| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
90,321 |
81,991 |
$6.37M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
106,238 |
99,133 |
$5.62M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
92,151 |
34,107 |
$2.17M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
25,930 |
12,278 |
$1.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,625 |
63,701 |
$1.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,548 |
54,253 |
$1.51M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
52,541 |
48,021 |
$1.49M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
76,734 |
26,781 |
$1.18M |
| 90791 |
Psychiatric diagnostic evaluation |
20,016 |
15,910 |
$720K |
| 59025 |
Fetal non-stress test |
17,683 |
12,457 |
$676K |
| 99233 |
Prolong inpt eval add15 m |
16,502 |
7,833 |
$548K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15,721 |
14,234 |
$384K |
| 99215 |
Prolong outpt/office vis |
10,683 |
7,854 |
$303K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,444 |
4,111 |
$196K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,383 |
2,237 |
$176K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,811 |
5,951 |
$167K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,798 |
3,619 |
$167K |
| 99254 |
|
2,008 |
1,640 |
$155K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,793 |
3,486 |
$145K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,459 |
4,948 |
$129K |
| 99292 |
|
2,028 |
885 |
$125K |
| 99252 |
|
2,957 |
2,547 |
$110K |
| 99255 |
|
929 |
878 |
$103K |
| 99253 |
|
1,992 |
1,545 |
$103K |
| 90870 |
|
3,918 |
1,634 |
$92K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,901 |
3,511 |
$91K |
| 76801 |
|
2,825 |
2,617 |
$82K |
| 97597 |
|
6,481 |
3,466 |
$82K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
5,765 |
3,264 |
$71K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
900 |
834 |
$70K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
17,579 |
4,224 |
$69K |
| 93295 |
|
2,959 |
2,820 |
$68K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,475 |
1,268 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,703 |
2,903 |
$55K |
| 99221 |
|
1,470 |
1,296 |
$54K |
| 99443 |
|
1,036 |
979 |
$51K |
| 95251 |
|
3,080 |
2,976 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
696 |
668 |
$35K |
| 99223 |
Prolong inpt eval add15 m |
598 |
566 |
$34K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,578 |
8,535 |
$29K |
| 99241 |
|
810 |
764 |
$25K |
| 76813 |
|
814 |
765 |
$24K |
| 49083 |
|
572 |
468 |
$23K |
| 95811 |
|
260 |
247 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
769 |
712 |
$22K |
| 95886 |
|
654 |
631 |
$21K |
| 97810 |
|
1,498 |
644 |
$19K |
| 97811 |
|
1,389 |
590 |
$16K |
| 76830 |
Ultrasound, transvaginal |
891 |
867 |
$16K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
587 |
511 |
$14K |
| 64400 |
|
629 |
387 |
$13K |
| 94060 |
|
2,432 |
2,195 |
$13K |
| 64615 |
|
323 |
289 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
468 |
451 |
$12K |
| 93294 |
|
1,272 |
1,213 |
$11K |
| 94727 |
|
2,096 |
1,935 |
$9K |
| 93308 |
|
931 |
845 |
$9K |
| 99442 |
|
292 |
240 |
$9K |
| 93356 |
|
1,739 |
1,670 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,648 |
1,311 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
65 |
65 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
492 |
425 |
$8K |
| 94729 |
|
2,494 |
2,278 |
$7K |
| 93018 |
|
1,209 |
1,158 |
$7K |
| 64405 |
|
341 |
304 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
762 |
484 |
$7K |
| 99205 |
Prolong outpt/office vis |
196 |
193 |
$7K |
| 93264 |
|
694 |
651 |
$7K |
| 20610 |
|
215 |
209 |
$6K |
| 99251 |
|
238 |
202 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
344 |
313 |
$6K |
| 95816 |
|
417 |
325 |
$6K |
| 95806 |
|
115 |
115 |
$5K |
| 99242 |
|
97 |
92 |
$5K |
| 93280 |
|
512 |
446 |
$5K |
| 91200 |
|
765 |
718 |
$4K |
| 99243 |
|
80 |
51 |
$4K |
| 64450 |
|
187 |
170 |
$4K |
| 76942 |
|
260 |
239 |
$3K |
| 95909 |
|
84 |
82 |
$3K |
| 95951 |
|
29 |
12 |
$3K |
| 93312 |
|
65 |
64 |
$3K |
| 93016 |
|
361 |
348 |
$3K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
229 |
215 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
279 |
272 |
$3K |
| 11045 |
|
132 |
78 |
$3K |
| 29405 |
|
70 |
57 |
$2K |
| 99245 |
|
48 |
14 |
$2K |
| 78431 |
|
59 |
52 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
753 |
484 |
$2K |
| 57454 |
|
26 |
25 |
$2K |
| 76376 |
|
429 |
423 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
31 |
$2K |
| 93282 |
|
95 |
82 |
$1K |
| 96116 |
|
45 |
39 |
$1K |
| 93298 |
|
129 |
117 |
$1K |
| 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) |
447 |
409 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
182 |
78 |
$1K |
| 11043 |
|
17 |
14 |
$1K |
| 99234 |
|
26 |
12 |
$997.75 |
| 95885 |
|
86 |
85 |
$965.70 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
160 |
70 |
$884.79 |
| 90837 |
Psychotherapy, 53 minutes with patient |
69 |
44 |
$876.85 |
| 95874 |
|
171 |
166 |
$814.56 |
| 32555 |
|
31 |
28 |
$809.98 |
| 98968 |
|
130 |
37 |
$797.56 |
| 11982 |
|
13 |
13 |
$782.08 |
| 96121 |
|
12 |
12 |
$721.84 |
| 93283 |
|
41 |
40 |
$706.42 |
| 93272 |
|
42 |
40 |
$564.20 |
| 94010 |
|
134 |
126 |
$398.52 |
| 78451 |
|
12 |
12 |
$388.08 |
| 99306 |
Prolong nursin fac eval 15m |
43 |
25 |
$367.92 |
| 78434 |
|
14 |
14 |
$349.19 |
| 99217 |
|
14 |
14 |
$333.09 |
| 93284 |
|
19 |
12 |
$309.33 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$263.52 |
| 93296 |
|
22 |
22 |
$254.25 |
| 98967 |
|
34 |
32 |
$239.46 |
| 95819 |
|
25 |
17 |
$236.81 |
| 76882 |
|
14 |
14 |
$234.27 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
28 |
$209.04 |
| 20552 |
|
39 |
39 |
$160.66 |
| 99448 |
|
50 |
45 |
$149.60 |
| 51701 |
|
28 |
27 |
$146.79 |
| 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 |
24 |
24 |
$105.70 |
| 20553 |
|
13 |
13 |
$87.82 |
| 99349 |
|
12 |
12 |
$85.88 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$31.23 |
| 99441 |
|
37 |
27 |
$11.14 |
| 3075F |
|
853 |
841 |
$0.00 |
| 3079F |
|
1,811 |
1,771 |
$0.00 |
| 3074F |
|
1,829 |
1,793 |
$0.00 |
| 3080F |
|
171 |
166 |
$0.00 |
| 1111F |
|
30 |
30 |
$0.00 |
| 99447 |
|
34 |
16 |
$0.00 |
| 3078F |
|
2,650 |
2,576 |
$0.00 |
| 3077F |
|
1,954 |
1,859 |
$0.00 |