| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284,431 |
246,395 |
$13.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151,927 |
135,923 |
$9.84M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
94,750 |
30,731 |
$3.97M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21,125 |
19,697 |
$2.05M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24,650 |
23,001 |
$1.58M |
| 99223 |
Prolong inpt eval add15 m |
14,000 |
11,790 |
$1.43M |
| 99233 |
Prolong inpt eval add15 m |
17,678 |
6,408 |
$1.11M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
27,846 |
26,080 |
$1.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,300 |
13,707 |
$1.02M |
| 99222 |
Initial hospital care, per day, moderate complexity |
12,680 |
10,751 |
$970K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
3,779 |
598 |
$931K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
8,446 |
1,694 |
$825K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,749 |
11,871 |
$814K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
5,759 |
5,270 |
$668K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41,663 |
39,461 |
$595K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,791 |
18,481 |
$594K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,040 |
7,729 |
$589K |
| 88307 |
|
9,641 |
9,225 |
$589K |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,121 |
6,207 |
$569K |
| 99215 |
Prolong outpt/office vis |
5,119 |
4,732 |
$527K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
7,375 |
2,055 |
$515K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
5,155 |
927 |
$479K |
| D7140 |
Extraction, erupted tooth or exposed root |
8,450 |
1,750 |
$459K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20,390 |
19,258 |
$431K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
593 |
549 |
$412K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
7,085 |
1,165 |
$412K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15,858 |
7,123 |
$387K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
8,089 |
7,332 |
$381K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,325 |
3,086 |
$356K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
28,826 |
21,700 |
$351K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,962 |
8,954 |
$336K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,949 |
8,396 |
$324K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,302 |
812 |
$320K |
| 99468 |
|
503 |
472 |
$307K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,737 |
3,590 |
$299K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
5,019 |
1,111 |
$285K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
5,775 |
1,706 |
$281K |
| 99205 |
Prolong outpt/office vis |
2,157 |
1,985 |
$266K |
| D0140 |
Limited oral evaluation - problem focused |
8,860 |
6,862 |
$260K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,383 |
3,018 |
$252K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,422 |
586 |
$232K |
| 20610 |
|
5,781 |
4,381 |
$221K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,368 |
4,093 |
$182K |
| 64615 |
|
2,430 |
2,167 |
$173K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,245 |
2,146 |
$172K |
| 95886 |
|
3,004 |
2,800 |
$152K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
582 |
118 |
$150K |
| 93458 |
|
757 |
678 |
$139K |
| D1120 |
Prophylaxis - child |
5,382 |
3,552 |
$118K |
| D0330 |
Panoramic radiographic image |
2,342 |
1,981 |
$118K |
| 59514 |
|
140 |
126 |
$115K |
| 59430 |
|
485 |
457 |
$115K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,823 |
3,331 |
$107K |
| 90686 |
|
16,195 |
15,437 |
$106K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,113 |
1,618 |
$105K |
| D2331 |
|
2,229 |
580 |
