| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
117,632 |
88,215 |
$9.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70,040 |
58,953 |
$4.87M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
20,699 |
16,778 |
$2.83M |
| 99215 |
Prolong outpt/office vis |
28,405 |
23,315 |
$2.78M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
35,768 |
34,320 |
$2.64M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39,323 |
17,439 |
$2.56M |
| 99233 |
Prolong inpt eval add15 m |
19,751 |
7,607 |
$1.92M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
18,948 |
15,581 |
$1.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,875 |
25,754 |
$1.35M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15,032 |
12,238 |
$1.10M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,857 |
2,288 |
$870K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,062 |
5,897 |
$850K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
23,678 |
19,130 |
$791K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
9,237 |
7,653 |
$653K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
4,691 |
3,523 |
$505K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
50,833 |
40,403 |
$491K |
| 01922 |
|
2,306 |
1,808 |
$461K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,210 |
4,453 |
$430K |
| 71045 |
Radiologic examination, chest; single view |
67,694 |
31,675 |
$413K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,744 |
2,341 |
$389K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,618 |
5,694 |
$374K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,833 |
4,195 |
$349K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,320 |
2,052 |
$304K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,236 |
2,039 |
$293K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,076 |
2,532 |
$284K |
| 74018 |
|
44,856 |
24,188 |
$254K |
| 99243 |
|
3,926 |
2,754 |
$245K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
11,515 |
9,073 |
$234K |
| 94375 |
|
13,773 |
11,531 |
$221K |
| 95720 |
|
1,158 |
626 |
$197K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,828 |
13,598 |
$188K |
| 88304 |
|
8,792 |
7,785 |
$182K |
| 93320 |
|
19,289 |
15,798 |
$181K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,940 |
2,233 |
$164K |
| 80053 |
Comprehensive metabolic panel |
21,058 |
12,725 |
$163K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,741 |
1,333 |
$161K |
| 71046 |
Radiologic examination, chest; 2 views |
20,861 |
17,647 |
$160K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13,142 |
11,189 |
$160K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,484 |
3,717 |
$152K |
| 99460 |
|
2,200 |
1,742 |
$133K |
| 76770 |
|
4,959 |
4,159 |
$132K |
| 99205 |
Prolong outpt/office vis |
700 |
649 |
$131K |
| 95782 |
|
857 |
767 |
$115K |
| 93325 |
|
27,763 |
22,031 |
$95K |
| 95951 |
|
295 |
198 |
$88K |
| 00731 |
|
1,055 |
796 |
$87K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,131 |
931 |
$85K |
| 82948 |
|
2,322 |
2,242 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,075 |
797 |
$77K |
| 99219 |
|
860 |
537 |
$64K |
| 88300 |
|
3,006 |
2,882 |
$63K |
| 99245 |
|
390 |
338 |
$63K |
| 74019 |
|
7,080 |
6,128 |
$62K |
| 90670 |
|
3,130 |
2,053 |
$61K |
| 82805 |
|
8,942 |
2,153 |
$53K |
| 93227 |
|
2,298 |
1,955 |
$49K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,305 |
4,455 |
$46K |
| 99254 |
|
511 |
345 |
$44K |
| 93244 |
|
1,904 |
1,544 |
$43K |
| 64642 |
|
339 |
270 |
$41K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
350 |
330 |
$37K |
| 76506 |
|
1,606 |
1,099 |
$36K |
| 90461 |
|
5,137 |
3,004 |
$36K |
| 95816 |
|
582 |
487 |
$29K |
| 82785 |
|
1,393 |
1,358 |
$29K |
| 90686 |
|
4,663 |
4,221 |
$28K |
| 99252 |
|
650 |
505 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
135 |
129 |
$26K |
| 80069 |
|
3,686 |
1,277 |
$26K |
| 99217 |
|
771 |
450 |
$24K |
| 95819 |
|
522 |
390 |
$24K |
| 93976 |
|
532 |
433 |
$23K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
133 |
29 |
$21K |
| 74230 |
|
1,127 |
1,073 |
$21K |
| 99253 |
|
213 |
197 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
325 |
244 |
$20K |
| 99255 |
|
77 |
75 |
$19K |
| 88342 |
|
1,128 |
895 |
$19K |
| 87486 |
|
2,583 |
2,323 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
369 |
351 |
$17K |
| 93356 |
|
1,591 |
1,000 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
294 |
180 |
$16K |
| 83020 |
|
3,713 |
2,791 |
$14K |
| 87497 |
|
1,372 |
895 |
$14K |
| 76825 |
|
219 |
191 |
$13K |
| 82375 |
|
3,208 |
1,351 |
$13K |
| 82962 |
|
7,256 |
6,333 |
$13K |
| 86003 |
|
1,261 |
1,243 |
$12K |
| 93304 |
|
335 |
190 |
$11K |
| 88341 |
|
182 |
157 |
$10K |
| 88291 |
|
593 |
407 |
$10K |
| 88313 |
|
584 |
501 |
$10K |
| 99221 |
|
112 |
102 |
$10K |
| 70360 |
|
1,621 |
1,296 |
$9K |
| 64643 |
|
142 |
109 |
$9K |
| 92558 |
|
1,649 |
1,456 |
$9K |
| 99220 |
|
53 |
52 |
$9K |
| 72141 |
|
83 |
75 |
$9K |
| 88108 |
|
454 |
363 |
$8K |
| 00920 |
|
190 |
125 |
$7K |
| 81001 |
|
3,608 |
3,152 |
$7K |
| 95718 |
|
43 |
30 |
$7K |
| 85390 |
|
499 |
238 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
302 |
196 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,937 |
5,375 |
$7K |
| 99024 |
|
919 |
286 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
824 |
580 |
$6K |
| 85060 |
|
445 |
346 |
$6K |
| 87040 |
|
4,497 |
3,163 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
105 |
97 |
$6K |
| 90633 |
|
300 |
251 |
$5K |
| 93308 |
|
163 |
97 |
$5K |
| 90648 |
|
628 |
493 |
$5K |
| 82247 |
|
3,554 |
1,111 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
106 |
24 |
$5K |
| 88307 |
|
85 |
54 |
$5K |
| 76377 |
|
572 |
422 |
$4K |
| 88237 |
|
57 |
57 |
$4K |
| 95811 |
|
39 |
38 |
$4K |
| 96116 |
|
96 |
85 |
$4K |
| 90723 |
|
219 |
204 |
$4K |
| 77072 |
|
646 |
520 |
$4K |
| 88230 |
|
71 |
70 |
$4K |
| 83735 |
|
8,988 |
3,072 |
$4K |
| 31622 |
|
12 |
12 |
$4K |
| 86160 |
|
608 |
584 |
$4K |
| 86355 |
|
658 |
610 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
66 |
51 |
$3K |
