| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91,323 |
86,330 |
$5.67M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
22,025 |
20,066 |
$2.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,256 |
20,839 |
$1.90M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27,892 |
26,616 |
$1.26M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,477 |
11,544 |
$1.01M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
10,110 |
9,917 |
$887K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46,016 |
43,216 |
$825K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,821 |
10,777 |
$517K |
| 90686 |
|
36,340 |
35,388 |
$467K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,225 |
4,124 |
$449K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,166 |
1,923 |
$404K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,195 |
3,109 |
$379K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
4,231 |
1,245 |
$345K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,485 |
1,394 |
$339K |
| 71046 |
Radiologic examination, chest; 2 views |
11,847 |
11,391 |
$321K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,364 |
3,266 |
$300K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,714 |
4,101 |
$291K |
| 91320 |
|
3,573 |
3,509 |
$276K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,476 |
1,364 |
$274K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,053 |
1,002 |
$248K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,585 |
2,486 |
$238K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,217 |
2,152 |
$232K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,975 |
1,923 |
$231K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
634 |
597 |
$214K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,391 |
5,144 |
$210K |
| 99442 |
|
3,942 |
3,801 |
$200K |
| 95800 |
|
1,670 |
1,599 |
$194K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
384 |
362 |
$168K |
| 0002A |
|
5,078 |
4,906 |
$168K |
| 90480 |
|
4,511 |
4,432 |
$167K |
| 0001A |
|
5,074 |
4,924 |
$161K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,712 |
1,658 |
$148K |
| 73221 |
|
852 |
736 |
$133K |
| 72141 |
|
492 |
459 |
$112K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,077 |
3,552 |
$107K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,794 |
3,013 |
$96K |
| 0012A |
|
2,487 |
2,389 |
$78K |
| 0011A |
|
2,422 |
2,320 |
$68K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
96 |
88 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,203 |
5,056 |
$65K |
| 90656 |
|
5,624 |
5,544 |
$65K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
986 |
225 |
$57K |
| 0124A |
|
1,384 |
1,349 |
$54K |
| 0072A |
|
1,108 |
1,042 |
$54K |
| 0071A |
|
1,171 |
1,048 |
$53K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
488 |
445 |
$53K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
809 |
772 |
$51K |
| 77080 |
|
1,787 |
1,748 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,958 |
2,851 |
$46K |
| 99441 |
|
1,556 |
1,498 |
$45K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
623 |
564 |
$42K |
| 76642 |
|
774 |
654 |
$42K |
| 90461 |
|
5,183 |
4,977 |
$36K |
| 90677 |
|
724 |
702 |
$35K |
| 76830 |
Ultrasound, transvaginal |
472 |
450 |
$33K |
| 0064A |
|
1,073 |
1,028 |
$31K |
| 73630 |
|
1,389 |
1,332 |
$30K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
510 |
491 |
$29K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,413 |
4,094 |
$28K |
| 0004A |
|
852 |
838 |
$26K |
| 64615 |
|
321 |
315 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
906 |
856 |
$26K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
132 |
127 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
425 |
413 |
$24K |
| 71250 |
|
244 |
236 |
$23K |
| 90670 |
|
507 |
490 |
$23K |
| 73560 |
|
1,205 |
959 |
$23K |
| 73565 |
|
933 |
899 |
$20K |
| 95117 |
|
1,631 |
1,023 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
272 |
266 |
$16K |
| 92567 |
|
1,443 |
1,366 |
$16K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
95 |
89 |
$15K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
818 |
779 |
$15K |
| 73610 |
|
545 |
468 |
$13K |
| 92227 |
|
1,564 |
1,521 |
$12K |
| 77066 |
Tomosynthesis, mammo |
107 |
103 |
$11K |
| 73110 |
|
297 |
261 |
$9K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
157 |
151 |
$9K |
| 0054A |
|
270 |
233 |
$8K |
| 73030 |
|
397 |
354 |
$8K |
| 99460 |
|
117 |
112 |
$8K |
| 90651 |
|
160 |
151 |
$7K |
| 77072 |
|
322 |
317 |
$7K |
| 92557 |
|
316 |
300 |
$7K |
| 92002 |
|
101 |
96 |
$7K |
| 71271 |
|
59 |
56 |
$6K |
| 90648 |
|
1,314 |
1,272 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
154 |
50 |
$5K |
| 93000 |
|
315 |
309 |
$5K |
| 92134 |
|
270 |
255 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
71 |
58 |
$4K |
| 72100 |
|
141 |
138 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
37 |
$4K |
| 81329 |
|
75 |
66 |
$4K |
| 99404 |
|
63 |
63 |
$4K |
| 97161 |
|
97 |
97 |
$4K |
| 99478 |
|
31 |
14 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
56 |
39 |
$4K |
| 73130 |
|
140 |
131 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
25 |
$3K |
| 99152 |
|
109 |
105 |
$3K |
| 99215 |
Prolong outpt/office vis |
44 |
40 |
$3K |
| 90723 |
|
327 |
312 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
43 |
37 |
$2K |
| 90662 |
|
614 |
591 |
$2K |
| 90679 |
|
18 |
18 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
29 |
25 |
$2K |
| 77065 |
Tomosynthesis, mammo |
27 |
26 |
$2K |
| 0031A |
|
84 |
79 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
45 |
38 |
$2K |
| 0003A |
|
53 |
48 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
30 |
27 |
$2K |
| 92587 |
|
56 |
54 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
103 |
$1K |
| 0134A |
|
29 |
29 |
$1K |
| 70486 |
|
13 |
12 |
$1K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
16 |
15 |
$1K |
| 90734 |
|
24 |
24 |
$1K |
| 73140 |
|
39 |
37 |
$1K |
| 93971 |
|
15 |
13 |
$1K |
| 88720 |
|
235 |
202 |
$1K |
| 72040 |
|
43 |
42 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18 |
17 |
$998.20 |
| 0052A |
|
20 |
20 |
$967.73 |
| V2020 |
Frames, purchases |
26 |
26 |
$927.42 |
| 73502 |
|
30 |
28 |
$854.51 |
| 97165 |
|
16 |
12 |
$838.70 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
17 |
17 |
$817.47 |
| 0053A |
|
13 |
13 |
$741.24 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
12 |
$713.08 |
| 90633 |
|
51 |
50 |
$713.00 |
| 59025 |
Fetal non-stress test |
21 |
12 |
$650.39 |
| 97162 |
|
12 |
12 |
$583.10 |
| 96381 |
|
25 |
25 |
$552.57 |
| 90710 |
|
12 |
12 |
$542.00 |
| 99422 |
|
124 |
122 |
$534.00 |
| 11721 |
|
28 |
26 |
$470.57 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
13 |
$450.00 |
| 91200 |
|
17 |
17 |
$419.40 |
| 92015 |
Determination of refractive state |
13 |
13 |
$403.00 |
| 96040 |
|
46 |
40 |
$386.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
28 |
$357.83 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
51 |
26 |
$357.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
15 |
12 |
$343.44 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
38 |
36 |
$343.12 |
| 20610 |
|
13 |
13 |
$265.25 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
569 |
544 |
$258.00 |
| 93272 |
|
13 |
13 |
$194.40 |
| 81025 |
|
25 |
25 |
$192.35 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
163 |
158 |
$174.01 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
25 |
24 |
$137.12 |
| 90681 |
|
16 |
13 |
$115.00 |
| 81002 |
|
39 |
38 |
$112.58 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
16 |
14 |
$105.60 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
179 |
158 |
$74.63 |
| 93270 |
|
13 |
13 |
$70.48 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
386 |
359 |
$64.32 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
30 |
30 |
$52.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
117 |
113 |
$43.86 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
14 |
$30.24 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
49 |
42 |
$14.03 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
791 |
782 |
$0.00 |
| 91301 |
|
4,960 |
4,810 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
269 |
156 |
$0.00 |
| 91303 |
|
61 |
57 |
$0.00 |
| 91307 |
|
409 |
369 |
$0.00 |
| 91306 |
|
345 |
337 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
26 |
13 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
18 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
38 |
37 |
$0.00 |
| 91300 |
|
10,367 |
9,640 |
$0.00 |
| 0502F |
|
2,553 |
2,007 |
$0.00 |
| 99421 |
|
26 |
25 |
$0.00 |
| 98940 |
|
74 |
44 |
$0.00 |