| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,239 |
72,524 |
$4.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,988 |
34,053 |
$3.01M |
| 99215 |
Prolong outpt/office vis |
21,247 |
20,314 |
$2.67M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35,361 |
34,565 |
$2.53M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,619 |
8,391 |
$1.13M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,925 |
15,489 |
$752K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,663 |
4,475 |
$749K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
4,259 |
4,087 |
$650K |
| 97803 |
|
18,595 |
17,416 |
$614K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
16,039 |
7,537 |
$530K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,334 |
2,284 |
$314K |
| 99460 |
|
2,851 |
2,785 |
$252K |
| 93325 |
|
16,423 |
15,467 |
$227K |
| 99205 |
Prolong outpt/office vis |
1,166 |
1,147 |
$201K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,172 |
2,112 |
$179K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,309 |
3,242 |
$169K |
| 93320 |
|
4,248 |
4,079 |
$151K |
| 93304 |
|
1,463 |
1,406 |
$114K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
935 |
906 |
$111K |
| 93000 |
|
8,029 |
7,608 |
$96K |
| 49452 |
|
971 |
928 |
$85K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
472 |
470 |
$79K |
| 97802 |
|
1,294 |
1,277 |
$63K |
| L2280 |
Addition to lower extremity, molded inner boot |
154 |
85 |
$58K |
| 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) |
1,343 |
1,325 |
$51K |
| 93321 |
|
3,134 |
2,985 |
$48K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
970 |
955 |
$48K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,791 |
7,525 |
$46K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
710 |
459 |
$45K |
| 88108 |
|
2,394 |
2,091 |
$38K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
271 |
269 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
491 |
197 |
$36K |
| 85097 |
|
721 |
634 |
$36K |
| 99243 |
|
460 |
443 |
$35K |
| 92015 |
Determination of refractive state |
3,225 |
3,192 |
$34K |
| 88307 |
|
482 |
366 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
533 |
239 |
$30K |
| 76825 |
|
180 |
166 |
$28K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
844 |
823 |
$26K |
| 95251 |
|
1,317 |
1,304 |
$25K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
54 |
29 |
$25K |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
449 |
248 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
808 |
763 |
$21K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
207 |
113 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
458 |
452 |
$15K |
| Q3014 |
Telehealth originating site facility fee |
548 |
547 |
$14K |
| D7140 |
Extraction, erupted tooth or exposed root |
247 |
64 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
219 |
199 |
$13K |
| 90849 |
|
660 |
292 |
$13K |
| 99462 |
|
325 |
300 |
$13K |
| 99443 |
|
219 |
218 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
632 |
621 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
168 |
77 |
$11K |
| 92060 |
|
655 |
647 |
$11K |
| 93308 |
|
77 |
76 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
156 |
156 |
$8K |
| 76827 |
|
180 |
166 |
$7K |
| 88304 |
|
761 |
726 |
$6K |
| 97156 |
|
134 |
67 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
129 |
124 |
$6K |
| 96130 |
|
86 |
86 |
$6K |
| 88342 |
|
210 |
198 |
$5K |
| 88313 |
|
349 |
230 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
81 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
76 |
39 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
49 |
49 |
$5K |
| 96040 |
|
138 |
138 |
$4K |
| 99442 |
|
109 |
107 |
$4K |
| 99463 |
|
42 |
42 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
41 |
40 |
$4K |
| D1206 |
Topical application of fluoride varnish |
148 |
141 |
$4K |
| 41010 |
|
54 |
50 |
$3K |
| 62252 |
|
131 |
129 |
$3K |
| 99242 |
|
52 |
39 |
$3K |
| D2330 |
|
35 |
12 |
$3K |
| D1351 |
Sealant - per tooth |
112 |
24 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
110 |
108 |
$2K |
| 92002 |
|
76 |
76 |
$2K |
| 90686 |
|
484 |
473 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
130 |
48 |
$2K |
| 96116 |
|
41 |
25 |
$2K |
| 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) |
1,463 |
1,385 |
$2K |
| 43760 |
|
24 |
24 |
$2K |
| 96158 |
|
32 |
25 |
$1K |
| D1120 |
Prophylaxis - child |
69 |
66 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
158 |
148 |
$1K |
| 96152 |
|
30 |
28 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
530 |
96 |
$1K |
| 90656 |
|
73 |
73 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
13 |
$1K |
| 88300 |
|
356 |
354 |
$1K |
| 69210 |
|
56 |
50 |
$986.45 |
| 43762 |
|
40 |
39 |
$948.17 |
| 96136 |
|
62 |
60 |
$878.41 |
| 88311 |
|
63 |
52 |
$718.33 |
| 99464 |
|
13 |
12 |
$675.75 |
| 96450 |
|
14 |
12 |
$648.38 |
| 96137 |
|
50 |
48 |
$563.58 |
| 88188 |
|
12 |
12 |
$451.32 |
| 76820 |
|
25 |
12 |
$441.35 |
| 93227 |
|
13 |
12 |
$373.80 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$165.33 |
| 90685 |
|
12 |
12 |
$0.07 |
| D0801 |
|
54 |
53 |
$0.00 |