| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,018 |
28,233 |
$1.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,187 |
14,717 |
$807K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,831 |
6,568 |
$482K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
8,742 |
4,574 |
$464K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,197 |
6,970 |
$437K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,349 |
2,512 |
$425K |
| 43251 |
|
1,187 |
1,128 |
$177K |
| 99223 |
Prolong inpt eval add15 m |
1,399 |
1,247 |
$132K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,226 |
5,418 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,717 |
1,631 |
$87K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
720 |
689 |
$83K |
| 43249 |
|
1,097 |
1,027 |
$81K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,964 |
1,909 |
$74K |
| 71045 |
Radiologic examination, chest; single view |
4,299 |
3,618 |
$66K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,846 |
1,726 |
$63K |
| 90837 |
Psychotherapy, 53 minutes with patient |
426 |
238 |
$54K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
810 |
773 |
$48K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
976 |
542 |
$42K |
| 99215 |
Prolong outpt/office vis |
827 |
730 |
$39K |
| 45398 |
|
192 |
172 |
$39K |
| 43259 |
|
96 |
94 |
$37K |
| 90834 |
Psychotherapy, 45 minutes with patient |
331 |
219 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
552 |
229 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
295 |
270 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
204 |
197 |
$20K |
| 43245 |
|
185 |
174 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
294 |
277 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
224 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
475 |
465 |
$15K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
73 |
55 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
909 |
890 |
$14K |
| 73630 |
|
771 |
672 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
112 |
$12K |
| 87428 |
|
378 |
374 |
$12K |
| 43255 |
|
80 |
71 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
52 |
52 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
341 |
313 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
128 |
124 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
102 |
91 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
256 |
238 |
$7K |
| 90686 |
|
507 |
493 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
69 |
38 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
188 |
178 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
350 |
340 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,084 |
977 |
$4K |
| 92134 |
|
285 |
238 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
58 |
57 |
$3K |
| 90961 |
|
99 |
94 |
$3K |
| 93000 |
|
140 |
130 |
$3K |
| 95911 |
|
40 |
39 |
$3K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
79 |
78 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
42 |
39 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
123 |
110 |
$3K |
| 73610 |
|
198 |
174 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
56 |
51 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
73 |
55 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
70 |
64 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
117 |
117 |
$2K |
| 93970 |
|
62 |
54 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
210 |
151 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
98 |
93 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
12 |
$1K |
| 90670 |
|
62 |
62 |
$664.86 |
| 95251 |
|
45 |
42 |
$635.23 |
| 99310 |
Prolong nursin fac eval 15m |
14 |
12 |
$619.99 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
13 |
$593.35 |
| 93971 |
|
40 |
37 |
$506.90 |
| 81003 |
|
254 |
247 |
$408.52 |
| 73110 |
|
12 |
12 |
$295.84 |
| 72100 |
|
25 |
25 |
$191.42 |
| 99443 |
|
17 |
14 |
$185.60 |
| 74018 |
|
15 |
13 |
$175.60 |
| 90671 |
|
13 |
13 |
$175.54 |
| 81002 |
|
46 |
41 |
$142.68 |
| 90656 |
|
13 |
13 |
$142.56 |
| 90677 |
|
12 |
12 |
$131.04 |
| 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) |
59 |
56 |
$108.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$77.87 |
| 90785 |
|
73 |
41 |
$20.56 |
| 0502F |
|
292 |
179 |
$1.05 |
| 3074F |
|
206 |
189 |
$0.66 |
| 3078F |
|
128 |
113 |
$0.42 |
| 3079F |
|
28 |
27 |
$0.10 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
138 |
109 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |