| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
260,754 |
239,723 |
$15.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106,402 |
99,462 |
$4.65M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26,004 |
25,430 |
$3.01M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29,565 |
28,718 |
$2.62M |
| 95715 |
|
946 |
386 |
$2.20M |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
8,871 |
8,151 |
$1.87M |
| 95819 |
|
4,342 |
4,257 |
$1.31M |
| 95911 |
|
7,367 |
5,987 |
$1.29M |
| 95886 |
|
7,658 |
6,372 |
$1.16M |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
7,996 |
7,067 |
$848K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12,589 |
12,123 |
$751K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,727 |
3,600 |
$749K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
5,188 |
5,012 |
$709K |
| J2785 |
Injection, regadenoson, 0.1 mg |
5,220 |
4,888 |
$578K |
| 93015 |
|
12,523 |
11,849 |
$539K |
| 93229 |
|
550 |
548 |
$460K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,985 |
1,930 |
$432K |
| 93970 |
|
3,369 |
3,342 |
$381K |
| 95816 |
|
1,246 |
1,229 |
$378K |
| 93880 |
|
3,247 |
3,163 |
$349K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,511 |
711 |
$295K |
| 99215 |
Prolong outpt/office vis |
3,493 |
3,335 |
$293K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
897 |
878 |
$274K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,041 |
826 |
$273K |
| 93925 |
|
1,944 |
1,928 |
$251K |
| 93000 |
|
22,247 |
21,709 |
$248K |
| 20610 |
|
6,119 |
4,931 |
$248K |
| 99233 |
Prolong inpt eval add15 m |
4,638 |
2,111 |
$241K |
| 99243 |
|
2,607 |
2,489 |
$236K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
700 |
682 |
$219K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,838 |
2,645 |
$206K |
| 99205 |
Prolong outpt/office vis |
1,712 |
1,616 |
$185K |
| 96132 |
|
1,948 |
1,886 |
$177K |
| 64483 |
|
669 |
575 |
$135K |
| 99223 |
Prolong inpt eval add15 m |
1,122 |
1,084 |
$123K |
| 99442 |
|
2,419 |
2,249 |
$116K |
| 93922 |
|
2,165 |
2,142 |
$104K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
904 |
881 |
$87K |
| 64635 |
|
393 |
271 |
$82K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,535 |
858 |
$80K |
| 95700 |
|
388 |
378 |
$80K |
| 99443 |
|
1,271 |
1,181 |
$78K |
| 95724 |
|
271 |
270 |
$73K |
| 64636 |
|
387 |
267 |
$65K |
| 43249 |
|
122 |
114 |
$63K |
| 95117 |
|
7,686 |
4,067 |
$61K |
| 31231 |
|
410 |
382 |
$58K |
| 93227 |
|
3,176 |
3,141 |
$56K |
| 93225 |
|
3,169 |
3,137 |
$55K |
| 95951 |
|
82 |
15 |
$55K |
| 96138 |
|
1,950 |
1,891 |
$49K |
| 99152 |
|
1,971 |
1,533 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,933 |
1,839 |
$43K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
416 |
361 |
$40K |
| 30140 |
|
156 |
104 |
$40K |
| 95712 |
|
13 |
13 |
$35K |
| 64721 |
|
108 |
99 |
$34K |
| 73630 |
|
1,331 |
1,220 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
720 |
712 |
$31K |
| 36475 |
|
42 |
39 |
$29K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
119 |
115 |
$27K |
| 95251 |
|
1,110 |
1,064 |
$25K |
| 73130 |
|
933 |
867 |
$24K |
| 90686 |
|
1,613 |
1,422 |
$24K |
| 92557 |
|
877 |
842 |
$24K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,761 |
4,552 |
$23K |
| 93458 |
|
118 |
114 |
$21K |
| 93295 |
|
920 |
912 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
224 |
222 |
$21K |
| 20611 |
|
284 |
261 |
$20K |
| 93298 |
|
1,199 |
1,094 |
$20K |
| 73562 |
|
827 |
783 |
$20K |
| 93296 |
|
1,613 |
1,584 |
$19K |
| 95885 |
|
202 |
198 |
$19K |
| 93923 |
|
228 |
226 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,245 |
1,076 |
$17K |
| 93978 |
|
175 |
163 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
643 |
619 |
$16K |
| 99490 |
Ccm add 20min |
1,809 |
1,786 |
$15K |
| 93971 |
|
215 |
207 |
$14K |
| 92567 |
|
1,246 |
1,198 |
$13K |
| 93228 |
|
603 |
598 |
$12K |
| 99253 |
|
136 |
134 |
$12K |
| 90682 |
|
272 |
253 |
$12K |
| S0285 |
Colonoscopy consultation performed prior to a screening colonoscopy procedure |
89 |
89 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
184 |
182 |
$12K |
| 99254 |
|
108 |
95 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,041 |
986 |
$11K |
| 93241 |
|
75 |
74 |
$11K |
| 73030 |
|
526 |
512 |
$11K |
| 93294 |
|
806 |
778 |
$11K |
| 31579 |
|
100 |
86 |
$11K |
| 95024 |
|
246 |
209 |
$10K |
| 95913 |
|
41 |
40 |
$9K |
| 95910 |
|
70 |
69 |
$9K |
| 73110 |
|
303 |
268 |
$7K |
| 93297 |
|
543 |
507 |
$7K |
| 31575 |
|
76 |
72 |
$7K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
26 |
25 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
201 |
85 |
$7K |
| 64493 |
|
45 |
37 |
$7K |
| 11721 |
|
332 |
319 |
$6K |
| 93244 |
|
305 |
305 |
$6K |
| 36482 |
|
12 |
12 |
$6K |
| 93280 |
|
208 |
207 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,182 |
1,104 |
$6K |
| 93975 |
|
25 |
24 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
21 |
21 |
$5K |
| 31237 |
|
16 |
13 |
$4K |
| 20552 |
|
130 |
119 |
$4K |
| 99441 |
|
157 |
151 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
652 |
517 |
$4K |
| 99245 |
|
23 |
22 |
$4K |
| 99385 |
|
37 |
37 |
$4K |
| 20550 |
|
90 |
86 |
$4K |
| 73600 |
|
155 |
144 |
$4K |
| 97802 |
|
42 |
41 |
$4K |
| 81002 |
|
1,391 |
1,318 |
$4K |
| 64494 |
|
43 |
36 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
416 |
414 |
$3K |
| 93242 |
|
302 |
302 |
$3K |
| 92579 |
|
97 |
89 |
$3K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
2,107 |
1,570 |
$3K |
| 93793 |
|
434 |
254 |
$3K |
| 99349 |
|
23 |
21 |
$2K |
| 93299 |
|
370 |
362 |
$2K |
| 95115 |
|
325 |
166 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
147 |
135 |
$2K |
| 90662 |
|
206 |
168 |
$2K |
| 94060 |
|
49 |
41 |
$2K |
| 85610 |
|
654 |
412 |
$2K |
| 96401 |
|
39 |
25 |
$2K |
| 69210 |
|
45 |
41 |
$2K |
| 99000 |
|
360 |
346 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,082 |
2,663 |
$1K |
| 95909 |
|
14 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
528 |
489 |
$1K |
| 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 |
384 |
340 |
$1K |
| 64495 |
|
18 |
13 |
$1K |
| 98967 |
|
62 |
59 |
$1K |
| 11750 |
|
14 |
13 |
$1K |
| 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) |
28 |
28 |
$1K |
| 99494 |
|
38 |
38 |
$1K |
| J3490 |
Unclassified drugs |
47 |
37 |
$1K |
| 82962 |
|
819 |
673 |
$1K |
| 81025 |
|
194 |
178 |
$1K |
| 93016 |
|
82 |
80 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$1K |
| 80305 |
|
333 |
263 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,000 |
1,647 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
