| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,046 |
13,513 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,974 |
12,650 |
$266K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,017 |
7,224 |
$209K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,272 |
6,675 |
$160K |
| 99215 |
Prolong outpt/office vis |
5,473 |
3,480 |
$128K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,165 |
1,986 |
$71K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,841 |
10,084 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
837 |
770 |
$36K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,292 |
1,191 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
614 |
589 |
$26K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
346 |
333 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
877 |
805 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
439 |
397 |
$19K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
397 |
180 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
283 |
277 |
$12K |
| 20610 |
|
362 |
308 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
220 |
86 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
103 |
$7K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
140 |
46 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
376 |
346 |
$6K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
70 |
67 |
$6K |
| 92002 |
|
200 |
189 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
131 |
124 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
195 |
180 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
158 |
143 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
101 |
92 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,039 |
866 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
623 |
585 |
$3K |
| 93295 |
|
204 |
195 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
423 |
189 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
227 |
110 |
$3K |
| 97597 |
|
296 |
160 |
$3K |
| 99460 |
|
25 |
25 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
44 |
$2K |
| 93294 |
|
393 |
378 |
$2K |
| 92557 |
|
87 |
82 |
$1K |
| 93297 |
|
354 |
350 |
$1K |
| 92134 |
|
134 |
123 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
36 |
36 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
31 |
29 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
45 |
40 |
$959.40 |
| 73630 |
|
165 |
122 |
$932.61 |
| 93018 |
|
130 |
124 |
$925.70 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
27 |
$888.36 |
| 95886 |
|
42 |
36 |
$833.39 |
| 92567 |
|
54 |
51 |
$826.60 |
| 76830 |
Ultrasound, transvaginal |
28 |
25 |
$787.25 |
| 70450 |
Computed tomography, head or brain; without contrast material |
32 |
28 |
$693.19 |
| 3008F |
|
66 |
63 |
$591.80 |
| 76801 |
|
14 |
13 |
$520.02 |
| 93016 |
|
46 |
45 |
$483.69 |
| 73610 |
|
58 |
48 |
$448.62 |
| 99223 |
Prolong inpt eval add15 m |
18 |
12 |
$382.30 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
13 |
$369.61 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$329.95 |
| 93298 |
|
25 |
24 |
$304.24 |
| 92579 |
|
12 |
12 |
$282.57 |
| 90674 |
|
87 |
83 |
$275.22 |
| 73562 |
|
34 |
26 |
$229.40 |
| 93227 |
|
12 |
12 |
$207.57 |
| 73030 |
|
31 |
26 |
$158.83 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
12 |
$139.90 |
| 92015 |
Determination of refractive state |
12 |
12 |
$108.27 |
| 93308 |
|
19 |
14 |
$98.90 |
| 73502 |
|
16 |
15 |
$46.69 |
| 93325 |
|
31 |
27 |
$32.63 |
| 93321 |
|
20 |
14 |
$27.88 |
| A0390 |
Als mileage (per mile) |
30 |
23 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
77 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
13 |
12 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
26 |
20 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
25 |
$0.00 |