| Code | Description | Claims | Beneficiaries | Total Paid |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
34,833 |
12,338 |
$12.79M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
71,846 |
26,516 |
$8.41M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
56,243 |
19,875 |
$7.05M |
| 99460 |
|
69,560 |
64,893 |
$5.02M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
72,582 |
69,467 |
$4.06M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
32,087 |
29,954 |
$3.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53,343 |
50,538 |
$2.41M |
| 99215 |
Prolong outpt/office vis |
26,734 |
25,872 |
$1.92M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
23,693 |
20,789 |
$1.90M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
4,548 |
1,240 |
$1.69M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
11,912 |
11,619 |
$1.62M |
| 99233 |
Prolong inpt eval add15 m |
22,527 |
9,746 |
$1.42M |
| 76818 |
|
15,725 |
9,503 |
$1.31M |
| 96112 |
|
12,727 |
12,565 |
$1.28M |
| 99462 |
|
33,352 |
29,940 |
$1.23M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
8,680 |
8,479 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,235 |
27,781 |
$1.01M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
8,085 |
7,945 |
$921K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15,375 |
10,504 |
$908K |
| 99243 |
|
10,540 |
10,386 |
$905K |
| 93320 |
|
32,609 |
30,238 |
$871K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12,227 |
12,034 |
$685K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
10,463 |
7,233 |
$585K |
| 54150 |
|
6,375 |
5,844 |
$523K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,564 |
6,405 |
$500K |
| 93325 |
|
44,029 |
39,961 |
$479K |
| 93000 |
|
41,063 |
39,821 |
$469K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,520 |
5,380 |
$436K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
5,625 |
5,007 |
$385K |
| 99253 |
|
4,266 |
4,232 |
$385K |
| 99223 |
Prolong inpt eval add15 m |
2,704 |
2,608 |
$318K |
| 99468 |
|
347 |
342 |
$302K |
| 99254 |
|
1,972 |
1,945 |
$252K |
| 76825 |
|
1,086 |
1,017 |
$199K |
| 99464 |
|
2,083 |
2,063 |
$186K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,111 |
6,221 |
$174K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,661 |
1,614 |
$170K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,121 |
1,077 |
$165K |
| 76820 |
|
5,068 |
3,011 |
$149K |
| 92579 |
|
3,154 |
3,110 |
$109K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,312 |
1,555 |
$102K |
| 93304 |
|
1,170 |
1,077 |
$91K |
| 99477 |
|
212 |
210 |
$79K |
| 99417 |
Prolong home eval add 15m |
4,289 |
4,159 |
$78K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,039 |
2,316 |
$77K |
| 96113 |
|
1,026 |
879 |
$76K |
| 92567 |
|
6,014 |
5,934 |
$71K |
| 99242 |
|
1,036 |
1,017 |
$65K |
| 99205 |
Prolong outpt/office vis |
793 |
770 |
$65K |
| 76827 |
|
1,097 |
1,026 |
$54K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
247 |
242 |
$53K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,254 |
5,972 |
$43K |
| 93224 |
|
726 |
710 |
$43K |
| 99222 |
Initial hospital care, per day, moderate complexity |
425 |
409 |
$39K |
| 92587 |
|
2,161 |
2,136 |
$36K |
| 92201 |
|
2,773 |
1,734 |
$34K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
178 |
81 |
$34K |
| 93321 |
|
1,732 |
1,595 |
$24K |
| 99463 |
|
220 |
215 |
$23K |
| 25600 |
|
59 |
58 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
465 |
458 |
$16K |
| 92557 |
|
543 |
530 |
$14K |
| 99245 |
|
126 |
122 |
$14K |
| 54161 |
|
104 |
102 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,084 |
1,006 |
$12K |
| 76821 |
|
273 |
205 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,463 |
1,449 |
$11K |
| 99221 |
|
378 |
355 |
$11K |
| 93244 |
|
550 |
528 |
$11K |
| 93294 |
|
441 |
437 |
$10K |
| 96111 |
|
96 |
95 |
$9K |
| 92555 |
|
374 |
369 |
$8K |
| 73100 |
|
286 |
264 |
$7K |
| 76801 |
|
77 |
72 |
$6K |
| 76813 |
|
72 |
70 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
172 |
122 |
$5K |
| 93242 |
|
446 |
424 |
$5K |
| 92552 |
|
141 |
136 |
$4K |
| 92504 |
|
159 |
157 |
$4K |
| 92588 |
|
120 |
119 |
$3K |
| 93597 |
|
12 |
12 |
$3K |
| 51798 |
|
384 |
364 |
$2K |
| 72082 |
|
32 |
32 |
$2K |
| 99255 |
|
13 |
13 |
$2K |
| 92226 |
|
135 |
43 |
$2K |
| 81002 |
|
575 |
559 |
$2K |
| L4386 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
14 |
$2K |
| 93296 |
|
87 |
84 |
$1K |
| 93308 |
|
15 |
14 |
$1K |
| 92511 |
|
13 |
13 |
$1K |
| 99241 |
|
27 |
26 |
$992.82 |
| 99251 |
|
21 |
21 |
$943.52 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
39 |
37 |
$936.16 |
| 99217 |
|
16 |
16 |
$785.50 |
| 73630 |
|
25 |
24 |
$677.66 |
| 76998 |
|
12 |
12 |
$628.90 |
| 73070 |
|
29 |
25 |
$557.79 |
| 77073 |
|
12 |
12 |
$478.56 |
| 73560 |
|
15 |
12 |
$414.06 |
| 92556 |
|
12 |
12 |
$403.84 |
| 73140 |
|
14 |
12 |
$397.27 |
| 81000 |
|
139 |
129 |
$350.98 |
| 83037 |
|
60 |
57 |
$344.71 |
| 95970 |
|
27 |
26 |
$319.61 |
| 92228 |
|
65 |
12 |
$270.37 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
13 |
12 |
$210.00 |
| 97750 |
|
14 |
14 |
$173.81 |
| 95873 |
|
13 |
12 |
$169.80 |
| 93018 |
|
13 |
13 |
$147.50 |
| 99078 |
|
12 |
12 |
$84.62 |
| 92586 |
|
12 |
12 |
$71.01 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
25 |
24 |
$16.50 |
| 90378 |
|
1,583 |
934 |
$0.00 |
| 99024 |
|
4,528 |
4,053 |
$0.00 |
| A4590 |
Special casting material (e.g., fiberglass) |
524 |
495 |
$0.00 |
| 99459 |
|
34 |
31 |
$0.00 |
| 99072 |
|
559 |
542 |
$0.00 |
| 93356 |
|
241 |
223 |
$0.00 |