| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98,504 |
88,891 |
$8.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116,256 |
105,164 |
$8.47M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
23,964 |
22,841 |
$2.67M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35,456 |
13,820 |
$1.84M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,750 |
10,158 |
$1.60M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23,795 |
22,734 |
$1.55M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,869 |
7,366 |
$814K |
| 99215 |
Prolong outpt/office vis |
5,854 |
5,068 |
$663K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,420 |
5,180 |
$622K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15,224 |
10,286 |
$600K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,896 |
4,440 |
$528K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,326 |
5,939 |
$522K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,431 |
9,976 |
$518K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,593 |
1,497 |
$517K |
| 99223 |
Prolong inpt eval add15 m |
3,016 |
2,792 |
$437K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,770 |
2,609 |
$405K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,437 |
3,226 |
$368K |
| 95811 |
|
1,079 |
1,025 |
$355K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,920 |
1,150 |
$334K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,686 |
5,307 |
$307K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,195 |
3,004 |
$277K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
408 |
372 |
$273K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,254 |
2,150 |
$260K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
35,352 |
31,596 |
$234K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,857 |
4,607 |
$228K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
1,636 |
1,249 |
$222K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,433 |
2,210 |
$200K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,219 |
4,707 |
$183K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,545 |
6,064 |
$175K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,654 |
3,527 |
$150K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,841 |
1,714 |
$132K |
| 99233 |
Prolong inpt eval add15 m |
1,615 |
963 |
$131K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,583 |
1,393 |
$129K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,057 |
2,539 |
$122K |
| 71045 |
Radiologic examination, chest; single view |
15,704 |
12,943 |
$120K |
| 94060 |
|
3,859 |
3,599 |
$119K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,359 |
1,311 |
$108K |
| 71046 |
Radiologic examination, chest; 2 views |
10,437 |
9,649 |
$106K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,404 |
1,359 |
$105K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,104 |
1,744 |
$101K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,700 |
4,492 |
$95K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
717 |
649 |
$94K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,110 |
2,740 |
$94K |
| 88342 |
|
3,320 |
3,054 |
$93K |
| 00731 |
|
635 |
604 |
$86K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,286 |
2,212 |
$86K |
| 90962 |
|
1,092 |
1,030 |
$84K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,176 |
1,108 |
$80K |
| 99205 |
Prolong outpt/office vis |
361 |
341 |
$72K |
| 99221 |
|
805 |
773 |
$69K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,297 |
2,222 |
$67K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,669 |
830 |
$63K |
| 99220 |
|
707 |
492 |
$62K |
| 11721 |
|
3,797 |
3,398 |
$60K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
437 |
415 |
$59K |
| 88307 |
|
723 |
582 |
$55K |
| 90961 |
|
661 |
634 |
$51K |
| 90670 |
|
2,675 |
2,570 |
$50K |
| 64510 |
|
391 |
262 |
$49K |
| 90461 |
|
4,751 |
4,580 |
$46K |
| 96127 |
|
5,277 |
4,760 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
334 |
312 |
$40K |
| 90837 |
Psychotherapy, 53 minutes with patient |
417 |
176 |
$39K |
| 92567 |
|
3,573 |
3,205 |
$37K |
| 92557 |
|
1,520 |
1,393 |
$37K |
| 73630 |
|
1,854 |
1,726 |
$34K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
460 |
419 |
$33K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
36 |
26 |
$33K |
| 20611 |
|
440 |
349 |
$30K |
| 92587 |
|
2,009 |
1,764 |
$29K |
| 99306 |
Prolong nursin fac eval 15m |
411 |
372 |
$27K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
784 |
706 |
$27K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
135 |
111 |
$26K |
| 90686 |
|
6,437 |
6,228 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,791 |
1,522 |
$23K |
| 99460 |
|
195 |
192 |
$22K |
| 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) |
1,636 |
1,373 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
831 |
808 |
$22K |
| 76942 |
|
393 |
254 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
215 |
192 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
139 |
139 |
$20K |
| 92579 |
|
650 |
563 |
$20K |
| 88304 |
|
1,544 |
1,371 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
381 |
295 |
$18K |
| 99310 |
Prolong nursin fac eval 15m |
368 |
330 |
$18K |
| 27096 |
|
190 |
175 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
304 |
289 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,171 |
1,066 |
$17K |
| 17110 |
|
178 |
160 |
$16K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
346 |
325 |
$16K |
| 96132 |
|
138 |
126 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
198 |
186 |
$15K |
| 99307 |
|
992 |
782 |
$14K |
| 95886 |
|
172 |
157 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
