| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26,309 |
25,573 |
$2.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,779 |
16,685 |
$943K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
11,660 |
11,295 |
$726K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,038 |
7,419 |
$277K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,096 |
3,603 |
$210K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30,860 |
26,667 |
$164K |
| 71045 |
Radiologic examination, chest; single view |
19,753 |
15,658 |
$104K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,918 |
2,797 |
$102K |
| 71046 |
Radiologic examination, chest; 2 views |
7,314 |
7,022 |
$68K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,014 |
1,827 |
$57K |
| 99223 |
Prolong inpt eval add15 m |
610 |
584 |
$44K |
| 99233 |
Prolong inpt eval add15 m |
852 |
382 |
$36K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,794 |
941 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
306 |
295 |
$31K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
350 |
329 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
874 |
824 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
354 |
347 |
$15K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
124 |
64 |
$13K |
| 11721 |
|
1,186 |
1,132 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
338 |
334 |
$11K |
| 0001A |
|
328 |
326 |
$10K |
| 0002A |
|
285 |
285 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
151 |
144 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
145 |
119 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
178 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
587 |
548 |
$7K |
| 73630 |
|
648 |
530 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
169 |
164 |
$5K |
| 99307 |
|
290 |
263 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
170 |
119 |
$5K |
| 72100 |
|
340 |
329 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
232 |
229 |
$5K |
| 90682 |
|
305 |
303 |
$5K |
| 0003A |
|
125 |
125 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
170 |
156 |
$4K |
| 90674 |
|
484 |
475 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
69 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
72 |
70 |
$4K |
| 73610 |
|
224 |
176 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
170 |
$3K |
| 81001 |
|
725 |
705 |
$3K |
| 90734 |
|
101 |
93 |
$3K |
| 99215 |
Prolong outpt/office vis |
95 |
87 |
$3K |
| 95886 |
|
51 |
48 |
$3K |
| 92551 |
|
320 |
311 |
$3K |
| 51798 |
|
183 |
174 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
56 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
75 |
71 |
$3K |
| 71010 |
|
497 |
419 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
498 |
491 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
12 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
27 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
299 |
296 |
$2K |
| 93000 |
|
123 |
118 |
$2K |
| 99173 |
|
331 |
321 |
$2K |
| 90715 |
|
109 |
106 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
56 |
56 |
$1K |
| 90670 |
|
261 |
257 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
293 |
286 |
$1K |
| 99243 |
|
12 |
12 |
$1K |
| 74018 |
|
159 |
147 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
26 |
$1K |
| 92567 |
|
99 |
96 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 71250 |
|
39 |
37 |
$1K |
| 78264 |
|
28 |
25 |
$989.57 |
| 0072A |
|
25 |
25 |
$960.00 |
| 90648 |
|
187 |
186 |
$907.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$776.76 |
| 69210 |
|
61 |
57 |
$750.59 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$699.64 |
| 0071A |
|
18 |
17 |
$680.00 |
| 51741 |
|
15 |
15 |
$671.15 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
12 |
$641.08 |
| 71020 |
|
105 |
105 |
$592.30 |
| 93923 |
|
38 |
37 |
$518.01 |
| 17110 |
|
12 |
12 |
$443.33 |
| 93880 |
|
14 |
13 |
$442.61 |
| 73130 |
|
44 |
38 |
$425.40 |
| 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) |
100 |
98 |
$357.20 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
51 |
51 |
$326.77 |
| 93296 |
|
27 |
24 |
$313.08 |
| 76536 |
|
12 |
12 |
$300.03 |
| 90723 |
|
110 |
110 |
$290.50 |
| 20610 |
|
12 |
12 |
$288.03 |
| 4010F |
|
128 |
107 |
$270.00 |
| 76642 |
|
13 |
13 |
$194.29 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
599 |
588 |
$183.38 |
| 90686 |
|
12 |
12 |
$174.65 |
| 73502 |
|
19 |
13 |
$166.39 |
| 93227 |
|
13 |
13 |
$166.36 |
| 73030 |
|
14 |
12 |
$149.25 |
| 86580 |
|
137 |
126 |
$141.21 |
| 83655 |
|
14 |
12 |
$115.96 |
| 3074F |
|
14 |
13 |
$90.00 |
| 3078F |
|
27 |
25 |
$40.00 |
| 93321 |
|
14 |
14 |
$25.63 |
| 93308 |
|
14 |
14 |
$15.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
145 |
140 |
$4.28 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
686 |
630 |
$0.03 |
| 90680 |
|
24 |
24 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
305 |
299 |
$0.00 |
| 90661 |
|
25 |
25 |
$0.00 |
| 93325 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |