| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,908 |
46,201 |
$2.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,491 |
25,137 |
$916K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,103 |
7,572 |
$557K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
69,872 |
58,866 |
$451K |
| 99233 |
Prolong inpt eval add15 m |
12,108 |
5,233 |
$367K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,984 |
5,078 |
$280K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,092 |
6,714 |
$278K |
| 99223 |
Prolong inpt eval add15 m |
4,169 |
3,788 |
$256K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,525 |
5,141 |
$243K |
| 20610 |
|
4,243 |
3,175 |
$156K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,212 |
3,287 |
$146K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,630 |
621 |
$79K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,322 |
2,082 |
$76K |
| 92557 |
|
1,786 |
1,653 |
$45K |
| 95886 |
|
1,009 |
924 |
$44K |
| 99255 |
|
474 |
452 |
$43K |
| 95811 |
|
599 |
564 |
$38K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
583 |
554 |
$38K |
| 99205 |
Prolong outpt/office vis |
376 |
354 |
$35K |
| 93000 |
|
3,481 |
3,165 |
$33K |
| 93296 |
|
2,779 |
2,603 |
$31K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
212 |
211 |
$29K |
| 31231 |
|
363 |
329 |
$28K |
| 93295 |
|
945 |
879 |
$28K |
| 93971 |
|
1,521 |
1,429 |
$28K |
| 93297 |
|
2,109 |
1,946 |
$27K |
| 99215 |
Prolong outpt/office vis |
457 |
423 |
$26K |
| 95909 |
|
422 |
385 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
329 |
306 |
$26K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
670 |
644 |
$25K |
| 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 |
1,969 |
1,772 |
$25K |
| 93298 |
|
1,605 |
1,441 |
$25K |
| 47562 |
|
54 |
54 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
354 |
338 |
$23K |
| 72100 |
|
978 |
906 |
$18K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
236 |
229 |
$18K |
| 92567 |
|
1,827 |
1,691 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
390 |
345 |
$16K |
| 95813 |
|
303 |
276 |
$16K |
| 93970 |
|
528 |
503 |
$15K |
| 95251 |
|
675 |
635 |
$14K |
| 73610 |
|
792 |
709 |
$14K |
| 73630 |
|
777 |
658 |
$13K |
| 93016 |
|
931 |
892 |
$13K |
| 99243 |
|
247 |
237 |
$13K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,426 |
2,103 |
$12K |
| 64721 |
|
69 |
64 |
$11K |
| 95911 |
|
122 |
104 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
182 |
170 |
$11K |
| 99406 |
|
1,377 |
1,188 |
$11K |
| 20611 |
|
227 |
156 |
$10K |
| 93294 |
|
717 |
679 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
149 |
142 |
$9K |
| 73564 |
|
408 |
303 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
696 |
376 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
175 |
163 |
$8K |
| 93018 |
|
930 |
893 |
$8K |
| 73030 |
|
467 |
381 |
$8K |
| 95816 |
|
252 |
228 |
$7K |
| 73562 |
|
409 |
336 |
$7K |
| 97597 |
|
940 |
438 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
268 |
175 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
176 |
$5K |
| 64718 |
|
16 |
14 |
$5K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
29 |
25 |
$4K |
| 99385 |
|
53 |
51 |
$4K |
| 31575 |
|
55 |
51 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
473 |
458 |
$2K |
| 93880 |
|
82 |
80 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
72 |
64 |
$2K |
| 73502 |
|
97 |
93 |
$2K |
| 72040 |
|
100 |
97 |
$2K |
| 96130 |
|
41 |
41 |
$2K |
| 99254 |
|
27 |
26 |
$2K |
| 93228 |
|
103 |
100 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
420 |
352 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
20 |
14 |
$1K |
| 99386 |
|
14 |
14 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
38 |
28 |
$1K |
| 95717 |
|
13 |
12 |
$1K |
| 93925 |
|
26 |
26 |
$985.09 |
| 81002 |
|
486 |
364 |
$922.86 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$824.50 |
| 96136 |
|
29 |
29 |
$658.84 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
82 |
74 |
$630.30 |
| 94060 |
|
66 |
64 |
$601.68 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
89 |
28 |
$517.98 |
| 73130 |
|
31 |
24 |
$442.64 |
| 99242 |
|
13 |
13 |
$406.12 |
| 94726 |
|
105 |
102 |
$382.62 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
54 |
37 |
$378.57 |
| 94729 |
|
105 |
102 |
$373.61 |
| 69210 |
|
25 |
24 |
$361.11 |
| 77002 |
|
15 |
12 |
$290.09 |
| 93272 |
|
12 |
12 |
$270.66 |
| 99442 |
|
13 |
13 |
$265.12 |
| 73110 |
|
13 |
13 |
$234.19 |
| 99152 |
|
29 |
26 |
$212.62 |
| 93290 |
|
14 |
14 |
$196.13 |
| 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) |
889 |
875 |
$170.52 |
| 93242 |
|
13 |
12 |
$112.36 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
14 |
13 |
$94.00 |
| 81025 |
|
15 |
13 |
$88.14 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
15 |
14 |
$78.09 |
| G8484 |
Influenza immunization was not administered, reason not given |
44,966 |
39,602 |
$24.71 |
| 1123F |
|
2,764 |
2,458 |
$17.44 |
| 91300 |
|
13 |
13 |
$0.10 |
| 3078F |
|
6,695 |
6,103 |
$0.01 |
| 1036F |
|
55,984 |
50,133 |
$0.00 |
| 3074F |
|
6,284 |
5,721 |
$0.00 |
| 3017F |
|
26,414 |
23,955 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,232 |
1,073 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,438 |
2,113 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,699 |
2,455 |
$0.00 |
| 3079F |
|
974 |
891 |
$0.00 |
| 99024 |
|
964 |
702 |
$0.00 |
| 3075F |
|
304 |
272 |
$0.00 |
| 3080F |
|
109 |
102 |
$0.00 |
| 3044F |
|
122 |
118 |
$0.00 |
| 3052F |
|
16 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
95,567 |
86,735 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
53,673 |
48,715 |
$0.00 |
| 1090F |
|
790 |
704 |
$0.00 |
| 4004F |
|
11,483 |
10,219 |
$0.00 |
| 3077F |
|
486 |
442 |
$0.00 |
| 3023F |
|
1,266 |
1,172 |
$0.00 |
| 3046F |
|
855 |
790 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
453 |
403 |
$0.00 |
| 2022F |
|
3,543 |
3,322 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
314 |
274 |
$0.00 |
| 4040F |
|
87 |
83 |
$0.00 |
| 1159F |
|
26 |
26 |
$0.00 |
| 3051F |
|
13 |
12 |
$0.00 |