| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,280 |
14,115 |
$549K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,798 |
4,270 |
$296K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,811 |
4,545 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,881 |
5,111 |
$154K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,646 |
2,290 |
$131K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
494 |
355 |
$66K |
| 88307 |
|
1,221 |
1,102 |
$65K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,844 |
1,690 |
$54K |
| 59426 |
|
509 |
295 |
$52K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,515 |
8,331 |
$43K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
190 |
143 |
$38K |
| 59425 |
|
373 |
318 |
$38K |
| 88342 |
|
1,195 |
998 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
546 |
458 |
$13K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
65 |
52 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,560 |
1,429 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
131 |
122 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,358 |
1,931 |
$10K |
| 99215 |
Prolong outpt/office vis |
176 |
157 |
$8K |
| 80061 |
Lipid panel |
431 |
402 |
$8K |
| 93000 |
|
1,191 |
1,130 |
$8K |
| 01961 |
|
52 |
29 |
$7K |
| 88304 |
|
940 |
638 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
358 |
143 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
314 |
247 |
$6K |
| 80053 |
Comprehensive metabolic panel |
706 |
654 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
421 |
339 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
159 |
113 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
155 |
108 |
$4K |
| 76801 |
|
92 |
86 |
$3K |
| 88141 |
|
158 |
138 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
156 |
153 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
12 |
$2K |
| 74018 |
|
270 |
264 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
660 |
213 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
132 |
90 |
$2K |
| 00126 |
|
30 |
27 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
27 |
$1K |
| 82962 |
|
592 |
508 |
$1K |
| 69210 |
|
54 |
50 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
252 |
233 |
$995.91 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
646 |
601 |
$949.37 |
| 20610 |
|
34 |
30 |
$904.59 |
| 92587 |
|
82 |
65 |
$653.62 |
| 84443 |
Thyroid stimulating hormone (TSH) |
122 |
118 |
$600.55 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
12 |
$513.04 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
39 |
38 |
$492.63 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
25 |
25 |
$431.73 |
| 72110 |
|
54 |
54 |
$417.33 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
38 |
36 |
$392.95 |
| 81001 |
|
23 |
20 |
$307.43 |
| 92567 |
|
30 |
24 |
$280.82 |
| 00731 |
|
73 |
44 |
$214.78 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
25 |
$213.11 |
| 93970 |
|
12 |
12 |
$207.11 |
| 73560 |
|
29 |
29 |
$196.56 |
| 81002 |
|
105 |
87 |
$174.34 |
| 82043 |
|
15 |
15 |
$161.14 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
81 |
60 |
$133.02 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
21 |
20 |
$96.95 |
| 88302 |
|
12 |
12 |
$88.96 |
| 00811 |
|
20 |
13 |
$87.50 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
79 |
$56.10 |
| 99459 |
|
43 |
34 |
$44.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$21.84 |
| 99024 |
|
389 |
326 |
$0.00 |
| 3008F |
|
1,813 |
1,637 |
$0.00 |
| 3074F |
|
603 |
525 |
$0.00 |
| 3066F |
|
429 |
345 |
$0.00 |
| 4010F |
|
1,136 |
909 |
$0.00 |
| 3061F |
|
154 |
125 |
$0.00 |
| 3079F |
|
126 |
107 |
$0.00 |
| 3044F |
|
166 |
141 |
$0.00 |
| 3080F |
|
16 |
14 |
$0.00 |
| 3075F |
|
42 |
35 |
$0.00 |
| 1160F |
|
3,966 |
3,529 |
$0.00 |
| 1159F |
|
6,874 |
5,972 |
$0.00 |
| 01992 |
|
25 |
16 |
$0.00 |
| 3078F |
|
389 |
335 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
18 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
24 |
16 |
$0.00 |
| 0502F |
|
64 |
41 |
$0.00 |
| 82570 |
|
16 |
16 |
$0.00 |
| 3077F |
|
34 |
32 |
$0.00 |