| 76536 |
|
197 |
153 |
$3K |
| 87529 |
|
418 |
351 |
$3K |
| 87186 |
|
2,173 |
1,830 |
$3K |
| 87045 |
|
380 |
370 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
401 |
388 |
$3K |
| 96409 |
|
57 |
49 |
$3K |
| 85097 |
|
26 |
26 |
$3K |
| 87581 |
|
2,577 |
2,318 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,575 |
2,314 |
$3K |
| 73610 |
|
435 |
348 |
$3K |
| 99462 |
|
120 |
81 |
$3K |
| 80197 |
|
1,982 |
619 |
$3K |
| 70544 |
|
42 |
28 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
37 |
36 |
$2K |
| 96121 |
|
74 |
64 |
$2K |
| 72082 |
|
223 |
191 |
$2K |
| 84100 |
|
7,819 |
2,653 |
$2K |
| 87177 |
|
223 |
215 |
$2K |
| 86140 |
|
6,099 |
4,003 |
$2K |
| 00813 |
|
12 |
12 |
$2K |
| 76376 |
|
281 |
247 |
$2K |
| 83605 |
|
3,917 |
1,495 |
$2K |
| 73630 |
|
386 |
306 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
729 |
704 |
$2K |
| 88312 |
|
400 |
353 |
$2K |
| 93321 |
|
971 |
623 |
$2K |
| 87205 |
|
3,660 |
3,029 |
$2K |
| 96450 |
|
17 |
12 |
$2K |
| 87102 |
|
292 |
260 |
$2K |
| 83540 |
|
871 |
829 |
$2K |
| 80202 |
|
539 |
303 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
25 |
$2K |
| 99188 |
|
137 |
122 |
$2K |
| 76827 |
|
265 |
202 |
$2K |
| 70486 |
|
40 |
40 |
$2K |
| 85045 |
|
3,492 |
2,166 |
$2K |
| 99251 |
|
77 |
67 |
$2K |
| 96150 |
|
62 |
60 |
$1K |
| 87184 |
|
688 |
657 |
$1K |
| 82248 |
|
3,570 |
1,114 |
$1K |
| 85730 |
|
2,453 |
1,510 |
$1K |
| 85652 |
|
3,078 |
2,719 |
$1K |
| 84157 |
|
744 |
484 |
$1K |
| 86663 |
|
170 |
168 |
$1K |
| 85576 |
|
669 |
140 |
$1K |
| 73090 |
|
235 |
191 |
$1K |
| 80076 |
|
619 |
467 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
50 |
$1K |
| 74240 |
|
44 |
37 |
$1K |
| 82533 |
|
552 |
502 |
$1K |
| 92551 |
|
551 |
282 |
$1K |
| 88189 |
|
14 |
12 |
$1K |
| 86376 |
|
555 |
546 |
$1K |
| 83655 |
|
13 |
13 |
$1K |
| 99218 |
|
56 |
17 |
$1K |
| 85384 |
|
1,153 |
478 |
$998.69 |
| 90656 |
|
442 |
435 |
$988.12 |
| 86255 |
|
409 |
280 |
$972.64 |
| 93294 |
|
29 |
25 |
$955.48 |
| 99173 |
|
1,395 |
957 |
$919.28 |
| 82310 |
|
410 |
363 |
$919.12 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
726 |
701 |
$909.58 |
| 87181 |
|
321 |
287 |
$885.80 |
| 73560 |
|
198 |
111 |
$837.21 |
| 82330 |
|
401 |
248 |
$830.17 |
| 87641 |
|
262 |
252 |
$793.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$779.07 |
| 87116 |
|
338 |
296 |
$761.78 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
48 |
$760.20 |
| 81025 |
|
104 |
103 |
$753.18 |
| 80184 |
|
300 |
134 |
$721.58 |
| 83050 |
|
3,329 |
1,294 |
$686.27 |
| 80195 |
|
727 |
333 |
$673.79 |
| 51600 |
|
12 |
12 |
$657.41 |
| 82140 |
|
360 |
269 |
$651.78 |
| 86880 |
|
1,073 |
1,011 |
$641.39 |
| 72170 |
|
85 |
78 |
$640.94 |
| 87420 |
|
268 |
251 |
$626.32 |
| 93295 |
|
13 |
13 |
$626.18 |
| 86480 |
|
83 |
80 |
$620.75 |
| 86147 |
|
58 |
55 |
$616.39 |
| 86162 |
|
488 |
474 |
$607.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
170 |
167 |
$604.04 |
| 73130 |
|
85 |
78 |
$596.96 |
| 93000 |
|
39 |
36 |
$578.88 |