636 |
601 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
476 |
439 |
$13K |
| 31575 |
|
132 |
122 |
$12K |
| 99443 |
|
86 |
83 |
$12K |
| 94726 |
|
414 |
381 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
767 |
705 |
$11K |
| 11056 |
|
338 |
307 |
$11K |
| 94729 |
|
400 |
367 |
$11K |
| 95913 |
|
59 |
50 |
$11K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
84 |
80 |
$11K |
| 99442 |
|
100 |
95 |
$10K |
| 20610 |
|
316 |
295 |
$10K |
| 90710 |
|
260 |
250 |
$9K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
63 |
12 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
130 |
129 |
$9K |
| 90723 |
|
1,405 |
1,339 |
$8K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
32 |
25 |
$8K |
| 29581 |
|
365 |
97 |
$8K |
| 80305 |
|
663 |
573 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
59 |
54 |
$7K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
38 |
37 |
$7K |
| 90680 |
|
995 |
973 |
$7K |
| 99152 |
|
605 |
500 |
$7K |
| 99383 |
|
48 |
48 |
$7K |
| 64615 |
|
58 |
54 |
$7K |
| 90836 |
|
76 |
63 |
$7K |
| 81002 |
|
2,248 |
2,090 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
174 |
150 |
$7K |
| 73610 |
|
744 |
684 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
607 |
580 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
90 |
27 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
136 |
134 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
26 |
25 |
$5K |
| 11750 |
|
31 |
26 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$5K |
| 77002 |
|
168 |
161 |
$5K |
| 93018 |
|
521 |
417 |
$4K |
| 99217 |
|
87 |
69 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
118 |
101 |
$4K |
| 93350 |
|
82 |
68 |
$4K |
| 73130 |
|
462 |
427 |
$4K |
| 99173 |
|
1,210 |
1,160 |
$4K |
| 90651 |
|
96 |
91 |
$4K |
| 74018 |
|
486 |
438 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
96 |
39 |
$4K |
| 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) |
72 |
62 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
88 |
84 |
$4K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
17 |
15 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
36 |
36 |
$4K |
| 96156 |
|
73 |
57 |
$4K |
| 99219 |
|
46 |
36 |
$4K |
| 73030 |
|
335 |
322 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
224 |
190 |
$4K |
| 11100 |
|
45 |
41 |
$4K |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
15 |
14 |
$3K |
| 95012 |
|
189 |
160 |
$3K |
| 73110 |
|
377 |
350 |
$3K |
| 88142 |
|
174 |
157 |
$3K |
| 90647 |
|
1,306 |
1,262 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
15 |
15 |
$3K |
| 76830 |
Ultrasound, transvaginal |
76 |
75 |
$3K |
| 88112 |
|
142 |
112 |
$3K |
| 72100 |
|
273 |
267 |
$3K |
| 99382 |
|
19 |
19 |
$3K |
| 82962 |
|
884 |
806 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
26 |
26 |
$3K |
| 71250 |
|
70 |
65 |
$3K |
| 90633 |
|
520 |
498 |
$3K |
| 99218 |
|
26 |
26 |
$2K |
| 73562 |
|
252 |
243 |
$2K |
| 81025 |
|
270 |
262 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
29 |
27 |
$2K |
| 93227 |
|
107 |
95 |
$2K |
| 95911 |
|
14 |
12 |
$2K |
| 11055 |
|
55 |
49 |
$2K |
| 64635 |
|
14 |
12 |
$2K |
| 64493 |
|
25 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
346 |
332 |
$2K |
| 87634 |
|
28 |
27 |
$2K |
| 99417 |
Prolong home eval add 15m |
27 |
25 |
$2K |
| 99497 |
|
46 |
41 |
$2K |
| 81003 |
|
797 |
633 |
$2K |
| 95806 |
|
12 |
12 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
223 |
193 |
$1K |
| 64494 |
|
43 |
25 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
31 |
13 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
42 |
26 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 62323 |
|
13 |
13 |
$1K |
| 81001 |
|
397 |
362 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
80 |
70 |
$1K |
| 88341 |
|
27 |
25 |
$1K |
| 72141 |
|
12 |
12 |
$1K |
| 43235 |
|
15 |
13 |
$1K |
| 90734 |
|
25 |
25 |
$974.00 |
| 76770 |
|
30 |
30 |
$966.10 |
| 76820 |
|
32 |
26 |
$957.95 |
| 95251 |
|
26 |
24 |
$843.73 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$833.49 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
170 |
135 |
$805.49 |
| 90656 |
|
253 |
251 |
$762.59 |
| 90688 |
|
90 |
88 |
$677.92 |
| 93971 |
|
25 |
25 |
$636.64 |
| 64636 |
|
15 |
12 |
$584.24 |
| 99406 |
|
40 |
39 |
$575.49 |
| 51798 |
|
42 |
39 |
$542.21 |
| 85060 |
|
25 |
24 |
$533.57 |
| 11102 |
|
13 |
13 |
$530.71 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
64 |
61 |
$476.28 |
| 93000 |
|
28 |
24 |
$405.02 |
| 11045 |
|
17 |
12 |
$397.81 |
| 76536 |
|
13 |
13 |
$376.85 |
| 97597 |
|
13 |
12 |
$371.92 |
| 17000 |
|
12 |
12 |
$340.47 |
| 80053 |
Comprehensive metabolic panel |
40 |
36 |
$307.94 |
| 92555 |
|
14 |
14 |
$278.64 |
| 90677 |
|
39 |
37 |
$251.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
183 |
169 |
$214.25 |
| 96161 |
|
92 |
66 |
$206.34 |
| 90700 |
|
31 |
27 |
$203.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$192.60 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
108 |
24 |
$191.79 |
| 72110 |
|
19 |
16 |
$172.15 |
| 88302 |
|
12 |
12 |
$160.74 |
| 90696 |
|
27 |
26 |
$154.05 |
| 88300 |
|
34 |
31 |
$153.00 |
| 99315 |
|
12 |
12 |
$138.34 |
| 73502 |
|
12 |
12 |
$127.17 |
| 93294 |
|
14 |
13 |
$116.88 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
18 |
18 |
$99.36 |
| 73140 |
|
12 |
12 |
$75.42 |
| 90685 |
|
83 |
80 |
$35.70 |
| 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) |
24 |
17 |
$24.68 |
| 99177 |
|
12 |
12 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
48 |
21 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
37 |
15 |
$0.00 |