| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
97,894 |
94,935 |
$7.64M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
35,369 |
34,085 |
$2.97M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,729 |
30,257 |
$1.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,916 |
13,081 |
$1.00M |
| 70450 |
Computed tomography, head or brain; without contrast material |
15,099 |
13,911 |
$713K |
| S9083 |
Global fee urgent care centers |
8,157 |
7,603 |
$712K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,191 |
8,750 |
$693K |
| 71045 |
Radiologic examination, chest; single view |
69,355 |
51,720 |
$558K |
| 99215 |
Prolong outpt/office vis |
4,064 |
3,764 |
$518K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,592 |
5,381 |
$428K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
41,967 |
36,171 |
$393K |
| V2020 |
Frames, purchases |
4,493 |
2,902 |
$381K |
| 76801 |
|
5,661 |
5,471 |
$350K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,585 |
1,528 |
$346K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,687 |
4,249 |
$292K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,512 |
5,277 |
$262K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,872 |
3,936 |
$229K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,220 |
2,115 |
$216K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,612 |
1,583 |
$206K |
| 76830 |
Ultrasound, transvaginal |
4,574 |
4,463 |
$201K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
773 |
756 |
$181K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,543 |
1,443 |
$179K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,718 |
1,685 |
$177K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,555 |
3,421 |
$167K |
| 99233 |
Prolong inpt eval add15 m |
1,880 |
1,196 |
$160K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,128 |
1,063 |
$152K |
| 71046 |
Radiologic examination, chest; 2 views |
12,418 |
11,876 |
$150K |
| 95720 |
|
521 |
383 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,343 |
1,303 |
$132K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,310 |
1,260 |
$130K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,762 |
1,670 |
$119K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
736 |
715 |
$118K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,237 |
2,102 |
$116K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
921 |
871 |
$110K |
| 95718 |
|
584 |
491 |
$109K |
| 88307 |
|
1,725 |
1,701 |
$103K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
685 |
672 |
$100K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
596 |
163 |
$92K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,677 |
1,626 |
$84K |
| 74018 |
|
7,684 |
5,774 |
$81K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,691 |
1,649 |
$64K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,663 |
1,574 |
$62K |
| 93976 |
|
981 |
950 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,015 |
987 |
$57K |
| 93320 |
|
1,282 |
1,187 |
$53K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,354 |
893 |
$48K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,646 |
1,611 |
$48K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
806 |
743 |
$43K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
928 |
791 |
$43K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
134 |
130 |
$41K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
382 |
129 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
360 |
349 |
$38K |
| 90715 |
|
3,567 |
3,396 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,099 |
1,846 |
$36K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,045 |
716 |
$29K |
| 0001A |
|
1,343 |
1,323 |
$26K |
| 99460 |
|
228 |
220 |
$24K |
| 72131 |
|
453 |
430 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
650 |
633 |
$21K |
| 90686 |
|
4,394 |
3,824 |
$21K |
| G9012 |
Other specified case management service not elsewhere classified |
132 |
105 |
$20K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
345 |
332 |
$20K |
| 99245 |
|
67 |
63 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
434 |
404 |
$20K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
295 |
294 |
$19K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
320 |
311 |
$19K |
| 72128 |
|
345 |
324 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
346 |
318 |
$16K |
| 99243 |
|
112 |
105 |
$16K |
| 92250 |
|
854 |
825 |
$15K |
| 93325 |
|
658 |
585 |
$14K |
| 0071A |
|
495 |
468 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
716 |
691 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
321 |
301 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
503 |
332 |
$13K |
| 0002A |
|
827 |
825 |
$13K |
| 76770 |
|
245 |
239 |
$13K |
| 90670 |
|
2,710 |
2,521 |
$12K |
| 73610 |
|
878 |
785 |
$12K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
81 |
80 |
$11K |
| 81025 |
|
1,534 |
1,455 |
$11K |
| 90651 |
|
3,066 |
2,532 |
$11K |
| 59025 |
Fetal non-stress test |
747 |
549 |
$11K |
| 0003A |
|
282 |
279 |
$11K |
| 76506 |
|
202 |
163 |
$10K |
| 73630 |
|
1,153 |
989 |
$10K |
| 92551 |
|
5,891 |
5,794 |
$9K |
| 95782 |
|
66 |
60 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
265 |
265 |
$8K |
| 70498 |
|
69 |
67 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
255 |
236 |
$7K |
| 92060 |
|
147 |
141 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
87 |
81 |
$7K |
| 94010 |
|
688 |
650 |
$7K |
| 90723 |
|
2,706 |
2,543 |
$7K |
| 90647 |
|
2,620 |
2,463 |
$7K |
| 70486 |
|
114 |
107 |
$6K |
| 93321 |
|
154 |
130 |
$6K |
| 96132 |
|
173 |
141 |
$6K |
| 70496 |
|
55 |
50 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
396 |
388 |
$6K |
| 90734 |
|
976 |
814 |
$6K |
| 90633 |
|
2,332 |
1,905 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
338 |
312 |
$5K |
| 95812 |
|
44 |
44 |
$5K |
| 93975 |
|
55 |
54 |
$5K |
| 95938 |
|
185 |
175 |
$5K |
| 0013A |
|
136 |
136 |
$5K |
| 88141 |
|
642 |
637 |
$5K |
| 90680 |
|
1,981 |
1,929 |
$5K |
| 0011A |
|
273 |
273 |
$4K |
| 95941 |
|
59 |
57 |
$4K |
| 93296 |
|
341 |
330 |
$4K |
| 76642 |
|
124 |
96 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
51 |
48 |
$4K |
| 99173 |
|
4,174 |
4,114 |
$4K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
22 |
13 |
$4K |
| 87210 |
|
441 |
228 |
$4K |
| 0012A |
|
250 |
250 |
$3K |
| 74019 |
|
216 |
208 |
$3K |
| 90682 |
|
146 |
146 |
$3K |
| 93971 |
|
90 |
83 |
$3K |
| 93000 |
|
261 |
253 |
$3K |
| 90710 |
|
1,411 |
1,101 |
$3K |
| 0072A |
|
89 |
88 |
$3K |
| 81002 |
|
635 |
581 |
$3K |
| 90696 |
|
1,095 |
981 |
$3K |
| 00731 |
|
32 |
30 |
$3K |
| 71250 |
|
89 |
72 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
27 |
26 |
$3K |
| 90716 |
|
909 |
836 |
$3K |
| 90707 |
|
907 |
840 |
$2K |
| 90700 |
|
874 |
777 |
$2K |
| 73090 |
|
163 |
143 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
25 |
24 |
$2K |
| 93295 |
|
79 |
78 |
$2K |
| 73590 |
|
185 |
140 |
$2K |
| 99451 |
|
38 |
38 |
$2K |
| 93970 |
|
59 |
54 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
48 |
48 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
38 |
38 |
$2K |
| 99177 |
|
533 |
523 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$2K |
| 92201 |
|
62 |
52 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
42 |
41 |
$2K |
| S0612 |
Annual gynecological examination, established patient |
42 |
38 |
$2K |
| 93227 |
|
29 |
29 |
$2K |
| 70491 |
|
28 |
25 |
$2K |
| 88342 |
|
25 |
24 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
203 |
$1K |
| 73030 |
|
149 |
127 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
245 |
238 |
$1K |
| 90674 |
|
547 |
532 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
326 |
314 |
$1K |
| 99254 |
|
20 |
18 |
$985.48 |
| 92134 |
|
30 |
30 |
$979.80 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
40 |
25 |
$856.00 |
| 92083 |
|
16 |
13 |
$773.62 |
| 73110 |
|
66 |
53 |
$710.11 |
| 96127 |
|
709 |
684 |
$695.52 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$669.53 |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
48 |
39 |
$662.24 |
| 93923 |
|
13 |
13 |
$650.30 |
| 73130 |
|
75 |
61 |
$627.59 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21 |
13 |
$619.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
921 |
897 |
$576.59 |
| 11721 |
|
38 |
36 |
$556.71 |
| 83986 |
|
205 |
197 |
$546.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
109 |
$535.38 |
| 73564 |
|
31 |
28 |
$507.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
262 |
217 |
$495.95 |
| S0592 |
Comprehensive contact lens evaluation |
13 |
13 |
$455.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
15 |
15 |
$450.00 |
| 88300 |
|
85 |
57 |
$445.70 |
| 96161 |
|
184 |
183 |
$435.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$416.91 |
| 73502 |
|
57 |
54 |
$411.04 |
| 92557 |
|
12 |
12 |
$402.07 |
| 96160 |
|
752 |
732 |
$387.88 |
| 77072 |
|
27 |
25 |
$384.24 |
| 72170 |
|
45 |
43 |
$359.61 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
174 |
146 |
$357.35 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
19 |
12 |
$357.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
27 |
26 |
$353.21 |
| 72082 |
|
12 |
12 |
$279.03 |
| 76376 |
|
97 |
97 |
$257.20 |
| 73560 |
|
33 |
25 |
$249.26 |
| 90620 |
|
155 |
127 |
$228.00 |
| 76140 |
|
28 |
24 |
$198.48 |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
27 |
27 |
$196.41 |
| 72100 |
|
12 |
12 |
$178.66 |
| 99422 |
|
50 |
43 |
$178.64 |
| G0008 |
Administration of influenza virus vaccine |
57 |
53 |
$167.60 |
| 95115 |
|
30 |
12 |
$166.15 |
| 99459 |
|
48 |
46 |
$110.55 |
| 3061F |
|
14 |
14 |
$110.00 |
| 99051 |
|
37 |
37 |
$28.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
184 |
175 |
$27.04 |
| 83655 |
|
33 |
33 |
$20.80 |
| 85018 |
|
32 |
32 |
$17.09 |
| 3288F |
|
342 |
335 |
$0.00 |
| G9920 |
Screening performed and negative |
311 |
310 |
$0.00 |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
14 |
12 |
$0.00 |
| 91322 |
|
103 |
102 |
$0.00 |
| 96136 |
|
44 |
41 |
$0.00 |
| 90678 |
|
108 |
106 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
104 |
100 |
$0.00 |
| 90661 |
|
416 |
415 |
$0.00 |
| 91321 |
|
163 |
161 |
$0.00 |
| 90658 |
|
40 |
40 |
$0.00 |
| 91300 |
|
27 |
27 |
$0.00 |
| 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) |
12 |
12 |
$0.00 |
| 90619 |
|
1,057 |
950 |
$0.00 |
| 90677 |
|
1,086 |
1,054 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
294 |
283 |
$0.00 |
| J0178 |
Injection, aflibercept, 1 mg |
82 |
79 |
$0.00 |
| 90656 |
|
169 |
169 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
30 |
28 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
73 |
70 |
$0.00 |
| 1101F |
|
293 |
287 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
53 |
52 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
54 |
50 |
$0.00 |
| 90660 |
|
50 |
50 |
$0.00 |
| 91307 |
|
85 |
83 |
$0.00 |