| 83970 |
|
309 |
286 |
$574.45 |
| 70250 |
|
59 |
55 |
$559.81 |
| 90685 |
|
66 |
26 |
$558.30 |
| 93242 |
|
324 |
215 |
$545.50 |
| 76882 |
|
33 |
25 |
$492.36 |
| 0072A |
|
32 |
24 |
$488.48 |
| 36416 |
|
12 |
12 |
$463.36 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$455.93 |
| 85018 |
|
279 |
256 |
$452.82 |
| 84466 |
|
813 |
774 |
$447.71 |
| 82435 |
|
2,067 |
977 |
$435.21 |
| 82977 |
|
989 |
757 |
$420.16 |
| 86648 |
|
299 |
283 |
$418.96 |
| 80170 |
|
133 |
120 |
$411.03 |
| 90651 |
|
122 |
49 |
$396.50 |
| 85520 |
|
239 |
96 |
$375.07 |
| 86800 |
|
483 |
479 |
$371.81 |
| 76885 |
|
15 |
13 |
$359.21 |
| 0071A |
|
28 |
25 |
$359.13 |
| 84295 |
|
2,677 |
1,116 |
$357.31 |
| 86360 |
|
655 |
609 |
$351.23 |
| 84132 |
|
2,666 |
1,208 |
$340.66 |
| 89051 |
|
1,099 |
741 |
$333.38 |
| 85379 |
|
355 |
242 |
$297.45 |
| 84484 |
|
240 |
197 |
$295.75 |
| 93018 |
|
21 |
16 |
$283.01 |
| 86665 |
|
171 |
169 |
$277.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$276.01 |
| 93596 |
|
50 |
27 |
$251.93 |
| 86774 |
|
304 |
288 |
$231.48 |
| 80164 |
|
163 |
132 |
$215.56 |
| 86308 |
|
169 |
168 |
$214.06 |
| 88311 |
|
25 |
24 |
$197.07 |
| 85049 |
|
301 |
166 |
$183.87 |
| 95251 |
|
622 |
539 |
$168.86 |
| 62322 |
|
95 |
43 |
$158.61 |
| 84300 |
|
432 |
221 |
$157.56 |
| 86644 |
|
13 |
13 |
$155.67 |
| 90732 |
|
14 |
13 |
$138.12 |
| 86357 |
|
652 |
606 |
$128.61 |
| 86664 |
|
170 |
168 |
$114.85 |
| 87046 |
|
380 |
370 |
$106.90 |
| 86359 |
|
655 |
608 |
$105.49 |
| 88302 |
|
12 |
12 |
$103.30 |
| 80320 |
|
122 |
121 |
$97.37 |
| 73140 |
|
58 |
24 |
$94.89 |
| 87328 |
|
245 |
236 |
$93.18 |
| 87329 |
|
246 |
237 |
$88.40 |
| 88271 |
|
48 |
48 |
$87.68 |
| 87206 |
|
354 |
312 |
$87.10 |
| 76870 |
|
12 |
12 |
$83.56 |
| 76937 |
|
52 |
51 |
$71.36 |
| 70220 |
|
51 |
12 |
$71.16 |
| 85525 |
|
83 |
58 |
$70.18 |
| 82438 |
|
42 |
40 |
$58.57 |
| 84134 |
|
34 |
26 |
$53.36 |
| 88264 |
|
14 |
14 |
$52.70 |
| 74455 |
|
12 |
12 |
$40.40 |
| 86356 |
|
49 |
49 |
$39.28 |
| 87252 |
|
15 |
12 |
$38.90 |
| 80329 |
|
126 |
124 |
$38.27 |
| 82947 |
|
35 |
32 |
$35.73 |
| 87449 |
|
12 |
12 |
$26.94 |
| 88274 |
|
30 |
30 |
$25.43 |
| 82044 |
|
21 |
12 |
$20.76 |
| 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) |
661 |
616 |
$17.26 |
| 84460 |
|
44 |
36 |
$16.40 |
| 96127 |
|
44 |
16 |
$13.89 |
| 89230 |
|
55 |
51 |
$12.78 |
| 82436 |
|
13 |
12 |
$12.20 |
| 86430 |
|
42 |
42 |
$11.69 |
| 88280 |
|
14 |
14 |
$10.85 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$7.20 |
| 81003 |
|
27 |
25 |
$6.36 |
| 82340 |
|
14 |
12 |
$4.56 |
| 84133 |
|
16 |
14 |
$3.33 |
| 90697 |
|
289 |
275 |
$0.00 |
| 90677 |
|
208 |
199 |
$0.00 |
| 91307 |
|
110 |
75 |
$0.00 |
| 99140 |
|
57 |
45 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
68 |
59 |
$0.00 |
| 90698 |
|
17 |
13 |
$0.00 |
| 90671 |
|
167 |
158 |
$0.00 |
| 90681 |
|
245 |
142 |
$0.00 |
| 99177 |
|
48 |
38 |
$0.00 |
| 99100 |
|
12 |
12 |
$0.00 |
| 93225 |
|
34 |
28 |
$0.00 |
| 0296T |
|
12 |
12 |
$0.00 |