| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
40,011 |
38,730 |
$3.05M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
20,190 |
19,496 |
$2.24M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,213 |
13,817 |
$735K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14,533 |
13,578 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,897 |
3,647 |
$90K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,697 |
2,677 |
$83K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,177 |
1,153 |
$77K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,671 |
2,647 |
$69K |
| 71046 |
Radiologic examination, chest; 2 views |
7,265 |
7,047 |
$62K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
412 |
395 |
$39K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,383 |
1,327 |
$39K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
750 |
735 |
$38K |
| 71045 |
Radiologic examination, chest; single view |
6,046 |
5,418 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,268 |
1,503 |
$27K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,086 |
1,106 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
550 |
534 |
$24K |
| 76801 |
|
367 |
347 |
$23K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
920 |
900 |
$23K |
| 76830 |
Ultrasound, transvaginal |
530 |
525 |
$16K |
| 99215 |
Prolong outpt/office vis |
424 |
411 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
206 |
200 |
$12K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
541 |
507 |
$12K |
| 76642 |
|
459 |
390 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
333 |
300 |
$8K |
| 73630 |
|
1,036 |
955 |
$8K |
| 77065 |
Tomosynthesis, mammo |
234 |
220 |
$7K |
| 73030 |
|
339 |
327 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
55 |
53 |
$5K |
| 73562 |
|
695 |
602 |
$5K |
| 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) |
815 |
774 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
88 |
$5K |
| 76770 |
|
167 |
161 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
167 |
125 |
$4K |
| 11043 |
|
113 |
64 |
$4K |
| 73610 |
|
505 |
484 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
112 |
100 |
$4K |
| 0002A |
|
95 |
95 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
88 |
85 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
363 |
252 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
52 |
51 |
$2K |
| 93018 |
|
184 |
180 |
$2K |
| 74018 |
|
374 |
315 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
38 |
37 |
$2K |
| 99292 |
|
12 |
12 |
$2K |
| 0001A |
|
110 |
104 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
46 |
44 |
$2K |
| 73130 |
|
267 |
226 |
$2K |
| 97597 |
|
337 |
207 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
37 |
$2K |
| 77066 |
Tomosynthesis, mammo |
42 |
40 |
$1K |
| 76536 |
|
56 |
55 |
$1K |
| 94060 |
|
69 |
68 |
$918.21 |
| 0031A |
|
25 |
22 |
$800.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$657.67 |
| 94726 |
|
75 |
72 |
$574.59 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$564.14 |
| 72110 |
|
43 |
42 |
$556.00 |
| 0012A |
|
26 |
18 |
$522.63 |
| 93970 |
|
13 |
12 |
$453.06 |
| 73110 |
|
59 |
56 |
$450.76 |
| 72100 |
|
52 |
51 |
$450.28 |
| 73502 |
|
49 |
49 |
$430.27 |
| 99350 |
Prolong home eval add 15m |
29 |
27 |
$419.85 |
| 94729 |
|
75 |
72 |
$373.78 |
| 0011A |
|
26 |
19 |
$344.92 |
| 93016 |
|
12 |
12 |
$135.72 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
309 |
252 |
$0.00 |
| 3078F |
|
60 |
57 |
$0.00 |
| 91300 |
|
148 |
135 |
$0.00 |
| 77061 |
|
16 |
15 |
$0.00 |
| 3074F |
|
68 |
65 |
$0.00 |
| 99406 |
|
54 |
54 |
$0.00 |
| 91303 |
|
26 |
22 |
$0.00 |