| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,176 |
20,767 |
$1.55M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,150 |
9,111 |
$949K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,587 |
16,147 |
$910K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,310 |
2,308 |
$276K |
| 93000 |
|
10,100 |
9,993 |
$126K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,116 |
1,107 |
$86K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
962 |
953 |
$77K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
444 |
443 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
750 |
749 |
$60K |
| 20610 |
|
1,254 |
1,217 |
$59K |
| 93458 |
|
231 |
229 |
$42K |
| 99442 |
|
1,214 |
1,164 |
$35K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
937 |
296 |
$34K |
| 99223 |
Prolong inpt eval add15 m |
266 |
260 |
$23K |
| 93015 |
|
386 |
383 |
$22K |
| 93970 |
|
108 |
107 |
$15K |
| 99385 |
|
166 |
165 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
186 |
166 |
$10K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
28 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
104 |
98 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
914 |
909 |
$8K |
| 99406 |
|
982 |
943 |
$7K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
28 |
28 |
$6K |
| 94010 |
|
239 |
238 |
$6K |
| 90715 |
|
124 |
124 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
129 |
$5K |
| 99152 |
|
542 |
528 |
$4K |
| 95251 |
|
143 |
138 |
$3K |
| 90656 |
|
143 |
143 |
$3K |
| 11721 |
|
98 |
98 |
$2K |
| 90961 |
|
12 |
12 |
$2K |
| 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) |
787 |
779 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
26 |
25 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
661 |
656 |
$2K |
| 43235 |
|
39 |
39 |
$2K |
| 73630 |
|
147 |
130 |
$2K |
| 69210 |
|
68 |
68 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
35 |
26 |
$2K |
| 90962 |
|
13 |
13 |
$2K |
| 99443 |
|
27 |
27 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$1K |
| 81025 |
|
293 |
283 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
119 |
119 |
$1K |
| 99441 |
|
64 |
61 |
$879.02 |
| 90686 |
|
52 |
50 |
$737.95 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
101 |
96 |
$695.22 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
12 |
$645.96 |
| 73110 |
|
15 |
12 |
$469.12 |
| 73130 |
|
18 |
13 |
$464.50 |
| 90658 |
|
21 |
21 |
$378.08 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
12 |
$227.05 |
| 90688 |
|
12 |
12 |
$212.10 |
| 99153 |
Mod sedat endo service >5yrs |
18 |
18 |
$180.93 |
| 3074F |
|
969 |
953 |
$180.00 |
| 93325 |
|
29 |
26 |
$149.70 |
| 3079F |
|
139 |
138 |
$120.00 |
| 3078F |
|
647 |
636 |
$100.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
18 |
$81.24 |
| 81002 |
|
29 |
22 |
$58.78 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
51 |
51 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
53 |
53 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
99 |
96 |
$0.00 |
| 99080 |
|
16 |
16 |
$0.00 |