| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
42,647 |
39,600 |
$2.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,743 |
51,116 |
$1.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,659 |
24,591 |
$1.14M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
7,917 |
2,901 |
$723K |
| 99233 |
Prolong inpt eval add15 m |
19,227 |
8,517 |
$622K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,114 |
5,794 |
$513K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,854 |
12,881 |
$506K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21,933 |
9,438 |
$486K |
| 99223 |
Prolong inpt eval add15 m |
5,440 |
5,076 |
$386K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
11,909 |
11,633 |
$295K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,779 |
6,359 |
$278K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
23,584 |
20,935 |
$178K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,939 |
6,803 |
$132K |
| 71046 |
Radiologic examination, chest; 2 views |
16,585 |
15,889 |
$119K |
| 99220 |
|
1,460 |
1,359 |
$112K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
950 |
933 |
$108K |
| 95806 |
|
1,060 |
1,019 |
$106K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,646 |
5,033 |
$100K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
859 |
792 |
$75K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,381 |
3,101 |
$58K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,300 |
1,220 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
530 |
510 |
$34K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,172 |
1,118 |
$34K |
| 95811 |
|
309 |
301 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,525 |
1,272 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,037 |
2,561 |
$29K |
| 94060 |
|
1,602 |
1,534 |
$28K |
| 99222 |
Initial hospital care, per day, moderate complexity |
526 |
485 |
$28K |
| 74018 |
|
3,457 |
3,300 |
$22K |
| 73630 |
|
3,378 |
3,127 |
$22K |
| 77014 |
|
936 |
160 |
$17K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
167 |
153 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,683 |
2,383 |
$16K |
| 71271 |
|
478 |
466 |
$16K |
| 77427 |
|
179 |
90 |
$15K |
| 76642 |
|
635 |
586 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
852 |
787 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
575 |
555 |
$13K |
| 94729 |
|
1,239 |
1,182 |
$12K |
| 73030 |
|
1,860 |
1,762 |
$11K |
| 94726 |
|
974 |
933 |
$11K |
| 99217 |
|
322 |
293 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
177 |
168 |
$11K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
201 |
198 |
$10K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
888 |
834 |
$9K |
| 72110 |
|
834 |
799 |
$9K |
| 90686 |
|
642 |
602 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
113 |
111 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
357 |
324 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
52 |
50 |
$8K |
| 99406 |
|
949 |
880 |
$7K |
| 73562 |
|
1,132 |
1,081 |
$7K |
| 73610 |
|
1,122 |
1,058 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
422 |
399 |
$7K |
| 73130 |
|
986 |
920 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
176 |
170 |
$6K |
| 73564 |
|
676 |
656 |
$6K |
| 99307 |
|
1,092 |
1,030 |
$4K |
| 72100 |
|
524 |
507 |
$4K |
| 99407 |
|
324 |
152 |
$4K |
| 73110 |
|
636 |
584 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
941 |
901 |
$4K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
94 |
86 |
$3K |
| 73502 |
|
446 |
441 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,161 |
1,056 |
$3K |
| 90670 |
|
15 |
14 |
$2K |
| 99219 |
|
40 |
39 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
233 |
222 |
$2K |
| 77065 |
Tomosynthesis, mammo |
63 |
59 |
$2K |
| 76536 |
|
64 |
63 |
$1K |
| 87634 |
|
29 |
27 |
$1K |
| 77263 |
|
12 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
62 |
31 |
$965.42 |
| 77080 |
|
171 |
169 |
$927.29 |
| 99221 |
|
39 |
37 |
$887.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
499 |
470 |
$809.18 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$613.70 |
| 94618 |
|
26 |
26 |
$612.21 |
| 72050 |
|
51 |
50 |
$598.54 |
| 99442 |
|
79 |
77 |
$543.90 |
| 99225 |
|
19 |
14 |
$542.04 |
| 76770 |
|
25 |
25 |
$533.10 |
| 88738 |
|
110 |
100 |
$479.87 |
| Q3014 |
Telehealth originating site facility fee |
68 |
68 |
$467.83 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
17 |
13 |
$371.18 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
91 |
87 |
$313.62 |
| 72040 |
|
29 |
28 |
$253.20 |
| 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) |
345 |
324 |
$198.17 |
| 81002 |
|
413 |
400 |
$122.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$75.96 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$14.42 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
124 |
111 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
62 |
58 |
$0.00 |