$102K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
869 |
821 |
$101K |
| 99219 |
|
1,313 |
1,192 |
$101K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
591 |
567 |
$101K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,095 |
1,943 |
$95K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,926 |
1,843 |
$91K |
| D1208 |
Topical application of fluoride, excluding varnish |
5,418 |
3,770 |
$91K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
783 |
746 |
$90K |
| D1351 |
Sealant - per tooth |
3,781 |
808 |
$89K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,033 |
1,000 |
$87K |
| 59025 |
Fetal non-stress test |
4,108 |
1,494 |
$85K |
| D9420 |
|
3,350 |
2,117 |
$83K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,818 |
1,574 |
$83K |
| D2330 |
|
1,981 |
592 |
$80K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,332 |
2,542 |
$78K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,220 |
1,110 |
$78K |
| 88342 |
|
2,868 |
2,722 |
$77K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,938 |
1,346 |
$77K |
| 17110 |
|
1,039 |
896 |
$74K |
| 99460 |
|
1,166 |
1,088 |
$72K |
| 93000 |
|
5,915 |
5,376 |
$72K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,330 |
1,813 |
$71K |
| 76830 |
Ultrasound, transvaginal |
1,753 |
1,661 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,249 |
5,903 |
$67K |
| D1110 |
Prophylaxis - adult |
1,467 |
1,205 |
$65K |
| 95951 |
|
339 |
160 |
$64K |
| 36415 |
Collection of venous blood by venipuncture |
14,759 |
12,744 |
$64K |
| D0220 |
Intraoral - periapical first radiographic image |
4,538 |
3,194 |
$63K |
| 88341 |
|
1,017 |
943 |
$62K |
| 95720 |
|
468 |
257 |
$60K |
| 99152 |
|
1,241 |
1,117 |
$59K |
| D0272 |
Bitewings - two radiographic images |
3,718 |
2,349 |
$57K |
| 99235 |
|
499 |
472 |
$54K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
725 |
682 |
$54K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,450 |
5,096 |
$52K |
| 92567 |
|
3,833 |
3,638 |
$52K |
| 99443 |
|
1,235 |
1,163 |
$51K |
| 88112 |
|
2,271 |
2,031 |
$51K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
492 |
291 |
$50K |
| 99220 |
|
453 |
407 |
$48K |
| D0274 |
Bitewings - four radiographic images |
1,347 |
1,167 |
$48K |
| 99385 |
|
558 |
540 |
$47K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
647 |
623 |
$46K |
| 99225 |
|
1,013 |
568 |
$45K |
| 87428 |
|
1,563 |
1,415 |
$44K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
864 |
821 |
$44K |
| D9222 |
|
410 |
331 |
$43K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
983 |
906 |
$43K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,245 |
2,275 |
$42K |
| 90670 |
|
6,987 |
6,636 |
$42K |
| 88304 |
|
4,876 |
4,718 |
$42K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,058 |
932 |
$41K |
| 95913 |
|
331 |
294 |
$41K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,402 |
1,329 |
$40K |
| D0350 |
|
2,993 |
1,819 |
$39K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,165 |
615 |
$39K |
| 73564 |
|
2,845 |
2,370 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,520 |
2,312 |
$39K |
| 99496 |
|
222 |
213 |
$39K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,255 |
556 |
$38K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,920 |
2,694 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
1,771 |
1,423 |
$38K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
292 |
248 |
$38K |
| 99217 |
|
892 |
814 |
$37K |
| 47562 |
|
82 |
77 |
$37K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,197 |
998 |
$37K |
| 81003 |
|
12,864 |
10,561 |
$35K |
| 95811 |
|
448 |
437 |
$34K |
| 93016 |
|
2,064 |
1,978 |
$34K |
| 64493 |
|
608 |
541 |
$33K |
| 99495 |
|
256 |
241 |
