| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,650 |
15,518 |
$1.04M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,323 |
4,285 |
$434K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,546 |
9,235 |
$423K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,797 |
1,781 |
$187K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
817 |
799 |
$113K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,382 |
2,317 |
$94K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,437 |
557 |
$88K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,941 |
1,133 |
$75K |
| 99222 |
Initial hospital care, per day, moderate complexity |
677 |
662 |
$58K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
313 |
312 |
$58K |
| 97597 |
|
2,124 |
1,330 |
$58K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
806 |
335 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
629 |
577 |
$44K |
| 99223 |
Prolong inpt eval add15 m |
456 |
440 |
$44K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,993 |
7,772 |
$44K |
| 99233 |
Prolong inpt eval add15 m |
880 |
402 |
$42K |
| 95886 |
|
342 |
332 |
$37K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
546 |
520 |
$34K |
| 99205 |
Prolong outpt/office vis |
182 |
181 |
$30K |
| 99215 |
Prolong outpt/office vis |
279 |
257 |
$23K |
| 92567 |
|
1,824 |
1,733 |
$20K |
| 92557 |
|
395 |
391 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
275 |
257 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
99 |
99 |
$10K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
207 |
203 |
$9K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
28 |
28 |
$7K |
| 99454 |
|
261 |
259 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
133 |
64 |
$6K |
| 93016 |
|
355 |
350 |
$5K |
| 93018 |
|
505 |
499 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
174 |
$4K |
| 95117 |
|
687 |
287 |
$4K |
| 99457 |
|
247 |
244 |
$4K |
| 94729 |
|
688 |
657 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
166 |
63 |
$4K |
| 94726 |
|
453 |
427 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
41 |
39 |
$3K |
| 64483 |
|
12 |
12 |
$3K |
| 95911 |
|
15 |
15 |
$3K |
| 93248 |
|
140 |
139 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$3K |
| 92582 |
|
49 |
43 |
$2K |
| 95806 |
|
74 |
74 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$2K |
| 91010 |
|
37 |
36 |
$2K |
| 92587 |
|
90 |
90 |
$2K |
| 94010 |
|
279 |
275 |
$1K |
| 94060 |
|
178 |
172 |
$1K |
| 91037 |
|
37 |
36 |
$1K |
| 93294 |
|
85 |
84 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
154 |
146 |
$1K |
| 20610 |
|
29 |
27 |
$949.06 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
12 |
12 |
$715.77 |
| 95816 |
|
12 |
12 |
$531.07 |
| 36415 |
Collection of venous blood by venipuncture |
180 |
170 |
$491.02 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
39 |
39 |
$361.92 |
| 90686 |
|
55 |
54 |
$358.26 |
| 81003 |
|
145 |
132 |
$347.92 |
| 72100 |
|
43 |
38 |
$328.97 |
| 93000 |
|
33 |
25 |
$260.62 |
| 93970 |
|
12 |
12 |
$231.12 |
| 81002 |
|
144 |
121 |
$202.75 |
| 93922 |
|
26 |
26 |
$174.44 |
| 93297 |
|
16 |
13 |
$102.11 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
12 |
$78.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
86 |
80 |
$24.68 |
| 3017F |
|
52 |
41 |
$0.00 |
| 3775F |
|
38 |
38 |
$0.00 |
| 1036F |
|
15 |
13 |
$0.00 |
| 1123F |
|
17 |
16 |
$0.00 |
| 4040F |
|
55 |
43 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
53 |
43 |
$0.00 |