| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47,340 |
44,645 |
$4.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,736 |
26,543 |
$1.97M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,170 |
6,072 |
$261K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,248 |
1,222 |
$192K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,385 |
1,051 |
$156K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,297 |
2,291 |
$142K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,911 |
1,897 |
$106K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,066 |
1,046 |
$104K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,421 |
1,398 |
$95K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
566 |
565 |
$82K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,915 |
715 |
$69K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,477 |
7,781 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
609 |
609 |
$61K |
| 99222 |
Initial hospital care, per day, moderate complexity |
498 |
487 |
$59K |
| 90791 |
Psychiatric diagnostic evaluation |
501 |
483 |
$55K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
511 |
491 |
$52K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
703 |
443 |
$39K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
321 |
320 |
$34K |
| 99460 |
|
371 |
371 |
$34K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
235 |
234 |
$33K |
| 76830 |
Ultrasound, transvaginal |
352 |
349 |
$33K |
| 27096 |
|
319 |
311 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
811 |
805 |
$30K |
| 0002A |
|
759 |
759 |
$27K |
| 0001A |
|
799 |
799 |
$26K |
| 93793 |
|
2,277 |
1,358 |
$22K |
| 62323 |
|
223 |
214 |
$21K |
| 99221 |
|
249 |
242 |
$20K |
| 93000 |
|
1,177 |
1,168 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
449 |
432 |
$17K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
94 |
41 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
106 |
104 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
232 |
229 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
169 |
167 |
$16K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
89 |
89 |
$16K |
| 88342 |
|
536 |
528 |
$15K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
217 |
214 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
755 |
745 |
$14K |
| 0031A |
|
390 |
390 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,241 |
1,236 |
$12K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
53 |
53 |
$12K |
| 88304 |
|
602 |
599 |
$12K |
| 0064A |
|
264 |
264 |
$10K |
| 0012A |
|
305 |
305 |
$9K |
| 0004A |
|
217 |
217 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
101 |
$8K |
| 85610 |
|
2,128 |
1,280 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
481 |
257 |
$7K |
| 99051 |
|
970 |
963 |
$6K |
| 88307 |
|
91 |
91 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
49 |
49 |
$6K |
| 0011A |
|
341 |
341 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
48 |
15 |
$5K |
| 95117 |
|
594 |
318 |
$5K |
| 90686 |
|
656 |
656 |
$5K |
| 99215 |
Prolong outpt/office vis |
31 |
26 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,294 |
1,278 |
$5K |
| 93320 |
|
202 |
199 |
$5K |
| 99152 |
|
632 |
621 |
$4K |
| 90688 |
|
210 |
210 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$4K |
| 0071A |
|
89 |
88 |
$3K |
| 95806 |
|
110 |
110 |
$3K |
| 99219 |
|
24 |
24 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
27 |
24 |
$3K |
| 0072A |
|
66 |
66 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
125 |
123 |
$2K |
| 99217 |
|
40 |
39 |
$2K |
| 95911 |
|
25 |
25 |
$2K |
| 95886 |
|
64 |
64 |
$2K |
| 0034A |
|
48 |
48 |
$2K |
| 99462 |
|
49 |
39 |
$2K |
| 80305 |
|
403 |
347 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$2K |
| 93325 |
|
198 |
195 |
$2K |
| 98926 |
|
34 |
31 |
$1K |
| 95885 |
|
131 |
127 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$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) |
85 |
85 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
17 |
17 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
77 |
$1K |
| 99225 |
|
18 |
12 |
$1K |
| 93018 |
|
65 |
64 |
$832.67 |
| 95115 |
|
89 |
51 |
$734.44 |
| 20610 |
|
17 |
15 |
$733.89 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
43 |
42 |
$672.51 |
| 98927 |
|
12 |
12 |
$636.39 |
| 94060 |
|
58 |
58 |
$595.75 |
| 94729 |
|
123 |
123 |
$526.57 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
13 |
$517.94 |
| 94726 |
|
80 |
80 |
$483.02 |
| 90461 |
|
12 |
12 |
$340.00 |
| 93321 |
|
12 |
12 |
$328.94 |
| 83655 |
|
30 |
29 |
$307.39 |
| 81001 |
|
92 |
87 |
$279.08 |
| 94375 |
|
27 |
27 |
$276.28 |
| 90656 |
|
13 |
13 |
$270.47 |
| 73630 |
|
12 |
12 |
$251.70 |
| 99406 |
|
26 |
26 |
$235.61 |
| 94727 |
|
27 |
27 |
$156.90 |
| 85018 |
|
84 |
83 |
$132.16 |
| 81002 |
|
12 |
12 |
$24.61 |
| 81025 |
|
12 |
12 |
$24.24 |
| 96161 |
|
12 |
12 |
$18.80 |
| 88311 |
|
12 |
12 |
$2.42 |
| 91306 |
|
230 |
230 |
$0.00 |
| 91301 |
|
628 |
607 |
$0.00 |
| 91303 |
|
395 |
395 |
$0.00 |
| 91307 |
|
138 |
116 |
$0.00 |
| 90698 |
|
61 |
61 |
$0.00 |
| 90680 |
|
28 |
28 |
$0.00 |
| 99024 |
|
20 |
13 |
$0.00 |
| 91300 |
|
1,665 |
1,535 |
$0.00 |
| 90670 |
|
99 |
98 |
$0.00 |