$32K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,259 |
3,703 |
$32K |
| 11721 |
|
2,168 |
1,975 |
$31K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
406 |
382 |
$31K |
| 93018 |
|
2,201 |
2,107 |
$31K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
254 |
141 |
$30K |
| 92552 |
|
1,348 |
1,295 |
$28K |
| 81025 |
|
4,070 |
3,718 |
$28K |
| 99349 |
|
2,146 |
1,724 |
$28K |
| 01992 |
|
241 |
230 |
$28K |
| 43235 |
|
366 |
340 |
$27K |
| 92133 |
|
848 |
784 |
$26K |
| 76818 |
|
780 |
316 |
$26K |
| 20553 |
|
1,007 |
933 |
$24K |
| 80053 |
Comprehensive metabolic panel |
3,481 |
3,174 |
$23K |
| 99383 |
|
294 |
276 |
$22K |
| 88141 |
|
1,202 |
1,150 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
206 |
194 |
$21K |
| 73630 |
|
2,764 |
2,298 |
$21K |
| 93701 |
|
2,847 |
2,555 |
$21K |
| D2332 |
|
261 |
112 |
$21K |
| 90474 |
|
2,547 |
2,441 |
$21K |
| 85060 |
|
1,592 |
1,403 |
$20K |
| 96127 |
|
7,474 |
7,045 |
$20K |
| 80061 |
Lipid panel |
1,722 |
1,612 |
$19K |
| 64494 |
|
580 |
528 |
$19K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
403 |
380 |
$19K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
689 |
330 |
$19K |
| 99221 |
|
314 |
280 |
$19K |
| 64635 |
|
130 |
112 |
$18K |
| 73610 |
|
2,488 |
2,054 |
$17K |
| 94726 |
|
2,080 |
2,020 |
$17K |
| 72082 |
|
774 |
722 |
$17K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
940 |
819 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,651 |
2,349 |
$16K |
| 95911 |
|
201 |
187 |
$16K |
| 73110 |
|
2,331 |
1,790 |
$16K |
| 64495 |
|
489 |
442 |
$16K |
| 58300 |
|
265 |
243 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,688 |
1,325 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
177 |
137 |
$15K |
| 92136 |
|
570 |
303 |
$14K |
| 93298 |
|
1,030 |
919 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
338 |
318 |
$14K |
| 90785 |
|
1,756 |
1,678 |
$14K |
| 92557 |
|
467 |
455 |
$14K |
| 11981 |
|
267 |
230 |
$14K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
244 |
104 |
$14K |
| 93320 |
|
1,056 |
933 |
$13K |
| T1016 |
Case management, each 15 minutes |
180 |
150 |
$13K |
| 20550 |
|
368 |
299 |
$13K |
| D9310 |
|
273 |
244 |
$13K |
| 11102 |
|
229 |
180 |
$12K |
| 11104 |
|
146 |
135 |
$12K |
| 92555 |
|
716 |
686 |
$12K |
| 83655 |
|
1,155 |
1,105 |
$12K |
| 90723 |
|
5,927 |
5,667 |
$12K |
| D2335 |
|
116 |
36 |
$12K |
| 92083 |
|
353 |
312 |
$12K |
| 88311 |
|
1,188 |
1,098 |
$12K |
| 94010 |
|
1,342 |
1,246 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
801 |
722 |
$12K |
| 99442 |
|
408 |
371 |
$11K |
| 73030 |
|
1,130 |
978 |
$11K |
| 85610 |
|
2,494 |
1,439 |
$11K |
| 76813 |
|
248 |
222 |
$11K |
| 94729 |
|
1,458 |
1,403 |
$11K |
| 54150 |
|
156 |
145 |
$11K |
| 73130 |
|
1,623 |
1,324 |
$11K |
| 90715 |
|
1,475 |
1,377 |
$11K |
| 95806 |
|
446 |
383 |
$10K |
| 90677 |
|
1,627 |
1,564 |
$10K |
| 84439 |
|
1,665 |
1,526 |
$10K |
| 90651 |
|
1,669 |
1,568 |
$10K |
| 95816 |
|
254 |
241 |
$10K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
988 |
524 |
$9K |
| 95812 |
|
258 |
246 |
$9K |
| 81002 |
|
3,762 |
2,820 |
$9K |
| 95910 |
|
121 |
116 |
$9K |
| 99386 |
|
89 |
88 |
$9K |
| 97597 |
|
321 |
188 |
$9K |
| 93308 |
|
616 |
557 |
$8K |
| 95912 |
|
90 |
84 |
$8K |
| D7240 |
Removal of impacted tooth - completely bony |
33 |
12 |
$8K |
| 93248 |
|
619 |
562 |
$8K |
| 91200 |
|
659 |
635 |
$8K |
| 94060 |
|
859 |
830 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
564 |
521 |
$8K |
| 64636 |
|
96 |
84 |
$7K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
167 |
79 |
$7K |
| 73562 |
|
705 |
607 |
$7K |
| 88302 |
|
1,096 |
1,062 |
$7K |
| D2140 |
|
127 |
54 |
$7K |
| 99306 |
Prolong nursin fac eval 15m |
301 |
270 |
$7K |
| D9992 |
|
517 |
