| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,477 |
29,534 |
$1.82M |
| 59425 |
|
9,865 |
7,734 |
$689K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,441 |
4,707 |
$413K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,544 |
8,230 |
$390K |
| 59426 |
|
4,736 |
2,843 |
$348K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
10,140 |
7,673 |
$311K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,000 |
2,499 |
$233K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,316 |
1,808 |
$207K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,641 |
1,055 |
$124K |
| 99215 |
Prolong outpt/office vis |
1,529 |
1,259 |
$110K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,184 |
1,592 |
$108K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,171 |
1,045 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,996 |
2,447 |
$82K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
178 |
77 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
959 |
843 |
$46K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
833 |
617 |
$43K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
613 |
363 |
$40K |
| 81002 |
|
13,263 |
8,729 |
$34K |
| 93000 |
|
5,724 |
4,473 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
937 |
805 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
685 |
506 |
$30K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,471 |
6,663 |
$29K |
| 99205 |
Prolong outpt/office vis |
358 |
298 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
561 |
379 |
$24K |
| 95806 |
|
494 |
400 |
$19K |
| 95819 |
|
578 |
495 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
361 |
280 |
$16K |
| 99401 |
|
818 |
488 |
$15K |
| 76820 |
|
350 |
241 |
$12K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
178 |
152 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
803 |
730 |
$12K |
| 76801 |
|
234 |
198 |
$11K |
| 96127 |
|
2,864 |
1,995 |
$10K |
| 47563 |
|
52 |
42 |
$9K |
| 97804 |
|
315 |
297 |
$8K |
| 17110 |
|
115 |
92 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,226 |
1,826 |
$7K |
| 59025 |
Fetal non-stress test |
411 |
290 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
619 |
539 |
$4K |
| 99221 |
|
96 |
85 |
$4K |
| 99235 |
|
38 |
32 |
$4K |
| 11102 |
|
78 |
66 |
$4K |
| 93016 |
|
591 |
550 |
$4K |
| 95816 |
|
144 |
116 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
118 |
74 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
187 |
107 |
$3K |
| 59430 |
|
360 |
179 |
$2K |
| 94726 |
|
408 |
346 |
$2K |
| 94060 |
|
404 |
344 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$2K |
| 99354 |
|
189 |
152 |
$2K |
| 95811 |
|
28 |
26 |
$2K |
| 94729 |
|
408 |
346 |
$2K |
| 93018 |
|
445 |
414 |
$1K |
| 94618 |
|
114 |
93 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
117 |
41 |
$1K |
| 90686 |
|
129 |
117 |
$1K |
| 51798 |
|
289 |
197 |
$1K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
48 |
40 |
$818.87 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
124 |
108 |
$753.76 |
| 90715 |
|
89 |
74 |
$608.35 |
| 93922 |
|
109 |
89 |
$590.40 |
| 97803 |
|
12 |
12 |
$561.99 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19 |
13 |
$559.18 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
18 |
12 |
$505.19 |
| 99411 |
|
126 |
96 |
$487.05 |
| 81000 |
|
192 |
155 |
$446.28 |
| 99152 |
|
48 |
42 |
$399.23 |
| 99406 |
|
71 |
53 |
$335.15 |
| 95886 |
|
40 |
26 |
$272.70 |
| 82962 |
|
94 |
51 |
$242.34 |
| 90656 |
|
16 |
16 |
$196.31 |
| 93225 |
|
15 |
12 |
$170.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
26 |
$139.13 |
| 99412 |
|
16 |
15 |
$120.42 |
| 3044F |
|
112 |
88 |
$80.00 |
| 81003 |
|
30 |
28 |
$31.53 |
| 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) |
252 |
195 |
$3.18 |
| 3074F |
|
3,636 |
3,123 |
$0.00 |
| 3075F |
|
502 |
433 |
$0.00 |
| 3008F |
|
434 |
372 |
$0.00 |
| 3079F |
|
918 |
775 |
$0.00 |
| 99403 |
|
21 |
19 |
$0.00 |
| 99255 |
|
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |
| 3078F |
|
3,286 |
2,838 |
$0.00 |
| 1159F |
|
144 |
133 |
$0.00 |
| 1160F |
|
144 |
133 |
$0.00 |
| 3077F |
|
25 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
34 |
31 |
$0.00 |
| 99404 |
|
24 |
21 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |
| 87210 |
|
14 |
12 |
$0.00 |