| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94,859 |
91,192 |
$5.40M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
59,159 |
58,548 |
$4.12M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
45,220 |
44,487 |
$4.08M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
105,697 |
37,337 |
$3.29M |
| 99233 |
Prolong inpt eval add15 m |
63,379 |
24,346 |
$2.96M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
52,785 |
49,393 |
$2.68M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
26,200 |
13,395 |
$2.52M |
| 99215 |
Prolong outpt/office vis |
29,950 |
28,790 |
$2.28M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
49,036 |
46,015 |
$1.83M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12,001 |
10,157 |
$1.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,755 |
35,550 |
$1.44M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
35,304 |
35,012 |
$1.41M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
31,933 |
30,847 |
$1.07M |
| 99223 |
Prolong inpt eval add15 m |
11,608 |
11,032 |
$1.00M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20,486 |
12,744 |
$974K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
235,987 |
201,817 |
$959K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
24,779 |
22,288 |
$920K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
3,026 |
1,503 |
$885K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27,744 |
26,482 |
$798K |
| 70450 |
Computed tomography, head or brain; without contrast material |
40,309 |
38,504 |
$766K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,395 |
4,322 |
$765K |
| 96133 |
|
1,892 |
1,883 |
$750K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,389 |
7,355 |
$743K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
19,496 |
9,984 |
$726K |
| 71045 |
Radiologic examination, chest; single view |
161,984 |
129,454 |
$708K |
| 99255 |
|
2,264 |
2,170 |
$595K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16,164 |
9,473 |
$553K |
| 96137 |
|
1,397 |
1,392 |
$506K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,005 |
912 |
$466K |
| 71046 |
Radiologic examination, chest; 2 views |
79,622 |
78,407 |
$454K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
25,365 |
9,312 |
$436K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,343 |
6,325 |
$433K |
| 96118 |
|
504 |
503 |
$402K |
| 74183 |
|
3,701 |
3,216 |
$401K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
27,611 |
26,367 |
$387K |
| 90791 |
Psychiatric diagnostic evaluation |
2,335 |
2,306 |
$339K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
8,498 |
8,385 |
$330K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,261 |
5,065 |
$324K |
| 88307 |
|
5,458 |
5,318 |
$322K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
5,081 |
4,592 |
$306K |
| 99254 |
|
1,372 |
1,334 |
$260K |
| 76801 |
|
5,265 |
3,353 |
$253K |
| 71250 |
|
9,398 |
8,584 |
$250K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,119 |
1,634 |
$233K |
| 96132 |
|
2,037 |
2,029 |
$209K |
| 99205 |
Prolong outpt/office vis |
1,513 |
1,492 |
$204K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,229 |
3,398 |
$199K |
| 95720 |
|
1,677 |
742 |
$188K |
| 90961 |
|
2,753 |
2,744 |
$187K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,794 |
