| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146,363 |
141,149 |
$7.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70,498 |
67,654 |
$4.88M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,128 |
9,124 |
$452K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,231 |
8,675 |
$416K |
| 99050 |
|
17,596 |
17,531 |
$351K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,091 |
7,049 |
$295K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,912 |
3,881 |
$288K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,426 |
5,422 |
$264K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,760 |
6,444 |
$210K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,880 |
2,876 |
$200K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,402 |
3,653 |
$182K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
23,650 |
21,179 |
$170K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,398 |
1,395 |
$134K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,932 |
1,903 |
$128K |
| 71045 |
Radiologic examination, chest; single view |
15,750 |
13,286 |
$121K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,528 |
2,424 |
$115K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,182 |
3,181 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,872 |
1,870 |
$101K |
| 71046 |
Radiologic examination, chest; 2 views |
9,724 |
9,665 |
$96K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,592 |
1,589 |
$95K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,433 |
2,402 |
$92K |
| 59025 |
Fetal non-stress test |
2,561 |
1,317 |
$83K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,456 |
2,255 |
$83K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,174 |
3,173 |
$81K |
| 99051 |
|
7,046 |
7,008 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,326 |
2,285 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
985 |
985 |
$71K |
| 76830 |
Ultrasound, transvaginal |
2,256 |
2,250 |
$67K |
| 99233 |
Prolong inpt eval add15 m |
1,460 |
587 |
$64K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
488 |
476 |
$49K |
| 99223 |
Prolong inpt eval add15 m |
345 |
331 |
$48K |
| 99460 |
|
716 |
714 |
$47K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
912 |
907 |
$45K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
331 |
329 |
$36K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,149 |
1,133 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
615 |
615 |
$31K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
452 |
448 |
$30K |
| 76641 |
|
675 |
674 |
$29K |
| 99215 |
Prolong outpt/office vis |
235 |
232 |
$29K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,133 |
1,129 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
433 |
259 |
$25K |
| 72131 |
|
679 |
675 |
$25K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
602 |
559 |
$23K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
171 |
171 |
$22K |
| 71250 |
|
541 |
535 |
$19K |
| 73630 |
|
2,423 |
2,272 |
$18K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
346 |
257 |
$17K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
690 |
229 |
$15K |
| 73564 |
|
1,242 |
1,151 |
$13K |
| 73110 |
|
1,691 |
1,574 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
300 |
298 |
$12K |
| 73610 |
|
1,535 |
1,489 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
742 |
738 |
$10K |
| 73030 |
|
1,169 |
1,125 |
$10K |
| 73130 |
|
1,140 |
1,081 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
150 |
150 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
167 |
167 |
$9K |
| 81003 |
|
3,452 |
2,410 |
$9K |
| 99152 |
|
1,388 |
1,369 |
$8K |
| 76536 |
|
368 |
367 |
$8K |
| 70486 |
|
232 |
229 |
$8K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
81 |
81 |
$7K |
| 72132 |
|
144 |
142 |
$7K |
| 20611 |
|
135 |
132 |
$7K |
| 76642 |
|
220 |
219 |
$7K |
| 95886 |
|
134 |
133 |
$7K |
| 77066 |
Tomosynthesis, mammo |
139 |
139 |
$6K |
| 76820 |
|
240 |
156 |
$6K |
| 31575 |
|
110 |
109 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
77 |
77 |
$6K |
| 72129 |
|
112 |
110 |
$6K |
| 93971 |
|
271 |
264 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
251 |
248 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
121 |
95 |
$5K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
27 |
27 |
$5K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
109 |
109 |
$5K |
| 74018 |
|
543 |
529 |
$4K |
| 19083 |
|
13 |
13 |
$4K |
| 93970 |
|
139 |
139 |
$4K |
| 72100 |
|
433 |
432 |
$4K |
| 99442 |
|
94 |
93 |
$4K |
| 00104 |
|
69 |
24 |
$4K |
| 99441 |
|
135 |
128 |
$3K |
| 76770 |
|
117 |
117 |
$3K |
| 90686 |
|
729 |
729 |
$3K |
| 73140 |
|
563 |
535 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
256 |
256 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
63 |
63 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
53 |
53 |
$3K |
| 99462 |
|
75 |
57 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
236 |
236 |
$2K |
| 99385 |
|
39 |
39 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
80 |
80 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
171 |
169 |
$2K |
| 72128 |
|
45 |
45 |
$2K |
| 72040 |
|
200 |
200 |
$2K |
| 95909 |
|
25 |
25 |
$2K |
| 73502 |
|
183 |
183 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
161 |
160 |
$2K |
| 75574 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
51 |
$1K |
| 93227 |
|
28 |
28 |
$960.80 |
| 98929 |
|
13 |
12 |
$949.68 |
| 82962 |
|
350 |
349 |
$899.93 |
| 99443 |
|
21 |
21 |
$749.25 |
| 76801 |
|
14 |
14 |
$745.61 |
| 72110 |
|
65 |
65 |
$736.90 |
| 77080 |
|
96 |
96 |
$617.39 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$614.09 |
| 95816 |
|
13 |
13 |
$612.39 |
| 96127 |
|
184 |
181 |
$586.44 |
| 73590 |
|
72 |
66 |
$534.93 |
| 73080 |
|
67 |
65 |
$531.13 |
| G0398 |
Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation |
13 |
13 |
$520.72 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$476.35 |
| 11102 |
|
12 |
12 |
$455.15 |
| 73560 |
|
57 |
54 |
$420.03 |
| 93880 |
|
12 |
12 |
$409.68 |
| 74019 |
|
28 |
28 |
$276.76 |
| 97802 |
|
24 |
24 |
$270.35 |
| 93016 |
|
12 |
12 |
$218.24 |
| 73562 |
|
29 |
28 |
$208.27 |
| 90832 |
Psychotherapy, 30 minutes with patient |
31 |
31 |
$192.47 |
| 93018 |
|
12 |
12 |
$165.60 |
| 94726 |
|
13 |
13 |
$129.12 |
| 0502F |
|
2,298 |
1,533 |
$22.64 |
| 3008F |
|
715 |
708 |
$6.54 |
| 1159F |
|
14 |
14 |
$0.12 |
| 1160F |
|
13 |
13 |
$0.11 |
| 90670 |
|
14 |
13 |
$0.00 |
| 98940 |
|
51 |
27 |
$0.00 |
| 90648 |
|
14 |
13 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
830 |
763 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |
| G2078 |
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
14 |
12 |
$0.00 |
| 90680 |
|
14 |
13 |
$0.00 |