| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
30,884 |
27,491 |
$2.34M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
52,577 |
16,829 |
$2.09M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26,035 |
23,491 |
$1.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,185 |
18,598 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,358 |
18,928 |
$1.03M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,345 |
7,320 |
$867K |
| 99223 |
Prolong inpt eval add15 m |
7,920 |
6,798 |
$841K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24,177 |
9,630 |
$595K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
8,549 |
7,467 |
$518K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,525 |
3,915 |
$418K |
| 99221 |
|
7,124 |
6,164 |
$389K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,334 |
4,079 |
$382K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,245 |
4,673 |
$325K |
| 99233 |
Prolong inpt eval add15 m |
5,499 |
1,860 |
$299K |
| 31231 |
|
2,883 |
2,395 |
$288K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,619 |
1,360 |
$220K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,139 |
6,147 |
$190K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,287 |
903 |
$180K |
| 31575 |
|
1,997 |
1,655 |
$125K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,242 |
2,034 |
$113K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,280 |
1,991 |
$108K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,846 |
3,373 |
$81K |
| 99215 |
Prolong outpt/office vis |
932 |
845 |
$76K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,442 |
1,291 |
$74K |
| 71045 |
Radiologic examination, chest; single view |
17,103 |
12,629 |
$71K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,169 |
2,932 |
$69K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,419 |
2,187 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,022 |
1,813 |
$64K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14,130 |
11,565 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
9,488 |
8,636 |
$54K |
| 95117 |
|
8,181 |
3,345 |
$53K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,968 |
2,736 |
$52K |
| 90837 |
Psychotherapy, 53 minutes with patient |
539 |
444 |
$51K |
| 99219 |
|
564 |
505 |
$42K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,105 |
1,012 |
$40K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
187 |
170 |
$40K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
745 |
676 |
$38K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
263 |
234 |
$36K |
| 88342 |
|
1,176 |
969 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,330 |
1,272 |
$28K |
| 47563 |
|
85 |
64 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
453 |
316 |
$27K |
| 92567 |
|
2,552 |
2,267 |
$26K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
295 |
273 |
$22K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
276 |
271 |
$20K |
| 88307 |
|
336 |
306 |
$19K |
| 88304 |
|
2,135 |
1,904 |
$18K |
| 76830 |
Ultrasound, transvaginal |
349 |
294 |
$18K |
| 76642 |
|
717 |
579 |
$17K |
| 49083 |
|
397 |
148 |
$17K |
| 72110 |
|
2,194 |
1,990 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
483 |
412 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
527 |
484 |
$15K |
| 99217 |
|
341 |
313 |
$15K |
| 99460 |
|
232 |
215 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
268 |
258 |
$12K |
| 81002 |
|
2,776 |
2,053 |
$12K |
| 74019 |
|
1,823 |
1,617 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
179 |
163 |
$11K |
| 99225 |
|
244 |
148 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
860 |
374 |
$11K |
| 59025 |
Fetal non-stress test |
333 |
111 |
$11K |
| 76536 |
|
422 |
400 |
$11K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
92 |
83 |
$10K |
| 71250 |
|
301 |
284 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
269 |
249 |
$9K |
| 70486 |
|
357 |
340 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
932 |
851 |
$9K |
| 99205 |
Prolong outpt/office vis |
74 |
68 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,075 |
910 |
$8K |
| 73562 |
|
1,476 |
1,190 |
$8K |
| 30802 |
|
98 |
87 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
131 |
108 |
$8K |
| 93971 |
|
438 |
404 |
$7K |
| 73030 |
|
1,256 |
1,076 |
$7K |
| 73630 |
|
1,302 |
1,134 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
313 |
263 |
$6K |
| 95027 |
|
48 |
44 |
$6K |
| 31500 |
|
65 |
53 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
126 |
110 |
$5K |
| 73610 |
|
1,062 |
954 |
$5K |
| 78227 |
|
206 |
192 |
$5K |
| 93000 |
|
748 |
654 |
$5K |
| 72050 |
|
628 |
586 |
$5K |
| 69210 |
|
235 |
172 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
90 |
55 |
$5K |
| 73130 |
|
872 |
743 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
347 |
306 |
$4K |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
425 |
374 |
$4K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
202 |
170 |
$4K |
| 74018 |
|
784 |
702 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
250 |
202 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
95 |
91 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
333 |
245 |
$3K |
| 73502 |
|
532 |
480 |
$3K |
| 90686 |
|
384 |
348 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
24 |
$3K |
| 76775 |
|
176 |
169 |
$3K |
| 72070 |
|
507 |
452 |
$3K |
| 73110 |
|
558 |
490 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
105 |
104 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
57 |
$2K |
| 12001 |
|
71 |
67 |
$2K |
| 51798 |
|
462 |
412 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
53 |
40 |
$2K |
| 88104 |
|
144 |
129 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
45 |
37 |
$2K |
| 72141 |
|
36 |
36 |
$2K |
| 93016 |
|
68 |
67 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
26 |
$2K |
| 93970 |
|
83 |
73 |
$2K |
| 93975 |
|
41 |
39 |
$1K |
| 90671 |
|
110 |
101 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
98 |
94 |
$1K |
| 77066 |
Tomosynthesis, mammo |
59 |
40 |
$1K |
| 73080 |
|
258 |
230 |
$1K |
| 76770 |
|
56 |
54 |
$1K |
| 93018 |
|
56 |
55 |
$1K |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
133 |
110 |
$1K |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
538 |
469 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$1K |
| 72100 |
|
159 |
144 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15,639 |
13,612 |
$1K |
| 73564 |
|
150 |
126 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
36 |
30 |
$977.63 |
| 88108 |
|
45 |
41 |
$949.40 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
29 |
16 |
$940.82 |
| 88302 |
|
132 |
127 |
$940.78 |
| 76870 |
|
40 |
38 |
$795.39 |
| 36556 |
|
16 |
14 |
$779.74 |
| 73590 |
|
167 |
149 |
$768.59 |
| 93880 |
|
25 |
24 |
$767.57 |
| 73090 |
|
156 |
139 |
$721.10 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
132 |
127 |
$654.00 |
| 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) |
1,166 |
1,039 |
$629.36 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
146 |
107 |
$568.37 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
14 |
$564.81 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
25 |
$546.10 |
| 90961 |
|
40 |
30 |
$539.99 |
| 12002 |
|
12 |
12 |
$520.61 |
| 70490 |
|
12 |
12 |
$516.24 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
12 |
12 |
$486.72 |
| 90656 |
|
51 |
48 |
$474.61 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
357 |
301 |
$452.36 |
| 77080 |
|
72 |
69 |
$448.44 |
| 73221 |
|
13 |
12 |
$425.14 |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
241 |
73 |
$392.52 |
| 78582 |
|
12 |
12 |
$351.50 |
| 90474 |
|
46 |
41 |
$340.83 |
| 72131 |
|
12 |
12 |
$323.24 |
| 71100 |
|
43 |
42 |
$298.28 |
| 76000 |
|
81 |
42 |
$292.11 |
| 99443 |
|
14 |
12 |
$274.15 |
| 93244 |
|
13 |
13 |
$224.37 |
| 73522 |
|
28 |
26 |
$217.94 |
| 72040 |
|
30 |
27 |
$217.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
13 |
$212.99 |
| 74420 |
|
20 |
12 |
$207.11 |
| 87210 |
|
42 |
39 |
$204.83 |
| 99304 |
|
15 |
14 |
$172.79 |
| 95024 |
|
33 |
31 |
$161.75 |
| 72081 |
|
14 |
12 |
$110.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
220 |
190 |
$109.62 |
| 96127 |
|
30 |
30 |
$83.84 |
| 73560 |
|
14 |
13 |
$65.92 |
| 1111F |
|
970 |
886 |
$65.00 |
| 3046F |
|
13 |
13 |
$61.86 |
| 73140 |
|
12 |
12 |
$53.97 |
| 3023F |
|
15 |
14 |
$32.00 |
| 3288F |
|
577 |
518 |
$0.00 |
| 4040F |
|
44 |
43 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 90648 |
|
97 |
89 |
$0.00 |
| 93356 |
|
39 |
37 |
$0.00 |
| 90723 |
|
80 |
71 |
$0.00 |
| 90680 |
|
78 |
70 |
$0.00 |