1,322 |
$166K |
| 00104 |
|
8,910 |
6,446 |
$162K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
8,542 |
3,592 |
$161K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
6,890 |
6,813 |
$159K |
| 96116 |
|
1,171 |
1,160 |
$148K |
| 95951 |
|
1,045 |
422 |
$143K |
| 75574 |
|
2,391 |
2,337 |
$134K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
5,467 |
5,217 |
$134K |
| 96139 |
|
844 |
842 |
$132K |
| 76830 |
Ultrasound, transvaginal |
5,040 |
4,803 |
$127K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,987 |
1,949 |
$127K |
| 86320 |
|
16,693 |
15,926 |
$120K |
| 85390 |
|
8,053 |
7,021 |
$117K |
| 99220 |
|
1,215 |
1,210 |
$115K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,997 |
2,876 |
$114K |
| D7240 |
Removal of impacted tooth - completely bony |
842 |
173 |
$113K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
973 |
931 |
$113K |
| 99460 |
|
1,073 |
1,064 |
$107K |
| 97803 |
|
2,381 |
2,322 |
$105K |
| 74018 |
|
21,939 |
18,752 |
$104K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,577 |
487 |
$103K |
| 90837 |
Psychotherapy, 53 minutes with patient |
798 |
390 |
$101K |
| 64615 |
|
1,737 |
1,688 |
$97K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,198 |
989 |
$97K |
| 00731 |
|
1,374 |
1,298 |
$92K |
| 86256 |
|
9,230 |
9,096 |
$90K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,885 |
1,863 |
$87K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
283 |
68 |
$87K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
3,024 |
3,007 |
$86K |
| 96136 |
|
1,654 |
1,647 |
$80K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
5,209 |
4,988 |
$79K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,804 |
1,626 |
$76K |
| 93970 |
|
4,971 |
4,685 |
$76K |
| 76642 |
|
3,425 |
2,961 |
$73K |
| 93296 |
|
9,586 |
9,534 |
$72K |
| 77080 |
|
6,862 |
5,540 |
$66K |
| 88112 |
|
5,280 |
5,158 |
$66K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
871 |
719 |
$66K |
| 78812 |
|
566 |
513 |
$65K |
| 95813 |
|
1,181 |
1,156 |
$64K |
| 93000 |
|
7,681 |
7,403 |
$62K |
| 99221 |
|
1,528 |
1,485 |
$61K |
| D0330 |
Panoramic radiographic image |
937 |
905 |
$59K |
| 73630 |
|
9,388 |
7,923 |
$59K |
| 88346 |
|
3,553 |
3,446 |
$58K |
| 93016 |
|
6,393 |
6,340 |
$57K |
| 99217 |
|
2,361 |
2,356 |
$57K |
| 76770 |
|
2,530 |
2,472 |
$57K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
3,559 |
3,503 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,056 |
2,993 |
$56K |
| 73610 |
|
7,486 |
6,495 |
$55K |
| D1110 |
Prophylaxis - adult |
1,251 |
1,108 |
$53K |
| 93971 |
|
5,384 |
5,276 |
$53K |
| 99245 |
|
470 |
422 |
$53K |
| 93295 |
|
3,099 |
3,093 |
$50K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,652 |
1,638 |
$49K |
| 73564 |
|
7,552 |
6,562 |
$48K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
492 |
423 |
$48K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
483 |
380 |
$47K |
| 76813 |
|
869 |
475 |
$45K |
| 97802 |
|
542 |
541 |
$44K |
| 74174 |
|
940 |
904 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
1,820 |
1,749 |
$44K |
| 94375 |
|
5,711 |
5,611 |
$43K |
| 88342 |
|
2,005 |
1,874 |
$43K |
| D0140 |
Limited oral evaluation - problem focused |
1,197 |
1,158 |
$43K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,109 |
1,445 |
$42K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,184 |
686 |
$41K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
440 |
195 |
$39K |
| D9222 |
|
608 |
502 |
$39K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,744 |
1,675 |
$39K |
| 93018 |
|
6,373 |
6,326 |
$38K |
| 83020 |
|
2,698 |
2,666 |
$36K |
| 88141 |
|
1,804 |
1,803 |
$35K |
| 71271 |
|
887 |
802 |
$34K |
| 93294 |
|
4,522 |
4,487 |
$33K |
| 70496 |
|
850 |
832 |
$33K |
| D1206 |
Topical application of fluoride varnish |
1,621 |
1,502 |
$32K |
| 20553 |
|
1,931 |
1,534 |
$31K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
916 |
698 |
$31K |
| D1120 |
Prophylaxis - child |
607 |
583 |
$31K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
670 |
668 |
$30K |
| 86334 |
|
4,459 |
4,346 |
$30K |
| 88189 |
|
586 |
552 |
$29K |
| 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 |
1,344 |
1,335 |
$29K |
| 73030 |
|
5,318 |
4,795 |
$28K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
233 |
231 |
$28K |
| 77014 |
|
1,799 |
544 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
499 |
406 |
$26K |
| 99462 |
|
585 |
468 |
$25K |
| 93298 |
|
2,085 |
2,059 |
$25K |
| 96138 |
|
884 |
882 |
$23K |
| 93325 |
|
3,906 |
3,151 |
$23K |
| 96119 |
|
149 |
149 |
$23K |
| 96910 |
|
543 |
151 |
$22K |
| 70498 |
|
631 |
618 |
$22K |
| 64644 |
|
746 |
741 |
$22K |
| 51798 |
|
4,278 |
4,149 |
$22K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
232 |
86 |
$21K |
| 77066 |
Tomosynthesis, mammo |
749 |
733 |
$21K |
| 51728 |
|
257 |
206 |
$21K |
| 73221 |
|
215 |
160 |
$21K |
| 76377 |
|
849 |
538 |
$21K |
| 72197 |
|
154 |
125 |
$20K |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
13 |
12 |
$19K |
| 86325 |
|
2,772 |
2,634 |
$19K |
| 00732 |
|
225 |
207 |
$19K |
| 90945 |
|
361 |
79 |
$17K |
| 90686 |
|
1,540 |
1,530 |
$17K |
| 86255 |
|
1,735 |
1,715 |
$17K |
| 99464 |
|
298 |
297 |
$17K |
| 93320 |
|
886 |
733 |
$17K |
| D9920 |
|
355 |
292 |
$15K |
| 16020 |
|
450 |
281 |
$14K |
| 95117 |
|
1,877 |
1,458 |
$14K |
| 77065 |
Tomosynthesis, mammo |
610 |
579 |
$13K |
| 99443 |
|
913 |
890 |
$13K |
| 64450 |
|
326 |
323 |
$13K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
154 |
154 |
$12K |
| 51705 |
|
514 |
479 |
$12K |
| 88311 |
|
2,125 |
2,039 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,105 |
2,076 |
$11K |
| 46606 |
|
56 |
55 |
$11K |
| 94729 |
|
3,173 |
3,142 |
$11K |
| 51797 |
|
281 |
227 |
$11K |
| 76536 |
|
643 |
619 |
$10K |
| 95816 |
|
395 |
371 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
202 |
199 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
641 |
283 |
$10K |
| 72141 |
|
163 |
143 |
$10K |
| 72100 |
|
1,744 |
1,684 |
$10K |
| 73502 |
|
1,939 |
1,840 |
$9K |
| 64405 |
|
253 |
251 |
$9K |
| 88173 |
|
230 |
226 |
$9K |
| 99236 |
Prolong inpt eval add15 m |
68 |
68 |
$8K |
| 99417 |
Prolong home eval add 15m |
183 |
170 |
$8K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
780 |
777 |
$8K |
| 93923 |
|
1,147 |
1,134 |
$8K |
| 72082 |
|
485 |
447 |
$8K |
| 95800 |
|
121 |
95 |
$8K |
| 64400 |
|
98 |
80 |
$8K |
| 73130 |
|
1,328 |
1,193 |
$7K |
| 95886 |
|
283 |
282 |
$7K |
| 93248 |
|
791 |
782 |
$7K |
| 90715 |
|
221 |