390 |
$7K |
| 73080 |
|
961 |
737 |
$7K |
| 99305 |
|
291 |
260 |
$6K |
| 99441 |
|
332 |
304 |
$6K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
30 |
25 |
$6K |
| 96900 |
|
619 |
137 |
$6K |
| 72170 |
|
629 |
583 |
$6K |
| 99381 |
|
97 |
85 |
$6K |
| 20552 |
|
222 |
189 |
$6K |
| 88312 |
|
195 |
181 |
$6K |
| 99382 |
|
75 |
72 |
$6K |
| 93297 |
|
305 |
283 |
$5K |
| 29075 |
|
97 |
89 |
$5K |
| 99462 |
|
179 |
135 |
$5K |
| 90647 |
|
5,283 |
5,035 |
$5K |
| 93325 |
|
1,455 |
1,281 |
$5K |
| 20526 |
|
99 |
88 |
$5K |
| 11100 |
|
87 |
83 |
$5K |
| 88173 |
|
65 |
64 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
74 |
72 |
$5K |
| 99188 |
|
236 |
228 |
$4K |
| 97803 |
|
340 |
215 |
$4K |
| 99201 |
|
157 |
152 |
$4K |
| 99224 |
|
183 |
109 |
$4K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
117 |
104 |
$4K |
| 96161 |
|
1,822 |
1,704 |
$4K |
| 93296 |
|
467 |
409 |
$4K |
| 73502 |
|
268 |
250 |
$4K |
| D1206 |
Topical application of fluoride varnish |
244 |
151 |
$4K |
| 95251 |
|
504 |
463 |
$4K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
310 |
269 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
58 |
56 |
$3K |
| 99477 |
|
15 |
13 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
48 |
46 |
$3K |
| 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 |
463 |
429 |
$3K |
| 29065 |
|
54 |
51 |
$3K |
| 11720 |
|
446 |
395 |
$3K |
| 85027 |
|
572 |
530 |
$3K |
| 84165 |
|
264 |
252 |
$3K |
| 85018 |
|
1,436 |
1,375 |
$3K |
| 82728 |
|
389 |
345 |
$3K |
| 80050 |
General health panel |
88 |
84 |
$3K |
| 95974 |
|
37 |
28 |
$3K |
| 87807 |
|
264 |
254 |
$3K |
| 99490 |
Ccm add 20min |
671 |
610 |
$3K |
| 82607 |
|
349 |
308 |
$3K |
| 76801 |
|
71 |
68 |
$3K |
| 88189 |
|
53 |
44 |
$3K |
| 99384 |
|
27 |
25 |
$3K |
| 90674 |
|
170 |
153 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
59 |
50 |
$2K |
| 97802 |
|
177 |
102 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
798 |
578 |
$2K |
| 77072 |
|
218 |
207 |
$2K |
| 90734 |
|
1,599 |
1,528 |
$2K |
| 73590 |
|
286 |
232 |
$2K |
| 58301 |
|
37 |
34 |
$2K |
| 27096 |
|
36 |
36 |
$2K |
| 90633 |
|
3,455 |
3,296 |
$2K |
| 92015 |
Determination of refractive state |
116 |
102 |
$2K |
| 92556 |
|
88 |
81 |
$2K |
| 64642 |
|
32 |
29 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
449 |
389 |
$2K |
| 92020 |
|
46 |
39 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
53 |
$2K |
| 93244 |
|
124 |
124 |
$2K |
| 31575 |
|
26 |
25 |
$2K |
| 99336 |
|
324 |
224 |
$2K |
| 43264 |
|
12 |
12 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
259 |
231 |
$2K |
| 95813 |
|
40 |
37 |
$2K |
| 99417 |
Prolong home eval add 15m |
146 |
79 |
$2K |
| 86140 |
|
451 |
414 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
74 |
63 |
$2K |
| 92201 |
|
137 |
68 |
$2K |
| 83540 |
|
514 |
449 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
48 |
41 |
$2K |
| 90656 |
|
152 |
144 |
$2K |
| 11982 |
|
26 |
24 |
$2K |
| 83550 |
|
308 |
274 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
12 |
12 |
$2K |
| 88309 |
|
13 |
12 |
$1K |
| 90710 |
|
1,561 |
1,499 |
$1K |
| 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) |
1,082 |
1,016 |
$1K |
| 90681 |
|
2,637 |
2,506 |
$1K |
| 95874 |
|
57 |
54 |
$1K |
| 51798 |
|
185 |
167 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
398 |
348 |
$1K |
| 92551 |
|
144 |
132 |
$1K |
| 73090 |
|
203 |
143 |
$1K |
| 90473 |
|
83 |
78 |
$1K |
| 93272 |
|
52 |
50 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
963 |
863 |
$1K |
| 64490 |
|
14 |
13 |
$1K |
| 83861 |
|
23 |
12 |
$947.48 |
| 99226 |
|
16 |
16 |
$944.25 |
| 93227 |
|
101 |
96 |
$928.97 |
| G0180 |
Physician or allowed practitioner 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 |
121 |
113 |
$918.86 |
| 64643 |
|
19 |
13 |
$859.15 |
| 99348 |
|
64 |
44 |
$848.60 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
57 |
55 |
$846.75 |
| 85651 |
|
249 |
232 |
$835.47 |
| 76825 |
|
12 |
12 |
$701.30 |
| 93295 |
|
80 |
65 |
$700.09 |
| 76827 |
|
25 |
25 |
$662.06 |
| 86334 |
|
59 |
55 |
$656.54 |
| 1090F |
|
202 |
175 |
$643.58 |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
39 |
$620.11 |
| 90381 |
|
43 |
42 |
$594.00 |
| 64491 |
|
14 |
13 |
$581.73 |
| 64492 |
|
13 |
12 |
$547.72 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
41 |
40 |
$525.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
85 |
81 |
$491.41 |
| 95819 |
|
12 |
12 |
$488.75 |
| 74018 |
|
35 |
31 |
$456.17 |
| 99307 |
|
204 |
146 |
$451.30 |
| 82962 |
|
164 |
139 |
$450.31 |
| 92134 |
|
37 |
37 |
$442.81 |
| 88300 |
|
138 |
135 |
$432.65 |
| 90672 |
|
80 |
74 |
$424.79 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$369.36 |
| 93880 |
|
12 |
12 |
$331.71 |
| 93294 |
|
130 |
106 |
$320.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
211 |
101 |
$303.27 |
| 94664 |
|
29 |
28 |
$302.53 |
| 73560 |
|
42 |
38 |
$293.10 |
| 90480 |
|
12 |
12 |
$280.00 |
| 1101F |
|
8,072 |
7,292 |
$275.38 |
| 51797 |
|
14 |
12 |
$260.32 |
| 90696 |
|
1,434 |
1,377 |
$250.60 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
12 |
12 |
$245.10 |
| 93299 |
|
13 |
12 |
$221.23 |
| 94618 |
|
15 |
15 |
$212.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,135 |
1,985 |
$210.52 |
| 88313 |
|
14 |
13 |
$209.20 |
| 90685 |
|
13 |
13 |
$180.42 |
| 82977 |
|
30 |
28 |
$169.49 |
| 51784 |
|
16 |
12 |
$163.31 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
13 |
$151.44 |
| 90661 |
|
59 |
42 |
$144.00 |
| 51741 |
|
33 |
25 |
$137.92 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
92 |
92 |
$137.69 |
| G0127 |
Trimming of dystrophic nails, any number |
15 |
12 |
$129.62 |
| 82746 |
|
20 |
16 |
$125.01 |
| 73552 |
|
12 |
12 |
$114.79 |
| 82248 |
|
12 |
12 |
$111.14 |
| 95970 |
|
12 |
12 |
$104.74 |
| 84481 |
|
13 |
12 |
$96.06 |
| 82043 |
|
28 |
27 |
$87.36 |
| 80076 |
|
26 |
26 |
$78.38 |
| 76514 |
|
13 |
12 |
$72.82 |
| 93288 |
|
17 |
13 |
$71.61 |
| 73140 |
|
29 |
25 |
$69.11 |
| 82950 |
|
17 |
15 |
$62.28 |
| 99439 |
|
13 |
12 |
$60.59 |
| 77080 |
|
13 |
13 |
$49.85 |
| 87210 |
|
13 |
12 |
$48.98 |
| 82570 |
|
13 |
12 |
$48.44 |
| 90707 |
|
1,422 |
1,369 |
$47.16 |
| 99173 |
|
16 |
15 |
$35.02 |
| 84156 |
|
14 |
12 |
$27.76 |
| 36416 |
|
53 |
48 |
$24.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$18.65 |
| 76376 |
|
150 |
143 |
$16.11 |
| 98968 |
|
14 |
12 |
$7.75 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
44 |
41 |
$5.00 |
| 3074F |
|
1,233 |
1,063 |
$2.16 |
| 3077F |
|
781 |
698 |
$1.59 |
| 3075F |
|
605 |
559 |
$1.11 |
| 0071A |
|
281 |
220 |
$0.19 |
| 90716 |
|
1,356 |
1,292 |
$0.17 |
| 90700 |
|
1,441 |
1,372 |
$0.16 |
| 3078F |
|
1,299 |
1,106 |
$0.05 |
| 3080F |
|
519 |
469 |
$0.02 |
| 0004A |
|
21 |
20 |
$0.01 |
| 99000 |
|
602 |
582 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
1,081 |
979 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
157 |
128 |
$0.00 |
| 3008F |
|
819 |
794 |
$0.00 |
| 0072A |
|
154 |
109 |
$0.00 |
| 0111A |
|
48 |
33 |
$0.00 |
| 3079F |
|
915 |
833 |
$0.00 |
| 91307 |
|
33 |
32 |
$0.00 |
| 0064A |
|
35 |
26 |
$0.00 |
| 1111F |
|
28 |
25 |
$0.00 |
| 99459 |
|
47 |
45 |
$0.00 |
| 0001A |
|
14 |
12 |
$0.00 |
| 1123F |
|
21 |
16 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
704 |
643 |
$0.00 |
| D1999 |
|
52 |
36 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
23 |
23 |
$0.00 |
| 3288F |
|
111 |
95 |
$0.00 |
| 1100F |
|
81 |
77 |
$0.00 |