35 |
$1K |
| 93018 |
|
82 |
80 |
$816.42 |
| 81003 |
|
766 |
698 |
$807.81 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
41 |
27 |
$766.75 |
| 99242 |
|
16 |
16 |
$717.49 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
160 |
135 |
$655.50 |
| 20526 |
|
13 |
12 |
$639.65 |
| 51798 |
|
57 |
55 |
$473.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
359 |
344 |
$432.13 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,321 |
3,460 |
$406.47 |
| 98968 |
|
12 |
12 |
$405.85 |
| 90673 |
|
12 |
12 |
$392.67 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,211 |
1,830 |
$367.12 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$354.66 |
| 90674 |
|
15 |
15 |
$345.41 |
| 98925 |
|
14 |
12 |
$320.44 |
| 11720 |
|
14 |
14 |
$286.97 |
| A9578 |
Injection, gadobenate dimeglumine (multihance multipack), per ml |
156 |
138 |
$246.72 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
26 |
26 |
$225.42 |
| 90688 |
|
13 |
13 |
$207.82 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
16 |
$183.02 |
| 92587 |
|
12 |
12 |
$177.99 |
| G0008 |
Administration of influenza virus vaccine |
271 |
225 |
$159.36 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
114 |
66 |
$149.88 |
| 95012 |
|
15 |
12 |
$129.30 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
37 |
32 |
$112.62 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
526 |
482 |
$95.75 |
| 86580 |
|
18 |
18 |
$95.02 |
| 1036F |
|
14,646 |
12,890 |
$70.48 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
28 |
$64.60 |
| 99457 |
|
28 |
24 |
$56.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$29.10 |
| 82948 |
|
15 |
14 |
$25.25 |
| 3008F |
|
34,713 |
30,745 |
$3.05 |
| 3725F |
|
6,444 |
6,036 |
$1.47 |
| 3074F |
|
17,038 |
15,619 |
$1.03 |
| 1159F |
|
23,625 |
20,898 |
$0.83 |
| 1160F |
|
30,422 |
26,943 |
$0.82 |
| 3078F |
|
10,033 |
9,343 |
$0.55 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$0.44 |
| 99499 |
|
91 |
85 |
$0.18 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,996 |
4,859 |
$0.12 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,797 |
4,702 |
$0.11 |
| 1126F |
|
1,141 |
1,061 |
$0.06 |
| 3079F |
|
10,680 |
9,786 |
$0.04 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
201 |
158 |
$0.02 |
| 1125F |
|
754 |
723 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,701 |
1,375 |
$0.01 |
| 2010F |
|
3,522 |
2,801 |
$0.00 |
| 3044F |
|
761 |
589 |
$0.00 |
| 3075F |
|
2,303 |
2,145 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
474 |
358 |
$0.00 |
| 99024 |
|
162 |
147 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,163 |
888 |
$0.00 |
| 3017F |
|
160 |
131 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,772 |
1,356 |
$0.00 |
| 3080F |
|
372 |
343 |
$0.00 |
| 1034F |
|
542 |
454 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
88 |
70 |
$0.00 |
| 3014F |
|
92 |
64 |
$0.00 |
| 3072F |
|
184 |
111 |
$0.00 |
| 1111F |
|
108 |
99 |
$0.00 |
| 4010F |
|
14 |
13 |
$0.00 |
| 3077F |
|
1,021 |
928 |
$0.00 |
| 4013F |
|
382 |
329 |
$0.00 |
| 3016F |
|
22 |
13 |
$0.00 |
| 3288F |
|
269 |
254 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
342 |
296 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
80 |
54 |
$0.00 |
| 3045F |
|
21 |
12 |
$0.00 |
| 2022F |
|
23 |
13 |
$0.00 |