| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118,002 |
110,092 |
$7.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146,267 |
139,769 |
$7.21M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
30,968 |
30,271 |
$4.02M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
49,899 |
38,329 |
$3.12M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
33,063 |
30,146 |
$2.72M |
| 99215 |
Prolong outpt/office vis |
22,026 |
20,502 |
$2.29M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
16,972 |
16,412 |
$1.96M |
| 99243 |
|
20,844 |
20,370 |
$1.88M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12,646 |
12,286 |
$1.54M |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25,270 |
20,862 |
$1.45M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,840 |
10,656 |
$881K |
| 99233 |
Prolong inpt eval add15 m |
11,310 |
4,986 |
$780K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
7,446 |
6,873 |
$693K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
9,398 |
8,784 |
$635K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
8,069 |
7,799 |
$596K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
2,715 |
2,242 |
$562K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,015 |
5,913 |
$524K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
5,317 |
2,602 |
$466K |
| 93304 |
|
7,831 |
6,489 |
$463K |
| 99245 |
|
2,212 |
2,130 |
$385K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,660 |
4,334 |
$382K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,522 |
1,396 |
$367K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
11,394 |
11,182 |
$333K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
944 |
264 |
$327K |
| 99242 |
|
4,522 |
4,465 |
$320K |
| 99223 |
Prolong inpt eval add15 m |
2,186 |
2,138 |
$316K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,267 |
6,149 |
$309K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,998 |
4,834 |
$299K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,633 |
2,594 |
$298K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,593 |
2,547 |
$293K |
| 71045 |
Radiologic examination, chest; single view |
37,239 |
14,482 |
$266K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,559 |
2,595 |
$259K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,472 |
8,211 |
$259K |
| 76770 |
|
7,462 |
7,249 |
$255K |
| 99463 |
|
2,056 |
2,028 |
$230K |
| 99460 |
|
2,978 |
2,863 |
$230K |
| 93325 |
|
27,769 |
23,691 |
$219K |
| 93000 |
|
17,396 |
16,909 |
$213K |
| 74018 |
|
26,190 |
18,277 |
$212K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,407 |
2,258 |
$197K |
| 71046 |
Radiologic examination, chest; 2 views |
17,003 |
16,403 |
$190K |
| 76825 |
|
1,781 |
1,608 |
$185K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,762 |
1,659 |
$185K |
| 93320 |
|
8,060 |
7,246 |
$184K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
6,240 |
5,701 |
$167K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,303 |
249 |
$165K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,355 |
2,327 |
$146K |
| 93321 |
|
12,603 |
10,867 |
$143K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
351 |
89 |
$138K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,955 |
17,193 |
$127K |
| 92567 |
|
8,887 |
8,783 |
$124K |
| 95819 |
|
2,348 |
2,285 |
$124K |
| 76820 |
|
3,729 |
2,374 |
$120K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
