| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,140 |
48,447 |
$2.68M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
32,622 |
28,850 |
$2.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,449 |
56,887 |
$2.32M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27,169 |
25,085 |
$1.50M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,382 |
2,166 |
$750K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28,141 |
9,004 |
$502K |
| D7140 |
Extraction, erupted tooth or exposed root |
5,209 |
1,349 |
$454K |
| 99215 |
Prolong outpt/office vis |
3,408 |
3,030 |
$217K |
| D0140 |
Limited oral evaluation - problem focused |
4,710 |
4,452 |
$211K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
45,493 |
34,101 |
$198K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,846 |
4,539 |
$188K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,010 |
454 |
$114K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,958 |
2,890 |
$97K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,078 |
2,488 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,102 |
1,855 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,652 |
2,298 |
$68K |
| D9222 |
|
294 |
274 |
$57K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,943 |
2,876 |
$57K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,238 |
775 |
$56K |
| D7240 |
Removal of impacted tooth - completely bony |
213 |
83 |
$55K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
631 |
591 |
$52K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,303 |
2,680 |
$50K |
| D0330 |
Panoramic radiographic image |
1,757 |
1,603 |
$48K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,499 |
1,191 |
$47K |
| 99223 |
Prolong inpt eval add15 m |
822 |
638 |
$46K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
177 |
42 |
$37K |
| 99233 |
Prolong inpt eval add15 m |
1,463 |
458 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
759 |
654 |
$35K |
| 99205 |
Prolong outpt/office vis |
446 |
415 |
$33K |
| 99245 |
|
268 |
229 |
$32K |
| 99417 |
Prolong home eval add 15m |
847 |
670 |
$30K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
448 |
416 |
$28K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
428 |
101 |
$25K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
339 |
173 |
$25K |
| 76642 |
|
895 |
776 |
$24K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,722 |
3,651 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
222 |
206 |
$22K |
| 97597 |
|
1,388 |
561 |
$20K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
523 |
213 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
537 |
499 |
$13K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
243 |
143 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
612 |
455 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,586 |
1,573 |
$12K |
| 96112 |
|
182 |
155 |
$12K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
127 |
105 |
$8K |
| 95806 |
|
56 |
53 |
$8K |
| 20610 |
|
492 |
312 |
$7K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
74 |
69 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
102 |
86 |
$6K |
| 20611 |
|
172 |
133 |
$4K |
| 98927 |
|
156 |
127 |
$4K |
| 76801 |
|
165 |
150 |
$3K |
| D9610 |
|
485 |
236 |
$3K |
| 51741 |
|
49 |
39 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
15 |
$2K |
| 94060 |
|
132 |
120 |
$2K |
| 96127 |
|
482 |
442 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
30 |
26 |
$2K |
| 99241 |
|
61 |
59 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
95 |
80 |
$2K |
| 96111 |
|
47 |
42 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
142 |
99 |
$2K |
| 76813 |
|
55 |
51 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
176 |
165 |
$1K |
| 77066 |
Tomosynthesis, mammo |
62 |
56 |
$1K |
| 93016 |
|
128 |
104 |
$1K |
| 95819 |
|
37 |
37 |
$998.58 |
| 99253 |
|
13 |
13 |
$996.78 |
| 99217 |
|
28 |
25 |
$962.64 |
| 99243 |
|
12 |
12 |
$920.97 |
| 93018 |
|
128 |
104 |
$850.69 |
| 77062 |
|
25 |
25 |
$701.02 |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
54 |
$644.88 |
| D0160 |
|
13 |
12 |
$625.08 |
| 94010 |
|
51 |
46 |
$609.49 |
| 92588 |
|
12 |
12 |
$577.05 |
| 77065 |
Tomosynthesis, mammo |
28 |
24 |
$458.51 |
| 29075 |
|
19 |
14 |
$455.75 |
| 99310 |
Prolong nursin fac eval 15m |
50 |
27 |
$453.05 |
| 51798 |
|
51 |
41 |
$449.30 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
65 |
13 |
$431.46 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$341.42 |
| 94729 |
|
93 |
82 |
$263.60 |
| 99307 |
|
32 |
14 |
$186.37 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
17 |
12 |
$165.56 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
13 |
$163.90 |
| 81002 |
|
33 |
27 |
$72.10 |
| 99443 |
|
12 |
12 |
$70.98 |
| 94664 |
|
12 |
12 |
$55.63 |
| 99442 |
|
15 |
12 |
$48.85 |
| 81003 |
|
17 |
12 |
$26.80 |
| 93294 |
|
21 |
12 |
$24.09 |
| 94760 |
|
198 |
191 |
$10.16 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
17 |
15 |
$2.55 |
| 96040 |
|
118 |
104 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |