| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,016 |
19,127 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,424 |
26,703 |
$981K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,611 |
8,764 |
$628K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,780 |
3,516 |
$363K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,481 |
5,400 |
$150K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,819 |
3,596 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,960 |
1,933 |
$102K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,136 |
717 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,732 |
1,682 |
$82K |
| 99215 |
Prolong outpt/office vis |
978 |
938 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,523 |
1,487 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,107 |
1,102 |
$59K |
| X5622 |
|
1,987 |
1,832 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
615 |
604 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,457 |
2,361 |
$49K |
| 90834 |
Psychotherapy, 45 minutes with patient |
759 |
588 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,288 |
1,227 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
710 |
666 |
$37K |
| 99310 |
Prolong nursin fac eval 15m |
1,459 |
1,328 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,739 |
2,563 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
505 |
503 |
$30K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,564 |
4,893 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
349 |
342 |
$25K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,248 |
2,003 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
290 |
290 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
805 |
796 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
240 |
236 |
$13K |
| 20610 |
|
448 |
370 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
536 |
503 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
2,107 |
1,954 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
142 |
142 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
465 |
462 |
$9K |
| 99443 |
|
168 |
156 |
$9K |
| 92015 |
Determination of refractive state |
707 |
695 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,288 |
1,128 |
$7K |
| 11721 |
|
676 |
663 |
$6K |
| 99442 |
|
196 |
183 |
$6K |
| 87631 |
|
45 |
44 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
112 |
50 |
$6K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
34 |
26 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
55 |
55 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
627 |
496 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
832 |
763 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
92 |
91 |
$2K |
| 99243 |
|
49 |
47 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
26 |
26 |
$2K |
| 99188 |
|
145 |
145 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
25 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
45 |
37 |
$1K |
| 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) |
544 |
516 |
$1K |
| 73630 |
|
237 |
208 |
$982.70 |
| 99441 |
|
65 |
65 |
$972.21 |
| 73610 |
|
175 |
156 |
$929.88 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
47 |
39 |
$870.00 |
| 73562 |
|
153 |
131 |
$831.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
101 |
100 |
$804.77 |
| 0002A |
|
22 |
22 |
$734.24 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19 |
12 |
$714.83 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
13 |
$611.35 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
25 |
$589.05 |
| 73030 |
|
108 |
101 |
$587.27 |
| 69210 |
|
25 |
25 |
$577.23 |
| 92551 |
|
62 |
62 |
$571.36 |
| 0001A |
|
16 |
16 |
$533.50 |
| 74018 |
|
89 |
86 |
$456.98 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
16 |
$451.17 |
| 99201 |
|
14 |
14 |
$445.85 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
114 |
108 |
$420.23 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
12 |
12 |
$225.04 |
| 80053 |
Comprehensive metabolic panel |
29 |
27 |
$136.56 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
12 |
$133.98 |
| 99152 |
|
14 |
14 |
$118.12 |
| 73502 |
|
14 |
13 |
$114.72 |
| 73130 |
|
17 |
12 |
$106.00 |
| 72100 |
|
12 |
12 |
$98.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$97.24 |
| 73110 |
|
15 |
14 |
$68.01 |
| 99173 |
|
14 |
14 |
$46.07 |
| 0502F |
|
621 |
448 |
$0.00 |
| 3078F |
|
9,756 |
8,818 |
$0.00 |
| 3046F |
|
137 |
89 |
$0.00 |
| 3077F |
|
1,258 |
1,152 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
225 |
183 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
40 |
37 |
$0.00 |
| 0764T |
|
57 |
53 |
$0.00 |
| 3051F |
|
127 |
101 |
$0.00 |
| 91300 |
|
52 |
48 |
$0.00 |
| 3074F |
|
10,756 |
9,771 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
5,824 |
4,380 |
$0.00 |
| 3080F |
|
637 |
603 |
$0.00 |
| 3079F |
|
2,411 |
2,259 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
811 |
800 |
$0.00 |
| 1123F |
|
703 |
524 |
$0.00 |
| 3044F |
|
537 |
406 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
13 |
$0.00 |
| 3075F |
|
1,537 |
1,452 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
148 |
128 |
$0.00 |
| 1111F |
|
275 |
217 |
$0.00 |