221 |
$7K |
| 51784 |
|
327 |
263 |
$7K |
| 88304 |
|
841 |
821 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
130 |
67 |
$6K |
| 46600 |
|
114 |
114 |
$6K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
41 |
41 |
$6K |
| 15002 |
|
68 |
50 |
$6K |
| 62370 |
|
510 |
475 |
$6K |
| 88341 |
|
160 |
148 |
$6K |
| 93880 |
|
461 |
456 |
$6K |
| 17311 |
|
29 |
25 |
$6K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
355 |
319 |
$6K |
| 95874 |
|
1,163 |
1,145 |
$6K |
| 15852 |
|
465 |
316 |
$5K |
| 74019 |
|
1,179 |
1,062 |
$5K |
| 51600 |
|
146 |
145 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
200 |
$5K |
| 54150 |
|
67 |
66 |
$5K |
| 89060 |
|
738 |
650 |
$5K |
| 77062 |
|
106 |
103 |
$5K |
| 88312 |
|
96 |
77 |
$5K |
| 94060 |
|
773 |
759 |
$5K |
| 70486 |
|
171 |
161 |
$5K |
| 36224 |
|
13 |
13 |
$4K |
| 62323 |
|
100 |
98 |
$4K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
12 |
12 |
$4K |
| 93280 |
|
388 |
328 |
$4K |
| 72170 |
|
912 |
885 |
$4K |
| 99253 |
|
28 |
27 |
$4K |
| 88331 |
|
75 |
73 |
$4K |
| 99292 |
|
125 |
51 |
$4K |
| 20610 |
|
134 |
130 |
$4K |
| 73110 |
|
669 |
619 |
$4K |
| 93975 |
|
135 |
124 |
$4K |
| 76506 |
|
168 |
140 |
$4K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
77 |
61 |
$4K |
| 72132 |
|
139 |
136 |
$4K |
| 88300 |
|
980 |
979 |
$3K |
| 70544 |
|
46 |
41 |
$3K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
43 |
43 |
$3K |
| 86077 |
|
136 |
119 |
$3K |
| 94726 |
|
533 |
530 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
36 |
$3K |
| 72129 |
|
112 |
110 |
$3K |
| 64643 |
|
168 |
168 |
$3K |
| 77072 |
|
383 |
372 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
31 |
$3K |
| 81003 |
|
3,595 |
3,427 |
$3K |
| 90962 |
|
41 |
41 |
$3K |
| D0274 |
Bitewings - four radiographic images |
73 |
70 |
$3K |
| 90870 |
|
164 |
91 |
$3K |
| 31575 |
|
43 |
39 |
$3K |
| 95924 |
|
50 |
50 |
$3K |
| 90836 |
|
48 |
27 |
$3K |
| 93228 |
|
175 |
174 |
$2K |
| 97804 |
|
73 |
73 |
$2K |
| 52000 |
|
24 |
24 |
$2K |
| 76820 |
|
98 |
62 |
$2K |
| 20611 |
|
71 |
47 |
$2K |
| 73560 |
|
432 |
369 |
$2K |
| 95819 |
|
69 |
69 |
$2K |
| 74455 |
|
114 |
93 |
$2K |
| 91122 |
|
23 |
12 |
$2K |
| 90656 |
|
101 |
101 |
$2K |
| 31579 |
|
26 |
26 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
430 |
430 |
$2K |
| 93750 |
|
68 |
25 |
$2K |
| 88368 |
|
98 |
86 |
$2K |
| 93308 |
|
175 |
169 |
$2K |
| 95251 |
|
66 |
66 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
121 |
109 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
91 |
$2K |
| 88313 |
|
148 |
145 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
86 |
$2K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
20 |
12 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$2K |
| D0272 |
Bitewings - two radiographic images |
53 |
53 |
$2K |
| 95811 |
|
25 |
25 |
$2K |
| 00813 |
|
25 |
25 |
$2K |
| 99235 |
|
15 |
15 |
$2K |
| 73590 |
|
320 |
296 |
$2K |
| 00811 |
|
30 |
28 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
513 |
505 |
$1K |
| 81002 |
|
873 |
851 |
$1K |
| 93288 |
|
171 |
152 |
$1K |
| 36558 |
|
14 |
14 |
$1K |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
56 |
56 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
164 |
159 |
$1K |
| 95923 |
|
