| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,215 |
12,037 |
$1.24M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,844 |
7,991 |
$453K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,890 |
5,108 |
$365K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,253 |
2,023 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,542 |
3,120 |
$162K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
922 |
794 |
$115K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,466 |
1,365 |
$89K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,120 |
1,064 |
$60K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,806 |
1,543 |
$54K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,194 |
464 |
$51K |
| 99222 |
Initial hospital care, per day, moderate complexity |
638 |
432 |
$49K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,689 |
703 |
$47K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
975 |
816 |
$43K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
286 |
240 |
$41K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,869 |
3,909 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
335 |
94 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
471 |
431 |
$16K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
194 |
176 |
$13K |
| 20610 |
|
292 |
176 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
76 |
68 |
$8K |
| 82570 |
|
1,110 |
1,009 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
28 |
27 |
$3K |
| 81001 |
|
1,080 |
986 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
182 |
167 |
$3K |
| 51798 |
|
248 |
232 |
$2K |
| 99221 |
|
31 |
26 |
$1K |
| 93016 |
|
61 |
55 |
$807.24 |
| 90686 |
|
44 |
30 |
$766.02 |
| 99217 |
|
15 |
13 |
$681.18 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$587.38 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
103 |
59 |
$569.67 |
| 93018 |
|
61 |
55 |
$535.73 |
| 36415 |
Collection of venous blood by venipuncture |
306 |
272 |
$497.41 |
| 99305 |
|
17 |
16 |
$301.75 |
| 11721 |
|
56 |
54 |
$267.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
69 |
$230.58 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
37 |
25 |
$0.00 |
| 99024 |
|
701 |
575 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
23 |
12 |
$0.00 |