| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
36,075 |
17,984 |
$1.33M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,254 |
34,136 |
$847K |
| 99223 |
Prolong inpt eval add15 m |
11,394 |
10,959 |
$844K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,415 |
5,353 |
$755K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
17,164 |
16,748 |
$719K |
| 99222 |
Initial hospital care, per day, moderate complexity |
10,452 |
10,261 |
$707K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14,050 |
13,842 |
$674K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,767 |
1,757 |
$473K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,918 |
5,619 |
$365K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
598 |
594 |
$338K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,497 |
7,861 |
$332K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,801 |
6,702 |
$237K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,059 |
9,364 |
$227K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,886 |
3,869 |
$218K |
| 88307 |
|
3,005 |
3,001 |
$209K |
| 31624 |
|
1,259 |
1,236 |
$180K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
963 |
959 |
$175K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,452 |
518 |
$149K |
| 99221 |
|
4,902 |
4,717 |
$149K |
| 90961 |
|
1,622 |
1,621 |
$143K |
| 88342 |
|
3,577 |
3,520 |
$132K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
468 |
462 |
$93K |
| 52000 |
|
1,595 |
1,587 |
$90K |
| 88304 |
|
3,634 |
3,603 |
$88K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,148 |
1,140 |
$86K |
| 88312 |
|
3,219 |
3,198 |
$82K |
| 00731 |
|
1,257 |
1,249 |
$74K |
| 88313 |
|
2,762 |
2,758 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,723 |
1,721 |
$65K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,450 |
2,445 |
$65K |
| 99254 |
|
869 |
847 |
$55K |
| 90962 |
|
484 |
484 |
$50K |
| 50590 |
|
95 |
95 |
$48K |
| 99460 |
|
905 |
900 |
$48K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
333 |
322 |
$45K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,613 |
732 |
$38K |
| 59025 |
Fetal non-stress test |
3,742 |
2,411 |
$35K |
| 43248 |
|
661 |
652 |
$35K |
| 31622 |
|
232 |
120 |
$28K |
| 27096 |
|
138 |
137 |
$24K |
| 92015 |
Determination of refractive state |
2,662 |
2,646 |
$23K |
| 69210 |
|
690 |
680 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
472 |
465 |
$19K |
| 88108 |
|
1,401 |
1,093 |
$17K |
| 99490 |
Ccm add 20min |
5,935 |
5,934 |
$16K |
| 52648 |
|
75 |
74 |
$16K |
| 64493 |
|
117 |
116 |
$15K |
| 97597 |
|
430 |
223 |
$14K |
| 95886 |
|
350 |
273 |
$14K |
| 64483 |
|
136 |
135 |
$12K |
| 11721 |
|
1,706 |
1,700 |
$11K |
| 31575 |
|
196 |
196 |
$11K |
| 99462 |
|
396 |
297 |
$11K |
| 59514 |
|
25 |
25 |
$11K |
| 99215 |
Prolong outpt/office vis |
168 |
167 |
$10K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
43 |
38 |
$9K |
| 99252 |
|
205 |
201 |
$7K |
| 92250 |
|
373 |
372 |
$6K |
| 00811 |
|
106 |
106 |
$5K |
| 52332 |
|
13 |
13 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
484 |
376 |
$5K |
| 99255 |
|
58 |
57 |
$4K |
| 64494 |
|
132 |
90 |
$4K |
| 62321 |
|
29 |
29 |
$4K |
| 92134 |
|
286 |
285 |
$4K |
| 93000 |
|
256 |
243 |
$4K |
| 95909 |
|
55 |
55 |
$4K |
| 92133 |
|
236 |
236 |
$3K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
44 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
181 |
175 |
$3K |
| 95024 |
|
52 |
52 |
$2K |
| J1380 |
Injection, estradiol valerate, up to 10 mg |
114 |
103 |
$2K |
| 62323 |
|
13 |
12 |
$2K |
| 00813 |
|
25 |
25 |
$2K |
| 88341 |
|
53 |
52 |
$2K |
| 92557 |
|
167 |
167 |
$2K |
| 93458 |
|
12 |
12 |
$2K |
| 99356 |
|
37 |
37 |
$1K |
| 77014 |
|
98 |
24 |
$1K |
| 77427 |
|
23 |
12 |
$1K |
| 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) |
134 |
128 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 88112 |
|
74 |
67 |
$990.79 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$960.00 |
| 00873 |
|
12 |
12 |
$920.54 |
| 92550 |
|
126 |
126 |
$863.68 |
| 99241 |
|
27 |
27 |
$725.27 |
| 98940 |
|
42 |
40 |
$684.84 |
| 76519 |
|
27 |
25 |
$679.78 |
| 99152 |
|
31 |
31 |
$624.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
131 |
98 |
$539.29 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
33 |
33 |
$477.52 |
| 77263 |
|
15 |
14 |
$477.04 |
| 99454 |
|
50 |
50 |
$467.90 |
| 92136 |
|
42 |
42 |
$444.66 |
| 90686 |
|
40 |
37 |
$433.86 |
| 99251 |
|
15 |
15 |
$426.23 |
| 95908 |
|
12 |
12 |
$398.40 |
| 92020 |
|
40 |
40 |
$384.06 |
| 99457 |
|
70 |
70 |
$366.02 |
| 99253 |
|
17 |
17 |
$357.60 |
| 92083 |
|
12 |
12 |
$327.10 |
| 20610 |
|
16 |
13 |
$261.08 |
| 87807 |
|
35 |
29 |
$106.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$85.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
41 |
$77.66 |
| 88311 |
|
13 |
13 |
$69.84 |
| 85018 |
|
21 |
21 |
$42.28 |
| 99173 |
|
15 |
13 |
$38.06 |
| 92567 |
|
13 |
13 |
$0.00 |