| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,092 |
36,307 |
$1.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,149 |
20,882 |
$913K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,209 |
4,019 |
$248K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,812 |
2,558 |
$230K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,320 |
2,078 |
$223K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,084 |
2,644 |
$148K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,473 |
638 |
$110K |
| 99233 |
Prolong inpt eval add15 m |
3,828 |
1,764 |
$109K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,425 |
1,288 |
$105K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
886 |
787 |
$103K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
451 |
403 |
$94K |
| 71046 |
Radiologic examination, chest; 2 views |
13,204 |
12,749 |
$91K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,260 |
3,076 |
$80K |
| 71045 |
Radiologic examination, chest; single view |
14,347 |
12,978 |
$64K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,638 |
1,525 |
$63K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,330 |
2,258 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
862 |
767 |
$53K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,734 |
1,427 |
$52K |
| 20610 |
|
1,975 |
1,411 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,664 |
2,247 |
$49K |
| 99223 |
Prolong inpt eval add15 m |
627 |
597 |
$43K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
747 |
711 |
$40K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,087 |
2,047 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
555 |
540 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,198 |
1,340 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
9,669 |
8,056 |
$35K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
820 |
770 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,741 |
2,567 |
$27K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
269 |
226 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,160 |
1,115 |
$22K |
| 90686 |
|
1,506 |
1,361 |
$22K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
547 |
517 |
$20K |
| 99442 |
|
1,042 |
903 |
$19K |
| 95886 |
|
317 |
298 |
$19K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
157 |
142 |
$19K |
| 11721 |
|
1,571 |
1,115 |
$15K |
| 93015 |
|
266 |
249 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,190 |
878 |
$14K |
| 73562 |
|
1,288 |
1,030 |
$13K |
| 99243 |
|
197 |
165 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,069 |
976 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,012 |
978 |
$13K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,327 |
1,156 |
$12K |
| 93000 |
|
809 |
729 |
$10K |
| 93971 |
|
647 |
609 |
$10K |
| 76536 |
|
504 |
494 |
$10K |
| 99205 |
Prolong outpt/office vis |
87 |
81 |
$9K |
| 73630 |
|
1,152 |
1,010 |
$9K |
| 90670 |
|
330 |
315 |
$8K |
| 76830 |
Ultrasound, transvaginal |
303 |
288 |
$7K |
| 99215 |
Prolong outpt/office vis |
90 |
75 |
$6K |
| 76642 |
|
278 |
237 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
122 |
117 |
$5K |
| 99443 |
|
155 |
135 |
$5K |
| 99242 |
|
78 |
76 |
$5K |
| 74022 |
|
410 |
387 |
$5K |
| 81001 |
|
3,048 |
2,483 |
$5K |
| 92567 |
|
380 |
358 |
$4K |
| 95911 |
|
26 |
26 |
$4K |
| 99441 |
|
442 |
371 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
28 |
26 |
$4K |
| 73130 |
|
652 |
589 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
58 |
55 |
$4K |
| 71250 |
|
140 |
131 |
$4K |
| 92557 |
|
143 |
135 |
$4K |
| 73610 |
|
534 |
508 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
107 |
99 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
69 |
59 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
251 |
221 |
$3K |
| 93016 |
|
274 |
233 |
$3K |
| 80305 |
|
261 |
243 |
$2K |
| 99406 |
|
479 |
429 |
$2K |
| 97597 |
|
136 |
89 |
$2K |
| 72100 |
|
296 |
284 |
$2K |
| 51798 |
|
392 |
303 |
$2K |
| 93880 |
|
128 |
124 |
$2K |
| 99429 |
|
42 |
28 |
$2K |
| 95012 |
|
221 |
211 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
27 |
26 |
$2K |
| 93970 |
|
106 |
99 |
$2K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
44 |
41 |
$2K |
| 90723 |
|
121 |
119 |
$1K |
| 87420 |
|
113 |
104 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
24 |
24 |
$1K |
| 74018 |
|
214 |
195 |
$1K |
| 94060 |
|
85 |
83 |
$1K |
| 95909 |
|
15 |
14 |
$1K |
| 73221 |
|
30 |
30 |
$1K |
| 73030 |
|
214 |
200 |
$1K |
| 90632 |
|
37 |
33 |
$1K |
| 90633 |
|
63 |
58 |
$1K |
| 90647 |
|
155 |
145 |
$942.97 |
| 73110 |
|
114 |
105 |
$738.53 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
24 |
$735.57 |
| 81003 |
|
522 |
458 |
$728.10 |
| 99383 |
|
16 |
13 |
$719.20 |
| 73100 |
|
56 |
39 |
$682.28 |
| 69210 |
|
28 |
26 |
$597.17 |
| 95117 |
|
51 |
24 |
$463.34 |
| 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 |
91 |
87 |
$435.69 |
| 91200 |
|
63 |
58 |
$422.87 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$374.11 |
| 77080 |
|
68 |
67 |
$348.39 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
60 |
49 |
$323.09 |
| 90685 |
|
40 |
38 |
$321.52 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$312.33 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
224 |
167 |
$294.75 |
| 93018 |
|
36 |
31 |
$276.44 |
| 73560 |
|
22 |
15 |
$265.54 |
| 74019 |
|
29 |
24 |
$176.49 |
| 72110 |
|
13 |
13 |
$102.15 |
| 3044F |
|
275 |
202 |
$80.00 |
| 73502 |
|
15 |
15 |
$65.27 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
38 |
$44.04 |
| 94760 |
|
13 |
12 |
$42.00 |
| 96127 |
|
14 |
14 |
$41.50 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
15,235 |
12,824 |
$32.02 |
| G0008 |
Administration of influenza virus vaccine |
160 |
124 |
$8.44 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
50,530 |
41,570 |
$4.62 |
| G8404 |
Lower extremity neurological exam performed and documented |
686 |
528 |
$0.14 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
703 |
542 |
$0.14 |
| 2028F |
|
490 |
381 |
$0.11 |
| G8482 |
Influenza immunization administered or previously received |
14,462 |
11,818 |
$0.08 |
| 4004F |
|
2,696 |
2,231 |
$0.07 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,934 |
1,618 |
$0.02 |
| G8484 |
Influenza immunization was not administered, reason not given |
107 |
67 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
740 |
650 |
$0.01 |
| 4040F |
|
887 |
656 |
$0.00 |
| 1124F |
|
254 |
219 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
708 |
630 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
245 |
210 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 99024 |
|
5,113 |
4,000 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
271 |
244 |
$0.00 |
| 3017F |
|
926 |
776 |
$0.00 |
| 1101F |
|
521 |
425 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
420 |
355 |
$0.00 |
| 3014F |
|
237 |
204 |
$0.00 |
| 3008F |
|
283 |
273 |
$0.00 |
| 1036F |
|
374 |
276 |
$0.00 |
| 99335 |
|
13 |
13 |
$0.00 |