| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,119 |
21,997 |
$2.23M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,482 |
13,413 |
$789K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,782 |
14,164 |
$674K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,735 |
6,703 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,547 |
3,444 |
$206K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,997 |
4,684 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,399 |
3,371 |
$172K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,093 |
3,093 |
$165K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24,453 |
22,522 |
$161K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,855 |
3,521 |
$123K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,838 |
2,491 |
$101K |
| 59425 |
|
1,409 |
1,240 |
$89K |
| 71046 |
Radiologic examination, chest; 2 views |
9,836 |
9,778 |
$84K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,543 |
2,512 |
$79K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,017 |
1,012 |
$77K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,411 |
2,409 |
$59K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
605 |
604 |
$42K |
| 88307 |
|
481 |
471 |
$37K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,804 |
1,804 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
468 |
468 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
538 |
538 |
$28K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
770 |
766 |
$26K |
| 76818 |
|
600 |
460 |
$25K |
| 99442 |
|
423 |
410 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,405 |
2,405 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
2,285 |
2,022 |
$14K |
| 99443 |
|
304 |
236 |
$12K |
| 76801 |
|
296 |
296 |
$12K |
| 92250 |
|
895 |
894 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
147 |
147 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
96 |
$10K |
| 88141 |
|
709 |
703 |
$9K |
| 96136 |
|
632 |
629 |
$8K |
| 88112 |
|
402 |
384 |
$8K |
| 76813 |
|
146 |
145 |
$7K |
| 76830 |
Ultrasound, transvaginal |
246 |
245 |
$6K |
| 96137 |
|
591 |
588 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
41 |
41 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
114 |
114 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
227 |
221 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
106 |
105 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$4K |
| 93970 |
|
194 |
186 |
$4K |
| 73610 |
|
576 |
543 |
$4K |
| 92002 |
|
110 |
110 |
$4K |
| 71250 |
|
94 |
92 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
92 |
89 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
77 |
77 |
$3K |
| 59426 |
|
18 |
13 |
$2K |
| 76820 |
|
122 |
92 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
43 |
24 |
$2K |
| 73560 |
|
380 |
293 |
$2K |
| 99441 |
|
131 |
128 |
$2K |
| 88304 |
|
125 |
125 |
$2K |
| 73110 |
|
254 |
224 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
76 |
74 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
28 |
24 |
$1K |
| 73630 |
|
254 |
219 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
19 |
$779.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$778.48 |
| 73030 |
|
156 |
143 |
$775.59 |
| 74018 |
|
99 |
98 |
$684.89 |
| 73130 |
|
79 |
65 |
$437.71 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$412.43 |
| 11720 |
|
57 |
57 |
$377.13 |
| 77080 |
|
82 |
82 |
$364.25 |
| 73590 |
|
57 |
53 |
$337.58 |
| 76641 |
|
12 |
12 |
$325.36 |
| 93248 |
|
25 |
25 |
$296.70 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$294.92 |
| 76770 |
|
13 |
13 |
$276.50 |
| 76642 |
|
12 |
12 |
$260.39 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$213.57 |
| 73564 |
|
29 |
27 |
$195.29 |
| 99188 |
|
28 |
28 |
$169.95 |
| 72100 |
|
26 |
26 |
$160.85 |
| 73502 |
|
13 |
12 |
$71.58 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
112 |
111 |
$46.80 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,034 |
1,982 |
$0.00 |
| 0502F |
|
547 |
426 |
$0.00 |
| 3078F |
|
25 |
25 |
$0.00 |
| 3008F |
|
437 |
411 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
59 |
59 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |