| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126,958 |
109,269 |
$5.44M |
| G6015 |
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
26,774 |
3,416 |
$4.65M |
| J9271 |
Injection, pembrolizumab, 1 mg |
637 |
518 |
$3.01M |
| 99215 |
Prolong outpt/office vis |
41,609 |
32,375 |
$2.23M |
| 77014 |
|
46,303 |
6,722 |
$1.92M |
| 99233 |
Prolong inpt eval add15 m |
42,567 |
9,933 |
$1.91M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
48,519 |
13,162 |
$1.64M |
| J0897 |
Injection, denosumab, 1 mg |
1,738 |
1,697 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,041 |
46,478 |
$1.27M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
6,495 |
6,377 |
$1.25M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
16,827 |
10,985 |
$956K |
| 77427 |
|
10,179 |
4,892 |
$746K |
| 77301 |
|
1,317 |
1,273 |
$724K |
| 99223 |
Prolong inpt eval add15 m |
8,071 |
7,238 |
$677K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15,739 |
14,748 |
$665K |
| J2506 |
Injection, pegfilgrastim, excludes biosimilar, 0.5 mg |
473 |
378 |
$599K |
| G6012 |
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev |
4,430 |
724 |
$528K |
| J2505 |
Injection, pegfilgrastim, 6 mg |
218 |
162 |
$476K |
| J9144 |
Injection, daratumumab, 10 mg and hyaluronidase-fihj |
64 |
38 |
$427K |
| 77334 |
|
4,602 |
3,585 |
$411K |
| 74178 |
|
8,030 |
7,878 |
$407K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
6,353 |
6,039 |
$405K |
| 99205 |
Prolong outpt/office vis |
5,845 |
5,561 |
$378K |
| Q5117 |
Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg |
384 |
265 |
$355K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14,382 |
13,844 |
$347K |
| 77338 |
|
2,113 |
1,960 |
$347K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
11,046 |
7,204 |
$343K |
| J0185 |
Injection, aprepitant, 1 mg |
1,849 |
1,329 |
$336K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,773 |
5,650 |
$328K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,211 |
6,161 |
$274K |
| 88342 |
|
8,319 |
7,786 |
$271K |
| 77263 |
|
2,868 |
2,802 |
$263K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,613 |
5,518 |
$239K |
| 77300 |
|
3,184 |
2,879 |
$234K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
679 |
475 |
$232K |
| J9299 |
Injection, nivolumab, 1 mg |
84 |
53 |
$227K |
| 77336 |
|
6,542 |
3,047 |
$226K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,746 |
3,180 |
$195K |
| 88341 |
|
4,347 |
4,049 |
$173K |
| Q5107 |
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg |
266 |
122 |
$158K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
7,146 |
6,297 |
$157K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
4,988 |
717 |
$156K |
| 77295 |
|
669 |
629 |
$149K |
| 88189 |
|
2,397 |
2,169 |
$140K |
| 88108 |
|
7,883 |
6,638 |
$134K |
| 88321 |
|
3,354 |
3,210 |
$134K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,078 |
15,199 |
$129K |
| 76641 |
|
5,144 |
3,677 |
$121K |
| Q5111 |
Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg |
53 |
39 |
$116K |
| 77290 |
|
1,422 |
1,262 |
$110K |
| 85097 |
|
3,195 |
3,113 |
$100K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
1,600 |
1,039 |
$100K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,244 |
2,462 |
$99K |
| 88307 |
|
1,262 |
1,224 |
$98K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,146 |
2,124 |
$96K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,532 |
2,178 |
$95K |
| J9035 |
Injection, bevacizumab, 10 mg |
76 |
36 |
$94K |
| 96417 |
|
3,396 |
2,375 |
$91K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,901 |
2,369 |
$85K |
| 88360 |
|
1,461 |
1,369 |
$78K |
| 96367 |
|
2,275 |
1,665 |
$68K |
| 99442 |
|
2,089 |
1,995 |
$68K |
| G6017 |
Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment |
126 |
12 |
$63K |
| 96450 |
|
541 |
416 |
$63K |
| 36522 |
|
111 |
51 |
$57K |
| 71045 |
Radiologic examination, chest; single view |
10,584 |
7,141 |
$56K |
| 99152 |
|
2,870 |
2,768 |
$49K |
| 77470 |
|
697 |
678 |
$47K |
| 99221 |
|
1,385 |
1,237 |
$44K |
| 38222 |
|
657 |
593 |
$43K |
| 96415 |
|
2,095 |
1,591 |
$43K |
| 71250 |
|
2,032 |
1,918 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,292 |
1,282 |
$39K |
| 77280 |
|
1,001 |
891 |
$38K |
| 85060 |
|
2,627 |
2,491 |
$35K |
| 74183 |
|
756 |
752 |
$34K |
| 99443 |
|
1,016 |
956 |
$34K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
137 |
135 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,132 |
1,094 |
$30K |
| 52000 |
|
804 |
802 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
4,832 |
4,148 |
$30K |
| 96401 |
|
198 |
113 |
$29K |
| 88381 |
|
582 |
556 |
$28K |
| 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) |
1,761 |
1,580 |
$27K |
| 93356 |
|
1,280 |
1,266 |
$25K |
| 99255 |
|
238 |
230 |
$22K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,359 |
602 |
$21K |
| 77065 |
Tomosynthesis, mammo |
1,032 |
992 |
$21K |
| 96402 |
|
747 |
717 |
$18K |
| 99497 |
|
392 |
365 |
$18K |
| 88311 |
|
2,936 |
2,858 |
$17K |
| 77066 |
Tomosynthesis, mammo |
710 |
691 |
$17K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,600 |
1,555 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
391 |
350 |
$16K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
155 |
61 |
$16K |
| 84165 |
|
5,598 |
5,208 |
$15K |
| 94727 |
|
1,655 |
1,629 |
$15K |
| 93307 |
|
536 |
535 |
$15K |
| 99441 |
|
692 |
679 |
$14K |
| J9395 |
Injection, fulvestrant, 25 mg |
154 |
143 |
$14K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,347 |
1,337 |
$13K |
| 99417 |
Prolong home eval add 15m |
213 |
207 |
$13K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
509 |
215 |
$13K |
| 94729 |
|
2,047 |
2,015 |
$12K |
| J9202 |
Goserelin acetate implant, per 3.6 mg |
27 |
24 |
$12K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,671 |
743 |
$11K |
| 94010 |
|
1,307 |
1,292 |
$10K |
| 72197 |
|
233 |
232 |
$10K |
| J9267 |
Injection, paclitaxel, 1 mg |
466 |
225 |
$10K |
| 78816 |
|
65 |
65 |
$10K |
| 51798 |
|
638 |
601 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
145 |
145 |
$10K |
| 77003 |
|
577 |
446 |
$10K |
| 96377 |
|
374 |
276 |
$9K |
| 96411 |
|
357 |
266 |
$9K |
| 86334 |
|
2,096 |
1,968 |
$9K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,173 |
2,382 |
$8K |
| 88188 |
|
143 |
134 |
$8K |
| 78306 |
|
435 |
431 |
$7K |
| 77049 |
|
97 |
97 |
$7K |
| 70491 |
|
256 |
251 |
$7K |
| G0498 |
Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion |
116 |
77 |
$7K |
| 96523 |
|
450 |
374 |
$7K |
| 76937 |
|
719 |
681 |
$6K |
| J1453 |
Injection, fosaprepitant, 1 mg |
32 |
14 |
$6K |
| 51701 |
|
191 |
186 |
$6K |
| 88333 |
|
132 |
129 |
$6K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
502 |
353 |
$5K |
| 88312 |
|
245 |
225 |
$5K |
| 77001 |
|
510 |
498 |
$5K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,020 |
2,690 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
226 |
198 |
$4K |
| J9190 |
Injection, fluorouracil, 500 mg |
824 |
341 |
$4K |
| 88313 |
|
132 |
127 |
$4K |
| 36561 |
|
25 |
25 |
$4K |
| 96368 |
|
276 |
186 |
$4K |
| 76536 |
|
304 |
304 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
124 |
117 |
$3K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
31 |
13 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
899 |
632 |
$3K |
| J9045 |
Injection, carboplatin, 50 mg |
222 |
159 |
$3K |
| 77080 |
|
448 |
389 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
62 |
62 |
$3K |
| 36591 |
|
283 |
200 |
$2K |
| 88173 |
|
51 |
51 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
129 |
109 |
$2K |
| 31575 |
|
39 |
38 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
107 |
106 |
$2K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
40 |
27 |
$2K |
| 00731 |
|
55 |
52 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
108 |
102 |
$1K |
| 94060 |
|
127 |
126 |
$1K |
| J3490 |
Unclassified drugs |
2,113 |
1,290 |
$1K |
| 93970 |
|
79 |
70 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
843 |
758 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
62 |
62 |
$1K |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
4,590 |
3,182 |
$1K |
| 76830 |
Ultrasound, transvaginal |
67 |
67 |
$1K |
| 76942 |
|
92 |
90 |
$1K |
| 99386 |
|
19 |
19 |
$1K |
| 72158 |
|
18 |
15 |
$841.67 |
| J9263 |
Injection, oxaliplatin, 0.5 mg |
54 |
24 |
$820.95 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
866 |
369 |
$759.54 |
| 94726 |
|
86 |
86 |
$738.56 |
| 76642 |
|
17 |
16 |
$711.78 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
26 |
$656.28 |
| 88309 |
|
12 |
12 |
$622.64 |
| 51702 |
|
13 |
13 |
$579.88 |
| 36620 |
|
24 |
24 |
$531.22 |
| 71020 |
|
65 |
37 |
$529.50 |
| 01992 |
|
12 |
12 |
$514.83 |
| J3489 |
Injection, zoledronic acid, 1 mg |
14 |
13 |
$484.88 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
26 |
$463.82 |
| 00811 |
|
20 |
12 |
$412.53 |
| 77417 |
|
29 |
14 |
$364.79 |
| 95251 |
|
12 |
12 |
$312.03 |
| 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) |
27 |
27 |
$296.16 |
| 74018 |
|
49 |
39 |
$285.63 |
| 74420 |
|
29 |
27 |
$280.10 |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
33 |
25 |
$219.52 |
| 71010 |
|
27 |
25 |
$172.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$153.41 |
| 93971 |
|
13 |
13 |
$145.03 |
| 86320 |
|
15 |
15 |
$110.09 |
| 88300 |
|
12 |
12 |
$11.89 |