50 |
50 |
$1K |
| 91200 |
|
93 |
93 |
$1K |
| 88360 |
|
25 |
24 |
$1K |
| 99350 |
Prolong home eval add 15m |
79 |
74 |
$1K |
| 99243 |
|
12 |
12 |
$1K |
| 93299 |
|
98 |
98 |
$1K |
| 70355 |
|
162 |
105 |
$1K |
| 85060 |
|
80 |
75 |
$1K |
| 01992 |
|
29 |
26 |
$1K |
| 89320 |
|
102 |
98 |
$1K |
| 95885 |
|
110 |
110 |
$1K |
| 95913 |
|
12 |
12 |
$995.47 |
| 85097 |
|
45 |
42 |
$889.01 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
13 |
$852.49 |
| 97597 |
|
77 |
68 |
$843.13 |
| 95718 |
|
14 |
12 |
$827.84 |
| 76821 |
|
26 |
24 |
$819.62 |
| 00812 |
|
13 |
12 |
$807.69 |
| 31500 |
|
14 |
13 |
$791.11 |
| 88356 |
|
15 |
12 |
$782.65 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$750.23 |
| 70491 |
|
26 |
24 |
$745.67 |
| 72040 |
|
117 |
116 |
$712.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
49 |
$711.26 |
| 88321 |
|
14 |
14 |
$698.74 |
| 51741 |
|
232 |
191 |
$680.99 |
| 88381 |
|
63 |
59 |
$669.53 |
| 74420 |
|
69 |
66 |
$639.67 |
| 94727 |
|
149 |
149 |
$631.73 |
| 73700 |
|
18 |
12 |
$622.53 |
| 36620 |
|
29 |
28 |
$603.93 |
| 64642 |
|
12 |
12 |
$561.11 |
| 73562 |
|
107 |
90 |
$535.35 |
| 73140 |
|
82 |
74 |
$534.56 |
| 64645 |
|
25 |
25 |
$518.39 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
75 |
75 |
$510.26 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$507.00 |
| 95873 |
|
74 |
74 |
$482.05 |
| 99349 |
|
46 |
42 |
$446.43 |
| 93314 |
|
13 |
12 |
$437.29 |
| 59025 |
Fetal non-stress test |
17 |
12 |
$420.69 |
| 88187 |
|
28 |
27 |
$419.48 |
| 74221 |
|
25 |
25 |
$395.27 |
| 95822 |
|
12 |
12 |
$378.36 |
| 74328 |
|
24 |
24 |
$371.09 |
| 95938 |
|
12 |
12 |
$361.79 |
| 93289 |
|
18 |
13 |
$348.93 |
| 74175 |
|
15 |
15 |
$348.51 |
| 99358 |
Prolong nursin fac eval 15m |
64 |
63 |
$334.03 |
| 76882 |
|
25 |
24 |
$325.20 |
| 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) |
132 |
127 |
$290.26 |
| 0298T |
|
39 |
39 |
$286.51 |
| 73090 |
|
57 |
51 |
$282.45 |
| 73070 |
|
34 |
28 |
$279.84 |
| 76827 |
|
13 |
12 |
$270.80 |
| 77061 |
|
12 |
12 |
$238.41 |
| 93042 |
|
158 |
75 |
$232.58 |
| 73080 |
|
55 |
54 |
$230.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$225.94 |
| 93321 |
|
41 |
36 |
$225.59 |
| 74246 |
|
12 |
12 |
$207.96 |
| 77001 |
|
29 |
28 |
$203.53 |
| 76937 |
|
43 |
42 |
$197.42 |
| 73552 |
|
54 |
52 |
$196.74 |
| 36415 |
Collection of venous blood by venipuncture |
248 |
244 |
$168.93 |
| 77002 |
|
12 |
12 |
$156.12 |
| 94010 |
|
27 |
27 |
$132.41 |
| 76604 |
|
19 |
12 |
$128.99 |
| 78306 |
|
12 |
12 |
$115.53 |
| 72081 |
|
12 |
12 |
$113.41 |
| 99152 |
|
124 |
124 |
$87.52 |
| 73060 |
|
12 |
12 |
$55.65 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
14 |
12 |
$53.76 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
30 |
17 |
$49.00 |
| 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) |
51 |
50 |
$37.98 |
| 81001 |
|
12 |
12 |
$33.60 |
| 76376 |
|
25 |
24 |
$30.91 |
| 99442 |
|
15 |
15 |
$16.95 |
| 82962 |
|
13 |
12 |
$2.78 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
40 |
39 |
$2.05 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
9,097 |
7,362 |
$0.00 |
| D0367 |
|
12 |
12 |
$0.00 |
| 99354 |
|
12 |
12 |
$0.00 |
| D9612 |
|
453 |
293 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |