| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,306 |
21,170 |
$880K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,601 |
21,552 |
$875K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
20,077 |
19,039 |
$681K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
13,235 |
5,388 |
$658K |
| 99233 |
Prolong inpt eval add15 m |
16,393 |
8,293 |
$483K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,836 |
3,618 |
$245K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
27,215 |
22,092 |
$167K |
| 95720 |
|
1,402 |
745 |
$154K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,265 |
4,230 |
$133K |
| 93970 |
|
6,041 |
5,536 |
$132K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,639 |
1,575 |
$105K |
| 93000 |
|
9,638 |
9,058 |
$94K |
| 99223 |
Prolong inpt eval add15 m |
1,404 |
1,318 |
$86K |
| 93971 |
|
5,554 |
5,261 |
$85K |
| 99215 |
Prolong outpt/office vis |
1,011 |
930 |
$59K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,037 |
1,210 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,473 |
1,413 |
$48K |
| 93356 |
|
6,434 |
6,078 |
$46K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
920 |
880 |
$34K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
333 |
275 |
$30K |
| 62323 |
|
342 |
317 |
$21K |
| 93298 |
|
1,257 |
1,125 |
$19K |
| 95886 |
|
708 |
612 |
$17K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
321 |
290 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,250 |
640 |
$15K |
| 93296 |
|
1,468 |
1,413 |
$15K |
| 95811 |
|
208 |
203 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
214 |
204 |
$13K |
| 99205 |
Prolong outpt/office vis |
149 |
138 |
$12K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
159 |
156 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
237 |
186 |
$11K |
| 93880 |
|
572 |
548 |
$10K |
| 76376 |
|
2,962 |
2,779 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
738 |
640 |
$9K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
716 |
590 |
$9K |
| 90785 |
|
933 |
599 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
109 |
98 |
$7K |
| 92557 |
|
249 |
211 |
$5K |
| 81025 |
|
621 |
536 |
$4K |
| 93018 |
|
388 |
360 |
$4K |
| 64493 |
|
99 |
76 |
$3K |
| 95816 |
|
180 |
168 |
$3K |
| 93295 |
|
128 |
127 |
$3K |
| 92567 |
|
280 |
239 |
$2K |
| 93294 |
|
156 |
154 |
$2K |
| 93016 |
|
139 |
126 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$2K |
| 93458 |
|
12 |
12 |
$2K |
| 99385 |
|
29 |
27 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
38 |
$1K |
| 64494 |
|
57 |
49 |
$1K |
| 95819 |
|
66 |
65 |
$1K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
25 |
25 |
$1K |
| 93321 |
|
251 |
226 |
$934.97 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$910.84 |
| 93299 |
|
26 |
25 |
$869.22 |
| 93297 |
|
73 |
72 |
$835.92 |
| 36556 |
|
20 |
14 |
$824.88 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
30 |
$760.10 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$703.81 |
| 93325 |
|
304 |
270 |
$686.12 |
| 20552 |
|
30 |
28 |
$641.96 |
| 93308 |
|
58 |
53 |
$615.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
40 |
$607.40 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
12 |
$468.27 |
| 94726 |
|
74 |
67 |
$402.34 |
| 90715 |
|
14 |
12 |
$393.36 |
| 99152 |
|
45 |
39 |
$339.13 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
49 |
$328.88 |
| 94729 |
|
79 |
73 |
$324.89 |
| 20610 |
|
12 |
12 |
$306.32 |
| 95822 |
|
16 |
14 |
$259.89 |
| 77002 |
|
13 |
12 |
$257.60 |
| 72100 |
|
14 |
13 |
$142.94 |
| 93922 |
|
12 |
12 |
$132.30 |
| 94060 |
|
15 |
14 |
$122.70 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
25 |
25 |
$42.73 |
| 81003 |
|
14 |
13 |
$19.88 |