| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
17,297 |
14,072 |
$1.84M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
7,355 |
6,494 |
$751K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,283 |
11,151 |
$581K |
| 88342 |
|
6,770 |
5,572 |
$347K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,940 |
8,109 |
$337K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,425 |
2,185 |
$299K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,108 |
2,818 |
$256K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,565 |
1,317 |
$153K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,799 |
2,102 |
$62K |
| 99490 |
Ccm add 20min |
5,519 |
5,098 |
$42K |
| 99243 |
|
443 |
386 |
$37K |
| 99215 |
Prolong outpt/office vis |
503 |
465 |
$37K |
| 80050 |
General health panel |
650 |
591 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,093 |
1,041 |
$18K |
| 80053 |
Comprehensive metabolic panel |
1,864 |
1,663 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
6,027 |
5,289 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,218 |
1,982 |
$11K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
283 |
228 |
$10K |
| 87507 |
|
32 |
24 |
$10K |
| 00731 |
|
183 |
176 |
$9K |
| 99205 |
Prolong outpt/office vis |
67 |
58 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
176 |
168 |
$5K |
| 86140 |
|
1,371 |
1,227 |
$5K |
| 99439 |
|
3,893 |
3,534 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
50 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
127 |
94 |
$4K |
| 99254 |
|
85 |
60 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
449 |
410 |
$4K |
| 99442 |
|
170 |
146 |
$4K |
| 43248 |
|
175 |
126 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
17 |
13 |
$3K |
| 99454 |
|
767 |
681 |
$3K |
| 00811 |
|
67 |
63 |
$3K |
| 43246 |
|
124 |
105 |
$3K |
| 80076 |
|
527 |
484 |
$3K |
| 83690 |
|
512 |
463 |
$3K |
| 99441 |
|
170 |
141 |
$3K |
| 82150 |
|
504 |
459 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
335 |
317 |
$2K |
| 00813 |
|
28 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
65 |
$1K |
| 45331 |
|
14 |
12 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
66 |
44 |
$1K |
| 99487 |
Ccm add 20min |
71 |
68 |
$1K |
| 99443 |
|
42 |
27 |
$956.70 |
| 84439 |
|
86 |
84 |
$828.15 |
| 91200 |
|
360 |
331 |
$822.57 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
109 |
88 |
$733.49 |
| 99457 |
|
380 |
322 |
$686.36 |
| 43235 |
|
66 |
42 |
$556.64 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
58 |
39 |
$513.34 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
24 |
24 |
$330.60 |
| 82270 |
|
29 |
27 |
$107.78 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
64 |
37 |
$91.68 |
| 82728 |
|
17 |
13 |
$12.27 |
| 84466 |
|
16 |
12 |
$11.48 |
| 83540 |
|
16 |
12 |
$5.82 |
| 99453 |
|
16 |
15 |
$1.60 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
1,421 |
1,354 |
$0.00 |
| 99489 |
Ccm add 20min |
16 |
14 |
$0.00 |
| 76981 |
|
169 |
163 |
$0.00 |