| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
30,414 |
28,099 |
$2.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,924 |
31,538 |
$1.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,398 |
22,753 |
$1.81M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28,883 |
26,723 |
$1.48M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,119 |
8,953 |
$1.07M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,330 |
4,024 |
$342K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,405 |
4,930 |
$327K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,316 |
2,148 |
$263K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,635 |
2,343 |
$161K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30,610 |
24,236 |
$157K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,191 |
1,995 |
$123K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,991 |
4,640 |
$118K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,026 |
4,332 |
$113K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,553 |
966 |
$97K |
| 99233 |
Prolong inpt eval add15 m |
2,150 |
708 |
$91K |
| 93975 |
|
1,317 |
1,262 |
$68K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,433 |
1,332 |
$65K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,683 |
1,559 |
$53K |
| 99205 |
Prolong outpt/office vis |
361 |
328 |
$52K |
| 71045 |
Radiologic examination, chest; single view |
11,039 |
8,753 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
6,964 |
6,422 |
$49K |
| 76830 |
Ultrasound, transvaginal |
1,566 |
1,507 |
$42K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,653 |
1,593 |
$42K |
| 99215 |
Prolong outpt/office vis |
416 |
362 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,565 |
1,466 |
$33K |
| 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) |
2,602 |
2,493 |
$29K |
| 90834 |
Psychotherapy, 45 minutes with patient |
260 |
170 |
$26K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
207 |
132 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
258 |
215 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,949 |
1,832 |
$22K |
| S0317 |
Disease management program; per diem |
28 |
24 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,764 |
815 |
$19K |
| 76642 |
|
432 |
394 |
$17K |
| 88312 |
|
424 |
360 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
295 |
265 |
$17K |
| 95886 |
|
232 |
224 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
192 |
154 |
$10K |
| 88307 |
|
155 |
138 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
204 |
182 |
$10K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
100 |
96 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
37 |
37 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
143 |
136 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
42 |
42 |
$8K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
68 |
68 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
53 |
50 |
$6K |
| 73630 |
|
964 |
808 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
51 |
51 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
217 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
359 |
338 |
$5K |
| 73562 |
|
661 |
505 |
$5K |
| 88313 |
|
324 |
286 |
$5K |
| 64721 |
|
18 |
12 |
$4K |
| 73610 |
|
640 |
577 |
$4K |
| 73030 |
|
584 |
482 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
47 |
39 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
142 |
135 |
$4K |
| 73130 |
|
537 |
423 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
429 |
100 |
$4K |
| 88342 |
|
122 |
73 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
193 |
187 |
$3K |
| 72100 |
|
346 |
320 |
$3K |
| 90686 |
|
198 |
181 |
$3K |
| 88341 |
|
103 |
59 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
60 |
51 |
$3K |
| 77066 |
Tomosynthesis, mammo |
70 |
64 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
58 |
55 |
$2K |
| 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) |
225 |
217 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
26 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
50 |
48 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
33 |
27 |
$2K |
| 71271 |
|
26 |
26 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
74 |
39 |
$1K |
| 95251 |
|
67 |
65 |
$1K |
| 90674 |
|
54 |
53 |
$1K |
| 99358 |
Prolong nursin fac eval 15m |
32 |
26 |
$1K |
| 88304 |
|
127 |
125 |
$1K |
| 95816 |
|
32 |
26 |
$1K |
| 93971 |
|
71 |
64 |
$982.43 |
| 73222 |
|
12 |
12 |
$921.63 |
| 73110 |
|
126 |
115 |
$868.97 |
| 96127 |
|
268 |
230 |
$867.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
47 |
$816.13 |
| 77080 |
|
156 |
144 |
$787.88 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$756.59 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
13 |
$699.18 |
| 94060 |
|
78 |
74 |
$598.47 |
| 71250 |
|
14 |
14 |
$551.37 |
| 81003 |
|
328 |
305 |
$531.95 |
| 81002 |
|
259 |
234 |
$531.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
26 |
$419.77 |
| 73502 |
|
57 |
56 |
$416.46 |
| 93016 |
|
27 |
24 |
$360.93 |
| 51798 |
|
41 |
36 |
$312.67 |
| 73140 |
|
52 |
40 |
$311.58 |
| 76536 |
|
12 |
12 |
$258.14 |
| 99201 |
|
13 |
13 |
$253.80 |
| 93018 |
|
27 |
24 |
$233.82 |
| 94726 |
|
28 |
26 |
$203.07 |
| 72110 |
|
12 |
12 |
$192.79 |
| 73100 |
|
36 |
24 |
$190.72 |
| 94729 |
|
30 |
28 |
$167.46 |
| 99442 |
|
39 |
27 |
$146.19 |
| 99443 |
|
47 |
26 |
$145.92 |
| 73564 |
|
13 |
12 |
$100.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
436 |
416 |
$99.67 |
| 72040 |
|
12 |
12 |
$99.51 |
| 74018 |
|
17 |
14 |
$96.42 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
874 |
491 |
$71.19 |
| 77062 |
|
29 |
28 |
$41.65 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,185 |
1,361 |
$36.16 |
| 80053 |
Comprehensive metabolic panel |
1,458 |
1,120 |
$32.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
368 |
357 |
$31.62 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
212 |
208 |
$15.33 |
| 87634 |
|
174 |
170 |
$12.48 |
| 94010 |
|
12 |
12 |
$10.98 |
| 84484 |
|
465 |
267 |
$10.14 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$9.60 |
| 83735 |
|
366 |
173 |
$9.52 |
| 83690 |
|
308 |
289 |
$4.87 |
| 85027 |
|
716 |
411 |
$2.28 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
306 |
283 |
$1.43 |
| 85610 |
|
158 |
116 |
$0.69 |
| 81001 |
|
247 |
232 |
$0.55 |
| 86850 |
|
218 |
203 |
$0.52 |
| 86901 |
|
330 |
308 |
$0.49 |
| 86900 |
|
330 |
308 |
$0.48 |
| 82728 |
|
231 |
223 |
$0.00 |
| 3074F |
|
2,596 |
2,488 |
$0.00 |
| 3079F |
|
274 |
266 |
$0.00 |
| 85652 |
|
24 |
24 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 83605 |
|
107 |
58 |
$0.00 |
| 87040 |
|
29 |
13 |
$0.00 |
| 86140 |
|
25 |
24 |
$0.00 |
| 3078F |
|
1,725 |
1,662 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
10,007 |
7,205 |
$0.00 |
| 80061 |
Lipid panel |
70 |
69 |
$0.00 |
| 87186 |
|
46 |
41 |
$0.00 |
| 1159F |
|
13 |
12 |
$0.00 |