| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53,277 |
52,276 |
$3.72M |
| 99215 |
Prolong outpt/office vis |
28,835 |
28,100 |
$3.01M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
39,199 |
37,583 |
$2.81M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
52,351 |
50,658 |
$2.12M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14,880 |
14,253 |
$1.57M |
| 99233 |
Prolong inpt eval add15 m |
21,352 |
5,994 |
$1.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,295 |
27,535 |
$1.28M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
3,130 |
710 |
$809K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,621 |
7,507 |
$771K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,349 |
5,958 |
$724K |
| 01922 |
|
4,523 |
4,433 |
$576K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
5,321 |
1,175 |
$408K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
10,615 |
10,117 |
$405K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,283 |
6,116 |
$379K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
4,555 |
1,275 |
$346K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
8,033 |
7,878 |
$343K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,232 |
315 |
$288K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,784 |
6,647 |
$286K |
| 71045 |
Radiologic examination, chest; single view |
50,025 |
34,451 |
$270K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,558 |
2,518 |
$245K |
| 71046 |
Radiologic examination, chest; 2 views |
34,091 |
32,247 |
$218K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,724 |
2,701 |
$188K |
| 76770 |
|
8,229 |
8,103 |
$176K |
| 99243 |
|
2,908 |
2,880 |
$174K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
33,858 |
28,025 |
$169K |
| 99205 |
Prolong outpt/office vis |
1,128 |
1,114 |
$152K |
| 95720 |
|
1,227 |
798 |
$147K |
| 93320 |
|
12,522 |
11,495 |
$138K |
| 92060 |
|
6,545 |
6,452 |
$135K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,498 |
2,417 |
$120K |
| 92015 |
Determination of refractive state |
9,585 |
9,449 |
$110K |
| 74018 |
|
19,768 |
16,353 |
$107K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
6,023 |
5,783 |
$96K |
| 93304 |
|
3,661 |
3,393 |
$84K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
507 |
503 |
$65K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
471 |
192 |
$65K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,596 |
2,400 |
$63K |
| 95951 |
|
306 |
219 |
$62K |
| 93325 |
|
28,977 |
26,491 |
$55K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
1,134 |
1,111 |
$50K |
| 29450 |
|
601 |
308 |
$50K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
630 |
621 |
$45K |
| 99460 |
|
578 |
544 |
$44K |
| 95782 |
|
555 |
551 |
$42K |
| 99222 |
Initial hospital care, per day, moderate complexity |
510 |
495 |
$41K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
607 |
599 |
$40K |
| 95812 |
|
1,075 |
1,055 |
$36K |
| 93321 |
|
7,531 |
7,057 |
$34K |
| 96158 |
|
539 |
262 |
$34K |
| 99245 |
|
215 |
213 |
$25K |
| 74019 |
|
3,669 |
3,468 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,176 |
1,160 |
$25K |
| 00635 |
|
211 |
201 |
$24K |
| 90849 |
|
1,194 |
506 |
$23K |
| 94010 |
|
4,094 |
3,857 |
$21K |
| 93308 |
|
1,220 |
1,152 |
$20K |
| 54161 |
|
206 |
203 |
$19K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
248 |
175 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
135 |
135 |
$14K |
| 99443 |
|
217 |
207 |
$13K |
| 72082 |
|
1,451 |
1,439 |
$12K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
68 |
67 |
$12K |
| 72170 |
|
2,296 |
2,260 |
$11K |
| 31622 |
|
193 |
180 |
$11K |
| 93790 |
|
1,031 |
1,012 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
430 |
416 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
138 |
136 |
$8K |
| 76377 |
|
311 |
301 |
$6K |
| 93975 |
|
188 |
181 |
$6K |
| 61781 |
|
46 |
36 |
$6K |
| 69210 |
|
335 |
298 |
$6K |
| 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) |
4,209 |
4,146 |
$6K |
| 94060 |
|
787 |
783 |
$6K |
| 00920 |
|
64 |
64 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
83 |
38 |
$4K |
| 96159 |
|
154 |
99 |
$4K |
| 01112 |
|
25 |
25 |
$4K |
| 72146 |
|
94 |
93 |
$4K |
| 95819 |
|
107 |
106 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
138 |
134 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
76 |
76 |
$4K |
| 99242 |
|
81 |
79 |
$3K |
| 96152 |
|
72 |
65 |
$3K |
| 73718 |
|
100 |
51 |
$3K |
| 76825 |
|
73 |
67 |
$3K |
| 95718 |
|
42 |
38 |
$3K |
| 72141 |
|
82 |
81 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
80 |
78 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
80 |
78 |
$3K |
| 76942 |
|
182 |
163 |
$3K |
| 99255 |
|
24 |
24 |
$3K |
| 99442 |
|
72 |
71 |
$3K |
| 73090 |
|
583 |
524 |
$3K |
| 99254 |
|
27 |
27 |
$3K |
| 77080 |
|
432 |
429 |
$2K |
| 49452 |
|
27 |
25 |
$2K |
| 73100 |
|
460 |
414 |
$2K |
| 96139 |
|
25 |
13 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
68 |
65 |
$2K |
| 00126 |
|
28 |
28 |
$2K |
| 96156 |
|
27 |
26 |
$2K |
| 76937 |
|
191 |
180 |
$2K |
| 72195 |
|
40 |
40 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
15 |
$2K |
| 73070 |
|
345 |
324 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
29 |
28 |
$1K |
| 92134 |
|
96 |
95 |
$1K |
| 96133 |
|
13 |
13 |
$1K |
| 77072 |
|
238 |
236 |
$1K |
| 93227 |
|
76 |
75 |
$1K |
| 17110 |
|
27 |
27 |
$1K |
| 31624 |
|
13 |
13 |
$1K |
| 76827 |
|
73 |
67 |
$1K |
| 73610 |
|
235 |
217 |
$1K |
| 73560 |
|
258 |
205 |
$1K |
| 94726 |
|
132 |
130 |
$940.27 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
13 |
$920.17 |
| 78816 |
|
12 |
12 |
$825.72 |
| 70360 |
|
159 |
154 |
$791.41 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
19 |
17 |
$725.96 |
| 76536 |
|
40 |
39 |
$649.46 |
| 94729 |
|
125 |
122 |
$647.30 |
| 64430 |
|
16 |
14 |
$628.14 |
| 96132 |
|
13 |
13 |
$588.18 |
| 74240 |
|
27 |
27 |
$550.92 |
| 92133 |
|
54 |
53 |
$545.10 |
| 31575 |
|
12 |
12 |
$494.52 |
| 73590 |
|
113 |
97 |
$477.26 |
| 73630 |
|
90 |
79 |
$410.62 |
| 95816 |
|
12 |
12 |
$406.59 |
| 76506 |
|
17 |
12 |
$346.47 |
| 77073 |
|
44 |
44 |
$339.54 |
| 73130 |
|
62 |
58 |
$304.94 |
| 77001 |
|
28 |
26 |
$301.24 |
| 93294 |
|
14 |
14 |
$227.48 |
| 96138 |
|
13 |
13 |
$220.37 |
| 72081 |
|
29 |
27 |
$219.54 |
| 73140 |
|
38 |
38 |
$141.98 |
| 70250 |
|
27 |
26 |
$126.87 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$102.87 |
| 73620 |
|
25 |
15 |
$92.64 |