| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102,505 |
98,788 |
$9.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110,938 |
107,041 |
$7.93M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
21,180 |
11,562 |
$1.00M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,624 |
9,563 |
$932K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,813 |
9,628 |
$882K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,798 |
8,750 |
$848K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,794 |
4,479 |
$759K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
10,849 |
10,571 |
$572K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,974 |
3,950 |
$416K |
| 90670 |
|
2,969 |
2,925 |
$337K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,434 |
4,788 |
$335K |
| 76818 |
|
1,604 |
1,073 |
$273K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
843 |
832 |
$223K |
| 88342 |
|
4,169 |
2,306 |
$216K |
| 71046 |
Radiologic examination, chest; 2 views |
8,240 |
8,132 |
$201K |
| 99215 |
Prolong outpt/office vis |
1,447 |
1,381 |
$195K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,641 |
1,621 |
$163K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,461 |
2,387 |
$160K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
1,938 |
1,873 |
$138K |
| 76801 |
|
1,150 |
1,106 |
$137K |
| 76830 |
Ultrasound, transvaginal |
1,205 |
1,191 |
$135K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
620 |
613 |
$135K |
| 90961 |
|
3,548 |
3,493 |
$134K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
909 |
904 |
$125K |
| 90686 |
|
8,040 |
7,992 |
$119K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,220 |
1,207 |
$110K |
| 99460 |
|
1,209 |
1,181 |
$102K |
| 36415 |
Collection of venous blood by venipuncture |
24,460 |
21,840 |
$99K |
| 76813 |
|
510 |
506 |
$93K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
620 |
276 |
$89K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,783 |
4,690 |
$88K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
766 |
689 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
712 |
708 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,563 |
1,494 |
$83K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,206 |
1,172 |
$80K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,707 |
1,517 |
$76K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,884 |
1,862 |
$69K |
| 99233 |
Prolong inpt eval add15 m |
1,088 |
539 |
$68K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,594 |
1,342 |
$65K |
| S9999 |
Sales tax |
16,623 |
6,656 |
$63K |
| 90791 |
Psychiatric diagnostic evaluation |
390 |
388 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
711 |
694 |
$57K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
39 |
37 |
$56K |
| 0002A |
|
1,345 |
1,322 |
$52K |
| 0001A |
|
1,463 |
1,432 |
$52K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,085 |
1,015 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,224 |
3,199 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,047 |
2,041 |
$49K |
| 80053 |
Comprehensive metabolic panel |
4,500 |
3,626 |
$47K |
| 73630 |
|
1,653 |
1,511 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,384 |
4,241 |
$41K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
323 |
322 |
$39K |
| 92588 |
|
1,349 |
1,335 |
$38K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
294 |
221 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
615 |
596 |
$36K |
| E0601 |
Continuous positive airway pressure (cpap) device |
293 |
292 |
$36K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
876 |
466 |
$34K |
| 90677 |
|
346 |
342 |
$32K |
| 59025 |
Fetal non-stress test |
434 |
270 |
$30K |
| 92060 |
|
499 |
487 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,799 |
1,760 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,432 |
1,077 |
$29K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,293 |
5,236 |
$28K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
420 |
330 |
$23K |
| 99243 |
|
263 |
263 |
$20K |
| 92550 |
|
1,100 |
1,088 |
$19K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
160 |
159 |
$19K |
| 73110 |
|
585 |
534 |
$19K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
209 |
206 |
$18K |
| 82728 |
|
1,339 |
1,308 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
747 |
742 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
896 |
890 |
$17K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
168 |
165 |
$15K |
| 90688 |
|
947 |
944 |
$15K |
| 73610 |
|
468 |
435 |
$14K |
| 96900 |
|
781 |
146 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
377 |
311 |
$13K |
| 92557 |
|
434 |
431 |
$13K |
| 99292 |
|
160 |
85 |
$13K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
381 |
374 |
$13K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
381 |
374 |
$13K |
| 90680 |
|
1,182 |
1,158 |
$13K |
| 73130 |
|
452 |
333 |
$12K |
| 11721 |
|
1,142 |
1,126 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
132 |
131 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
65 |
$11K |
| 95117 |
|
908 |
602 |
$10K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
12 |
12 |
$10K |
| 90723 |
|
962 |
939 |
$10K |
| 92015 |
Determination of refractive state |
640 |
630 |
$10K |
| 85027 |
|
1,362 |
1,350 |
$9K |
| 76642 |
|
136 |
130 |
$9K |
| 90672 |
|
429 |
429 |
$8K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
104 |
103 |
$8K |
| 90962 |
|
403 |
393 |
$8K |
| 90651 |
|
653 |
651 |
$8K |
| 0071A |
|
189 |
189 |
$8K |
| 93000 |
|
1,033 |
1,004 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
155 |
128 |
$7K |
