| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,309 |
51,355 |
$6.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,175 |
49,176 |
$3.94M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,973 |
1,891 |
$2.13M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12,509 |
12,331 |
$1.73M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,740 |
4,689 |
$1.06M |
| 99215 |
Prolong outpt/office vis |
3,817 |
3,255 |
$680K |
| 92015 |
Determination of refractive state |
8,529 |
8,496 |
$523K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,447 |
10,918 |
$506K |
| 59425 |
|
4,278 |
3,061 |
$495K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,889 |
2,886 |
$469K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,731 |
3,713 |
$445K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,662 |
1,582 |
$421K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
10,303 |
5,423 |
$416K |
| 92060 |
|
4,541 |
4,076 |
$322K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,834 |
1,720 |
$298K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,553 |
2,519 |
$287K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,734 |
2,704 |
$265K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,599 |
1,595 |
$247K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,205 |
2,197 |
$237K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,706 |
3,660 |
$206K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,423 |
1,292 |
$206K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,216 |
1,211 |
$205K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,485 |
962 |
$197K |
| 99051 |
|
3,455 |
3,408 |
$194K |
| 90461 |
|
2,808 |
2,636 |
$136K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,578 |
2,557 |
$132K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
408 |
389 |
$121K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
855 |
852 |
$101K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,207 |
2,199 |
$96K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
899 |
875 |
$83K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
360 |
353 |
$76K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
438 |
431 |
$76K |
| 92551 |
|
3,519 |
3,490 |
$68K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
706 |
700 |
$67K |
| 71046 |
Radiologic examination, chest; 2 views |
2,125 |
2,107 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,762 |
1,689 |
$65K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
306 |
294 |
$60K |
| 95811 |
|
418 |
418 |
$52K |
| 92134 |
|
2,302 |
1,755 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,349 |
1,330 |
$48K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
376 |
356 |
$46K |
| 99205 |
Prolong outpt/office vis |
180 |
179 |
$42K |
| 17110 |
|
425 |
414 |
$42K |
| 11102 |
|
445 |
441 |
$42K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
536 |
448 |
$39K |
| 92557 |
|
1,135 |
1,135 |
$39K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
131 |
131 |
$38K |
| 20610 |
|
839 |
635 |
$37K |
| 99173 |
|
4,017 |
3,995 |
$36K |
| 93000 |
|
2,726 |
2,667 |
$36K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
344 |
342 |
$36K |
| G6015 |
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
95 |
12 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
703 |
278 |
$35K |
| 77336 |
|
428 |
323 |
$30K |
| 94729 |
|
613 |
600 |
$30K |
| J0178 |
Injection, aflibercept, 1 mg |
16 |
12 |
$29K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
665 |
371 |
$27K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
791 |
412 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,310 |
1,295 |
$27K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
193 |
90 |
$27K |
| 97803 |
|
473 |
451 |
$25K |
| 99152 |
|
1,635 |
1,614 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
415 |
156 |
$23K |
| 17000 |
|
505 |
496 |
$20K |
| 11721 |
|
1,261 |
1,251 |
$20K |
| 77014 |
|
186 |
39 |
$19K |
| 99243 |
|
87 |
84 |
$17K |
| 97161 |
|
189 |
189 |
$17K |
| 92567 |
|
1,059 |
1,057 |
$16K |
| 92002 |
|
172 |
172 |
$16K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
999 |
760 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
487 |
430 |
$16K |
| 99443 |
|
213 |
188 |
$16K |
| 90686 |
|
1,359 |
1,327 |
$16K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
81 |
78 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
664 |
628 |
$15K |
| 76642 |
|
147 |
141 |
$15K |
| 94010 |
|
368 |
360 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
701 |
698 |
$12K |
| 92285 |
|
552 |
521 |
$12K |
| 73562 |
|
283 |
260 |
$12K |
| 97802 |
|
94 |
94 |
$11K |
| 64566 |
|
130 |
62 |
$11K |
| 94726 |
|
225 |
222 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
116 |
116 |
$11K |
| 51798 |
|
723 |
700 |
$9K |
| 97035 |
|
745 |
457 |
$9K |
| 90670 |
|
153 |
153 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
123 |
87 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
487 |
480 |
$8K |
| 92133 |
|
338 |
278 |
$8K |
| 93296 |
|
559 |
558 |
$8K |
| 31575 |
|
76 |
76 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
739 |
714 |
$7K |
| 94060 |
|
184 |
182 |
$7K |
| 64615 |
|
51 |
51 |
$7K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
56 |
54 |
$6K |
| 11100 |
|
63 |
62 |
$6K |
| 73630 |
|
155 |
139 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
468 |
434 |
$6K |
| 85018 |
|
2,088 |
2,014 |
$6K |
| 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 |
266 |
266 |
$6K |
| 93298 |
|
307 |
307 |
$5K |
| 0072A |
|
138 |
138 |
$5K |
| 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) |
1,217 |
1,203 |
$5K |
| 81003 |
|
2,571 |
2,459 |
$5K |
| 90480 |
|
133 |
133 |
$5K |
| 95251 |
|
165 |
164 |
$5K |
| J0897 |
Injection, denosumab, 1 mg |
14 |
14 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
137 |
137 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
472 |
466 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
50 |
50 |
$5K |
| 77080 |
|
278 |
267 |
$5K |
| 92083 |
|
148 |
109 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
17 |
15 |
$4K |
| 0071A |
|
115 |
115 |
$4K |
| 69210 |
|
128 |
114 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
133 |
90 |
$4K |
| 76536 |
|
34 |
34 |
$3K |
| 98972 |
|
110 |
108 |
$3K |
| 99201 |
|
59 |
56 |
$3K |
| 17003 |
|
159 |
158 |
$3K |
| 0004A |
|
76 |
76 |
$3K |
| 90698 |
|
54 |
53 |
$3K |
| J2785 |
Injection, regadenoson, 0.1 mg |
30 |
28 |
$3K |
| 0064A |
|
74 |
74 |
$3K |
| 93356 |
|
90 |
90 |
$3K |
| 93016 |
|
171 |
170 |
$2K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$2K |
| 97535 |
Self-care/home management training, each 15 minutes |
43 |
37 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
37 |
37 |
$2K |
| 99417 |
Prolong home eval add 15m |
17 |
16 |
$2K |
| 98968 |
|
54 |
54 |
$2K |
| 81025 |
|
144 |
140 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
26 |
25 |
$1K |
| 90697 |
|
12 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
64 |
$1K |
| 0053A |
|
35 |
35 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
13 |
$1K |
| 90680 |
|
102 |
94 |
$1K |
| 76942 |
|
31 |
26 |
$1K |
| 0082A |
|
33 |
33 |
$1K |
| 93295 |
|
75 |
75 |
$1K |
| 99307 |
|
80 |
77 |
$1K |
| 99422 |
|
36 |
36 |
$1K |
| 0012A |
|
246 |
246 |
$1K |
| 99401 |
|
18 |
17 |
$995.40 |
| 99310 |
Prolong nursin fac eval 15m |
31 |
27 |
$992.83 |
| 93015 |
|
13 |
13 |
$956.64 |
| 93018 |
|
76 |
76 |
$945.81 |
| 0001A |
|
55 |
55 |
$897.82 |
| G2063 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes |
27 |
26 |
$888.15 |
| 96367 |
|
16 |
14 |
$887.35 |
| 99153 |
Mod sedat endo service >5yrs |
78 |
78 |
$879.49 |
| 73130 |
|
13 |
12 |
$875.07 |
| 92226 |
|
49 |
39 |
$814.20 |
| 82962 |
|
334 |
327 |
$740.26 |
| 90656 |
|
213 |
213 |
$720.80 |
| 73030 |
|
25 |
24 |
$677.92 |
| 90694 |
|
67 |
67 |
$655.76 |
| 0011A |
|
254 |
254 |
$626.79 |
| 0081A |
|
15 |
15 |
$600.00 |
| 0002A |
|
22 |
22 |
$596.19 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
12 |
$578.67 |
| 92310 |
|
13 |
13 |
$560.00 |
| 90662 |
|
86 |
86 |
$558.37 |
| 98971 |
|
27 |
26 |
$489.72 |
| 0031A |
|
17 |
17 |
$482.63 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
12 |
12 |
$470.82 |
| 94375 |
|
13 |
13 |
$449.39 |
| 96402 |
|
13 |
13 |
$405.68 |
| 95117 |
|
20 |
12 |
$328.06 |
| 92587 |
|
12 |
12 |
$324.77 |
| 85048 |
|
106 |
102 |
$306.88 |
| 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) |
77 |
72 |
$300.45 |
| 96127 |
|
53 |
53 |
$266.88 |
| 90734 |
|
15 |
15 |
$245.68 |
| 11056 |
|
13 |
13 |
$243.49 |
| 90633 |
|
40 |
38 |
$216.20 |
| G0127 |
Trimming of dystrophic nails, any number |
12 |
12 |
$215.34 |
| 90474 |
|
12 |
12 |
$173.04 |
| 77081 |
|
12 |
12 |
$143.00 |
| 81002 |
|
33 |
33 |
$120.45 |
| 76514 |
|
12 |
12 |
$119.05 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
15 |
15 |
$93.27 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$89.26 |
| G0008 |
Administration of influenza virus vaccine |
203 |
203 |
$67.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
26 |
$38.58 |
| 3074F |
|
1,941 |
1,903 |
$0.00 |
| 3079F |
|
159 |
157 |
$0.00 |
| 3044F |
|
234 |
228 |
$0.00 |
| 4010F |
|
271 |
261 |
$0.00 |
| 3078F |
|
2,000 |
1,964 |
$0.00 |
| 3077F |
|
53 |
53 |
$0.00 |
| 3046F |
|
14 |
14 |
$0.00 |