| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,850 |
39,148 |
$1.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,885 |
20,485 |
$504K |
| 99215 |
Prolong outpt/office vis |
6,073 |
5,428 |
$232K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,347 |
2,987 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,984 |
2,500 |
$125K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
568 |
518 |
$113K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,429 |
3,071 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,183 |
2,029 |
$97K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,812 |
3,437 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,702 |
1,631 |
$77K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,889 |
2,682 |
$76K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,374 |
3,077 |
$68K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13,891 |
11,870 |
$66K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
397 |
359 |
$54K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
891 |
831 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,053 |
987 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,422 |
1,302 |
$49K |
| 90791 |
Psychiatric diagnostic evaluation |
438 |
382 |
$47K |
| 96132 |
|
636 |
558 |
$47K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,069 |
1,843 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,048 |
991 |
$46K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,633 |
1,459 |
$43K |
| 92015 |
Determination of refractive state |
5,983 |
5,246 |
$43K |
| 92557 |
|
1,237 |
1,128 |
$32K |
| 96139 |
|
383 |
331 |
$29K |
| 99243 |
|
541 |
498 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,267 |
1,160 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,758 |
1,551 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,797 |
925 |
$24K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
412 |
218 |
$17K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
261 |
204 |
$17K |
| 92567 |
|
1,224 |
1,105 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
272 |
217 |
$17K |
| 99205 |
Prolong outpt/office vis |
290 |
267 |
$17K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
268 |
241 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
358 |
319 |
$15K |
| 73630 |
|
2,010 |
1,557 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
467 |
415 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
155 |
142 |
$12K |
| 20610 |
|
410 |
368 |
$12K |
| 0002A |
|
296 |
295 |
$11K |
| 92341 |
|
553 |
448 |
$10K |
| 0001A |
|
271 |
271 |
$10K |
| 96138 |
|
510 |
444 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,562 |
1,421 |
$9K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
151 |
147 |
$9K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
136 |
128 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
306 |
259 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
357 |
195 |
$8K |
| 3008F |
|
965 |
861 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
349 |
320 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
314 |
285 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,976 |
1,576 |
$7K |
| 20611 |
|
199 |
177 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
180 |
165 |
$7K |
| 94060 |
|
1,240 |
1,145 |
$7K |
| 73030 |
|
982 |
827 |
$7K |
| 73610 |
|
916 |
809 |
$6K |
| 73562 |
|
880 |
685 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
831 |
751 |
$5K |
| 64483 |
|
57 |
52 |
$5K |
| 76830 |
Ultrasound, transvaginal |
149 |
127 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
135 |
125 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
93 |
83 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
395 |
131 |
$4K |
| 92579 |
|
138 |
129 |
$4K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
306 |
279 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
119 |
111 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
115 |
92 |
$4K |
| 73130 |
|
513 |
356 |
$3K |
| 94729 |
|
1,250 |
1,156 |
$3K |
| 0003A |
|
94 |
94 |
$3K |
| 99443 |
|
305 |
286 |
$3K |
| 73502 |
|
525 |
485 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
154 |
128 |
$3K |
| 72100 |
|
289 |
264 |
$2K |
| 74018 |
|
479 |
405 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
106 |
100 |
$2K |
| 93976 |
|
45 |
42 |
$2K |
| 92133 |
|
208 |
196 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
67 |
62 |
$2K |
| 72141 |
|
31 |
27 |
$2K |
| 96136 |
|
68 |
64 |
$2K |
| 64493 |
|
25 |
15 |
$2K |
| 96116 |
|
56 |
52 |
$2K |
| 93018 |
|
206 |
194 |
$2K |
| 76536 |
|
65 |
64 |
$1K |
| 99460 |
|
16 |
13 |
$1K |
| 73110 |
|
232 |
193 |
$1K |
| 90674 |
|
402 |
358 |
$1K |
| 11750 |
|
19 |
14 |
$1K |
| 92083 |
|
178 |
164 |
$1K |
| 94726 |
|
210 |
188 |
$951.29 |
| 73564 |
|
120 |
96 |
$944.95 |
| 99242 |
|
27 |
26 |
$900.30 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
72 |
65 |
$895.45 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
39 |
25 |
$846.70 |
| 0011A |
|
34 |
32 |
$837.58 |
| 73221 |
|
16 |
13 |
$803.37 |
| 0012A |
|
19 |
18 |
$714.36 |
| 31575 |
|
13 |
13 |
$714.22 |
| 0064A |
|
19 |
19 |
$710.92 |
| 90677 |
|
43 |
43 |
$689.20 |
| 95811 |
|
13 |
12 |
$683.57 |
| 76642 |
|
27 |
26 |
$638.17 |
| 93227 |
|
39 |
37 |
$539.13 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
39 |
12 |
$523.17 |
| 90961 |
|
15 |
12 |
$473.74 |
| 97597 |
|
51 |
26 |
$458.63 |
| 64494 |
|
28 |
14 |
$450.31 |
| 95886 |
|
16 |
15 |
$357.39 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
25 |
12 |
$345.45 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
13 |
$309.38 |
| 95885 |
|
15 |
15 |
$269.28 |
| 76770 |
|
13 |
12 |
$249.99 |
| 73560 |
|
46 |
38 |
$237.74 |
| 93295 |
|
13 |
12 |
$185.97 |
| 90697 |
|
12 |
12 |
$185.25 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$180.01 |
| 95251 |
|
14 |
14 |
$168.11 |
| 92588 |
|
13 |
13 |
$146.99 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
16 |
$143.78 |
| 73080 |
|
16 |
13 |
$142.94 |
| 69210 |
|
14 |
12 |
$134.14 |
| 99152 |
|
16 |
12 |
$106.34 |
| 93294 |
|
12 |
12 |
$91.59 |
| 72170 |
|
17 |
16 |
$90.51 |
| 92592 |
|
14 |
14 |
$90.51 |
| 72040 |
|
14 |
13 |
$84.28 |
| 73590 |
|
14 |
12 |
$70.72 |
| 93297 |
|
14 |
14 |
$49.16 |
| 92020 |
|
18 |
13 |
$41.16 |
| G0127 |
Trimming of dystrophic nails, any number |
14 |
14 |
$25.99 |
| 99441 |
|
12 |
12 |
$21.54 |
| 99442 |
|
41 |
40 |
$6.82 |
| 80053 |
Comprehensive metabolic panel |
19 |
18 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
36 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
31 |
31 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
101 |
94 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
34 |
34 |
$0.00 |
| 92310 |
|
26 |
12 |
$0.00 |
| 80061 |
Lipid panel |
25 |
25 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |