| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,979 |
19,722 |
$1.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,561 |
19,788 |
$1.48M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,043 |
3,199 |
$384K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,480 |
1,331 |
$123K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,836 |
1,420 |
$106K |
| 99215 |
Prolong outpt/office vis |
1,173 |
973 |
$100K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,196 |
1,944 |
$92K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,660 |
1,480 |
$87K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,966 |
1,763 |
$83K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,442 |
2,191 |
$67K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,739 |
2,387 |
$56K |
| 71046 |
Radiologic examination, chest; 2 views |
8,308 |
7,289 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,628 |
1,054 |
$49K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,508 |
2,229 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
593 |
564 |
$40K |
| 1126F |
|
7,030 |
6,167 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
7,585 |
5,770 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
476 |
421 |
$29K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
597 |
506 |
$26K |
| 96127 |
|
2,615 |
2,295 |
$22K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,617 |
3,749 |
$21K |
| 99221 |
|
531 |
411 |
$21K |
| 81002 |
|
8,612 |
6,613 |
$18K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
131 |
36 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
711 |
618 |
$17K |
| 97803 |
|
519 |
489 |
$16K |
| 1125F |
|
1,369 |
1,187 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
584 |
256 |
$12K |
| 81003 |
|
1,321 |
1,144 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,011 |
366 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
82 |
$10K |
| 59025 |
Fetal non-stress test |
288 |
179 |
$7K |
| 3725F |
|
1,099 |
1,038 |
$6K |
| 3074F |
|
11,988 |
10,613 |
$6K |
| 93307 |
|
148 |
139 |
$6K |
| 90686 |
|
290 |
265 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
45 |
45 |
$4K |
| 76642 |
|
134 |
104 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
261 |
217 |
$3K |
| 82962 |
|
932 |
859 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
126 |
121 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
91 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
28 |
25 |
$3K |
| 81025 |
|
452 |
419 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
13 |
$2K |
| 92567 |
|
128 |
125 |
$2K |
| 71250 |
|
98 |
77 |
$2K |
| 59430 |
|
12 |
12 |
$2K |
| S0612 |
Annual gynecological examination, established patient |
40 |
40 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
103 |
97 |
$2K |
| 99219 |
|
74 |
52 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
26 |
$1K |
| 97802 |
|
28 |
27 |
$1K |
| 90662 |
|
90 |
71 |
$1K |
| 99442 |
|
45 |
43 |
$919.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
15 |
$851.23 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
12 |
$784.80 |
| 69210 |
|
17 |
14 |
$693.50 |
| 93016 |
|
40 |
39 |
$641.92 |
| 93018 |
|
52 |
51 |
$563.68 |
| 99443 |
|
31 |
27 |
$550.17 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
37 |
29 |
$549.68 |
| 90715 |
|
16 |
16 |
$544.96 |
| 3075F |
|
342 |
327 |
$445.00 |
| 99441 |
|
38 |
33 |
$430.59 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
111 |
95 |
$372.88 |
| 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) |
13 |
13 |
$332.43 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
14 |
$321.97 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
26 |
24 |
$299.50 |
| 77080 |
|
28 |
26 |
$258.27 |
| 99217 |
|
14 |
14 |
$224.79 |
| 99406 |
|
21 |
14 |
$224.55 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
13 |
$222.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$98.49 |
| 73562 |
|
16 |
13 |
$91.14 |
| 94729 |
|
12 |
12 |
$89.72 |
| 93971 |
|
12 |
12 |
$80.62 |
| 73630 |
|
14 |
12 |
$9.05 |
| 3079F |
|
2,225 |
2,050 |
$0.00 |
| 3080F |
|
140 |
125 |
$0.00 |
| 3078F |
|
9,874 |
8,734 |
$0.00 |
| 3077F |
|
156 |
141 |
$0.00 |