| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
44,172 |
42,655 |
$7.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,275 |
40,200 |
$4.04M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15,956 |
15,496 |
$3.79M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,955 |
19,320 |
$3.05M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
32,990 |
32,042 |
$2.94M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19,130 |
6,446 |
$1.96M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
11,681 |
11,343 |
$1.37M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,177 |
7,049 |
$875K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,347 |
6,212 |
$857K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,631 |
667 |
$634K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,140 |
9,850 |
$601K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,034 |
7,677 |
$494K |
| 71046 |
Radiologic examination, chest; 2 views |
29,550 |
28,944 |
$471K |
| 88307 |
|
2,213 |
2,168 |
$337K |
| 71045 |
Radiologic examination, chest; single view |
21,750 |
18,068 |
$304K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,739 |
1,728 |
$251K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,133 |
4,096 |
$223K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,294 |
1,238 |
$221K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,691 |
1,671 |
$207K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
462 |
427 |
$171K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
818 |
803 |
$167K |
| 99205 |
Prolong outpt/office vis |
585 |
571 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
674 |
660 |
$131K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,354 |
1,347 |
$130K |
| 64493 |
|
589 |
376 |
$127K |
| 99233 |
Prolong inpt eval add15 m |
816 |
246 |
$127K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,601 |
1,521 |
$117K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,505 |
2,469 |
$106K |
| 99201 |
|
1,853 |
1,834 |
$97K |
| 88312 |
|
1,212 |
1,180 |
$94K |
| 92504 |
|
2,920 |
2,651 |
$92K |
| 99223 |
Prolong inpt eval add15 m |
317 |
304 |
$85K |
| 99215 |
Prolong outpt/office vis |
368 |
309 |
$81K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,323 |
1,288 |
$69K |
| 64494 |
|
579 |
317 |
$68K |
| 99222 |
Initial hospital care, per day, moderate complexity |
346 |
337 |
$68K |
| 62323 |
|
172 |
166 |
$59K |
| 92060 |
|
1,002 |
993 |
$53K |
| 92134 |
|
1,020 |
956 |
$52K |
| 20611 |
|
415 |
399 |
$50K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
639 |
638 |
$48K |
| 88304 |
|
2,283 |
2,223 |
$44K |
| 99221 |
|
290 |
280 |
$41K |
| 20610 |
|
471 |
464 |
$41K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
95 |
93 |
$40K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
366 |
353 |
$38K |
| 92015 |
Determination of refractive state |
1,214 |
1,200 |
$33K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
159 |
156 |
$31K |
| 76801 |
|
435 |
425 |
$31K |
| 99253 |
|
183 |
178 |
$31K |
| 64495 |
|
266 |
131 |
$29K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18,802 |
18,158 |
$27K |
| 62322 |
|
149 |
146 |
$27K |
| 74018 |
|
1,957 |
1,709 |
$27K |
| 99254 |
|
118 |
111 |
$27K |
| 73610 |
|
2,039 |
1,970 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
525 |
517 |
$26K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
53 |
51 |
$24K |
| 73630 |
|
1,745 |
1,723 |
$24K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
441 |
202 |
$24K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
235 |
229 |
$23K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
101 |
101 |
$22K |
| 64483 |
|
57 |
57 |
$22K |
| 76830 |
Ultrasound, transvaginal |
425 |
421 |
$21K |
| 93971 |
|
319 |
299 |
$19K |
| 20552 |
|
270 |
258 |
$19K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
51 |
42 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
175 |
162 |
$18K |
| 99243 |
|
142 |
138 |
$17K |
| 99241 |
|
266 |
263 |
$17K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
121 |
110 |
$17K |
| 99441 |
|
448 |
442 |
$16K |
| 73030 |
|
1,099 |
1,076 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
109 |
107 |
$15K |
| 95812 |
|
64 |
62 |
$14K |
| 17110 |
|
107 |
97 |
$13K |
| 73130 |
|
892 |
861 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
116 |
114 |
$10K |
| 92002 |
|
102 |
101 |
$10K |
| 95886 |
|
113 |
112 |
$9K |
| 73110 |
|
689 |
667 |
$9K |
| 91200 |
|
201 |
192 |
$8K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
54 |
28 |
$8K |
| 93970 |
|
97 |
93 |
$8K |
| 69210 |
|
142 |
131 |
$8K |
| 95819 |
|
66 |
65 |
$7K |
| 95811 |
|
25 |
25 |
$6K |
| 73562 |
|
422 |
418 |
$6K |
| 99442 |
|
101 |
101 |
$5K |
| 76775 |
|
120 |
119 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$5K |
| 64615 |
|
26 |
25 |
$4K |
| 72100 |
|
272 |
271 |
$4K |
| 95816 |
|
29 |
27 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
291 |
286 |
$4K |
| 27096 |
|
24 |
15 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
31 |
29 |
$3K |
| 99443 |
|
58 |
49 |
$3K |
| 11900 |
|
44 |
44 |
$3K |
| 95907 |
|
40 |
40 |
$3K |
| 94060 |
|
166 |
166 |
$3K |
| 94729 |
|
210 |
210 |
$3K |
| 99292 |
|
12 |
12 |
$2K |
| 93308 |
|
54 |
52 |
$2K |
| 73140 |
|
234 |
230 |
$2K |
| 76642 |
|
53 |
52 |
$2K |
| 99242 |
|
13 |
13 |
$1K |
| 92235 |
|
12 |
12 |
$1K |
| 31575 |
|
13 |
13 |
$1K |
| 73590 |
|
109 |
104 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$1K |
| 93351 |
|
12 |
12 |
$1K |
| 94726 |
|
75 |
75 |
$1K |
| 73502 |
|
74 |
74 |
$1K |
| 73700 |
|
13 |
13 |
$934.44 |
| 71250 |
|
13 |
12 |
$905.50 |
| 70486 |
|
13 |
13 |
$795.60 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$786.38 |
| 73564 |
|
43 |
42 |
$702.20 |
| 76536 |
|
12 |
12 |
$523.16 |
| 73560 |
|
42 |
40 |
$498.62 |
| 76000 |
|
130 |
124 |
$473.50 |
| 85060 |
|
15 |
14 |
$464.75 |
| 73090 |
|
32 |
28 |
$412.15 |
| 88302 |
|
13 |
13 |
$231.93 |
| 94010 |
|
12 |
12 |
$151.32 |
| 73080 |
|
12 |
12 |
$145.94 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
13,771 |
13,003 |
$0.00 |
| 98940 |
|
222 |
130 |
$0.00 |
| 99418 |
Prolong nursin fac eval 15m |
12 |
12 |
$0.00 |
| S9484 |
Crisis intervention mental health services, per hour |
26 |
25 |
$0.00 |
| 99053 |
|
51 |
49 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
384 |
384 |
$0.00 |
| 99451 |
|
291 |
285 |
$0.00 |
| 94618 |
|
12 |
12 |
$0.00 |