| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,974 |
72,691 |
$3.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47,546 |
43,746 |
$2.60M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,483 |
16,150 |
$1.30M |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
1,181 |
1,157 |
$1.06M |
| 99460 |
|
7,892 |
7,818 |
$654K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,273 |
7,156 |
$632K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
4,678 |
2,185 |
$584K |
| 99477 |
|
1,320 |
1,301 |
$511K |
| 99381 |
|
5,455 |
5,355 |
$450K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,621 |
6,518 |
$417K |
| 99215 |
Prolong outpt/office vis |
3,896 |
3,613 |
$387K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
901 |
161 |
$344K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,522 |
3,454 |
$322K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,850 |
4,723 |
$315K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,796 |
7,280 |
$285K |
| 59025 |
Fetal non-stress test |
10,196 |
7,177 |
$267K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,999 |
628 |
$265K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,640 |
8,215 |
$257K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,743 |
5,640 |
$257K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,053 |
4,380 |
$255K |
| 71045 |
Radiologic examination, chest; single view |
36,239 |
21,987 |
$234K |
| 99233 |
Prolong inpt eval add15 m |
3,720 |
1,125 |
$210K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
39,356 |
31,331 |
$198K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,836 |
1,776 |
$173K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,131 |
4,584 |
$168K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,097 |
3,731 |
$166K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,641 |
3,566 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,510 |
1,487 |
$151K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,157 |
2,763 |
$144K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
215 |
205 |
$140K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,227 |
1,276 |
$136K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
757 |
263 |
$132K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,507 |
5,074 |
$132K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,864 |
4,836 |
$125K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,405 |
1,367 |
$109K |
| 71046 |
Radiologic examination, chest; 2 views |
13,949 |
13,642 |
$106K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,229 |
2,117 |
$102K |
| 99462 |
|
2,466 |
2,284 |
$99K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
666 |
649 |
$91K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,622 |
1,598 |
$89K |
| 90791 |
Psychiatric diagnostic evaluation |
936 |
914 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,201 |
6,129 |
$74K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
884 |
869 |
$66K |
| 83020 |
|
7,063 |
6,742 |
$62K |
| 90837 |
Psychotherapy, 53 minutes with patient |
583 |
469 |
$54K |
| 77014 |
|
1,408 |
524 |
$46K |
| 88307 |
|
554 |
542 |
$42K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,841 |
1,732 |
$38K |
| 76801 |
|
894 |
873 |
$38K |
| 59514 |
|
52 |
49 |
$36K |
| 01961 |
|
60 |
60 |
$34K |
| 74018 |
|
4,697 |
3,249 |
$32K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,486 |
1,478 |
$31K |
| 93975 |
|
693 |
672 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
205 |
203 |
$24K |
| 71250 |
|
404 |
396 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
401 |
393 |
$20K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
423 |
414 |
$17K |
| 88141 |
|
690 |
686 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
386 |
366 |
$14K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
171 |
168 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
113 |
112 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
183 |
182 |
$12K |
| 84165 |
|
1,573 |
1,442 |
$11K |
| 76830 |
Ultrasound, transvaginal |
395 |
392 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
218 |
210 |
$10K |
| 76820 |
|
446 |
299 |
$9K |
| 76770 |
|
355 |
351 |
$9K |
| 99220 |
|
91 |
91 |
$9K |
| 76857 |
|
424 |
421 |
$8K |
| 85390 |
|
577 |
499 |
$8K |
| 70486 |
|
211 |
209 |
$7K |
| 92015 |
Determination of refractive state |
737 |
729 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
301 |
295 |
$7K |
| 99221 |
|
93 |
93 |
$6K |
| 72100 |
|
761 |
748 |
$6K |
| 99463 |
|
56 |
56 |
$6K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
296 |
132 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
177 |
135 |
$6K |
| 86077 |
|
216 |
190 |
$5K |
| 99383 |
|
60 |
55 |
$5K |
| 85060 |
|
479 |
460 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
97 |
97 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
52 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
160 |
158 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
41 |
$4K |
| 99253 |
|
55 |
54 |
$4K |
| 93295 |
|
298 |
293 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
52 |
51 |
$4K |
| 92588 |
|
174 |
167 |
$3K |
| 73630 |
|
592 |
455 |
$3K |
| 99254 |
|
26 |
26 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
144 |
127 |
$3K |
| 73030 |
|
474 |
413 |
$3K |
| 99382 |
|
34 |
29 |
$3K |
| 93458 |
|
13 |
13 |
$3K |
| 73130 |
|
453 |
313 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
41 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
54 |
53 |
$3K |
| 93923 |
|
186 |
182 |
$2K |
| 99152 |
|
401 |
377 |
$2K |
| 78306 |
|
62 |
61 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
44 |
25 |
$2K |
| 99384 |
|
18 |
14 |
$2K |
| 73565 |
|
257 |
252 |
$2K |
| 92567 |
|
198 |
189 |
$1K |
| 92579 |
|
55 |
53 |
$1K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
39 |
38 |
$1K |
| 76642 |
|
57 |
51 |
$1K |
| 88342 |
|
43 |
39 |
$977.06 |
| 77066 |
Tomosynthesis, mammo |
27 |
24 |
$930.16 |
| 88302 |
|
150 |
144 |
$886.03 |
| 84166 |
|
51 |
50 |
$869.48 |
| 99219 |
|
12 |
12 |
$850.39 |
| 62322 |
|
14 |
12 |
$834.04 |
| 73562 |
|
120 |
109 |
$830.84 |
| 77080 |
|
138 |
135 |
$824.87 |
| 70496 |
|
13 |
12 |
$740.05 |
| 73610 |
|
103 |
90 |
$699.41 |
| 93018 |
|
72 |
69 |
$570.71 |
| 93227 |
|
43 |
39 |
$500.55 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$386.97 |
| 11981 |
|
12 |
12 |
$243.08 |
| 70355 |
|
25 |
25 |
$226.08 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$131.14 |
| 73110 |
|
14 |
12 |
$86.15 |
| 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) |
79 |
76 |
$50.25 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
6,538 |
4,802 |
$0.00 |
| 90785 |
|
292 |
280 |
$0.00 |