 |
|
217 |
195 |
$7K |
| 88160 |
|
365 |
302 |
$7K |
| 88291 |
|
306 |
262 |
$7K |
| 72197 |
|
105 |
103 |
$7K |
| 95811 |
|
35 |
30 |
$7K |
| 99443 |
|
163 |
134 |
$7K |
| 86077 |
|
248 |
207 |
$7K |
| 93321 |
|
881 |
717 |
$6K |
| 93750 |
|
403 |
180 |
$6K |
| 99177 |
|
1,676 |
1,581 |
$6K |
| 90723 |
|
633 |
580 |
$6K |
| 96167 |
|
159 |
68 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
215 |
196 |
$6K |
| 16020 |
|
138 |
63 |
$6K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
249 |
145 |
$6K |
| 95806 |
|
143 |
125 |
$6K |
| 93018 |
|
667 |
618 |
$6K |
| 77334 |
|
58 |
45 |
$6K |
| 88189 |
|
93 |
80 |
$6K |
| 01996 |
|
129 |
68 |
$6K |
| 88341 |
|
129 |
93 |
$6K |
| 90670 |
|
589 |
532 |
$6K |
| 20550 |
|
264 |
163 |
$5K |
| 90671 |
|
400 |
380 |
$5K |
| 74022 |
|
595 |
503 |
$5K |
| 90647 |
|
527 |
483 |
$5K |
| 93228 |
|
489 |
452 |
$5K |
| 99358 |
Prolong nursin fac eval 15m |
140 |
121 |
$5K |
| 95909 |
|
60 |
52 |
$5K |
| 77263 |
|
44 |
40 |
$5K |
| 93925 |
|
219 |
193 |
$5K |
| 95714 |
|
22 |
13 |
$5K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
694 |
454 |
$5K |
| 94621 |
|
93 |
89 |
$5K |
| 90656 |
|
362 |
356 |
$5K |
| 85018 |
|
2,791 |
2,490 |
$5K |
| 96168 |
|
137 |
66 |
$4K |
| 99219 |
|
60 |
53 |
$4K |
| 43760 |
|
30 |
26 |
$4K |
| 90633 |
|
460 |
428 |
$4K |
| 90651 |
|
229 |
213 |
$4K |
| 99478 |
|
47 |
13 |
$4K |
| 92604 |
|
62 |
61 |
$4K |
| 99348 |
|
178 |
135 |
$4K |
| 73140 |
|
438 |
381 |
$4K |
| 00142 |
|
84 |
51 |
$4K |
| 51798 |
|
704 |
576 |
$4K |
| 74178 |
|
82 |
71 |
$4K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
112 |
95 |
$4K |
| 91200 |
|
363 |
320 |
$4K |
| 73080 |
|
432 |
378 |
$4K |
| 49083 |
|
51 |
39 |
$3K |
| 77072 |
|
498 |
460 |
$3K |
| 94060 |
|
502 |
426 |
$3K |
| 64635 |
|
16 |
13 |
$3K |
| 17311 |
|
15 |
12 |
$3K |
| 73090 |
|
445 |
344 |
$3K |
| 92002 |
|
97 |
77 |
$3K |
| 76818 |
|
95 |
69 |
$3K |
| 11721 |
|
374 |
314 |
$3K |
| 92202 |
|
343 |
226 |
$3K |
| 92552 |
|
113 |
106 |
$3K |
| 64494 |
|
35 |
26 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
100 |
88 |
$3K |
| 99383 |
|
51 |
48 |
$3K |
| 70486 |
|
113 |
99 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
27 |
27 |
$3K |
| 16030 |
|
29 |
14 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,306 |
1,156 |
$3K |
| 0042T |
|
78 |
64 |
$3K |
| 99235 |
|
27 |
25 |
$3K |
| 92556 |
|
84 |
80 |
$3K |
| 93308 |
|
148 |
132 |
$3K |
| 92020 |
|
221 |
196 |
$3K |
| 00797 |
|
21 |
12 |
$3K |
| 80305 |
|
339 |
282 |
$3K |
| 99243 |
|
35 |
35 |
$3K |
| 0002A |
|
64 |
64 |
$3K |
| 73100 |
|
363 |
295 |
$3K |
| 17250 |
|
69 |
65 |
$3K |
| 95782 |
|
27 |
27 |
$3K |
| 74174 |
|
43 |
41 |
$2K |
| 99224 |
|
174 |
70 |
$2K |
| 01961 |
|
16 |
12 |
$2K |
| 81025 |
|
441 |
394 |
$2K |
| 92652 |
|
26 |
26 |
$2K |
| 86328 |
|
53 |
52 |
$2K |
| 90947 |
|
32 |
12 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
15 |
14 |
$2K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
145 |
98 |
$2K |
| 36224 |
|
17 |
13 |
$2K |
| 96112 |
|
16 |
15 |
$2K |
| 00920 |
|
38 |
25 |
$2K |
| 72156 |
|
28 |
25 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
263 |
213 |
$2K |
| 99385 |
|
26 |
25 |
$2K |
| 95874 |
|
215 |
180 |
$2K |
| 88311 |
|
225 |
187 |
$2K |
| 36245 |
|
39 |
26 |
$2K |
| 73070 |
|
257 |
225 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
49 |
36 |
$2K |
| 81003 |
|
1,032 |
863 |
$2K |
| 31237 |
|
12 |
12 |
$2K |
| 71270 |
|
43 |
39 |
$2K |
| 46600 |
|
30 |
27 |
$2K |
| 74220 |
|
108 |
95 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,881 |
1,540 |
$2K |
| 88313 |
|
145 |
79 |
$2K |
| 90734 |
|
152 |
142 |
$2K |
| 93793 |
|
718 |
504 |
$2K |
| 96137 |
|
18 |
17 |
$2K |
| 11056 |
|
63 |
52 |
$2K |
| 36558 |
|
19 |
13 |
$2K |
| 96130 |
|
18 |
17 |
$2K |
| 0071A |
|
40 |
40 |
$2K |
| 36226 |
|
20 |
12 |
$2K |
| 90962 |
|
22 |
19 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
209 |
136 |
$2K |
| 99366 |
|
124 |
86 |
$2K |
| 0003A |
|
45 |
42 |
$2K |
| 90648 |
|
176 |
164 |
$2K |
| 95974 |
|
12 |
12 |
$2K |
| 20611 |
|
28 |
24 |
$1K |
| 00812 |
|
19 |
14 |
$1K |
| 62370 |
|
61 |
53 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
23 |
13 |
$1K |
| 99458 |
|
72 |
53 |
$1K |
| 52000 |
|
31 |
26 |
$1K |
| 78264 |
|
53 |
46 |
$1K |
| 96161 |
|
1,572 |
1,132 |
$1K |
| 75710 |
|
30 |
26 |
$1K |
| 90677 |
|
131 |
124 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 0479T |
|
12 |
12 |
$1K |
| 85097 |
|
41 |
36 |
$1K |
| 76937 |
|
184 |
155 |
$1K |
| 11900 |
|
31 |
26 |
$1K |
| 93290 |
|
107 |
104 |
$1K |
| 4450F |
|
283 |
151 |
$1K |
| 0555F |
|
289 |
152 |
$1K |
| 93289 |
|
55 |
51 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
456 |
393 |
$1K |
| 90681 |
|
147 |
127 |
$1K |
| 11100 |
|
18 |
15 |
$1K |
| 78582 |
|
42 |
38 |
$1K |
| 0503F |
|
171 |
150 |
$1K |
| 51728 |
|
14 |
14 |
$1K |
| 95911 |
|
13 |
12 |
$1K |
| 73620 |
|
191 |
139 |
$1K |
| 95117 |
|
161 |
120 |
$1K |
| 73522 |
|
71 |
67 |
$1K |
| 99354 |
|
15 |
13 |
$1K |
| 96156 |
|
16 |
12 |
$1K |
| 92585 |
|
14 |
13 |
$1K |
| 72157 |
|
20 |
12 |
$1K |
| 93451 |
|
15 |
14 |
$997.07 |
| J3490 |
Unclassified drugs |
352 |
285 |
$966.68 |
| 3210F |
|
503 |
467 |
$925.00 |
| 1157F |
|
885 |
670 |
$900.00 |
| 93296 |
|
85 |
80 |
$893.83 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
14 |
13 |
$871.15 |
| 77300 |
|
27 |
24 |
$853.77 |
| 99305 |
|
16 |
13 |
$850.32 |
| 99457 |
|
80 |
67 |
$840.41 |
| 72190 |
|
86 |
83 |
$792.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
117 |
105 |
$778.74 |
| 3115F |
|
191 |
132 |
$775.00 |
| 99382 |
|
14 |
12 |
$756.04 |
| 92582 |
|
13 |
12 |
$745.52 |
| 99381 |
|
13 |
13 |
$732.95 |
| 88302 |
|
108 |
95 |
$722.17 |
| 93248 |
|
65 |
62 |
$698.96 |
| G0427 |
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth |
19 |
13 |
$698.50 |
| 4325F |
|
292 |
155 |
$675.00 |
| 62323 |
|
14 |
13 |
$671.39 |
| 20552 |
|
32 |
28 |
$670.99 |
| 96136 |
|
18 |
17 |
$662.67 |
| 90970 |
|
171 |
104 |
$656.56 |
| 72070 |
|
55 |
52 |
$628.11 |
| 99454 |
|
72 |
52 |
$623.10 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$622.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
44 |
$611.14 |
| 92136 |
|
36 |
27 |
$594.82 |
| 0012A |
|
30 |
25 |
$579.20 |
| 92555 |
|
31 |
26 |
$572.44 |
| 51701 |
|
29 |
26 |
$567.02 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
250 |
205 |
$556.16 |
| 1200F |
|
141 |
114 |
$550.00 |
| 96127 |
|
269 |
234 |
$548.33 |
| 0052A |
|
14 |
14 |
$538.02 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
406 |
343 |
$507.81 |
| 1159F |
|
104 |
96 |
$500.00 |
| 0154A |
|
27 |
24 |
$494.22 |
| 76776 |
|
27 |
24 |
$479.85 |
| 51797 |
|
14 |
14 |
$451.93 |
| 90620 |
|
42 |
41 |
$451.00 |
| 93923 |
|
41 |
31 |
$437.38 |
| 98967 |
|
20 |
17 |
$414.17 |
| 76514 |
|
79 |
67 |
$406.74 |
| 20600 |
|
14 |
12 |
$402.74 |
| 74019 |
|
56 |
39 |
$385.09 |
| 88300 |
|
122 |
104 |
$379.97 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
24 |
24 |
$371.84 |
| 73600 |
|
67 |
49 |
$347.29 |
| 94375 |
|
74 |
64 |
$331.19 |
| 88344 |
|
15 |
14 |
$329.04 |
| G0127 |
Trimming of dystrophic nails, any number |
62 |
56 |
$313.19 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
33 |
31 |
$308.09 |
| 99453 |
|
89 |
72 |
$304.25 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
49 |
37 |
$301.72 |
| 92310 |
|
20 |
15 |
$291.14 |
| 73565 |
|
16 |
14 |
$281.03 |
| 17003 |
|
25 |
24 |
$277.46 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
88 |
84 |
$276.62 |
| 90710 |
|
27 |
25 |
$275.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
325 |
302 |
$274.20 |
| 99441 |
|
27 |
27 |
$255.92 |
| 99367 |
|
19 |
13 |
$245.63 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
52 |
49 |
$242.28 |
| 73060 |
|
38 |
28 |
$228.66 |
| 72081 |
|
16 |
13 |
$226.16 |
| 3324F |
|
48 |
45 |
$225.00 |
| 51784 |
|
19 |
14 |
$214.48 |
| 70250 |
|
24 |
24 |
$209.43 |
| H0033 |
Oral medication administration, direct observation |
53 |
48 |
$200.10 |
| 90715 |
|
17 |
15 |
$165.00 |
| 95970 |
|
13 |
13 |
$163.22 |
| 99140 |
|
17 |
12 |
$154.90 |
| 99412 |
|
31 |
24 |
$152.25 |
| 90696 |
|
14 |
13 |
$143.00 |
| 99459 |
|
12 |
12 |
$142.61 |
| 90716 |
|
14 |
12 |
$132.00 |
| 90707 |
|
14 |
12 |
$132.00 |
| 1205F |
|
33 |
30 |
$125.00 |
| 96160 |
|
76 |
72 |
$114.50 |
| 90700 |
|
14 |
13 |
$110.00 |
| 0011A |
|
12 |
12 |
$93.60 |
| 0501F |
|
25 |
12 |
$90.00 |
| 81002 |
|
42 |
40 |
$70.15 |
| 87210 |
|
12 |
12 |
$60.44 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
12 |
$60.12 |
| 51741 |
|
19 |
14 |
$46.54 |
| 82962 |
|
71 |
52 |
$46.52 |
| 90461 |
|
40 |
37 |
$43.24 |
| G0008 |
Administration of influenza virus vaccine |
72 |
68 |
$43.20 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
55 |
39 |
$39.44 |
| 36416 |
|
167 |
154 |
$34.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
235 |
208 |
$27.20 |
| 91300 |
|
576 |
533 |
$4.21 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
19 |
16 |
$3.11 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
44 |
38 |
$3.06 |
| 91307 |
|
149 |
138 |
$1.22 |
| 91301 |
|
52 |
48 |
$0.41 |
| 1005F |
|
70 |
66 |
$0.40 |
| 91305 |
|
29 |
29 |
$0.09 |
| 91315 |
|
26 |
24 |
$0.09 |
| 0500F |
|
29 |
29 |
$0.00 |
| 3075F |
|
38 |
37 |
$0.00 |
| 90474 |
|
15 |
13 |
$0.00 |
| 3074F |
|
17 |
17 |
$0.00 |
| 99080 |
|
53 |
42 |
$0.00 |
| 0502F |
|
2,111 |
1,742 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |