| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,226 |
3,139 |
$352K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
39,293 |
25,641 |
$348K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,995 |
5,621 |
$293K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,622 |
1,609 |
$216K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,194 |
3,023 |
$212K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,106 |
391 |
$188K |
| 99233 |
Prolong inpt eval add15 m |
4,758 |
1,067 |
$174K |
| 99215 |
Prolong outpt/office vis |
865 |
689 |
$126K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,266 |
3,974 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,177 |
1,133 |
$99K |
| 99223 |
Prolong inpt eval add15 m |
1,324 |
1,071 |
$93K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,482 |
981 |
$91K |
| 93970 |
|
398 |
398 |
$90K |
| 71045 |
Radiologic examination, chest; single view |
8,518 |
5,611 |
$78K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,210 |
1,157 |
$77K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,873 |
697 |
$67K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,878 |
700 |
$61K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,791 |
1,788 |
$50K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,830 |
1,651 |
$49K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
309 |
303 |
$46K |
| 93000 |
|
2,607 |
2,565 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
189 |
$38K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
839 |
376 |
$34K |
| 99222 |
Initial hospital care, per day, moderate complexity |
686 |
569 |
$33K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
493 |
476 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
188 |
188 |
$28K |
| 83020 |
|
1,230 |
1,152 |
$26K |
| 92083 |
|
326 |
313 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
184 |
183 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
2,477 |
2,409 |
$24K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
1,086 |
389 |
$19K |
| 84165 |
|
863 |
802 |
$17K |
| 86334 |
|
813 |
755 |
$16K |
| 93880 |
|
63 |
63 |
$16K |
| 92134 |
|
348 |
337 |
$16K |
| 95886 |
|
69 |
69 |
$15K |
| 92060 |
|
176 |
174 |
$14K |
| 95911 |
|
41 |
41 |
$12K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
15 |
$9K |
| 92250 |
|
201 |
197 |
$9K |
| 31231 |
|
40 |
40 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
328 |
324 |
$9K |
| 88112 |
|
213 |
208 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
566 |
529 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
220 |
212 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
158 |
154 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
261 |
246 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24 |
24 |
$4K |
| 94729 |
|
119 |
119 |
$4K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
16 |
16 |
$4K |
| 92202 |
|
215 |
215 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
122 |
119 |
$3K |
| 93015 |
|
43 |
43 |
$3K |
| 92226 |
|
93 |
65 |
$3K |
| 88307 |
|
24 |
24 |
$3K |
| 92133 |
|
68 |
65 |
$3K |
| 97161 |
|
25 |
25 |
$3K |
| 54150 |
|
14 |
14 |
$2K |
| 0001A |
|
45 |
45 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$1K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
39 |
36 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$1K |
| 99221 |
|
34 |
28 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$897.16 |
| 93325 |
|
51 |
38 |
$845.67 |
| 70486 |
|
24 |
24 |
$681.44 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
475 |
457 |
$421.72 |
| 94727 |
|
12 |
12 |
$416.03 |
| 36415 |
Collection of venous blood by venipuncture |
222 |
217 |
$372.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$333.32 |
| 73562 |
|
54 |
54 |
$325.92 |
| 0002A |
|
13 |
13 |
$319.38 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
36 |
36 |
$270.64 |
| 94010 |
|
12 |
12 |
$238.89 |
| 88304 |
|
13 |
13 |
$223.07 |
| 73630 |
|
25 |
24 |
$143.83 |
| 92285 |
|
14 |
14 |
$119.12 |
| 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) |
38 |
38 |
$118.73 |
| 73030 |
|
15 |
14 |
$78.30 |
| 73130 |
|
13 |
12 |
$56.81 |
| 92015 |
Determination of refractive state |
93 |
93 |
$0.00 |