| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,098 |
27,391 |
$780K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19,651 |
9,012 |
$380K |
| 99233 |
Prolong inpt eval add15 m |
11,992 |
5,504 |
$337K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,594 |
2,571 |
$240K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,484 |
3,436 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,499 |
8,974 |
$195K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
54,001 |
45,381 |
$192K |
| 99223 |
Prolong inpt eval add15 m |
2,401 |
2,333 |
$143K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,405 |
4,282 |
$137K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,744 |
1,697 |
$76K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,973 |
1,962 |
$65K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,172 |
2,101 |
$65K |
| 99215 |
Prolong outpt/office vis |
1,382 |
1,321 |
$58K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,319 |
1,294 |
$54K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
865 |
861 |
$29K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,296 |
938 |
$28K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
695 |
687 |
$27K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
373 |
233 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
419 |
419 |
$22K |
| 20610 |
|
939 |
867 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
461 |
460 |
$18K |
| 92015 |
Determination of refractive state |
1,403 |
1,394 |
$18K |
| 92134 |
|
1,904 |
1,842 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
225 |
225 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
850 |
846 |
$15K |
| 93000 |
|
2,179 |
2,142 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,297 |
531 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
920 |
881 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
385 |
375 |
$9K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
166 |
156 |
$5K |
| 92557 |
|
144 |
144 |
$4K |
| 88307 |
|
66 |
66 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
554 |
543 |
$3K |
| 64615 |
|
56 |
56 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
74 |
74 |
$3K |
| 88342 |
|
136 |
124 |
$3K |
| 11721 |
|
494 |
492 |
$2K |
| 99443 |
|
273 |
240 |
$2K |
| 76642 |
|
101 |
100 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
89 |
86 |
$2K |
| 92567 |
|
144 |
144 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
506 |
467 |
$1K |
| 92083 |
|
31 |
31 |
$1K |
| 99442 |
|
191 |
169 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
431 |
429 |
$917.73 |
| 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) |
192 |
184 |
$832.77 |
| 36415 |
Collection of venous blood by venipuncture |
348 |
327 |
$801.42 |
| 92133 |
|
70 |
70 |
$782.72 |
| 99292 |
|
13 |
12 |
$722.86 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$648.89 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
17 |
$626.88 |
| 62323 |
|
12 |
12 |
$622.49 |
| 94729 |
|
161 |
161 |
$529.78 |
| 77066 |
Tomosynthesis, mammo |
24 |
24 |
$501.64 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$476.43 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$441.84 |
| 99219 |
|
12 |
12 |
$432.28 |
| 94060 |
|
92 |
92 |
$407.41 |
| 99221 |
|
14 |
14 |
$357.63 |
| 99217 |
|
13 |
13 |
$314.30 |
| 88112 |
|
15 |
15 |
$263.25 |
| 76770 |
|
12 |
12 |
$242.30 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$230.79 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$195.40 |
| 73030 |
|
40 |
40 |
$183.23 |
| 94010 |
|
16 |
15 |
$124.54 |
| 0003A |
|
12 |
12 |
$115.16 |
| 94726 |
|
12 |
12 |
$72.68 |
| 51798 |
|
13 |
13 |
$68.00 |
| 81002 |
|
27 |
26 |
$58.33 |
| 94760 |
|
37 |
33 |
$49.03 |
| 73564 |
|
13 |
12 |
$35.08 |
| 77080 |
|
14 |
14 |
$34.85 |
| 73630 |
|
13 |
13 |
$29.85 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
44 |
44 |
$28.12 |
| 99441 |
|
18 |
18 |
$25.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$20.45 |
| 99406 |
|
13 |
13 |
$5.82 |
| 11719 |
|
12 |
12 |
$2.44 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
339 |
278 |
$0.00 |