592 |
245 |
$120K |
| 93308 |
|
1,904 |
1,820 |
$104K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,245 |
2,132 |
$100K |
| 92579 |
|
2,355 |
2,336 |
$98K |
| 92582 |
|
1,391 |
1,377 |
$94K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
895 |
876 |
$93K |
| 42830 |
|
578 |
549 |
$92K |
| 99254 |
|
679 |
651 |
$91K |
| 54161 |
|
487 |
476 |
$84K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
722 |
716 |
$75K |
| 99464 |
|
924 |
888 |
$75K |
| 87634 |
|
1,616 |
1,574 |
$73K |
| 93975 |
|
1,321 |
1,291 |
$73K |
| 73610 |
|
4,219 |
3,966 |
$71K |
| 76506 |
|
3,890 |
2,727 |
$70K |
| 72082 |
|
4,754 |
4,622 |
$69K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
449 |
444 |
$61K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,707 |
1,048 |
$60K |
| 76827 |
|
1,779 |
1,606 |
$56K |
| 90837 |
Psychotherapy, 53 minutes with patient |
576 |
466 |
$52K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,268 |
1,216 |
$50K |
| 73630 |
|
2,892 |
2,605 |
$46K |
| 01922 |
|
141 |
128 |
$46K |
| 69210 |
|
1,549 |
1,187 |
$41K |
| 73560 |
|
4,179 |
3,696 |
$41K |
| 76536 |
|
1,179 |
1,157 |
$39K |
| 99205 |
Prolong outpt/office vis |
193 |
193 |
$38K |
| 17106 |
|
224 |
212 |
$37K |
| 92587 |
|
1,903 |
1,876 |
$36K |
| 96112 |
|
322 |
316 |
$35K |
| 92555 |
|
1,658 |
1,637 |
$35K |
| 44970 |
|
70 |
69 |
$34K |
| 73090 |
|
3,485 |
3,135 |
$33K |
| 76801 |
|
479 |
463 |
$31K |
| 94375 |
|
2,220 |
2,198 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,996 |
1,654 |
$29K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
380 |
370 |
$28K |
| 88304 |
|
2,692 |
2,416 |
$27K |
| 73070 |
|
3,075 |
2,717 |
$27K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
297 |
293 |
$26K |
| 99221 |
|
382 |
379 |
$26K |
| 73130 |
|
1,931 |
1,811 |
$26K |
| 73620 |
|
1,817 |
1,373 |
$26K |
| 73140 |
|
2,680 |
2,526 |
$26K |
| 92552 |
|
1,001 |
994 |
$25K |
| 99253 |
|
298 |
282 |
$25K |
| 99241 |
|
518 |
515 |
$25K |
| 76870 |
|
725 |
714 |
$24K |
| 76821 |
|
377 |
210 |
$24K |
| 88106 |
|
839 |
704 |
$23K |
| 73521 |
|
2,005 |
1,951 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
195 |
181 |
$22K |
| 73110 |
|
1,490 |
1,411 |
$22K |
| 99255 |
|
127 |
122 |
$22K |
| 73590 |
|
2,258 |
1,959 |
$22K |
| 95782 |
|
199 |
194 |
$21K |
| 74240 |
|
618 |
605 |
$21K |
| 96130 |
|
270 |
201 |
$21K |
| 54150 |
|
198 |
197 |
$21K |
| 99462 |
|
630 |
542 |
$21K |
| 73100 |
|
2,438 |
2,173 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
208 |
197 |
$19K |
| 51798 |
|
3,156 |
3,040 |
$18K |
| 72141 |
|
222 |
216 |
$18K |
| 92583 |
|
384 |
380 |
$18K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
146 |
55 |
$17K |
| 99217 |
|
309 |
304 |
$17K |
| 99418 |
Prolong nursin fac eval 15m |
553 |
253 |
$17K |
| 99220 |
|
127 |
125 |
$15K |
| 77072 |
|
1,748 |
1,720 |
$15K |
| 93224 |
|
212 |
208 |
$15K |
| 77073 |
|
1,093 |
1,075 |
$14K |
| 99219 |
|
165 |
164 |
$14K |
| 94621 |
|
117 |
117 |
$14K |
| 88300 |
|
3,345 |
1,680 |
$14K |
| 72146 |
|
165 |
165 |
$13K |
| 74230 |
|
556 |
544 |
$13K |
| 70250 |
|
999 |
977 |
$12K |
| 51784 |
|
523 |
493 |
$12K |
| 92553 |
|
378 |
368 |
$12K |
| 99471 |
|
17 |
12 |
$12K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
127 |
126 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
171 |
130 |
$11K |
| 29065 |
|
137 |
136 |
$10K |
| 93294 |
|
421 |
409 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
319 |
309 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,981 |
1,909 |
$10K |
| 72100 |
|
709 |
693 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
215 |
211 |
$10K |
| 73552 |
|
838 |
758 |
$9K |
| 99468 |
|
12 |
12 |
$9K |
| 73030 |
|
744 |
681 |
$9K |
| 88342 |
|
313 |
205 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
529 |
527 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
447 |
442 |
$8K |
| 73120 |
|
969 |
851 |
$8K |
| 17110 |
|
84 |
72 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
55 |
53 |
$7K |
| 31575 |
|
92 |
84 |
$7K |
| 96137 |
|
211 |
188 |
$7K |
| 96131 |
|
40 |
36 |
$7K |
| 99441 |
|
310 |
309 |
$7K |
| 74019 |
|
637 |
587 |
$7K |
| 94726 |
|
159 |
159 |
$7K |
| 72170 |
|
681 |
664 |
$6K |
| 99477 |
|
13 |
12 |
$6K |
| 93227 |
|
375 |
369 |
$5K |
| 76813 |
|
88 |
85 |
$5K |
| 94060 |
|
528 |
520 |
$5K |
| 92556 |
|
125 |
125 |
$5K |
| 94729 |
|
104 |
104 |
$5K |
| 92504 |
|
355 |
324 |
$4K |
| 99235 |
|
27 |
26 |
$4K |
| 81003 |
|
2,458 |
2,403 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
67 |
66 |
$4K |
| 93296 |
|
233 |
229 |
$4K |
| 93244 |
|
188 |
185 |
$4K |
| 99218 |
|
69 |
69 |
$4K |
| 73060 |
|
353 |
317 |
$4K |
| 73000 |
|
284 |
258 |
$4K |
| 93597 |
|
13 |
12 |
$3K |
| 73080 |
|
133 |
125 |
$3K |
| 93976 |
|
51 |
49 |
$3K |
| 99417 |
Prolong home eval add 15m |
132 |
127 |
$3K |
| 99051 |
|
26,850 |
26,054 |
$3K |
| S8301 |
Infection control supplies, not otherwise specified |
2,234 |
2,031 |
$3K |
| 70486 |
|
76 |
75 |
$3K |
| 75561 |
|
27 |
26 |
$3K |
| 93225 |
|
227 |
224 |
$3K |
| 73600 |
|
159 |
113 |
$2K |
| 96450 |
|
35 |
29 |
$2K |
| 85060 |
|
137 |
122 |
$2K |
| 00126 |
|
13 |
13 |
$2K |
| 70360 |
|
230 |
227 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
40 |
39 |
$2K |
| 99252 |
|
25 |
25 |
$2K |
| 73660 |
|
155 |
146 |
$2K |
| 76376 |
|
193 |
174 |
$2K |
| 95811 |
|
14 |
14 |
$2K |
| 74021 |
|
81 |
79 |
$1K |
| 96136 |
|
64 |
64 |
$1K |
| 96040 |
|
52 |
52 |
$1K |
| 41115 |
|
14 |
13 |
$1K |
| 93242 |
|
97 |
95 |
$1K |
| 76010 |
|
99 |
94 |
$1K |
| 73562 |
|
42 |
38 |
$1K |
| 76882 |
|
49 |
49 |
$1K |
| 74455 |
|
78 |
77 |
$1K |
| 72156 |
|
12 |
12 |
$1K |
| 93568 |
|
24 |
24 |
$905.57 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
130 |
130 |
$904.94 |
| 87807 |
|
68 |
67 |
$828.30 |
| 29075 |
|
17 |
17 |
$761.10 |
| 72050 |
|
57 |
55 |
$755.90 |
| 93042 |
|
372 |
360 |
$715.02 |
| 70160 |
|
37 |
36 |
$649.77 |
| 93248 |
|
24 |
24 |
$584.98 |
| 97803 |
|
418 |
412 |
$536.60 |
| 73564 |
|
39 |
30 |
$535.68 |
| 76826 |
|
18 |
15 |
$518.01 |
| 93018 |
|
41 |
38 |
$505.27 |
| 77077 |
|
31 |
31 |
$499.00 |
| 51741 |
|
62 |
61 |
$497.21 |
| 99442 |
|
12 |
12 |
$479.56 |
| 95251 |
|
49 |
48 |
$466.63 |
| 72040 |
|
40 |
39 |
$437.84 |
| 94618 |
|
18 |
18 |
$433.71 |
| 93040 |
|
81 |
78 |
$356.16 |
| 76828 |
|
18 |
15 |
$349.52 |
| 76604 |
|
14 |
12 |
$331.60 |
| 75565 |
|
28 |
27 |
$293.94 |
| 73502 |
|
26 |
15 |
$236.71 |
| 93016 |
|
12 |
12 |
$228.96 |
| 11900 |
|
13 |
12 |
$227.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
32 |
$208.06 |
| 99152 |
|
13 |
13 |
$149.38 |
| 93246 |
|
12 |
12 |
$147.00 |
| 93228 |
|
51 |
51 |
$20.00 |
| 99024 |
|
6,403 |
4,771 |
$0.00 |
| 96127 |
|
3,574 |
2,280 |
$0.00 |