| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,139 |
1,063 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,402 |
1,219 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
341 |
335 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
5,320 |
4,585 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
412 |
401 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
837 |
799 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
254 |
235 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
106 |
26 |
$8K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
145 |
140 |
$8K |
| 20610 |
|
255 |
181 |
$7K |
| 99215 |
Prolong outpt/office vis |
126 |
121 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
332 |
324 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
634 |
613 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
276 |
269 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
46 |
37 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
33 |
30 |
$985.06 |
| 76775 |
|
45 |
45 |
$725.90 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
27 |
13 |
$703.35 |
| 73630 |
|
126 |
107 |
$615.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
148 |
124 |
$608.09 |
| 81002 |
|
323 |
297 |
$495.17 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
28 |
$422.60 |
| 73610 |
|
41 |
38 |
$166.20 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
37 |
34 |
$157.30 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$152.20 |
| 74018 |
|
30 |
27 |
$109.18 |
| 3008F |
|
1,903 |
1,773 |
$0.00 |
| 1036F |
|
1,793 |
1,661 |
$0.00 |
| 3074F |
|
211 |
205 |
$0.00 |
| 1126F |
|
274 |
256 |
$0.00 |
| 3079F |
|
29 |
26 |
$0.00 |
| 1034F |
|
13 |
13 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 1160F |
|
2,057 |
1,900 |
$0.00 |
| 1159F |
|
1,961 |
1,823 |
$0.00 |
| 3078F |
|
174 |
172 |
$0.00 |
| 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) |
14 |
14 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |