| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,437 |
71,298 |
$5.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,812 |
26,565 |
$2.95M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31,784 |
13,147 |
$2.20M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
23,024 |
19,457 |
$1.30M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16,104 |
15,892 |
$1.25M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,944 |
9,892 |
$1.05M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
129,695 |
107,205 |
$1.05M |
| 99222 |
Initial hospital care, per day, moderate complexity |
8,718 |
7,891 |
$993K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,573 |
18,297 |
$872K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,194 |
5,163 |
$789K |
| 76818 |
|
12,892 |
5,816 |
$770K |
| 99221 |
|
8,321 |
7,717 |
$723K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,302 |
6,295 |
$713K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
6,573 |
6,503 |
$702K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,507 |
6,385 |
$691K |
| 76820 |
|
20,873 |
13,139 |
$632K |
| 36478 |
|
556 |
555 |
$583K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,897 |
6,752 |
$482K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,789 |
2,786 |
$404K |
| 96112 |
|
2,983 |
2,234 |
$384K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
8,544 |
7,724 |
$374K |
| 76830 |
Ultrasound, transvaginal |
3,241 |
3,210 |
$338K |
| 99215 |
Prolong outpt/office vis |
1,998 |
1,964 |
$317K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,306 |
4,295 |
$303K |
| 76825 |
|
1,049 |
1,017 |
$290K |
| 99233 |
Prolong inpt eval add15 m |
2,758 |
1,405 |
$267K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,384 |
3,538 |
$260K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,123 |
2,912 |
$259K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
273 |
271 |
$235K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,025 |
512 |
$223K |
| 76813 |
|
2,857 |
2,830 |
$211K |
| 76801 |
|
3,287 |
3,132 |
$196K |
| 99223 |
Prolong inpt eval add15 m |
894 |
866 |
$151K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,397 |
1,393 |
$139K |
| 99386 |
|
940 |
940 |
$126K |
| 93970 |
|
3,797 |
3,717 |
$115K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,141 |
1,125 |
$115K |
| 93000 |
|
6,923 |
6,856 |
$112K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,503 |
1,430 |
$104K |
| 92134 |
|
3,283 |
2,974 |
$101K |
| 95885 |
|
806 |
805 |
$88K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
472 |
470 |
$86K |
| 99441 |
|
1,560 |
1,528 |
$78K |
| 76827 |
|
1,054 |
1,022 |
$78K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,942 |
1,572 |
$72K |
| 90651 |
|
255 |
255 |
$69K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,137 |
1,120 |
$66K |
| 92202 |
|
4,378 |
4,098 |
$51K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
490 |
445 |
$48K |
| 92015 |
Determination of refractive state |
3,179 |
3,164 |
$48K |
| 95911 |
|
202 |
201 |
$44K |
| 99442 |
|
706 |
685 |
$40K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
315 |
281 |
$38K |
| 99205 |
Prolong outpt/office vis |
186 |
186 |
$37K |
| 93971 |
|
1,640 |
1,630 |
$34K |
| 93325 |
|
1,664 |
1,590 |
$33K |
| 95816 |
|
638 |
610 |
$30K |
| 67228 |
|
96 |
86 |
$29K |
| J9035 |
Injection, bevacizumab, 10 mg |
386 |
356 |
$24K |
| 92083 |
|
451 |
450 |
$24K |
| 92133 |
|
722 |
722 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
17,042 |
16,450 |
$23K |
| 99385 |
|
246 |
245 |
$22K |
| 92226 |
|
753 |
551 |
$21K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
485 |
471 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,537 |
1,510 |
$21K |
| 93016 |
|
1,024 |
1,021 |
$20K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
160 |
160 |
$18K |
| 99460 |
|
176 |
176 |
$17K |
| 93018 |
|
1,036 |
1,033 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
247 |
236 |
$14K |
| 93307 |
|
103 |
103 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
335 |
317 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
88 |
88 |
$13K |
| 81025 |
|
1,840 |
1,759 |
$13K |
| 95806 |
|
332 |
321 |
$13K |
| 99219 |
|
132 |
130 |
$13K |
| 92060 |
|
220 |
220 |
$12K |
| 94060 |
|
1,145 |
1,127 |
$12K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
48 |
48 |
$12K |
| 96111 |
|
89 |
65 |
$12K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
88 |
25 |
$11K |
| 94729 |
|
1,220 |
1,199 |
$10K |
| 94726 |
|
919 |
915 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
484 |
483 |
$10K |
| 90686 |
|
798 |
795 |
$9K |
| 31231 |
|
48 |
48 |
$9K |
| 93925 |
|
292 |
290 |
$9K |
| 93923 |
|
379 |
377 |
$7K |
| 99201 |
|
166 |
166 |
$6K |
| 73562 |
|
151 |
129 |
$6K |
| 90682 |
|
96 |
96 |
$6K |
| 99218 |
|
86 |
85 |
$6K |
| 95819 |
|
111 |
108 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
92 |
91 |
$5K |
| 92020 |
|
229 |
226 |
$5K |
| 99000 |
|
9,743 |
9,346 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
68 |
56 |
$5K |
| 57454 |
|
29 |
28 |
$5K |
| 99443 |
|
41 |
40 |
$4K |
| 76376 |
|
434 |
426 |
$4K |
| 99462 |
|
97 |
86 |
$4K |
| 81002 |
|
1,845 |
1,165 |
$4K |
| 92588 |
|
122 |
121 |
$4K |
| 92557 |
|
111 |
110 |
$4K |
| 94727 |
|
300 |
283 |
$4K |
| 76857 |
|
68 |
64 |
$3K |
| 92136 |
|
87 |
87 |
$3K |
| 81003 |
|
1,875 |
1,162 |
$3K |
| 93880 |
|
76 |
75 |
$3K |
| 92550 |
|
139 |
138 |
$3K |
| 73140 |
|
71 |
54 |
$3K |
| 92250 |
|
76 |
76 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
80 |
80 |
$2K |
| 99217 |
|
70 |
70 |
$2K |
| 90656 |
|
132 |
131 |
$2K |
| 90673 |
|
31 |
31 |
$2K |
| 95886 |
|
13 |
13 |
$2K |
| 20550 |
|
30 |
26 |
$2K |
| 95909 |
|
12 |
12 |
$2K |
| 87210 |
|
331 |
328 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
34 |
24 |
$2K |
| 76821 |
|
53 |
25 |
$2K |
| 31575 |
|
14 |
13 |
$1K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
32 |
27 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$1K |
| 92225 |
|
49 |
27 |
$1K |
| 59025 |
Fetal non-stress test |
41 |
30 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$742.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
31 |
$683.88 |
| 93320 |
|
45 |
40 |
$668.11 |
| 73110 |
|
15 |
14 |
$574.16 |
| 73130 |
|
15 |
14 |
$495.06 |
| 95117 |
|
34 |
24 |
$411.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$411.37 |
| 83037 |
|
76 |
76 |
$390.98 |
| 92025 |
|
12 |
12 |
$388.51 |
| 51741 |
|
24 |
24 |
$333.30 |
| 99401 |
|
13 |
13 |
$327.45 |
| 86580 |
|
21 |
21 |
$230.36 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
95 |
95 |
$171.93 |
| 51798 |
|
13 |
13 |
$156.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$137.59 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$94.69 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
45 |
45 |
$88.86 |
| 1159F |
|
8,859 |
8,240 |
$70.00 |
| 90662 |
|
12 |
12 |
$66.78 |
| 1160F |
|
5,626 |
5,192 |
$35.00 |
| 1126F |
|
251 |
226 |
$25.00 |
| 1036F |
|
21,671 |
19,009 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
20,257 |
18,712 |
$0.00 |
| 1220F |
|
44 |
44 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
28 |
28 |
$0.00 |
| 4004F |
|
757 |
729 |
$0.00 |
| 0502F |
|
329 |
233 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
317 |
314 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
326 |
316 |
$0.00 |
| 99072 |
|
44 |
38 |
$0.00 |
| 90672 |
|
45 |
44 |
$0.00 |