| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,231 |
54,791 |
$2.73M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,655 |
19,949 |
$746K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,534 |
3,479 |
$184K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,789 |
2,757 |
$156K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,029 |
694 |
$70K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,173 |
1,592 |
$69K |
| 99215 |
Prolong outpt/office vis |
1,400 |
1,221 |
$69K |
| 90836 |
|
990 |
950 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
637 |
630 |
$48K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,985 |
6,629 |
$32K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
405 |
398 |
$29K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
663 |
624 |
$27K |
| 90686 |
|
1,432 |
1,415 |
$25K |
| 94060 |
|
675 |
666 |
$16K |
| 94729 |
|
693 |
686 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,163 |
1,135 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
139 |
137 |
$12K |
| 52000 |
|
134 |
130 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
253 |
249 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
159 |
149 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
871 |
841 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
134 |
51 |
$9K |
| 95251 |
|
489 |
480 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
989 |
981 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
177 |
125 |
$7K |
| 99443 |
|
175 |
171 |
$7K |
| 82962 |
|
2,970 |
2,853 |
$6K |
| 11100 |
|
106 |
106 |
$6K |
| 95806 |
|
102 |
102 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
189 |
81 |
$5K |
| 96127 |
|
1,222 |
1,183 |
$5K |
| 20610 |
|
165 |
157 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
37 |
37 |
$4K |
| 11102 |
|
70 |
70 |
$4K |
| 99442 |
|
133 |
119 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
639 |
605 |
$3K |
| 94618 |
|
226 |
223 |
$3K |
| 93970 |
|
161 |
154 |
$3K |
| 93971 |
|
166 |
160 |
$3K |
| 17110 |
|
44 |
43 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
40 |
40 |
$2K |
| 51798 |
|
377 |
357 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
55 |
55 |
$2K |
| 99221 |
|
48 |
44 |
$2K |
| 94726 |
|
68 |
66 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99152 |
|
206 |
195 |
$966.91 |
| 94727 |
|
52 |
51 |
$947.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
62 |
$925.33 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
25 |
25 |
$898.19 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
61 |
26 |
$795.09 |
| 90688 |
|
43 |
43 |
$731.14 |
| 93000 |
|
115 |
111 |
$701.93 |
| 20552 |
|
67 |
59 |
$687.38 |
| 99233 |
Prolong inpt eval add15 m |
22 |
12 |
$672.93 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$621.30 |
| 99441 |
|
42 |
37 |
$454.62 |
| 85018 |
|
217 |
217 |
$435.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
33 |
$433.41 |
| 17000 |
|
12 |
12 |
$351.25 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
25 |
$302.00 |
| 93308 |
|
25 |
25 |
$281.36 |
| 93296 |
|
44 |
44 |
$263.09 |
| 93295 |
|
25 |
25 |
$232.86 |
| 90672 |
|
17 |
17 |
$195.73 |
| 51741 |
|
43 |
42 |
$192.95 |
| 72100 |
|
16 |
16 |
$189.33 |
| 93018 |
|
39 |
38 |
$182.88 |
| 93248 |
|
12 |
12 |
$115.66 |
| 93016 |
|
12 |
12 |
$111.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$102.21 |
| 36416 |
|
124 |
124 |
$83.35 |
| 76937 |
|
17 |
12 |
$56.63 |
| 99173 |
|
27 |
27 |
$42.54 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
401 |
394 |
$39.75 |
| 99406 |
|
1,249 |
1,184 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
38 |
29 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
86 |
48 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
42 |
27 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
48 |
35 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
21 |
14 |
$0.00 |
| 3725F |
|
16 |
16 |
$0.00 |