| J1750 |
Injection, iron dextran, 50 mg |
27 |
27 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
318 |
313 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
774 |
758 |
$6K |
| 90734 |
|
307 |
306 |
$6K |
| 87481 |
|
82 |
80 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
89 |
88 |
$5K |
| 0072A |
|
130 |
130 |
$5K |
| 88341 |
|
73 |
36 |
$5K |
| 86780 |
|
421 |
419 |
$5K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
39 |
39 |
$5K |
| 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) |
120 |
117 |
$5K |
| 90715 |
|
170 |
169 |
$5K |
| 90647 |
|
469 |
458 |
$5K |
| 92567 |
|
294 |
293 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
96 |
95 |
$4K |
| 99245 |
|
34 |
34 |
$4K |
| 73562 |
|
154 |
127 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
121 |
118 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
66 |
62 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
483 |
477 |
$4K |
| 87634 |
|
61 |
61 |
$4K |
| 90697 |
|
314 |
310 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
429 |
427 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
94 |
92 |
$4K |
| 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) |
5,400 |
5,169 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
511 |
506 |
$4K |
| 95251 |
|
174 |
172 |
$4K |
| 76770 |
|
53 |
53 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$3K |
| 90633 |
|
218 |
217 |
$3K |
| 99242 |
|
51 |
51 |
$3K |
| 90707 |
|
195 |
194 |
$3K |
| 80061 |
Lipid panel |
200 |
200 |
$3K |
| 99255 |
|
25 |
25 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
18 |
18 |
$3K |
| 73140 |
|
83 |
82 |
$2K |
| 69210 |
|
75 |
68 |
$2K |
| 81002 |
|
711 |
685 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
68 |
66 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$2K |
| 73030 |
|
107 |
98 |
$2K |
| 84466 |
|
180 |
175 |
$2K |
| 97161 |
|
28 |
24 |
$2K |
| 76536 |
|
26 |
26 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
30 |
25 |
$2K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
103 |
98 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
181 |
176 |
$2K |
| 86140 |
|
294 |
288 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
182 |
175 |
$1K |
| 0054A |
|
37 |
35 |
$1K |
| 52000 |
|
14 |
13 |
$1K |
| 95806 |
|
14 |
13 |
$1K |
| 99463 |
|
12 |
12 |
$1K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
1,921 |
1,857 |
$1K |
| 99254 |
|
13 |
13 |
$1K |
| 0012A |
|
32 |
31 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
129 |
80 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
15 |
13 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
37 |
37 |
$1K |
| 64615 |
|
12 |
12 |
$1K |
| 90474 |
|
162 |
161 |
$1K |
| 86003 |
|
20 |
12 |
$1K |
| 83540 |
|
180 |
175 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
14 |
12 |
$1K |
| 99462 |
|
28 |
25 |
$1K |
| 80050 |
General health panel |
32 |
26 |
$1K |
| 73564 |
|
30 |
26 |
$957.98 |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$940.72 |
| 51798 |
|
107 |
103 |
$928.73 |
| 95886 |
|
14 |
14 |
$926.64 |
| 93015 |
|
28 |
26 |
$915.80 |
| 82607 |
|
61 |
61 |
$908.64 |
| 85652 |
|
282 |
276 |
$822.04 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
52 |
52 |
$812.97 |
| 94060 |
|
26 |
24 |
$753.28 |
| 90698 |
|
67 |
67 |
$727.09 |
| 72100 |
|
27 |
26 |
$723.49 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
33 |
12 |
$722.82 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$720.82 |
| 99221 |
|
12 |
12 |
$705.87 |
| 84439 |
|
107 |
102 |
$692.03 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
28 |
28 |
$631.86 |
| 87480 |
|
25 |
25 |
$559.69 |
| 87510 |
|
25 |
25 |
$559.69 |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
14 |
14 |
$471.04 |
| 72110 |
|
13 |
13 |
$446.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
41 |
$408.67 |
| 92504 |
|
14 |
13 |
$394.96 |
| 51705 |
|
12 |
12 |
$388.90 |
| 96380 |
|
29 |
29 |
$383.96 |
| 73080 |
|
12 |
12 |
$310.52 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
16 |
13 |
$269.82 |
| 74018 |
|
13 |
13 |
$268.58 |
| 90710 |
|
29 |
28 |
$266.30 |
| 87660 |
|
13 |
13 |
$262.57 |
| 81003 |
|
107 |
107 |
$261.13 |
| 90473 |
|
13 |
13 |
$254.80 |
| 82746 |
|
13 |
13 |
$212.42 |
| J7121 |
5% dextrose in lactated ringers infusion, up to 1000 cc |
37 |
13 |
$173.27 |
| 86762 |
|
12 |
12 |
$172.68 |
| 86803 |
|
12 |
12 |
$171.24 |
| 81025 |
|
25 |
24 |
$163.60 |
| 95115 |
|
18 |
12 |
$150.26 |
| 92083 |
|
12 |
12 |
$149.66 |
| 87340 |
|
15 |
15 |
$144.62 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
63 |
62 |
$131.34 |
| 0011A |
|
15 |
13 |
$116.40 |
| 99001 |
|
65 |
60 |
$102.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$100.86 |
| 83735 |
|
14 |
12 |
$94.41 |
| 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) |
26 |
26 |
$94.26 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
13 |
$85.18 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
27 |
27 |
$84.72 |
| 82465 |
|
12 |
12 |
$60.65 |
| 90656 |
|
372 |
372 |
$3.31 |
| 90696 |
|
12 |
12 |
$2.72 |
| 90660 |
|
42 |
42 |
$0.36 |
| 90381 |
|
16 |
16 |
$0.15 |
| 91300 |
|
3,136 |
3,051 |
$0.00 |
| 99152 |
|
12 |
12 |
$0.00 |
| 81513 |
|
12 |
12 |
$0.00 |
| 91307 |
|
581 |
569 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
28 |
12 |
$0.00 |
| 0500F |
|
38 |
38 |
$0.00 |
| 91305 |
|
121 |
118 |
$0.00 |
| 99459 |
|
15 |
14 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
28 |
26 |
$0.00 |
| 97010 |
|
133 |
65 |
$0.00 |
| 0503F |
|
12 |
12 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$0.00 |
| 91301 |
|
47 |
45 |
$0.00 |