| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40,358 |
10,724 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,210 |
22,203 |
$1.10M |
| 99070 |
|
26,798 |
20,703 |
$599K |
| 99221 |
|
13,388 |
9,577 |
$570K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13,606 |
10,497 |
$567K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,184 |
6,266 |
$482K |
| 93458 |
|
1,180 |
912 |
$436K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13,550 |
9,840 |
$417K |
| 93040 |
|
16,196 |
9,994 |
$363K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,551 |
6,900 |
$348K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,652 |
1,719 |
$233K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,181 |
494 |
$184K |
| 99252 |
|
6,412 |
5,444 |
$184K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,270 |
4,262 |
$173K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,548 |
992 |
$117K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,655 |
1,660 |
$101K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,898 |
8,263 |
$100K |
| 93000 |
|
7,087 |
5,979 |
$97K |
| 97597 |
|
1,885 |
571 |
$88K |
| 19083 |
|
367 |
307 |
$80K |
| 59514 |
|
259 |
209 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
5,962 |
3,740 |
$58K |
| 71045 |
Radiologic examination, chest; single view |
4,764 |
2,749 |
$39K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
101 |
50 |
$32K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
834 |
666 |
$29K |
| 99222 |
Initial hospital care, per day, moderate complexity |
388 |
341 |
$29K |
| 76641 |
|
629 |
500 |
$27K |
| 99243 |
|
1,848 |
1,334 |
$26K |
| 97803 |
|
929 |
828 |
$22K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
654 |
451 |
$22K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,057 |
1,895 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
224 |
61 |
$18K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
101 |
82 |
$17K |
| 47562 |
|
44 |
38 |
$16K |
| 72100 |
|
1,526 |
994 |
$15K |
| 76830 |
Ultrasound, transvaginal |
462 |
331 |
$15K |
| 99253 |
|
422 |
385 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
534 |
460 |
$12K |
| 77066 |
Tomosynthesis, mammo |
233 |
188 |
$11K |
| 73030 |
|
800 |
531 |
$9K |
| 59515 |
|
41 |
39 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
56 |
48 |
$8K |
| 76770 |
|
223 |
165 |
$7K |
| 76536 |
|
281 |
213 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
220 |
157 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
40 |
37 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
84 |
74 |
$6K |
| 94375 |
|
178 |
161 |
$6K |
| 92928 |
|
17 |
13 |
$5K |
| 72040 |
|
502 |
352 |
$5K |
| 73560 |
|
562 |
350 |
$5K |
| 58558 |
|
14 |
14 |
$5K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
15 |
15 |
$4K |
| 93971 |
|
183 |
111 |
$4K |
| 97804 |
|
246 |
82 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
323 |
308 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
76 |
42 |
$3K |
| 94664 |
|
389 |
339 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
73 |
$3K |
| 97802 |
|
29 |
29 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
296 |
279 |
$2K |
| 52000 |
|
13 |
12 |
$2K |
| 73562 |
|
151 |
101 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
42 |
32 |
$2K |
| 73221 |
|
32 |
29 |
$2K |
| 70210 |
|
210 |
136 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17 |
17 |
$2K |
| 74261 |
|
16 |
12 |
$2K |
| 99462 |
|
81 |
38 |
$1K |
| 99460 |
|
44 |
44 |
$1K |
| 77080 |
|
188 |
158 |
$1K |
| 74018 |
|
133 |
111 |
$1K |
| 99242 |
|
39 |
35 |
$1K |
| 52332 |
|
13 |
12 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
14 |
$1K |
| 72082 |
|
54 |
50 |
$967.90 |
| 77012 |
|
35 |
25 |
$961.35 |
| 73620 |
|
114 |
81 |
$826.57 |
| 20610 |
|
12 |
12 |
$800.04 |
| 70486 |
|
22 |
13 |
$693.97 |
| 73120 |
|
67 |
49 |
$645.19 |
| 77065 |
Tomosynthesis, mammo |
15 |
15 |
$540.82 |
| 73630 |
|
33 |
18 |
$275.21 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
85 |
84 |
$200.15 |
| 73590 |
|
26 |
12 |
$182.05 |
| 73600 |
|
23 |
15 |
$168.58 |
| 73502 |
|
15 |
13 |
$161.69 |
| 73610 |
|
21 |
12 |
$152.57 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
131 |
122 |
$112.77 |
| 73100 |
|
13 |
12 |
$102.75 |
| 36573 |
|
15 |
13 |
$101.93 |
| P3000 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision |
322 |
91 |
$80.00 |
| G0102 |
Prostate cancer screening; digital rectal examination |
29 |
29 |
$18.93 |
| 0502F |
|
3,017 |
1,341 |
$0.04 |
| 1111F |
|
823 |
652 |
$0.01 |
| 99152 |
|
57 |
57 |
$0.00 |
| 88150 |
|
308 |
205 |
$0.00 |
| 1126F |
|
2,247 |
1,384 |
$0.00 |
| 3008F |
|
2,288 |
1,414 |
$0.00 |
| 99024 |
|
143 |
86 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
27 |
27 |
$0.00 |
| 88142 |
|
51 |
35 |
$0.00 |