| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,411 |
8,263 |
$788K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,434 |
15,235 |
$776K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,406 |
4,817 |
$499K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,579 |
10,347 |
$485K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,323 |
7,101 |
$264K |
| 99442 |
|
5,092 |
4,974 |
$231K |
| 99443 |
|
2,167 |
2,076 |
$156K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,301 |
4,239 |
$140K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
20,402 |
15,917 |
$126K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,022 |
999 |
$121K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,137 |
2,255 |
$121K |
| 99222 |
Initial hospital care, per day, moderate complexity |
951 |
928 |
$80K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,507 |
1,484 |
$77K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,664 |
1,343 |
$74K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
522 |
513 |
$67K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,564 |
1,553 |
$61K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,532 |
2,532 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,499 |
1,447 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
646 |
646 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
4,234 |
4,209 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
808 |
716 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
870 |
853 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,091 |
1,091 |
$19K |
| 93970 |
|
839 |
796 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
315 |
315 |
$17K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
247 |
238 |
$17K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,156 |
1,141 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
309 |
171 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
2,841 |
2,537 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
591 |
573 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
365 |
364 |
$14K |
| 88307 |
|
134 |
134 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
390 |
351 |
$12K |
| 59425 |
|
120 |
111 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
159 |
157 |
$9K |
| 99218 |
|
126 |
121 |
$9K |
| 76641 |
|
331 |
306 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
118 |
117 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
41 |
40 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
200 |
192 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,181 |
1,104 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$4K |
| 73630 |
|
821 |
701 |
$4K |
| 99221 |
|
58 |
58 |
$4K |
| 76801 |
|
86 |
86 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
227 |
225 |
$1K |
| 94729 |
|
253 |
253 |
$1K |
| 94726 |
|
165 |
165 |
$1K |
| 76770 |
|
55 |
55 |
$932.86 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
29 |
$752.29 |
| 99460 |
|
12 |
12 |
$728.11 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$688.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$670.43 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
28 |
$576.91 |
| 99462 |
|
22 |
18 |
$574.82 |
| 99441 |
|
66 |
63 |
$499.33 |
| 93016 |
|
39 |
39 |
$463.07 |
| 76820 |
|
26 |
26 |
$463.00 |
| 94010 |
|
89 |
89 |
$371.19 |
| 71250 |
|
13 |
12 |
$324.58 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$310.81 |
| 76536 |
|
12 |
12 |
$179.14 |
| 73610 |
|
29 |
27 |
$166.40 |
| 99446 |
|
69 |
67 |
$97.79 |
| 73560 |
|
17 |
12 |
$85.43 |
| 93018 |
|
12 |
12 |
$69.90 |
| 3078F |
|
60 |
60 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
704 |
684 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
98 |
97 |
$0.00 |
| 1159F |
|
49 |
48 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
290 |
288 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |
| 3008F |
|
40 |
40 |
$0.00 |
| 1170F |
|
64 |
62 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |