| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27,198 |
26,205 |
$2.16M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29,572 |
28,474 |
$1.49M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,468 |
7,134 |
$757K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,010 |
7,685 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,457 |
1,381 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
872 |
844 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
526 |
525 |
$39K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
241 |
241 |
$28K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
207 |
153 |
$25K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
108 |
108 |
$20K |
| 99215 |
Prolong outpt/office vis |
113 |
112 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
51 |
49 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
56 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
162 |
75 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
19 |
19 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
114 |
43 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
59 |
$6K |
| 0002A |
|
127 |
127 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
44 |
44 |
$5K |
| 99385 |
|
32 |
32 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
907 |
425 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
23 |
23 |
$5K |
| 0001A |
|
117 |
117 |
$4K |
| 99386 |
|
26 |
26 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
36 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
37 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
39 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
42 |
37 |
$4K |
| 93000 |
|
207 |
206 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
23 |
23 |
$3K |
| 0012A |
|
123 |
123 |
$3K |
| 76830 |
Ultrasound, transvaginal |
23 |
23 |
$3K |
| 99205 |
Prolong outpt/office vis |
37 |
37 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
29 |
29 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
18 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
21 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
25 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
61 |
61 |
$2K |
| 76801 |
|
14 |
14 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$2K |
| 76813 |
|
13 |
13 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
17 |
$2K |
| 93015 |
|
23 |
23 |
$2K |
| 31575 |
|
12 |
12 |
$2K |
| 93224 |
|
17 |
17 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
23 |
$1K |
| 99221 |
|
21 |
21 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
150 |
129 |
$1K |
| 94060 |
|
27 |
27 |
$1K |
| 0011A |
|
37 |
37 |
$1K |
| 20610 |
|
17 |
17 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
20 |
$1K |
| 92083 |
|
12 |
12 |
$903.00 |
| 92134 |
|
15 |
15 |
$715.58 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
63 |
63 |
$594.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
34 |
$561.63 |
| 90715 |
|
20 |
20 |
$518.23 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$480.60 |
| 88304 |
|
18 |
18 |
$301.44 |
| 93016 |
|
12 |
12 |
$296.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
32 |
$235.00 |
| 81002 |
|
65 |
64 |
$222.72 |
| 93325 |
|
17 |
17 |
$215.88 |
| 93018 |
|
13 |
13 |
$212.94 |
| 99406 |
|
17 |
17 |
$182.40 |
| 51798 |
|
12 |
12 |
$141.68 |
| 88342 |
|
18 |
18 |
$124.60 |
| 81025 |
|
15 |
15 |
$120.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$85.00 |
| 82962 |
|
27 |
27 |
$82.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
26 |
16 |
$80.82 |
| 94729 |
|
22 |
22 |
$72.22 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$41.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
19 |
19 |
$37.81 |
| 99080 |
|
211 |
118 |
$0.00 |
| 94726 |
|
14 |
14 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
59 |
37 |
$0.00 |
| 88307 |
|
12 |
12 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
25 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
455 |
452 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
40 |
13 |
$0.00 |