| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,667 |
13,575 |
$1.30M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,029 |
13,884 |
$787K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,035 |
5,885 |
$255K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,517 |
1,950 |
$230K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,524 |
3,429 |
$187K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,035 |
1,887 |
$95K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,279 |
3,176 |
$92K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,429 |
1,414 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,458 |
1,457 |
$78K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,276 |
10,642 |
$76K |
| 99222 |
Initial hospital care, per day, moderate complexity |
631 |
615 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
5,313 |
5,272 |
$43K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,213 |
1,114 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
5,927 |
4,917 |
$34K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
236 |
133 |
$31K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
726 |
723 |
$26K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
199 |
198 |
$24K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
549 |
493 |
$20K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
25 |
25 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
533 |
529 |
$19K |
| 99442 |
|
508 |
499 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
796 |
796 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
288 |
288 |
$15K |
| 99443 |
|
209 |
192 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
195 |
195 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
550 |
276 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
781 |
781 |
$13K |
| 88307 |
|
96 |
96 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
396 |
383 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
938 |
938 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
221 |
221 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
158 |
158 |
$11K |
| 76818 |
|
224 |
132 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
267 |
267 |
$9K |
| 99460 |
|
89 |
89 |
$7K |
| 96112 |
|
104 |
103 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
131 |
131 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
115 |
113 |
$6K |
| 76641 |
|
195 |
193 |
$6K |
| 70486 |
|
200 |
199 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
93 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
197 |
188 |
$5K |
| 59425 |
|
77 |
66 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
56 |
55 |
$4K |
| 70498 |
|
70 |
70 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
196 |
193 |
$4K |
| 95813 |
|
59 |
41 |
$3K |
| 73630 |
|
458 |
430 |
$3K |
| 76820 |
|
147 |
109 |
$3K |
| 77066 |
Tomosynthesis, mammo |
89 |
89 |
$3K |
| 70496 |
|
73 |
72 |
$3K |
| 95816 |
|
90 |
86 |
$3K |
| 93970 |
|
147 |
142 |
$3K |
| 73610 |
|
344 |
319 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
57 |
57 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
106 |
106 |
$2K |
| 73130 |
|
291 |
275 |
$2K |
| 76801 |
|
49 |
49 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
67 |
67 |
$2K |
| 76830 |
Ultrasound, transvaginal |
63 |
63 |
$2K |
| 73562 |
|
231 |
213 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 88304 |
|
100 |
98 |
$1K |
| 95717 |
|
17 |
12 |
$1K |
| 73110 |
|
184 |
170 |
$1K |
| 74018 |
|
173 |
161 |
$1K |
| 76642 |
|
43 |
42 |
$1K |
| 73030 |
|
149 |
143 |
$986.29 |
| 88112 |
|
55 |
54 |
$849.68 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
20 |
20 |
$825.10 |
| 99221 |
|
15 |
15 |
$793.71 |
| 73560 |
|
130 |
107 |
$673.93 |
| 71271 |
|
24 |
24 |
$620.84 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$615.09 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$602.41 |
| 76813 |
|
12 |
12 |
$554.52 |
| 71250 |
|
15 |
15 |
$479.01 |
| 88312 |
|
26 |
26 |
$463.93 |
| 73090 |
|
56 |
52 |
$341.82 |
| 93923 |
|
26 |
26 |
$339.45 |
| 72170 |
|
39 |
38 |
$271.97 |
| 93321 |
|
52 |
48 |
$271.46 |
| 73590 |
|
40 |
38 |
$265.61 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$258.75 |
| 77065 |
Tomosynthesis, mammo |
14 |
14 |
$256.91 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
776 |
717 |
$249.60 |
| 93248 |
|
13 |
13 |
$227.16 |
| 88302 |
|
14 |
14 |
$221.98 |
| 72100 |
|
28 |
28 |
$215.41 |
| 77080 |
|
73 |
73 |
$182.23 |
| 73502 |
|
29 |
29 |
$172.80 |
| 99188 |
|
31 |
31 |
$170.56 |
| 93325 |
|
53 |
49 |
$118.33 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
13 |
13 |
$115.02 |
| 73080 |
|
13 |
13 |
$87.85 |
| 3078F |
|
298 |
298 |
$5.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
623 |
609 |
$0.00 |
| 1159F |
|
64 |
63 |
$0.00 |
| 0502F |
|
157 |
126 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
146 |
144 |
$0.00 |
| 3725F |
|
34 |
28 |
$0.00 |
| 3074F |
|
40 |
40 |
$0.00 |
| 1170F |
|
146 |
146 |
$0.00 |
| 3008F |
|
25 |
24 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
142 |
142 |
$0.00 |